HomeMy WebLinkAbout20170146 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical Permit #:2tJ170146
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Pin #: 1s221{
(
Project Address: 1614 W Marion Way.Unit:
Block: NA
Bldg:
Tract: 1608
Suite Range:
Zoning: RlAssessor's Parcel: 001-066-05 Lot: 50
Address Range:
Historic: No
Owner:
Address:
Mayra Rodriguez
1614 W Marion Way
Santa Ana, CA 92706
(7141 4584142
01 1 16002 s1603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
55.37
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$5s.37
$22.9s
$57.20
$3.91
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone:
Batch*
Uli i ce
Ac,:t*:
Rcp[*:
L/7/?IJ1? ID: C(
I
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier.
Policy #:
Expires:
n On SOrl
/i5Lr/.1ir i
b ion Tobcl
a
Building Use.
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016
I I6l-lul - ;r I
crsl iltrt &J0,: Ufilen U 5
7 T0rttttt -Notes: handout givon
50
C:i: r**r***r****[
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #.
Hernan dez, Kathy
Date.
Date:
Date:11t07 t2019
Account#
Misc. Recerpt:
Misc. Receipt:
Misc. Receipt.
Total
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 after the time the work is
commenced.
01 1 16002 51600
01 1 16002 s1603
01 1 16002 57770
$22 95
$1 12.57
$3.91
Fee Total
Paid to Date:
Balance Due:
$1 39 43
$0 00
$139 .43
lnspector MtD# 2019-15s716
ELECTRICAL.I NSPECTOR RECORD
'/ql
APPROVALS DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby alfirm unda pmalty of pcrjury that I m cxcmpt from the Contractom' Licmc law for thc following rcmn {Sc.703 1.5
Businas ud Profcssion Codc): Any City or County which requirB a pGrnit to construct. alt6, imprcve. dernolish or rcpairtny
structue. prior to its isumcc. also rcquirB thc applicilt for such pemil lo filc a sigocd stalomt that hc or shc is lic@srd pllts@t
to th€ FovisioN of thc Contmctor's Licmscd Law (Chaflq 9, Comocing lvilh Sclion 7000 of Division 3 of thc Busine ud
ProfsionsCodc)orthathe orshciscrmptthqefromudthcbasisforthcallegcdcxmption. AnyviolationofS6lionT03l.5by.any
applicanrforapqmitsubjdtsthe applicanttoacivilp€naltyofnotmorethilfivchundrcddollus($500). )
l. r o*q of thc prcperty, or my cmploye with wag6I their ele smpcnsation. rvill do thework ud the stnrrw is not
intqrdcd or oftacd for slc (Sa.7044. Busins ud Profcssioro Codc: Thc Contraclor's Licre llw do6 not pply to u oMs of
thc prcpcty who huilds or imfrove thmn. and who doc uch *prk himsclf or hmclf or thrcugh his or hc om cmploye.
providcd that such imp.ov@ts ilc nol intqdcd or offq€d for salc. If. howffi. the building or improv@dt is 9H wilhin onc )@
ofcomplaion. the Ownq Builda will havc the turdm ofprcving that hc or shc did mt build or improve thc propety for thc pupos of
slc).
-1.
as owner of the p,roperly. am exclusively contracting s,ith licensed contractors to construct the project (Sec. 7044. Business
and t\ofession Code: The Contraclor's l,icense Larv does not apply lo an ou'ner of property rvho builds or improves thereon.
and \\,ho contracts for such projects rvith a Contracto(s) licersed pursuant to the Contractor's License Law).
-l
am exempt under Section-B.&P reason.
,,,., il-? - 14
DECLARATION
I hereby affirm under penalty of pojury one ofthe ftrllorving declarations:
__l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code, for the performance of the rvork for which the perrnit is issued.
_ I have and rvill maintain rvorkers' compensation insurance. as required by Section -1700 of the [-abor Code. for the perfionnance of
the rvork for rvhich this permit is issued. My workos' conrpensation insurance carrier and policy nutnber are:
Carrier:_
Policy Number:-I:rpircs:
_l cerrify that in thc performance of the rvork for rvhich this perrnit is issued. I shall not enrploy any person in any manner
so urs to become subject to the workers'compensation laws of Celifornia. and agree that if I should become subject to the
rvorkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions..
a
WARNING: Failure to sure workss'compeGation coverage is unlarvful. and shall suhjat m mployer to siminal pqaltiq ani
civil fines up to one hundred thouwd dollare ($100.000). in addition to thc cost of compeMtion, danaga r providcd for the
Section -1076 of the Labor Code. interest and attorney's fees.
,^r", I l'1- 14 L
I hereby affrm under penalty of perjury that I arn licensed 9 (commencing rvith Section 7000)3
of the Business and Professions Code. and rny license is in full force and effect.
License Class:__License Number:
('onl rRclor:l)alc:
W
I hmby affm undo pcr, alty of pEjury that th@ is a mnstruction knding agacy for thc pcfomucc of thc work fur which this pamit b
issucd (Sc. 3097. Civ. C.).
[rnd6's Nmc:
-
Lender's Address:
APPLICANT DECLARATION
I hereby aflirm under penalty of po'jury one of the follorving declarations:
Dcmolition Permits-Asbcstos Notification Federal Regulations (Titlc 40. Parl6)
_Required Letter of Notification
--l
cqtifythat thc fcdqalregulatiom rcgrding rbclos rqnovalrc not applicablc to this prcjet.
-l
cstify thar I havc ud this application {d statc that the abovc infomation is cor$t. I sgrc to comply with all Citysnd County
ordinancc md Statc taws rclalhg to building construciion. dd h6eby authorire rcprmtativs of this City ud Coutrty to 6t6 upon thc
{(*
Date:)l-)- lq
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
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 (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release
Rough /Crr )
Service Meter 7/)4',4 flq//-)
FINAL t,4.2t'b*t' ,WM !
Notes, Remarks, Etc. t
z -,/ I I
f)a', nO n7 ')fi'lfi.,
T
t\q)
ff\rfa 0o Ec\r -ta.
\.
.
f Q Qof,o\
No()3:o C)o ft+o a T q,N o)7ooa :,:)ox
|;
i
r
i
l$
si
i
la
S=
EH
E
Fe
j3 Sp
o
g8
r+
2aT Ioru No G)o7o
{
t$Or
a
qt
a.
lt
,
O
oE
tr
IEs
oTsi
l
O-gF
sb
;s
=a
-
\oa
Fi
='
:
rJ*oq)
-.
rtr
=3.
8
-,
I.
.
B
l-
_
HI
i
€-
l=la
lo
)
l=
lr
+
lo
)
l$l=
lo
r
It
>
l-to
l-
-
to
lc
r
IE
oo:,
,.
.
i
-loot-
+o.
!-tolCof o{:,o-
1'o -l 3 -a-+zc 3uo.
'o -lo
bo
oo.-
+o-o-
-loa ?.
foo3ao s
rn
-l =o @ o 7oo-=.
(ocoN
No J{O Js(I
)
J O)
Js =o =.o ==o)5 @ o)
ft+o)=P (o N)
!o O)
('
E
d
s
E
(
E
r
E
I
)
g
l
$
E
I
3.
*+
1
5
r
6i
l
a
0
;
il
a
a
i*
a:
r
{
:r
i
,
*
t
-i
ro
o_
g
o.
t
:E
I
=
AL
-
&
A
'
€
1l
Q
'
o
)
ot
p;
d
Er
=
r
t+
B
+a
il
r
l
I
IT
3
=
=
gn
;
;
r
ss
F
[
;e
A
g
3
3A
r
6.
3
H;
,
.
f
s
s
3
e1
-
5
o
:
5
'
q
S
*
g
o,
a
d
f
gi
l
*
f
t
r
f
l
i
;i
e
*;
x
a
a
i
;
.
l
r
i'
3
q
qi
i
;
+
=d
s
o
ir
*
il
i:
.
=
E
s
a
;
s
s
E
t
gi
3
ae
:
r
:
i
*
[
F
aH
I
E
s
6
vt
6o
a
i.
?;
-
ct
E
2
f
e
&
E;
*
9e
9
E
r3
s
d;
f
s
ra
i
-r
J:
E3
-
+
q;
s
li
l
3
?
-5
;
;
E
iE
+
iG
!
i
q=
r
E
ga
;
;i
.
r
B
i
i*
i
:
r€
q
ir
6
r-
.
'
ol
;
r
=.
5
'
i
E
-a
A
A
oa
v1
:.
or
o
9?
o
H-
;
ro
='
r
e:
i
lt
3E
3
Og
:
,
-
?
J
6
.
-
-
-
t
v
r
X
f-
q
1
i=
ri
jo
2
A
'
+
=
v
+
E
-o
3i
.
e
Ea
H3
,
o
o-
-
o
3
='
Lu
X
2
P
gH
=d
2i
B-
?
+
0
*
=+
;s
q
i
{
3
3
i
lE
-
-
LA
J
.
L
r
+
i[
3
ts
6
EF
a
-r
f
D
f
D
v
t
=
;
.
(
^
)
:
I
s
,
;5
L"
;
A
i
L,
rD
i5
-
='
o-
u
f
5
E
E
E;
51
6-
(D
r
D
o-
t+:'
(u.+a 3oFo o)o)-3tt
r o,
f,o-
(t of 3ofoxo-o o)o)3a:r o)o(roof 5'
a (u oo-5'
r)o 39 or
'
:foo E.+=.+:r
(D gq o o :l 5'
ga
(-
)oo-oVt
(U fo-
:r
(\
)ogoo:f r*o (]
r
rD c :lr)o'
:l +q)[;
I:r
rD o(t
(-
)
rD +t+=(I
)
t+€:-to rD Vr
.-
t
:to q,O)3ll
r
13o r+:,
rD
3o fc.+
i
(Uoc+c -l rDa-2 :)a
,A
I
t\>orrF ofo r)
'
rD :J Vr
rD n -9 oo rD o{fo
=B
z
Ef
;
3
q;
.
=
A'
o
h
iE
+
E
g$
il
E
.\
Fl
uo;
.
!o S'
.
=
a
gr
=\
,
oo
-
t;o:BE
.
6S$3
O.
a
l'
Bqs
:'
F)
\r
-$i
$aot
}
i
a-
=
{oOE =o
S-
r
rQ
+
.
si
aT
(r
r
t
r
oa
\
+.
t
YF
F}
\si
t
b'B*
-o o ,+5 -la oo 3 E'6-
+'
.
|
.
(D o-
-.
+
r
o-t 3 oJo-
+'
+
q-J (D
l-
.
ou Io A)-o--oo CL
-a-o,g.
ilcr 6-o ==!=g ='aE'oo*oa
(/
)
\r Q5o F)s\o
-I N)
J N)o N)O
u
oaFlo