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Home My WebLink About20270162 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:20.27o^16.2 Pin #:2E495 \1'v Proiect Address: 701 S Kilson Dra Assessor's Parcel: 01 1-094-01 Lot: 6 Unit: Block. NA Bldg: Tract: 608 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone. Sashi Sureen P O Box 62004 lrvine, CA 92602 (714I- s33-0537 01 1 16002 51603 01 1 16002 51603 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 Fee Type Amount Qty Fee Light Fixtures 1 .09 14.00 $1 5.26 FWU 2s.76 1.00 $25.76 General Plan Update 22.95 1.00 $22.95 lssuance 57 .2O 1.00 $57.20 Microfilm ffi6fl*, i2?4t _ Q?lS /1t-tr? 1 ?B: F,Zun i$e.e1 0f f i ce: (:TYH Tr nn s* : 3? 3 cil 4Acctt: Relt I ?tt?7t-tlf.2 ftr-rit*:Ll?90313? 11.ig,t').lt|? r:3[l fin Tronsoct ion Totql tl r ?15 .:i+ $nsh i Sur'een Tenant Name: Contractor: Address: Owner-Builder Phone. State Lic #: Lic Type: Bus. Lic #. Workers' Compensation I nsurance: Carrier: Policy #: Expires: NOTTCE oFuoT.ATIoT* 6errernl Plon Updnte Fee Ltl 1 l6L[J2- 5160r-[-il-r0- Electricol rtl I l6t:r02- 5l6tJ3tJLt0- ll icrof i lm & Documents r:rl 1 16t:r02- 377 711fi00- I CL Check Lrtr394 Notes: Electrical for remodel - living room, dining room, hallway & kitchen. q?? er,.1.^& t , .-. $?8 .?? $3.?1 $1r?15,94 Building Use: Single Family Dwelling Job Type: Alteration Nature of Work: Remodel Occupancy. Constr Type: Code: Date: Date: Date: R-3, U VB cEc 2016 Planning Conditions: lnterior ti only. No exterior alterations or modifications. Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Amsden, Julie Building Permit #: 102102186 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 trteriod of 360 days after the time the work is commenced. 11t08t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt. Total 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $22 9s $98 22 $3 e1 Fee Total: Paid to Date: Balance Due: $1 25 08 $0 00 $125.08 lnspector MtD# 2019-155753 ELECTRICAL.I NSPECTOR R ECORD D^,, nA n-7 1n.t G, APPROVALS DATE ID/SIG.COMMENTS Site-Work Un nd Pole Bases Standards Fountains monument Life /Low Fire AIarm lDam Com munications Cable Buildi Under Slab /Floor I Ground IUFERBond Transformers Sub-Panels Air Conditioners ntuRoof Facto Wired Unit Walls Conduit Walls h rd & Soffit RoCeil h Ceil -Bar Meter Release h ?-{ Service Meter F!NAL Rema ho'eby Bt[t.t)[.R affirnr under penalty of perjury that aJn exempt frorn the Contractors'License Law for the following (Sec.70-3 .5BusinessandProfessionCode): reason Any City or County rr'hich requires permit to conslrucl.alter.improve.demolish or repair anystructure.prior to its issuance.also requires the applicant for such pennit lo file signed statetnent that he she is licensedtotheprovisionsofthe or pusuant Contractor's Licensed l.arv (Chapter 9.Commencing s'ith Section 7000 of Division of the Business andPmfessionsCode)or that he or she ts exempt therefrom and the basis for the alleged exonption.Any violation of Section 703 .5 byapplicantforpermitsubjectstheapplicanttttcivilpenalty of not any more than five hundred dollars ($500). 5!'' as owner of th9 property. or my ernployees with wages as their sole compensation. rvilldo the rvork and the structue is notintended or oflered for sale (Sec.7044. Business and hofessions Code: The Contractor's License Law does not apply to an owner ofthe propaty who btrilds or improvcs thcron, and who does such work himself or herself or through his or her own employees.provided that such improvanents are not intended or offered for sale. If. howwer. the building o, irprouement is sold within one )â‚¬arof cornpletion, the owner Builder will havc thc burden of proving that he or she did not build or imp,rove the propo.ty for the purpose ofsale). -1. as owner of the propâ‚¬rty. atn exclusively contracting with licensed contractors to consrruct the project (Sec. 7044, Businessand hofession Code: The Contractor's License Law doL nor apply to an owner of property who builds or improves thereon.and *'ho contracts for such p,rojects with a Contracto(s; licensei pursuant ro the Contraitor's License Law). _l am exempt under Section_ . B. & p.C. for rhis reason. urr", [\.o8.lfl onn"r, 6WoRKERS'Collm Iherebyaffirmunderpenalryofperjuryoneofthe,o,,o,",n*Dffiq -l have and will maintain a Ce-rrilicate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of rheLabor code. for the performance of the work for which thc pennit is issued. --l have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is issuerJ. My workers' compensation insuranie carrier and policy number are: Policy Number:__Expires: (t t cerriry tul inthe pcrfomc of thc work for which this pcrmit is issucd, I shall not mploy uy pe*on in my muna$ I to bccome subjet to Ihc work6'smpcnsrt-ion- lam of califomia. ud agrc that if I shouu uccomc suulcr to'trrwork6'compcr$tionprcvisiocofs(tion3T00ofrhcLaborCodclslull.ionhwithcorpry*irfrtrro*p,oi,i"ioro-- r WARNING: Failuc to sre mrk*l TTp"tYlon covmgc is unlawful. md shall subjet u mplolc ro qiminal pqultics mdcivil fines up to onc hundrcd thoMd dollffi ($100.000). ii addition ro thc cost of compcwrion, dr*go * povidcd for thcSetion 3076 of the Labor Codc. intrGt ed dtonrcy's fc. orr., [L. Ok. \1 I hereby affirnr under penalty of pcrjury that t am licensed of the Business and Professions Cocle, and my ticense is provision of chaptcr 9 (cornmencing with Section 7000) of Division 3 in full force and effect. License Drle:_ Class: License Number: _ ('onlrnctor: _ !nw.bv.arrq1q<lcpenaltyofpcrjurythat,*ffifomanccofthcwrkforwhichthispqmitb issucd (Se. 3097. Civ. C.). Lender's Name: _ Lender's Address: _ APPLICANT DECLARATION I herelry affirm under penalty of perjury one of the following declarations: Demolition Permils-Asbestos Notification Federat Regulations (Title 40, part6) -Required Letter of Notification -l certi& that the federal regulations regarding asbcstos removal are not applicable to this projcct. (lr cerri& rhat I have read this application and state that the above information is correct. I agroe to complyordinances and State Laws rclating to building construction. and hereby authorize represextatives of this Cityabove mentioned property for inspection purpos6. with all City and County and County to enter upon the Applicnnt or Agent Signature:_ Permitee nnme (print): 3B â‚¬- ASur ru \t' o t- 11 .1