HomeMy WebLinkAbout20170189 - Permit\
,City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 PH Electrical
Permit Counter: (714) 647-5800 lnspection Requests: Q1$ 667-2738 lnspector Section: (714) 647-5853
Permit #:2O17Ol 89
Pin #: 21618
Proiect Address: 602 E Occidental St-a
Unit:
Block: NA
Bldg:
Tract: 2238
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 014-214-05 Lot. 11
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Marcia Guereca
602 E Occidental
Santa Ana, CA 927OT
(7141 417 -1647
lon Electric lnc
1830 E Miraloma Ave Ste B
Placentia, CA 92870
(7141 ee3-946s
01 1 16002 51603
01 1 16002 5160C
01 1 16002 5160r'
01 1 16002 s777C
Fee Type
Serv Meter
General Plan Update
I ssuance
Microfilm Records
Amount
55.37
22.95
57.20
3.91
Qty
1 .00
1 .00
1.00
1 .00
Fee
$ss.37
$22.e5
$s7.20
$3.91
Bntch*:53u31 II/l+/?ttl? ID: HGAF:{:IA
Olf ice: (:TYH Trnns*: 2tt I ai LAcct*: Ref*: zul7lrlg?
Rcpti:028tr6831 IL/14/2lrl9 9:41 Al1
Trnnsgction Totnl $139,/13
Ion Electric Inc
State Lic #: 951 482
Lic Type: C-10
Bus. Lic #: 371524
Workers' Compensation lnsurance:i.)aTTieT: ACCREDITED SURETY AND CASUALTY COMPANY
Policy #: lATCAl600021 9
F:xpires: 09/01 12020
tNc
Genernl Plnn Updnte Fee
Ltl I 160!:t2- 516ttt-tt-tt-ttt-
Electr icnl
Ltl I l6[tlt2- 51603LrLrLI-
11 icrof i ltn & Docurnents
ul 1 160112- fi777r-rtt0tt-
Viso
C(:* : r*** ********8787
$??, ?5
$11?,i7
$3.ii1
I$ 13.7 . ,i.3
Auth*: LrSg +6ta
$1 39 43
$0 00
$139 .43
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter
{r+G"rnandez, Kathy
Occupancy:
Constr Type.
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2016
11114t2019
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt.
Total
Notes. handout given/auth on file
Fee Total
Paid to Date:
Balance Due:
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 the sife by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
01 116002 51600
01116002 51603
01 1 16002 57770
$22 95
$t t 2.57
$3 e1
lnspector MID#: 2019-155602
\
ELECTRICAL.INSPECTOR RECORD
()^'no n7 1n,, q
APPROVALS DATE !D/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire AIarm I Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release
I
Rough l?-l8 ('t Vkft0crt wY(
Service Meter t7 'lg (n Dtl\^4 7-+3 '-
F!NAL tli ? q{n\ .
Notes, Rgmarks, Etc.lt/
I
OWNER BUILDER DELCARATION
I hrcby affm unda pcnalty of perjury that I m cxmpt from thc ContracloE' LiceE taw for the following r@$n (5€.70-11.5
Busines and Profsion Codc): Any City or County which rcquiro a pmnit to coNtruct, altc. improvc dcmolish or rcpair uy
slruc{ue. prior to its isuocc. also rcquirc the +plicilt for such pcnnit Io filc a signcd statm@t lhd h€ or $c b licoscd pmualn
to thc provisioro of thc Contrsctor's Licensed law (Chaptq 9. Commmcing with Setion 7000 of Division 3 of thc Buins od
hofsions Codc) or that hc or shc is cxcmpt thqcfrom ed the basis for thc allcged cxmpion. Any violation of Scclion 703 I .5 by any
applicantforapetmitsubjEtsthc applicmttoacivilpcnaltyofnotmorethmlivehun&eddollas($500).
_1, as owner of the properly. or my employees with wages as their sole compensation. will do the work and the structue is not
intended or offered for sale (Sec.7M4. Business and hofessions Code: J'he Contractor's License Law does not apply to an owner of
the property who builds or improves thereon. and who does such wort hirnself or herself or through his or her own employees.
provided that such irnprovonents are not intended or oflered for sale. lf. however. the btrilding or irnp,rovement is sold rvithin one year
of cornplaion. the Orvner Builder will have the burden of proving that he or she did not build or imp,rove the propoty for the purpose of
sale).
_1. as owner of the property. an exclusively contracting with licensed conlraclors to construct the project (Sec. 7044. Business
and Profession Code: The Contractor's License Law does not apply to an orvner of property who builds or improves thereon.
and who contracts for such projects rvith a Contracto(s) licensed pursuant to the Contractor's License [arv).
_l am exempt under B. & P.C. for this reason.
Ilo t o.( lrw n or.
WORKERS' COM PENSA'IION
DECLARATION
I hereby alfirrn under penalty of perjury one of the following declarations:
-l
have and rvill rnaintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code. for thc performance of the work for which the perrnit is issued.
-l
have and Section -1700 of the l,abor Code. for the performance of
and policy number are:the rvork for carrier
Ar
Policy Nurnber: IAflA IbqP ?tr3:!Expires:
'b?r)
_l cerli& that in the perforrnance of the rvork for which this permit is issued. I shall not ernploy any person in any manner
so as to becorne subject to the workers' compensation larvs of California. and agrec that if I should becomc subject to the .
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failure to scrure u'orkers' cornpensation coverage is unlau'ful. and shall subject an onployer to criminal poralties and
civil fines up to one hundre<l thousand dollars ($100.000). in addition to the cost of compensation. damages as pri)vided for the
Section 3076 of the Labor Code interest and attorney's fees.
DECLARATION
I hereby affrm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License cuuCJ-D--Nurnber:Z
CONSTR,UCTION LENDING AGENCY
I h6cby affm unds pcnahy of pcr-jury that th6r is a construction landing agocy for rhe pqfomcc of thc rcrk for which this pqrnit b
isucd (Se. 3097, Civ. C.).
APPLTCANT DT'CLARATION
I herdry affirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
_Required Letter of Notification
_l certi& that the lderalregulations regarding asbestos rernovalare not applicable to this project.
._l certify that I have read this rvith all City and County
and County to enter upon theordinances and State Larvs
above mentioned property for
Applicant or Agent
(--1
o,r",/y'q;2o
Lender's Address:
Permitee nanre (print):
Date:,/r