HomeMy WebLinkAbout20170439 - PermitProiect Address: 1242 W Pine Sta
Assessor's Parce!: 777-777-77 Lot:
Unit:
Block: NA
BIdg: Address Range:
Tract: 1363 Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #i 2tD17o,439
Pin #: 24Oe4
Owner:
Address:
Phone.
Life Cycle Management, LLC
25 Brookline
Aliso Viejo, CA 92656
(949) 412-8219
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51603
01 'l 16002 51600
01 1 16002 51603
01 1 16002 s7770
Fee Type Amount Qty
125 Volt Receptacle 1 .51 54 00
Light Switches, Occ Se 1 64 23 00
Light Fixtures 1 .09 29 00
Serv Meter 55.37 1 00
General Plan Update 2Z.gS 1 00
lssuance 57.20 1.00
tVlicrofilm Records 3.91 1 00
Fee
$8 1 .54
$37.72
$31 .61
$55.37
$22.95
$57.20
$3.91
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
t. i le {:scle l"lnnnsef,tent r L[-{:
Genern I F lnn Updnte Fee
rrl. I l6tttt?- Iil 6t-tt-ttt[t[l-
El ectr i cn I
t:rl 1 l6rrr-r?- Ii1603r,tt-rtr-
I'l icrof i lm & Documents
tr11 l6rrr-r?- :17-/'l il[t[r[t-.
I(:t. (:he,:!r I 12$44.j47S It riBuilding Use:
Job Type:
Nature of Work:
Single Family Dwelling
New
New SFD
Occupancy.
Constr Type:
Code.
Date:
Date.
Date:
R-3, U
VB
cEc 2016 Notes: Electrical for construction of a new two-story SFD
datt ADU (ADU on separate permit) and attached2-car
Garage.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: 1 0110261 5
0410912020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit rssued 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.
lnspecter -MID#: 2019-156629
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$22.e5
$263.44
$3.91
Fee Total:
Paid to Date:
Balance Due:
$290.30
$0.00
$290.30
ELECTRICAL.INSPECTOR RECORD
,APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouoh)
N/eter Release
Rouqh
Service N/eter
FINAL
Notes, Remarks, Etc.
OWNI'R BI'II,I)ItrR I)IiI,CARATION
I hereby affirnt under penalty of periury tlmt I anr exenrpt frorn the Cbntractors' License Law for the following reason (Sec.7031.5
Busincs.s and Prol'cssion Codc): Any City or County which rcquircs a pcrrnit to construct, alter, itnprove, dcrnolish or rcpair any
structure, prior to its issuance. also requires the applicant lor such penuit to ftle a .sigrted slatemenl that he or she is licersed pursuant
to the provisions ol'thc Contractor's l,iccnscd law (Chapter 9. Commencing with Scction 7000 of Division 3 ol'thc Busincss and
Profe.ssions Code) or that lrc or she is exen4rt therefronr and tlrc basis ftrr tlre alleged exenrption. Any violatiott of Section 7031 .5 by arty
applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
_1. as owncr ol'tlrc. propcnv. or llry crnployces with wages as thcir solc cornpcnsalion, willdo thc work and the structure is not
irrtendetl or offeretl for sale (Sec.7B4. Business antl Professions Code: The Conlractor's License Law does not apply to an owner of
the property wlro builds or inrproves thereorr, arul wlrc tloes such work hintself or herself or through his or her owtt entployees,
providcd that such irnproverncnts are not intcndcd or olTcrcd for salc. Il. howcver. tlrc building or irnprovctncnt is sold within onc yL'ar
of conrpletion, tlre Owrrcr Builder rvill have the burden of proving that he or she did not build or improve the prcrperty ftrr tlre purpose of
sale).
_1, as owner of the propelly, am exclusively contracting with licensed conlraclors to construct the project (Sec. 7tX+. Business
and holbssion Code: The Contractor's License Law does not apply to an owner of property wlro builds or impr<lve.s thereon.
and who contracts lor such projccts with a Contractor(s) licenscd pursuanl to thc Contractor's Liccnsc Law).
-IantexetnptunderSectitltt-,B.&P.C.tbrtlrisreasott.Date:
WORKERS' COM PT]NSATION
DECLARATION
I hcreby aflirm undcr pcnalty of perjury one of the tbllowing declarations:
_I have and will nuintain a Certiticate of Consent to Selt'-lnsure for workers' compensation, as provided for by Section 3700 of tlre
labor Code, for the Jrcrfounarrcc of thc work lbr which the perrnit is issued.
_l have and will nraintain worker.s' corrpensation insurarrce, as required by Section 3700 of tlte Labor Code, for the Jrcrfonrrance of
the work for which this pcrnrit is issucd. My w<lrkcrs' compcnsation insurance carrier and policy number are:
Carrier:
Policy Number: Iixpires:
_l ccrrity that in thc lrcrlornrancc of thc work for whiclr this pcrnrit is issucd, I shall not cntploy any l)crson in any manncr
so as to bccontc subjcct to thc workcrs'conlpcnsation laws of California. and agrce that iil should becolne subjcct to thc
workers' conrpensation provisions of Section 3700 of the Labor Code, I shall, forthwith cornply with tlpse provisious..
WARNING: Failure lo secure workers' cornpensation coverage is unlawful, and shall subject an employer to criminal penalties arrd
civil fines up to olle lrurrtlred tlrcusalrd dollars ($100.000). in addition to tlrc cost of cotnpetsatiolt, danuges as provided hr the
Section 3076 of the Latxrr Ctxlc, intcrcst and attorncy's [ces.
LICENSED CONTRACTOR
DIICI,ARAI'ION ?
I hereby affirnr under ;rcnalty of perjury that I aru licerrsed under provision of Chapter 9 (cottunencing with Section 7000) of Division 3
of the Business and Prolbssiorrs Code. ard rny licertse is in full force and effect.
License Class: Licetxe Nurnber:
Date: Contractor:
CONSTRUCTION LENDING AGENCY
I hcrcby al'linn undcr penalty ol'pcrjury that thcrc is a construction lcnding agency for the pcrlbrrnancc of the work l'or which this pcnnit is
issued (Sec. 3097, Civ. C.).
Lender's Narne:
[*nder's Address:
APPI,ICANT DECI,ARA'I'ION
I lrcrchy ullirnr untlcr pcnalty of pcrjury onc ol'thc lirlkrwing dcclarations:
Dcnxrlition Pcrnrils-Astrcstos Notification Fcrlcral Rcgulations (Titlc 40, Parr6)
_Rcquircd Lcttcr ol' Nolillcation
_l ccrtily that tlrc l'cdcral rcgulations rcgiu'cling astrcstos rcrnoval arc nol applicablc to this projcct.
ordinanccs and Statc Laws rclating to lruilcling construction. irnd hcrcby authorizc rcprc'scntativcs ol this City and County to cntcr upon thc
above rrrcntioned properly for inspection purlnses.
Applicant or Agent Signature: Date:-
I'crnrilcc
a-,7
t{
ELECTRIC AL.INSPECTOR RECORD
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APPBOV DA ID/SIG.COMfuIENTSSite-Work
Bases
hr
Life /Low
Alarm /
Cable
Buildi
U Slab
I I
Air
&
[\4eter Release
Meler
FINAL
Flemarks
/-?
l'rrnillcr. ruurc
l.r,li'r't.
,