HomeMy WebLinkAbout20110764 - PermitPRO.'ECT
ADDR.ESS: 37OO S. RAITT ST PERMIT NO. 2OLto764ELECTRICAL
PERMIT @(
DESCRIPTIONSUTTE;SUTTE
RANGE:
aNAAOORESS
RANGE:
BUILUNG
NUMBER:
OWNER:
ADDRESS:3315 FAIRVIE}T RD
I h.Eby afim urd.r Fmlty d Frjury that I rm mmpt trdyr lha confacbar'li€ns lil t6. Ua fDlbriing Es:
'3
ffi ol thG prcpGrty, d my mpbtG with EO6 s
will do thc rcrh .nd th. rtuctJE b not int ndGd or
witr
o*,*f z4qr
$lc.
S.c6o.r 70444, I,
onFactoB bScction 7948, l, as o{n6r ol
COSTA ttESA,CA
SATiITA AI{A,CA PHONE:
CONTRACTOR:
AOORESSI
PHONEI
OWNERSTATE
LICENSI:TYPE:
SANTA ANA
BUSINESS LICENSE #:
PERMIT SPECIFICATIONS:
JOB TYPE:ttuLTr/AL
POOL RETRONATURE
OF WORK:
I h.roby.fim undd p.n lty ol p.riury onG ol thc bllwing Dccbretimr:
I hil and will meintain . C.rtifietr Ot C6st b Sdumuf! br WorkcE'Gpamtion, .s Fwid.d ior by S.c{,m 37m ol th. L.bof Codc, ior th.p.riomano d th. rcr'k ior which Oris Pa,mit is brucd.
_l hm and will maintain Wo*cB CmpcG.tim lnsuEn@, as r.quircd by
Scctim 37@ ol thc Labor Codc, f,or thc p.iloman@ ol thG rcrk tor wtrich this
pamit is issucd. My Wortlrs'Comp.nsation lnsunE eri.r and poliq-y numbcr
WARNING: Failurc to *uc Workr6' CmpGnelpn ffigc is unlawtul, ef,d
shall subjcct an cmplolEr to criminal p.nalti6 and cMl fin6 up b mc hundrcd
thous.nd dollaE (S10,@). in addition b thc co6l ot compGn3.tion, dama!6 aspmid.d for in S.ction 3706 oa thc L.bor Codc, intlrcat rnd .ttom./s fG.
.G:
torthwith
of thc I shall
th@
TYPE OF
CONSTRUCTION:
@CUPANCY
GROUP:
NeBUILDING
PERMTT }499FL@O
ZONE:
APPROVALS:
PLANNING
APPROVAL:DATE:
r\rll
PLAN
CHECK BY:
I hccby alfim undcr p.nalty ot pGrjury lhat I em lionsad undcr puisiss c,l
Chaptd I (ffim.rcing with Sction 7m) ., Oivirion 3 ol thG Busin6 .nd
Prot6sions Codc, and my liccns. is in full io@ and Gflcct
Liccm i.lo.:_
Dane: Cmtactor:
Liens
DATE:
WPERMIT
ISSUED BY:DI,tS 08/28/e8OATE:
CITYOFSAIYTAANA
BUILDING SAFETY DtV. M-I9
P.O. BOX t9tt
SANTA ANA" CA- 92701
-_MAILING
-PUBLICCOUNTER-206 W. 4rh STREET
2nd FLOOR
PIIONENUMBER
o14) 64?-5t{n
..NOTE..
FOR COI,IPLIAI{CE w/ SB 873
TOTALPAID TO DATE
2
o
2AI,TOUNT DUE
loH
53
o53.
FEE TYPE
POOL RETRO
FEE
53.
AI,TOTJNT QTY
53.25 1
OGmolition PGmiB-Alb6tos tlotifietioo FcdGr.l Rcgul.tirils (frdG lo, Part 6)
th. fcdcnl rcgulatiss r.g.rding asbcatG ramoal .rc notpDjct
| .bo[ iniomation is
.nd St t! lffiandthat thc
L.tt ro,Notification.
thal I haE rcad this
Pcmitb. mm (p.inq:
Appliant or .gcnt sig.
oa this Crty
OWNERAUILOER DECLARATION
WORKERS COMPENSATION OECLARATION
LICENSED CONTRACTORS DECLARATION
APPLICANT'S DECLARATION
This permil shall erpire by limilation and become null and void if lhe ra,oil authorized
by this permil is nol commenced wilhin 1E0 days from the dale of this permit, or if lhe
wort aulhorized by this permil is suspended or abandoned for 180 days, al any lime
afler work was commenced, ln such case a new permil shall first be oblained before. such work can be recommenced.
5)(
x
v
cs-6134L7t
_ INSPECTOR COPY -
ACCOUNT NO. 011{11{913 - PERMIT VALIDATION A-4 o? 3y'7 z-
FEES
mil ior which this is isucd. I
Address:Unit/Suite:t
D:'r j 'ELECTRICAI, -.. .E{SPECTION RECORD
t
ma etc.
OWNERAUILDER ,TION
)I hereby aflirm under penalty of perjury that I am exempt from the Contrac-tors' License Law for lhe following reson
(Sec. 7031.5 Busingss and Professions Code): Any City or County wtrich requires a permit lo construci, aller,
improve, demolish, or repair any slruc'turo, prior to ils issuance, also requires lhe applicant for such permit lo lile a
Eign€d slatement that he or she is licensed pursuanl to lh€ ptovisidrs o{ the Conlraclors' License Law (Chapter 9,
commencing wilh Section 7fiX) of Divieion 3 of the Business and Professions Code) or thal he or she is cxempl
therefrom and lhe basis for lhe allegsd oxomplion. Any violation of Seciion 7031.5 by any applicant for a permit
subi6c-ls lhe applicanl lo a civil p€nany of nol more than liw hundred dollars ($5[X)).
l, as orvner of fhe properly, or my employea with rwges as their aole compensatkx, will do tho urort, and th€
struclub!{@i, littend€d or ofiered for eale (Sec. 7Oll. Budnees and Profeosirns Code: The Contr$rs' Lbenss
Lay doo6 nol apply to an owner of the property wtro buius or improros lhereon. erld yvho ds arh rvort hlmsalf or
hertell or lhrurgh hb or hor oryn omptoyeee, povfdea thal arch improvemenlt are nol intandod or ofiered for aale. lf.
hovrlever, lh6 building or improrcment b sold wilhin one year of comdolion, lhc Orvnor-Builder will haw the burden
of proving thal he or she did not build or improve for lhe puryce of sale).
l, as orvner of tlte proporly, em erchrsiv€ly contraciing wlth licensed co.rlradors lo corrstnrct lhe Pft&tct (S*.
7(X4, Buclnos ard Professions fue: The ConlracloG' Lk nso Lew do6 not .pply to an orvnor of Foper{y t yho
buiHs or lmForrethereon, end who contrac-ls fa ucfi pr<{ats wilh a Contracior(s) li€n 6d Fr$rant lo tho
Contradors' Li6ns. liw.).
' '3TOrl' '
_l am uempl under
€zntzz.
I.D. I I Buitding Rernarks Date Signature I.D.Site-Work Remarks Date Signature
Underqround I lrnr", Stab / Ftoor
Bondinq / Groundira / UFERllPole Bases
Liqht Standards ,L .. I rr."nste.,q,.r*,,
-_-.r-t forouroqSnes.Epols, Founlahs
tqr iJ r:,I lsuu+anelsSigns (nrcnurnent)
r ry lTtvvr
ru . HcEpr-TTefTlI lair Conditioners
Ci JT
I I 43. AiiA PTI4AdI I Rool Top Equimtent
Factory Wired Unit
Life Safety / Low Voltage Walls (Conduit onlylII
Fire Alarm (rough)Walls (Rough)
Ceilinqs (Hard and Soffit Roughlll
Ceilings[?#ar RoughfIIlI I*oro*
/tr t il-I l^oecuruEgr!.{l &ilez/274b/n9
Dale'Orvnef:
B. & P.C. for lhis reason.
F I
lsrnoke Alarm / Oamoersffi
lj