HomeMy WebLinkAbout20272446 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 20.272446
Pin #: {6OEB
Proiect Address: 913 S Bamdal Sta
Assessor's Parcel: 407-062-30 Lot: 6
Unit:
Block. NA
Bldg:
Tract: 9779
Address Range:
Historic: No
Suite Range:
Zoning: Rl
wP
Owner:
Address:
J. Guadalupe Vazquez
9402 W. Brook Street
Santa Ana, CA 927042801
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type Amount
Demolition (includes ren 52.21
General Plan Update 23.79
lSSUanCe11,,1 .-:.,r ''i ,'i.,..
59.30
ery
100
100
100
100
Fee
$52.21
$23 7e
$50:30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Rcpt*:tr3136883 l?/11/}tt}fr I;34 FI'l
Trqnsoct ion totq I f 860 .?7
.1. Guodnlupe Vnzquer
Generol FInn Updobe Fee
01 1 16002- 51600000-
EIectr i cs1
0l t 16002- 5t6rr30tr0-
11 icrof iln & Docunents
01 1 I 6LIt'2- 1777401JCI-
V iso
C(:+ : rrr*rr*rr *xx21rJ2
Notes: Demo all unpermitted work and restore back to
original permitted use.
$?3.79
_ s111,51
S+. tJ:i
f g6 ir .97
Auth* :0834 1 6
I Brilding Use:
. Job Type:
. Nature of Work:
Single Family Dwelling
Miscellaneous
Nru - Demo
<9'
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
12t14t2020
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
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 s1600
01 1 16002 51603
01 1 16002 57770
$23 79
$t t 1.51
$4 05
Fee Total:
Paid to Date:
Balance Due:
$1 39 35
$0 00
$139.35
lnspector MID#: 201 8-140912
ELECTRICAL-INSPECTOR RECOR D
APPROVALS DATE !D/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding lGrounding I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
N/eter Release
Rouqh
Service [/eter rA,
FINAL 7-\J-7 T \ul,]N
Notes Remarks Etc
)
OWNIiR BUILDER DELCARATION
I hereby affrnr under penalty of perjury that I anr excnrpt from the Contracton' Licensc [:w for the following neason (Sec.7031.5
Busincss and Protbssion Codc): Any City or County which rcquires a pcrmil to construct, alter, irnprove, dcmolish or repair any
structure, prior to its issuance. also requires the applicanl for such prnrit to file a signed statellEnt that h or she b licenscd pursuanl
to thc provisions of the Contractor's l,iccnsed l:w (Chapter 9. Commcncing with Section 7fi)O of Division 3 of the Business and
Professions Code ) or that hc or slrc is exempt therefrom and tlre basis for the alleged exenrption. Any violation of Section 7031 .5 by any
applicant for a pennit subjects thc applicant to a civil penalty of not morc than five hundred dollars ($500).
_1. as owncr ol'the propcrty. or my crnployccs with wagcs as thcir sole compensation, will do thc work and thc stnrcturc i.s not
intended or offered for salc (Ser.7M4. Business anrl Professions Codc: Thc Contractor's Licensc Law tloes not apply to an owner of
tlre propeny wlro builds or inrpnrves therurn, and wlro does such work himself or herself or through his or her own enrployees,
providcd that such ilnpmvenrcnts arc not intcndcd or olfcred for sale. Il, howcvcr, t]rc building or improvcrnent is sold within onc year
of conpletion, the Owner Builder will have the burden of proving that he or she did not build or improve tlrc properry for the puryose of
sale).
_1. as owner of the propetly, am exclusively contracting with licenscd contractors to construct thc
arxl Protbssiorr Code: The Contractor's License Law does not apply to an owner of property wh<t
project (Sec. 7044, Business
builds or improves thereon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Conuactor's
_l anr exempt under Section_, B. & P.C.
ttrte,' laa ll-l ' 2O
I hcrcby affirm undcr pcnalty of pcrjury onc of thc
_l have and will nmintain a Certilicate of Consent to Self-lnsure for workers' conrpensation, as prcvided for by Section 3700 of the
Labor Code, for the performance o[ thc work for which thc permit is issucd.
_l have and will nraintain workers' conrpensation insurance, as required by Seclion 3700 of the Labor Code, for the perfonrutrce tlf
thc work for which this pcrnrit is issucd. My workcrs' conrpcnsation insurancc carricr uxl policy nuntbcr arc:
Policy Number: Iixpires:
_l certify that in tlrc lxrftrrnuncc o[tlrc work firr which this grcrmit is issued, I shall not cmploy any pcrson in any manncr
so as to beconre subject to thc workcrs' compcn.sation laws of California. and agrcc that if I stnuld become subjcct to the
workers' conpensation pruvisions of Section 3700 of the labor Code, I shall, forthwilh conrply with thosc provisions..
WARNING: Failure to secure workers' compensation coverage
civil fines up to oue hundred thousand dollars (S100.0001. in
Scction 3076 of the l,abor Codc, intcrcst and attorncy's [ecs.
is unlawful, and shall subject an employer to criminal penalties and
addition to tlre cost for llrc\
-2^t
I hereby affirnr under penalty of perjury that I 9 (conunencing with Section 7000) of Division 3 .
of the Business and Professions Codc. and rny license is in full force and effect.
Licerse Class: Licensc Numbcr:
I
CONSTRUCTION LENDING AGENCY
I hereby allirm undcr pcnalty of perjury that thcrc is a construction lcnding agcncy for the perlbrmance of thc work lkrr which this permit is
issued (Sec. 3097. Civ. C.).
lrnder's Nanre:
[rnder's Address:
APPI,ICANT DECI,ARATTON
I lrcrcby affrm undcr pcnalty of pcrjury onc of thc following drxlarations:
Dcnxrlition Pcrnrits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
-Rcquired
lrtter of Notification
_l ccrtity that thc fcdcral rcgulations rcgarding asbcstos rcnnval arc not applicablc to this projcct.
with all City and County
and County to cnter upn thc
above nrentioned property for
Applicant or Agent
Pcrmitee nanlc
statc lltat
rl
Rev. 08-07-201 5
and