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
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iienernl F'Ian Updnte Fee
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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