HomeMy WebLinkAbout20172827 - PermitProiect Address: 2114 112 S Cedar Sta
Assessor's Parcel: 016-213-01 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
t Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7'14)647-5853
Permit #: 2lD172827
Pin #: 77o,85
Owner:
Address:
Phone:
Sergio Romero
309 W Juniper Ave
Santa Ana, CA 92707
(7141 381 -7085
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
Fee Type
New Res
Air Conditioner
Low Voltage/Res
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
0.16
104.40
39.56
57.40
23.79
59.30
4.05
Qty
799.00
1.00
1.00
1.00
1 .00
1 .00
1 .00
Fee
$127.84
$104.40
$39.56
$57.40
$23.7e
$5e 30
$4 05
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
i Ali,E
-
rjF_.lref n I
l:t1 I 161:rr_r!
Building Use:
Job Type:
Nature of Work:
Plan Checked
Permit lssued
Accessory Dwelling Unit-D Occupancy:
New Constr Type
ADU Code:
R-3
VB
cEc 2019
Planning Conditions:
Planning Approval Date:
Date:
Date:Amsden, Julie
Subject to Field:
Buirdins Permit #: 1 01104164
Every permit issued 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#: 2020-1 60266
02t23t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total.
Paid to Date:
Balance Due:
01 1 1 6002 51 600
01 1 1 6002 51 603
01 1 16002 57770
$23.79
$388.50
$4 05
$416.34
$0.00
$+t 6.34
tLt
APPROVALS DATE ID/SIG.COMMENTS OWNT'R BUII,I)I'R I)h:I,CARATION .
I hereby affirnr under penalty of prjury that I aru exenlpt frorn the Contracloru'License l-aw for the following rearcn (Scc'.703'1.5
lfusincss and Prol'cssion Codc): Any City or County which rcquircs a pcnnit to construct, altcr. irnprovc. dcmolish or rcpair any
slructure, prior to its issuance. also requires the applicaurt for such Jrcnrrit to fih a sigrcd slatemetrl that lr or she is licensed pursuanl
to thr. pmvisions ol' tlr Contractor's l,iccnscd Iaw (Chaptcr 9. Cornmcncing with Scction 7000 of Division 3 ot'thc Bu.sincss and
Professiorrs Code) ()r that lrc or slrc is exenpl therefronr and tlre ba.si.s ttrr tlre alleged exen4rtiott. Any violation of Section 703 I.5 by arty
applicant for a perrnit subjects the applicunt to il civil penalty of not more than five hundred dollars ($sfir).
lAas owncr ol'thc'propcrty. or rny ernployecs wirh wagcs as thcir sotc cornpcnsation, willdo thc work and thc structure is rnt
intendetl or offered ftrr sale (Sec'.7M4, Business and Professions Ctxle: The Contractor's License Law does not apply to an owner of
the ptopeny wlxr huilds or inqrroves lhererru, and wlxr dtrs such wrlrk lrinself or herself or lluouglr his or lter own entployees,
providcd that such irnprovcrncnts arc not intcndccl or olTcrcd for sah. ll. howcvc'r, thc building or irqrrovermnt is sold within one ycar
of completion" thc Owner Buikler will lurve tlrc burden of proving that he or she did not buikJ or inrpnrve hc propary for the purprsc of
sale).
_1. as owner of the propcrty, am exclusively contracting with licenscrl conlractors to conslruct tlre project (Sec. 7O14. Business
arxl Prulbssiou Code: Tlre Contractor's Licerrse l-aw drrcs not apllly to an owner of prolxrty wlro builds or intproves tltereott.
and who contracts frrr such profe'cts with a C()ntractor{s) liccnscd pursuant to thc Contraclor's Liccnsc L:w).
-IantexenrptutxlerSectiott-,B.&P.C.lbrtltisreason.o*n.r' 6 e .2/',1\ c \( s: z-- ( a' O
WORKIiR}CUMPENSATTON
DECLARATION
onc of tlrc lbllowing dcclarations:I hcrcby aflirnr under pcnalty ofpcrjury
_l have and will nnintain a Certiticate of Con.sent to Self-lrrsure for workers' conqrctxation, as pruvidetl for by Section 3700 of tlre
[:hor Codc, for thc Jrcrforrnancc of thc work lor which thc pcrntit is issucd.
_l have aml will nuinlain workers'conrpensation insurance, as required hy Section 3700 of the Latxrr Grde, ftrr lhe perf<rrnurtrce of
thc work lbr which this prnilt is issucd. My workcrs' conrycnsation imurancc can'icr ard plicy nunrhcr arc:
Policy Numbcr: lixpires:
$\ccrtity rhat in tttc g^-rfornuncc of tlrc work for wtrictr this pcrmit is issucd, I shall not cnrploy iury lrcrson in any nlanncr
so as to bccornc subjcct to thc workcrs' conrpcnsation laws of Califonria. and agree that if I slnuld bccotnc subjcct to thc
workers' con4rensati<lrr provisions of Section 3700 of the Labor Code, I shall, frlrthwith conrply with those provisions..
WARNING: Failure to secure workers' compensation coverdge is unlawful, and shall subict an employer to crirninal pcnalties und
civil fines up to orre lrurrdred thousand dollars ($100.000). in addition to tlrc c<lst of comgrcmation, danuges as provided for the
Section 3076 of the latror Codc, intcrest and attorncy's l'ces.
LICENSED COTTRACTOR
DI'CI.ARATION
I hercby affrm under ;rcnalty of pcrjury tlrat I arrr licens,ed under provision of Chapter 9 (contmencing with Section 7000) of Division 3
of the Business and Professions Code. arxl rny license is in full forcc arxl el'[ect.
License Nunrbcr:
CONSTRUCTION LENDING AGENCY
I hcrcby al'lirrn undc.r pcnalty ol'pcrjury that thcrc is a construction hnding agr'ncy for thc pcrl'ormarrce of thc work l'or which this pcrrnit is
issued (Sec. 1097. Civ. C.).
l-cnder's Nanrc:
A PPI,ICANT DECI,ARATION
I trrchy afitnr undcr pnalty of pcrjury onc of thc firlkrwing dcclarations:
Dcnxrlitktn Pcrnits-Ashc'stos Notification Fctlcral Regulations (Titlc 40, Pur6)
-Rcquircd
lrttcr of Notification
_l ccAily that thc l'cdcralrcgulations rcgarding asbcstos rcrnval arc not applicablc to this proltct.
&"nily tlrar I travc rcad tlus application auxl state tlrat tlrc atxrvc infornulion is corcct. I agrce to conply with all City and County
ordinances and Statc laws rclating to building construction, and hcrcby authorize rcprcscntativqs of this City and County to cntcr upon thc
ubol'e rnentioned propefly for inspection purposes.
Allplit'artt or rlgenl o l\ or-{- ev
l'crrnilt'c q-qf
nete t-'(? 'a I
Site-Work
Underground
Pole Bases
Light Standards
Spas, Poo!, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER fl-Ll-Zl ,I)r.W ;g)
Transformers
Torqueinct
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rough /
Ceilings (T-Bar Roush)I \n
lVleter Release 6--/l-A ))w1 1,vLl -\-
Rouqh T-U'V( s I '?J)
Service N/eter u- 7\ -7)
FINAL -)-'16-2 I
Notes Remarks Etc.
ELECTRICAL.INSPECTOR RECORD A
D
Bev. 08-07-201 5
(lrlrrtrer:lor: