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HomeMy WebLinkAbout20370230 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:2O37O23O Pin #: aZSft Project Address: 2007 S Ritchey St Assessor's Parcel: 403-041-07 Lot: NA Unit: Block: NA Bldg: Tract: NA Suite Range: Zoning: Ml Owner. Address: Phone: Tenant Name: Contractor Address: HBR LLC 114 Collins Ave Newport Beach, CA 926621108 (94e) 285-1145 JMC Welding Jose Alfredo Castaneda Gor 126 Monte Vista #3 Costa Mesa, CA 92627 (s49) 241-0308 01 1 16002 51603 01 1 16002 5160." 01 1 16002 5160C 01 1 16002 5160-. 01116002 5777C Fee Type 125 Volt Receptacle Min Fee Adj General Plan Update I ssuance Microfilm Records Amount 1.51 57.25 22.95 57.20 391 Qty 10.00 100 1 .00 100 100 Fee $1s 10 $57.25 $22 e5 $s7 20 $3 91 Phone: State Lic #: 1030673 Lic Type. C-10 Bus. Lic #: 374388 Workers' Compensation lnsurance.Carrier: Norguard lnsurance Company Policy #: JOWC046391 Expires: 0410312020 Bntchi:f,St-tB$ ll/l?/21-119 ID: o,nor( flf f i ce: (:TYH Tr nn s* : 1 tt5 ?- cif Acct* : Ref *: ztJJ /t-t2.jt i(cpri:LriglLr44g LL/L9i?Lr1? 4:31 ['f Irongqct i on Tot cr I t?5? . 4 t lose Al lredo i:astnnedn Gon;nle iienernl F'Ian Updnte Fee t't1 I 16t-ttti- 516ttttt-tt-tLt- EIectr iccrl itl 1 l6LtLI?- 51ott3t-tt"t0- 11 icrof iln & Documents trl 116trtrl- 177 7r,rtrCICI- Viso (:(:+ : *r*t**t*****68 I 9 Building Use. Job Type: Nature of Work. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Commercial Alteration Rec Occupancy: Constr Type: Code: Date: Date: Date: F-2 ilt B cEc 2016 Notes: Fee Total Paid to Date: Balance Due: fi25?.4 Auth*:[t1.i: Hernan dez, Kathy 11t19t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Tctal Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, or if the work authorized on fhe sife by such permit ls suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $22 e5 $129.5s $3.91 $156 41 $0 00 $156.41 lnspector MID#: 2019-155986 Address Range: 1969-2019 Historic: No ELECTRICAL.I NSPECTOR RECORD r")0 n'7 APPROVALS DATE !D/SIG COMMENTS OWNER BUILDER DELCARATION I hac$, affm undr pemlty of perjury that I m cxcmpt from thc Contrsctoc' Licme Law for thc following rcun (Se.70-11.5 Bsio6s ud Profsion Codc): Any City or County which rcquirc a pamit lo consiruct, alta. improve danolish or rcpair uy structuq Fk)r to its issuacc. aho rcquirG thc applicet for such pcrrnit to filc a signed ststddt that hc or she b licdEcd plmot to thc prcvisioru of the Contractor's Liccnsed taw (Chapt6 9. Commmcitrg with Setion 7000 of Division 3 of thc Bsins od PmfsionsCode)qthathcorshciscxmptthq€fromudthcbasisforthcallcgcdcxmption. AnyviolationofS6{ion70ll.5byany applicant for a pcrmit subj*ts thc applicanl to a civil pmlly of not morc thu livc hundrcd dollm ($500). -1, s oma ofthe prcperty. or my cmployc with wags re thcir mlc compcnsaion. will do thc wort ad thc stnrclrc b not intodcd or ofrercd for el€ (56.7044. Busins ud Profsiom Codc: Thc Contractor's Licw law doc not 4ply to u omo of thc popgty who builds or hnprcrc thc@n, ud who do6 such rrcrk himself or hdf or thrcugh his or ho om employrcc, providcd that such imprcvqmts rc not intodcd oroffqed for sle. If, ho\q6. the buildirg or imprc@cnt is sld within onc )ry ofcompletion. the Ownq Buiklcr will have thc btudo ofprcving tha he or shc did not build or imprcrc thc prcpsty for thc purpor of eh). -1. c omer of thc propaty. m cxclusivcly contracting with licmcd contraclorc to corutruct thc projet (Ss. 7044, BBinG md Profi=sbn Codc: Thc Contractor's Liccnsc Law do6 not apply to u owna ofpropoty who builds or improv6 thq@n, and who ootmcis for such projers with a Contncto(s) licqE€d puB@t to thc Contrsctor's Licme law). _l arn exempt under B. & P.C. for this reason. I hereby affrm under penalty of pcrjury one of the follorving declarations: _l have and will maintain a Certifrcate of Consent to Self-lnsure for work€rs' compensation. as provided for by Section 3700 of the Labor Code, for the performance of the work for which the permit is issued. I have and rvill maintain workers'-i700 of thc l-abor Code, for the performance o[ the work for rvhich this pcrmit is and policy number are: v0t t ^y6Ilxpires:o ? Policy _l cerrifu that in the perforrnance of the work for rvhich this permit is issued. I shall not employ any person in any manner so as to become subject to the $'orkers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Scdion 3700 of the Labor Code. I shall. forthu'ith comply \t'ith those provisions..I WARNING: Failure to serure *'orkers' conlpensation coverage is unlawful. and shall subject an employer to criminal peflalties and civil frnes up to one hundred thousand dollars ($100.000). in addition compensation. damages as provided for the Section 3076 of the Labor Code. interest and attorney's fees. I I DI.,('LAIIA'I I()N t hereby affirm under penalty of perjury that I anr licensed under provision of Chapter 9 (cotnmencing rvith Section 7000) of Division 3 of the Business and Professions Code. and rny license is in full force and eflect. License .,.*' C I 0 ('ontraclor: ('ONS'l'RU(11'tON LENDING A(;11N('\' I hceby affm undr poalty of p€rjury that th6c is a congruaion loding agocy for the pofomcc of thc work for which this psmil is issued (Sec. 3097. Civ. C.). I-ender's Name: APPLICANT DEC LARA'I'ION I hoeby aftirm under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6) _Required Letter of Notification -l cerri$r that the federalregulations regarding asbestos removalare not applicable to this project. -t cenify that I have read this application and state that the above ordinances and State Larvs relating to above mentioned property for Applicant or Agent Signature: Permitee nrme f printl, {d(e-','s(. the Site-Work Underground Pole Bases Light Standards Spas. Poo!, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm I Dampers Communications Cable Buildins Under Slab / Floor Bondinq I Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Roush) Meter Release Rough ll"Ztetl n <_z') Service Meter -\FINAL ll ,zt . l7 lLc tgt )3.62)314n / Notes, Remarks, Etc \----.- Lender's Address: o