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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: -l 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. -l 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 -l 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 -l 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:_ i,x.lft;