HomeMy WebLinkAbout20170250 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 q Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O17O25O
Pin #: 72223
Proiect Address: 3721 S Timber Sta
Assessor's Parcel: 410-062-14 Lot: 36
Unit:
Block: NA
Bldg:
Tract: 6433
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Arturo Renteria
3721 S. Timber Street
Santa Ana, CA 92707
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
Fee Type
125 Volt Receptacle
Light Fixtures
FWU
General Plan Update
I ssuance
Microfilm Records
:Ie :* :It- :iF
Amount Qty
1.51 2.00
1.09 8.00
25.76 2.00
22.95 1.00
57.20 1.00
3.91 1.00
DUFLf{:A'ft-
Fee
$3.02
$8.72
$s1 s2
$22.95
$57.20
$3.91
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
t poticy #:
' Expires:
:IF:E *f :
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Single Family Dwelling
Patio Cover
Patio Cover
Chavez,OavyL
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016
11t21t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes.
Fee Total.
Paid to Date:
Balance Due:
Bn[chi:s3123 II/21/2irl9 ID: HGAR(:
Off i ce: CTYH Tronsl: g2 2 ol
Acct* : Ref *: 2017025rr
Rcpti:'J2811358 Il/21/2rJL? 3:53 Fri
Trnnsoct i on Toto I $469.6S
ArturCI Renter ict
Genernl Plon Updote Fee *'J!
LI1 I 16002- 516ttt-tt-tLllt-
Electr icol 'si.;il.r
01116002- 51603u1r0-
Il icrof iln & Documents ib:i
0 t 1 16002- 377 TrJL'Lr0-
V i so 'i+oii
E I e c t ri c { dt t F **n*tl* f;eyp6 B Qr n e rfl$ }Cpr fgq72s",q n
file..:r:**'* DLIFL I (:ATE i*:ft-:lxi:":tt['
$147.32
$0 00
$147.32
Subject to Field:
BuirdinsPermit# 101 10231 0
Every permitissued 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.
01 1 16002 51600
01 1 16002 s1603
01116002 57770
$22 e5
$1 20 46
$3 91
lnspector MID#: 201 9-156063
ELECTRICAL.! NSPECTOR RECORD
no n7 1n{,l
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards I
Spas, Pool, Fountains rzl
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm I Dampers
Communications Cable
Buildins
Under SIab / Floor
Bonding I Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment a
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service Meter
FINAL l?.' (3'rg arWto?
Notes, Remarks, Etc.
--ai1
()\!' N Ii lt ll tt I t.t ) l,.lt l) 1,. l,('A t{,\'t' t( ) N
I hrcby afiim undc pcnalty of ffiury that I m cxcmpt from thc Conlraclor' Licffi law for rhe fotlowing rcua (5€.7031.5
BNin6s dd Prof*ion Code): Any City or County which rcquirs a pcrmit to coctruct. altc. improvc, &molish or 'rtpair uy
struclurc prior to its isumcc. also requirc thc applicmt for such pcmit to lilc a signcd statilfit tha hc or shc b licoscd pimuut
to the provisioru of thc Contactor's Licosed taw (Chaptr 9. Commocing rvilh Setion 7000 of Division 3 of lhc BNinN ild
Prcfwions Codc) or that hc or shc is cxmpt thqcfrom md thc basis for thc allcgcd ampion. Any violation of Sdbn 703 |.5 by any
applicantforapcmhsubjctsthc applicanttoacivilpmltyofnotmorcthmfivchundrcddollm($500).
kownef, of the property. or my employecs rvith wages as their sole compensation. will do the work md the structue is not
or offered for sale (Sec.7M4. Business and hofessions Code: I'he Contractor's License [au,does not apply to an orvner of
the propc'rty rvho builds or improves thereon. and u,ho does such rvork himself or herself or through his or her own employees.
provided that such improvonents are not intended or offered for sale. lf. however. the building or improvernent is sold rvithin one year
of cornplaion, the Orvner Builder will have the burden of proving tha he or she did not build or improve the property for the purposc of
sale).
---1. as owner of the propoly. am exclusively contracting with licensed contractos to construct the project (Sec. 7044, Business
and Profession Code: 'I'he Contractor's License Larv does not apply lo an owner of property rvho builds or improves thereon.
and rvho contracts for such projcrts rvith a Contractor(s) licensed pursuant to the Contractor's License Larv).
_l an lbr this reason.
I)nte: 'Orvner:
DECLARATION
I hereby affirm under penalty of perjury one of the follos'ing declarations:
_l have and rvill maintain a Certificate of Consent to Self-lnsure for s'orkers' cornpensation. as provided for by Section 3700 of the
Labor Code. for thc po'formance of the work for rvhich the pei'rnit is issued.
-l
have and u'ill rnaintain u'orkers' compensation insurance. as required by Section ,3700 of the Labor Code. for the perfonnance of
the rvork for which this permit is issued. My workers' compensation insurance carier and policy number are:
Carrier:
Policy Number:-Expires:
that in the perforrnance of the work for rvhich this permit is issued. I shall not ernploy any person in any manner
so as to become subject to the workers'compensation laws of California. and agree that if I should becorne subject to the
rvorkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply rvith those provisions..a
WARNING: Failure to secure workers' compensation coverage is unlarvful. and shall subject an employer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the
Section -1076 of the l-abor Code. interest and attorney's fees.
a ll /r.
DECI,ARATTON
I hereby affrrm 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 Class:-Nurnbcr:
l)nte:Contractor:
CONSTRUCTION LENDING ACENCY
I hcby affnn undo pcnslty of pdury thal th@ is a @nstruclion hnding agacy for thc pqfomcc of thc work fur which this pqmh b
issued (Se. 3097, Civ. C.).
l:nds's Nmc:
[.ender's Address:
APPLICANT DEC LARA'TION
I herdry affirm under penalty of perjury one of the follorving declarations:
Demolition Perrnits-Asbcstos Notification Federal Regulations (Title 40. Part6)
__Required Lctter of Notification
_l certify that the federal regulations regarding asbestos rernoval are not applicable to this project.
I have read this application and state that the above inforrnation is con'ect. I agree to comply
rrepresentatives of this City
with all City and County
and County to enter uJxln theand State Laws relating to building construction. and
above nrentioned properly for
Applicrnt or Agent (
IPernritee name (print):
authorize
I