HomeMy WebLinkAbout20170126 - PermitProiect Address: 1621 E Washington Avea
Assessor's Parcel: 400-286-06 Lot: 6
Unit:
Block: NA
Bldg:
Tract: 2648
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 tlrfl
Permit #i 20170126
Pin #: 47257
Owner:
Address:
Phone
Tenant Name:
Contractor.
Address:
Phone
Richard Sanchez
1621 E Washington Avenue
Santa Ana, CA 92701
(714I- 3s3-0768
TLP Electric lntegrations db
2460 North Glassell Street, I
Orange, CA 92865
(714!- s21-1868
01 1 16002 51603
01 1 16002 51603
01 1 16002 5360'
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
Subpanel 55.37
Over 10-50 HP, KW or h 48.02
Ptc-65% 065
General Plan Update 22.95
lssuance 57 .20
Microfilm Records 3.91
Qty
2.00
1.00
1 58.76
100
100
1.00
Fee
$1 10.74
$48 02
$103 1I
$22 e5
$57 20
$3 e1
A Batch*:53ltt6 II/2lr/2019 ID: NGAF:i:I ri
Off i ce: CTYH Trnns*: gg ? of ?Acct*: Re[*: ?Ll17t-t126
Rcpti:02S10S49 IL/2tt/2r:r1? ?t?4 f'!'l
Trnnsnct i on Total $6?9.73
TLP EIectr i c Intesrnt i ons dba
State Lic #: 824287
Lic Type: C-10
Bus. Lic #. 343655
Workers' Compensation I nsurance:Carrier: STARNET INSURANCE COMPANY
Policy #: BNUWCO1 37148
Expires: 07 10112020
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Backup battery
General Plnn Update Fee
[1 1 160tr2- 516tr00trfl-
Electr icctI
trl I 16002- 51603[ittt-t-
11 i crof i lm & Document E
rrl 1 160tt2- 1777tn-t0t-t-
s?;l , 1i,li
$?15. ?.{!
t3,?1
$6?S.'i 3
Auth*: 4697fl7
$346 01
$103 19
$zqz.82
Occupancy:
Constr Type.
Code:
R.3, U
VB
cEc 2016 **4 64i
Planning Conditions
Planning Approval By: Date.
Plan Checked By: Smith, Mark Date: 1110612019
Permit lssued By: Hernandez, Kathy Date: 1112012019
Subject to Field: Account#
Buirdins Permit #: 1 01 1 0 2145
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MrD#' 2019-155677
Misc. Receipt: 73730
Misc. Receipt:
Misc. Receipt:
Total
Notes.
Fee Total
Paid to Date.
Balance Due:
Bacxu&uite#+UAotar' i:{:{': r'****t****
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$22 95
$2r 5 96
$3 91
ELECTRICAL.! NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DET{NRATION
I hqeby aflinn undo penalty of pcjury lhat I m excmpt ftom the ContractoB' Licerc Law for thc following re@n (Se.7011.5
Busines md Profcsion Codc): Any City or County which requirs a permit to costrucl, altc, improvc. dmolish or repair any
struclurq prior to its isumce. alm rcquirc the applicul for such pef,nit to lilc a signed stalmot lhd he or shc is licmscd pmuffit
to thc provisions of the Contractor's Liccnsed law (Chaptq 9. Commcncing with Setion 7000 of Division 3 of thc Busins ad
Prcfsions Codc) or that he or she is cxcmpt thaefrom ud thc basis for thc allcgcd exmption. Any violation of Scuion 7031.5 by any
applicantforapcmitsubjCtsthc applicmttoacivilpcnaltyofnotmorethefivehun&cddollus(S500).
_1. as owner of the property. or tny employees with wages as their sole cornpensation. willdo the work and the structure is not
interrded or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's License larv does not apply to an owner of
the property who builds or improves thermn. and who does such $'od( himself or herself or through his or her own employees.
provided that such irn;novanents are not intended or offerod for sale. ll. how'evcr. the building or improvement is sold within one )rear
of cornplaion. the Orvner Builder will have the h.rden of proving tha he or she did not build or improve the propoty for the purpose of
sale).
___1. as owner of the property. arn exclusively contracting rvith licensed contractors to conslruct the project (Sec. 7M4. Business
and Profi:ssion Code: f'he Contractor's License Lau' does not apply to an owner of property rvho builds or improves thereon.
and rvho contracts for such projects rvith a Contracto(s) licensed pursuant to the Contractor's License [arv).
_l arn exempt under Section_ . U. & P.C. for this reason.
Dnte: Owner:u'tx
D!:( l,ARA'TION
the follorr ing dcclarations:I hereby affrrm under penalty of perjury one of
-l
havc ard will miotain a Ccnificatc of Co|lmt to Self-lNure for workss' compwtion. r prcvidcd for by S6tion 3700 of thc
Labor Codc for the pcfonnmcc ofthc work for which thc pqmit is issued.
Sauc and *itl naintain workm' compcmation imurancq 6 rcquircd by Sction 37OO of thc Lrbor Codc. for thc pqfomuce of' thc wor* for which this p6nit is iscd. My workm' compcr, aion imuroic cmiq ud polky numbo ac ' A
l^u(zP cr n C-Q C--
-Expires,
+ /r /a o .Policy Number:+t\ E
_l ccrti$ that in the pcrforrnance of the rvork for r+'hich this pennit is issued. I shall not employ any person in any manner
so as to becorne subject to the workers' compensation lan's of California. and agree that if I should become subject to the
rvorkers' compensation provisions of Section 3700 of the Labor Code, I shall. forthrvith cornply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlarvful. and shall subject an enrployer to crirninal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the
Scction -3076 of the Labor Code. interest and attorney's fecs.
Dnte: I \I Otl lr\'\- I
DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing rvith Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License Ctass, C /t O
oete:1/aolS \ contrecror:
&a-YSt \;-
T T
CONSTRUCTION LENDTNG AGENCY
I hrcby affm undr pcnalty of pcdury thst th@ is a construction knding agacy for the pqfomilc€ of the work fur which this prmit b
issucd (Se. 3097. Civ. C.).
bnd6's Nme:
Lender's Address:
APPLICANT DECLARATION
I ho*y affinn under penalty of perjury one of the following declarations:
Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pan6)
_Required Lrtter of Notification
_l cstify that thc fcderalregulations rcguding cbctos rmoval ae not applicable to this prcj€t.
-l
cqrify that I havc rad this application ild slatc that thc abovc infomaion is coqcct. I agre ro complywith all Cityand County
ordinancc ud Statc Law rclaing to building consruaion. ud haeby authorizc rcprMtativc of this City md County to ots upon thc
abol'e rnentioned property for
Applicurt or Agenl
I'ernrilee nnme (print):
pats [ )
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire AIarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
ServiceMeter /^ /I
FINAL
Etc.
f)n'7 '>^a F,