HomeMy WebLinkAbout20172508 - 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
Permit #:2O172508
Pin #: 64599
Project Address: 2639 N Oakmont Ave
Assessor's Parcel: 396413-01 Lot: 48
Unit.
Block: NA
Bldg:
Tract: 4226
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Corrine McDonald
2639 Oakmont Ave
Santa Ana, CA 927056743
(7141469-8768
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Dedicated Circuit
General Plan Update
I ssuance
Microfilm Records
Amount Qty
25 00
15 00
30.00
600
1 .00
100
1.00
Fee
$3e.25
$25.50
$33.e0
$160.26
$23.79
$5e.30
$4.05
Phone:
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
1.57
1.70
1.13
26.71
23.79
59.30
4.05
Tenant Name:
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensatron I nsurance:
Carrier:
Policy #:
Expires:
I
Building Use:
, Job Type:
t Nature of Work:
Single Family Dwelling
Alteration
Kitchen remodel
Occupancy:
Constr Type
Code.
R-3
VB
cEc 2019 Notes: Electrical for kitchen remodel.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Y"O,
Date:
Date:
Date:01t04t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$31 8 21
$4 05
Fee Total:
Paid to Date:
Balance Due:
$346 05
$0 00
$3+S.0s
lnspector MID#: 2020-160499
APPROVALS . DATE ,lD/slG.COMMENTS
Site-Work \I n I [l,rrr
Underground -)tl ,A a \WN I}(rtv16 { Y 1'/
Pole Bases r
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
N/eter Release
I LN ^a
Rough l/at k rrut
Service N/eter
FINAL Wttz
Notes, Remarks, Etc.
L
I hcrcby aflirm undcr fEnahy of pcrjury that I m cxcmpt fmm thc ConlmctoB' Liccns tjw for thc following rcamn (Scc.7O.3 r.
Busincss and Profcssion Codc): Any City or County which rcquircs a ;rcrmit to construct. altcr, improvc. dcmlish or rcJnir any
structurc. prior lo ils issuancc, also rcquircs lhc applicant for such FrmiI Io filc a sigrcd stalcrcnt that hc or slrc is liccnsd pumuant
lo thc prcvisions of thc Contractor's Liccnscd ljw (Chuptcr 9, Commcrcing with Scction 7000 of Division 3 of thc Business and
PmfcssionsCodc)orlhathcorshciscxcmptthcrcfrom.ndthclxlsisforlhcallc8cdexcmption. AnyviolationofscclionT03l.5byany
applicant for a pcrnrit subjets thc applicant to a civil pcnalty of not rmrc lhm fivc hundrcd dollars (S50O).
-1.
as owncr of the propcrty. or nly employees with wagcs as thcir solc cornpensation, willdo thc work and thc strudure is not
intcndcd or oftbred fbr salc (Scc.7044. Busincss and Profcssions Codc: Thc Contractor's Liccnsc Law docs not apply to an owncr of
thc property who builds or improves ttrcrcon. and who does such work himsclf or hcrself or through his or hcr own employccs.
providcd that such improvenrcnts arc not intended or offcrcd for salc. lf, howcver. thc building or improvemcnt is sold within one ycar
of cornplction. lhc Owncr Buildcr will have thc burden of proving that hc or shc did not build or improvc thc propcrty for thc purynsc of
sah).
-1.
as owncr of the property. am cxclusively contracting with liccnscd contractors to conslruct thc project (Scc. 7W, Business
and Profcssion Codc: Thc Contraclor's Liccnsc Law docs not apply lo an owner of propcrty who builds or improvcs thereon,
and who conlracts for such projccts with a Contractor(s) licenscd pursuant to the Conlractor's Licensc kw).
_l arrr section-. B.lbr this rcason.
a
DECLARATION
I hcrcby affirrn undcr pnalty of pcrjury onc of thc following dcclarations:
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havc and will mainlain a Certificatc of Conscnt lo Scll'-lnsurc for workcrs' comlrcnsation, as providcd for by Scction 3700 of thc
labor Code. lbr thc performancc of the work for which the pcrmit is issued.
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havc and will rnaintain workers' compensation insurancc. as required by Scct ion 3700 of the l,abor Code. for thc pcrformance of
thc work for which this pcrrnit is issucd. My workcrs' compcnsation insurance carricr and policy numbcr arc:
Policy
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ccrtify that in the pcrfornrancc of thc work for which this pcrmit is issucd. I shall not cnlploy any person in any manner
so as to bccome subjcct to thc workcrs'compcnsalion laws of California. and agrcc that if I should bcconrc subjcct to thc
workcrs' compensation provisions of Scction 3700 of the Labor Code, I shall, forthwith conrply with those provisions..
WARNING: Failurc to sccurc workcrs' compcnsation covcragc is unlawlul. and shall subjcct an cmployer to criminal Jrcnaltics and
civil fincs up to one hundrcd lhousand dollars ($100.000), in addition to thc cost of compcnsation, damagcs as providcd for thc
Scction 3076 I-atnr Code. intcrest and attorney's fccs.
L
"/14 a
I hcrcby affirnt undcr pcnalty of perjury that I am licenscd under provision of Chaptcr 9 (comrrcncing with Scction 7000) of Divisirn 3
of thc Busincss and Profcssions Code. and my liccnsc is in full forcc and cffcct. I
Licensc Class: Liccnsc Number:
W
I hcrcby affirm under lEnslty of pcrjury lhat thcrc is I construction bnding sgcrcy for thc pcrformtne of thc work for which this lErmit is
issucd (Se. 3097. Civ. C.).
[-ender's Name:
[.cnder's Address:
APPLICANT DECLARATION
I hcreby affrnr undcr penalty of prjury onc of thc following declarations:
Dcmolition Pcrmits-Asbcslos Notification Fedcral Rcgulations (Titlc 40. Pan6)
_Required lrttcr of Notification
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ccrtify that thc fcdcralrcgulations rcgarding asbcstos rcmovalarc not applicablc lo this projcct.
ccrtify that I havc read this application and statc that thc atnvc inforrnation is correct. I agrcc to comply with all City and County
ordinanccs and Statc Laws relating to building construction. and hcreby of this City and County to entcr upon thc
abovc nrcntioncd propcrty lbr inspcction
.l
Pernritee
Applicant or rtgenl lz
ELECTRICAL.INSPECTOR RECORD
/n
Dnle:Contraclor:_
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