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HomeMy WebLinkAbout20170440 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permiq #: 1O17O44O Pin #: 82880 Proiect Address: 1242 112 W Pine Sta Assessor's Parcel: 777 -777 -77 Unit: Block: NA Bldg: Tract: 1363 Address Range: Historic: No Suite Range: Zoning: R1 I Lot. Owner: Address: Phone Llfe Cycle Management, LLC 25 Brookline Aliso Viejo, CA 92656 (e4e) 412-821e 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51600 01 1 16002 51603 01116002 57770 Fee Type Amount 125 Volt Receptacle 1 .51 Light Switches, Occ. Se 1.64 Light Fixtures 1 .09 Serv Meter 55.37 General Plan Update 22.95 lssuance 57 .20 Microfilm Records 3.91 Qty 21 .00 800 11 00 1 .00 1 .00 100 1 .00 Fee $31.71 $1 3.1 2 $1 1.99 $55.37 $22.95 $57 20 $3 91 Tenant Name: Contractor: Address: Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Bcrbch*:55129 +/ I6/2tr2t-r ID: tlf f i ce : CTYH Tr crri s* : 15AccL*: Ref*: zul Rcpt*:112937919 4/16/2tt?tt .i;? Tronsorrtion Tobol t6rJ LIfe t.scIe llnnoserilentr LL.{: Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Chavez, Dave Subject to Field: Buildins Permit #: 10110261 6 Single Family Dwelling OccuPancy: New Constr Type New 2nd story attached 4PlCode: Date: Date: Date: R-3, U VB cEc 2016 Electrical for a new second-story ADU attached to new SFD (on separate permit). $1 96 25 $0 00 $196 .25 04t09t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $22 95 $169.39 $3.e1 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, or if the work authorized on fhe sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 201 9-156679 ELECTRICAL-INSPECTOR RECORD 201 5 APPROVALS DATE ID/SIG.COMMENTS Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under SIab / Floor Bonding I Grounding / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls (Conduit) Walls (Roush) Ceilinss (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) lVleter Release Rouqh Service N/eter FINAL Notes, Remarks, Etc. OWN I.:R BI.'ILDER DIiI,CA RATION I hereby affirnr under penalty of prjury that I arn exerrpt fnrnr the Contractoru' l.icense L:w for the following rea$n (Sec'.7031.5 Busincss and Prol'cssion Codc): Any City or County which requircs a Jrcrrnit to construct, altcr. irnprovc. dcrmlish or rcpair any slruclure, llrior kl its issuarrce. also requires tlrc applicurt for such penuit t<l file a sigrred stateflEnt that lre or she is licelrscd pursuanl to thc. provisions of th. Contractor's Liccnscd I-rw (Chaptcr 9. Comrncncing with Scction 7000 of Division 3 ol'thc Busincss and Professions Code ) or that lrc or slre is exerr4rt tlrcretnrnr and tlrc basi.s for the alleged cxenrptiort. Any violation of Secti<ln 703 I .5 by any applicant lirr u prrnit subjects the applicunt to l civilpennltyof not rnore thun five hundred tlollars ($5tltt1. _1. a.s owncr ol'tlrc pro[^-rty. or tny crnployccs witlr wagcs as thcir solc cornlxnsation, will drl the work and the structurc is ff)t interxled or offeretl for sule (Sec.7]14. Business and Professions Code: Tlte Conlractor's License Law does not apply to an owner of the pnrprty wlxr builds or inrproves tlrerurrr, and wlxr dtrs such work himself or lrcrself or through his or her own entployees, providc.d that such improvcrncnts arc rx)t intcndcd or olTcrr.'d for sah. ll. howcvcr, thc building or furprovcnrcnt is sold within one )ear of conrpletkrn, tlrc Owner Builder will have the btrrden of proving that he or she did not builJ or improve the pmpcrty for thc purposc of sale). _1. as owncr of the p'()perty, anrexclusively contracting with licensed contraclors t() conslruct tlrc project (Sec. 7014. Busittcss and Prulessiou Code: The Colrtractor's Licerrse l,aw does not apply to an owner of property who buikJs or intproves tltereon. ancl who c()nlr:lcts for such projr'cts with a C()nlractor(s) liccnscd pursuanl to thc Contractor's License taw). _l lrnr cxctnl)t uttrler B. & P.C. lor tlris rc:ts()n. W(IRK I'RS' COIT I'F]NSA'I'ION DECLARATION I lrc'rcby affirrn undcr pcnalt.v of pcrjury onc o[thc lirlkru'ing declarations: _l have and will nuintain a Certiticate of Cornerrt to Sell-lnsure for workers' coruperrsalion. as pnrvided for by Section 3700 of tlte lalxrr Ct>dc, for thc Jrcr[ornrancc of thc work l'or which thc pcrmit is issuetl. _l have arrd will utairrtailr workers'corlllensalion insurauce, as required hy Seclion 3700 of the Lahor Code, filr llrc lrcrftrrnutrce of thc work tirr which this ;rcrnrit is issuc<|. My workcrs' cornprsation insuraltcc caricr iuxl lrulicy nunrbcr:uc: Policy Numbcr: lixpires: _l ccrrify tlrat in thc 1^-rtbrnuncc'of thc work firr which this Jrcrmit is issuctl. I slull n()t cnrploy any lrcrson in any nunncr so as lo bccornc subjcct to thc workcrs' conlpcnsation laws of California. and agrcc that if I slnuld bccome subject to thc workers' conrpensation provisions of Section 3700 of the l-abor Cotle, I slurll, forthwith conrply with those provisions.. WARNING: Failure to secure workers' cornlxnsation coverage is unlaw[ul. rrnd slrall subject an employer to criminal penaltie.s and civil lirres up to ()ne hundred tlxrusand rJollars (S100.m01. in addition to tlrc cost of conrpetnation, danuges as provided for lhe Section 307(r of thc Lalxrr Codc, intcrcst ancl attrlrncy's l'ccs. LICENSED CONTRACTOR DECI,ARATTON I hercby affirrn under ;rnalty of pcrjury that I anr licensed under provision of Chapter 9 (conutrcncing with Section 70m) of Division 1 of the Busine.ss and Professions Code. arxl rny license is in full force arxl effect. License Class: Licensc Number: f L,.,.. CONSTRUCTION LENDING AGENCY I hcrcby al'ljrrn undcr pcnalty of pcrjury that thcrc is a construction lcnding agcncy for thc pcrlbnnance of the work l'or which this pcrrnit is issuetl (Sec. 3097. Civ. C.). [*nder's Nanrc: l-cnder's Addrcss: A PPI,ICA NT DECI,A RATION I h:nc*ry aflirnr undcr pnalty of perjury onc of thc firllowing dcclarations: Dcnxrlition Pcrnrits-Ashcstos Notification Fctlcral Rcgulations (Tille 40, Part6) -Rcquircd Lcttcr of Notifrcation _l ccrtily that the fcdcralrcgulations rcgarding asbcstos rcmoval are not applicablc to this pmjc'ct. _l ccrtify tlrat I havc rcad this application uxl statc tlrat thc above informalion is correct. I agrcc to conply with all Cily antl County ordinances and Statc [aws rclating to building consuuctioru and hcreby auttnrizc represcntatives of this City and County to entcr upon thc ab<lve rncntioned prcpcrty for inspection purposcs. Applicant or Agcnl Pcrmitce nomc (prinl): _ ( larlicr: Contractor: Date:- PLUt\,TBING-I NSPECTOR RECORD -l' ;n tu'nr:r of llll [xsrEnr'. atn crcluelrcly srnrtrrclinp $'lh liccfffi, coilrrrclox, ro cr}errn,ct rb Frrirt Ls{r. 7or4. lhKirr:srlnt thftrlixr ctxlc: 'l'ltc L'orurx'tor'r l-xctrr trrr dnr'r rrrl nppl) l. rn rrtlnl.r of Jrnr,prrty rr.hr l*ril4r ,r impnrrrr tlxrr..,^.lnrl r'lrr ttr&r'|, &rr rrxh prriror n hh r (}rturrshrlr) lictn*.d [xrr$r$r lo ltr Gr61ractrr.r Li,cnc t lrrl. -l nnr c.rcn{rt urxlrr r.(' Ilule ffrq-L$--( lrr rrr.r.-- I trtclry allirnr unrlcr pnalty of Jrcryurv nnc crf ttr -l htrr urrl will nuintsrn 0 (tnllkatc of Crrnsil t$ .sulf-lrrurt (ru rrurlsrr'trmtrrrrukrn. ur puvilnl frry 6, Scoirrr Jroo of ttr.l-ltrv ('rxrc. fur rlr ;rrrfo.rrerrs of tl* r.rt rbl uhrt rrE [f,rru ' t*u(rr. -l turc llrl wrtl rttrinleirt u'utcrr' ctnqs,rr.r' rn inrurarxc. ur. rrr1rrirrrt hy Strtion ]ItI] nf r11 t-rbor (ixlc. frrr llx J**rfrrrnunrr.,,[thc owt &rr *hkh thr ;nrnrit ir itsrat. IUy rt'ukmr' r"{rn{Brlrrrti.,., i,r.,rrl,xr rxrirr rrrl 6rll.y n*nil*r :rnu Crrri.r: Polky [irpier: \-$1.*nifvtl*tIdr lrltr trr'rrr: in lhc grrlrrrtrutxf ot'thc urrrh lrrl u.hxh thir;rcrrnrt irruhix l l' l lx n,.r rr \c^' cuntxrnxrl i,r Lrwr of Cir ll frr,r.r:t" ir.rrrrl., ihlll nol r:nphv.rrrv p.rxro irt rllt nuullxtt *urlcn'rrxl r;rr.c thal if I drruhl bcr.rtuc ruhtrrt to ttrconpr'rrllrti,ll [nrvirlrnr of .ssqion .rrrl o( rlr l -txrr (ixlc. I rhrll. firthwirh ornqrh wih llrrw lxuritlurr ll ,tll:{lN(i: l;:rihrrc lo 141111* urr!rrs.(rrnt1*,r*ot ,llt (r,r,('r$g* rr urrhu.fUl. $rr(l fhall stth.;rrt tn cnpkrlur lu rluttnsl prrnlthrcrlll 0ncs up to onc lrurxlrur.l thxtrand dulhn tslUil.tllot. ilt rrtrlrtiiln cotl o[cD,nfen{tti1rn, tlurrupct :rs pnrvidrrl liu ;rttrll lhc.(icrtirrr .ll)?fr of tlt tlrh,r (irls. Int(Tr\t urxlL'."+{.+Zo- I hcn'hy.rllinrr urdcr ;rnrhv uf prpry thlt I arn {rvmrftxrrrrg rrth Scflnn ?l[n) uf l)n irirn .lrtflhc Burlr..r gd l\ofr.srirm codc. ant nry lkcnu: k h full firrce ard coirr. Li.'cnrr: Dltc: Chs: ('ottlr r(lor i.rsi#:iffiti.illIyrrfprjrrry,,o,,,*rt'nxtnccoft}x.u.rxtlilrrr"lrichrhirp.nrriti. tcnlsr'r N!fi': l.cnk'l'r Ar&herr: A t'lrl -K"\ N'r. trt :( :l ..t rtA.n( )N I trrcby.rllirnt urrlc, pr;ullty of g.*rjrrry orr ol. tlrc lirlhrrv n$ rtct tultkrnr: l)cmrtrtirr l\rnrilr-r\rhcrtor t{rrti[rr.:rrhm l:rdcrrr Rcgubr.nr (.l.hld r{r. Frn6) - Rsrrt ircd [.rttcr uf Not iticrtbn -l ccrtifv thll lhs rcrbrul rcgurrtirr rr3rding rrtrq.r rcrrrv*l rrr: rr.r r=rltly thl I lnw nerl lhir appltatiur rnl tr:lc rls arrl .Stelc Lr*r rclrtirrg trr uhlrc rnntkrrrd Jrnrlrrty for Applllrut or A;orl APPROV ALS DATE ID/SIG.COMMENTSUNDERGROUND & floor Sewer CIarif ierI TOP OUT & W Drain TestT h POOUSPA IMain Line/Back Pool AS Gas Service Water Final Gas Test Meter J1 ./FINAL Etc. - Prrrilrt lrrnrr (prlntt r11rlir';rhlr. ur lhiq proial. )