HomeMy WebLinkAbout20138937 - PermitProiect Address: 2004 N Ross Sta
--
Assessor's Parcel: 002-103-05 Lot: 8
Unit:
Block: NA
Bldg:
Tract: 788
Address Range:
Historic: No
Suite Range:
Zoning: Rl
. city,of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738
Electrical permit #: 2Ol 38937
lnspector's Section: (7 14) 647-5853
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
RUBENR&BEATRICERAYA
2004 N Ross St
Santa Ana, CA 927062506
(7141 550-0584
Fee Type
Addn/Res
Fwu
Low Voltage/Res
Serv Meter
!ssuance
Notes:
Amount
0.06
9.75
21 .25
29.50
35.50
Qty
786.00
1.00
1.00
1.00
1.00
Fee
$47.1 6
$e.75
$21 .25
$29.50
$35.50
$1 43.1 6
$0.00
$1 43.1 6
Building Use: Single Family Dwelling
Job Type: Addition
Nature of Work: Addition
Bstchi:44CI5 trl/rl7 /ltg I0: EoGAR
0ff i,-P; CTYH Tnonsi: 211 3 of 5Ar,:t*: Ref*: 20138937
F:,:ptir0Lt2lS34tt l/7/?lr1rg +:31 FH'lrcrnsflr]tion Tobql $1r535.46
F:UBE'q R & BEATRI(:E RAYA
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
V-N
cEc 2004 Ele,:tP ir:c
(:h erll 107
t1{3.16
S1 r 535 .46
Planning Conditions: No Field Changes Without Planning Approval.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
01t07 t2008
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Verduzco, ViobN{
rsQsqLBuilding Permit
This permit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wo* authorized by this
pemit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained fo do so.
Account #: 01 1-01-5913 lnspector
Fee Total:
Paid to Date:
Balance Due:
MID#: 2003-51695
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Ow-BuildsDclmtbn . -
I hmby aftirm unda pcmhy of perjury thrt I m qcmpt form thc CootndoB' Lie@ Irw for thc following raon (se7031.5 BBin63
ud Proforion Codc): Atry City or Couty which rcquira a pcrmit to oBtsuct, rlts, improw, dcmolth or repoir rny srudug prior to iB
isuncq rlso rcquira the rpplieat for ruch pcrmit o filc r rigncd strtemat that hc or rhc ir li@ed pmumt to thc provisioro of the
Contractor's Lierocd hw (Chptq 9, Comencing whh Scc'tion 7000 of Divisior 3 of tlrc Buins rnd ProfqrbN Codc) or rhlt hc or
shc is qcmpt dHefrom rnd the basis br thc tllcgcd qcmption .Any violetion of Scction ?031.5 by roy +pliotrt for r pdrit subjccts th€
sppliont to I civil pmlty of not morc thrn fivc huodrcd doll& (t500).
_1, u owncr of thc prcpcty, or my cmployo with mgc ar thcir $lc @mpcutiot1 will do dE mrk rnd lhc ltnrclue it mt iilqdcd
or ofrcrcd for $lc ( S6.7X4, BusiHs rnd Profc$io$ Codc Thc ContEctor't Li€e hw doB mt appb to m ow of thc prcpcrty
who boil& or improu tlroq ud who doe such mrk hifficlf or hmlf or rhrough his or her om cmployc, provilcd thet such
improrcmcnts arc not htcndcd or offcrcd for $la If, horcs, thc building or improwretrt i! $ld within orc yar of omplaio4 the
Oma-Builds will h.vc thc burdcn of proving thrt hc or lhc mt build or improw for the purpsc of $le).
\-pd oma of rhc propcny, rm cxclusivcly @ntncdrtg with li@E€d @ilnmn ro @Etrucr th€ Fojrrt ( se 7044, BBitre md
PrEfcsion Codc: Thc Contnclor'r Liesc I:w do6 not rpply to u ow of propsty who buildt or improvct thcrcon , rnd who
@ntocts for $ch projets with a Contncor(s) lierucd puEunr !o rhs Cotrtnctor'! Licc*c lrw.).
I am exempt under Section - - .B. &
I
I hereby affirm under penshy ofperjury one
_l hrw ud will msintrin r Ccnifigrc of CoNnt to Sclf-IE[rc for rcrka' ompcrrtion, r providcd for by Scrion 3700 of thc
L:bor Codc, for tlrc prformane of thc rcrk for which thc pcrmil is isrucd.
I have and will maintain workers' compemation insurance, es
work for which this permit is issued. My workers' compensation
required by Seaion 3700 of the l-abor Code, for the performrnce of the
insurancc carrier and poliry numht are:
Policy Number: Expites:
(This section ne oi hss)
ydirythat in the performancc of thc work for
bccame subjcct to the workers ' @mpcnsstion laws
which this pcrmit is issued, I shall not employ any in any msnner so as to
of California, and agree ttut if I should to the workers'
compcnsation provisions of Seaion 3700 of the kbor CodC I
WARNING: Failure to secure workers'
frnes up to one hundred thousand dollars
comPensation
($lo0,ooo),in
coverage is and shall subject an
addition to cost of compensation, &mages
thc lrbor Codg intsGt and anomey's fs.
@
I hcrcbqr aflm undr pmlry of pgjury $!r I rm liercd uda prcvbion of Chrpts 9 (@mnciag with Scaion 7000) of Diviiiotr 3 of
thc Buircs and Profcsioro Codc, ud my liccre ir in full fore rnd cffcct
License Class: Liccnse Number
Date: Contractor:
CONSTRUCTION LENDING AGENCY
I hooby affrm undcr pcilhy of pcrjury thrt thcrc ir . @Gtruction lcnding agcmy for thc pqfomn@ of rho wotk for which tltis pomt is
irsucd (S*. 3097, Civ. C.).
kndq's Namc
Lender's Address:
APPLICANT'S DECLARATION
Demolition Permits-Asbestos Notification Fcderal Rcgulations (Title 40, Part 6)
_ Required Letter of Notification
I certi! that
-6n*,*,
the federal regulstions regarding asbestos remot alare not applicable to this proFct.
I havc read this application and statc that the above information with all City and County
ordinances and State laws relating to and county to enter uPon the
abovs mentioned prop€rty for
Applicant or agent
Permittee name
- l--
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage I
Fire Alarm / Dampers l/.X bn t )bth
Communications Cable I '/
Building
Under Slab / Floor
Bonding I Grounding I UFER 'lb/Y/ntl .lN41
Transformers '/(-/-\r'J' - \
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter ^ l_ / ,ll /-3FINAL'41-// trl W6r{rl7,w
Notes, Remarks, Etc.I
Ou" wner: