HomeMy WebLinkAbout20173885 - PermitProiect Address: 2054 S Rene Dr- -a- -
Assessor's Parcel: 408-341-05 Lot: 7
Unit:
Block: NA
Bldg:
Tract: 2208
Address Range:
Historic: No
Suite Range:
Zoning: R1
city 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 #i 2o^173885
Pin #: 12E71
/-/v
Owner.
Address:
Phone.
Tenant Name
Contractor:
Address:
Phone:
Kenn & Julie Ramas
2054 S RENE DR
Santa Ana, CA 927044816
(7141478-651s
Caspers Demolition
2243 E South Redwood
Anaheim, CA 92806
(7141 863-5474
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
Demolition (includes ren 52.21
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$52.21
$23 79
$5e 30
$4 05
State Lic #: 1015067
Lic Type: C-21
Bus. Lic #: 370351
Workers' Compensation I nsurance:Carrier: Exempt
Policy #:
.Expires:
Bqtch*:6t|1 12 7 /2? /21.121 ID: HGARCIAOffice:(:TYH TranEi:2 2o[3Acct*: Ref*: 2tl173g$F
Rcpt+:03369349 7 /?9 /2tr21 S:4Ct AI1
TrnnEnct i on Totn I 9494. 75
C:o:;pers Demolition
Demolish existing swimming pool and infill according
to city handout.
$1 39 3s
$0 00
$139.35
' Building Use:
'Job Type:
Nature of Work.
Single Family Dwelling
Demolition
Pool Demo
Occupancy:
Constr Type.
Code:
R.3, U
VB
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By: Chavez, Dave
Subject to Field:
Buirdins Permit #: 101 107393
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.
!nspector MID#'. 2021-167703
n
Date:
Date:
!r'
Date:07 t29t2021
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
$23 79
$tt1 51
$4 0s
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby offirm undcr penalty of lsjury that I m excmpt ftom thc Contr.clos' Liccns kw for lhe followiog Easn (5€.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a Jf,rmit to snstrud, alts, itrprcvc, demlish or rcpir uy
structurc, prior to its issumc, also rcquircs the applicsnt for such lErmit to filc a signcd statcmnt that lrc or shc is licenEd pusuaili
to the pDvisions of lhc Contmctor's Liccnsd lav (Chaplcr 9, Comrcing with Setioo 7000 of Division 3 of the Busircss ed
PrcfcssionsCodc)orthathcorshciscxcnrptthcrcftomandthcbsisfortheallcgedcxcmption. AnyviolationofsctionT03l.5byany
applicant for a pcrmit subj$is thc spplicant to a civil pcnslty of not mrc thq fivc hundred dolles ($500).
-1.
as owner of thc propcrty, or my employees with wagcs as thcir solc compcnsation, will do thc work and the stnrcturc is not
intcndcd or offcred for salc (Scc.704+. Busincss and Profcssions Codc: The Contractor's Liccnsc [-aw does not apply to an owner of
thc propcrty who builds or improvcs thereon, and who does such work himself or hersclf or through his <lr her own employees,
provided that such improvcrncnts are not intendcd or offcrcd for sah. If, howcvcr. the building or improvcnrnt is sold within one )rcar
of complction. thc Owncr Buildcr will havc the burdcn of proving lhat hc or she did not build or inryrrove thc proprty for thc purynse of
salc).
-1.
as owner of the propcrty, am exclusivcly contracting with liccnsed contractors to construct the projcct (Scc. 7W, Busincss
and holbssion Codc: Thc Contractor's License Law does not apply to an owner of property who builds or improves thercon,
and who contracts for such projccts with a Contracto(s) liccnsed pursuant to thc Contractor's Liccnse Law).
_l am cxcmpt undcr B. & P.C. for this rcason.
Owner:
w(r ru< r' ns t'oM Pr.r\I.s A Tlox
DT'CLARATION
I hcrcly affirm undcr pcnalty of perjury one of the following dcclarations:
V , nou"and will maintain a Ccrtificate of Conscnt to Sclf-Insurc for workers' compensarion, as provided for by Section 3700 of the
I-uUor Codc. for thc performance of the work for which the pcrmit Ls issued.
-l
havc and will maintain workers' compensation insurance, as rcquircd by Scction 3700 of thc l-abor Code, for the performancc of
the work for which this permit is iszued. My workers' compensation insurancc carrier and policy numbcr are:
.rD(lrrter:
t -Policy
-l
ccrtify that in the;rrformance of thc work for which this grcrmit is issucd, I shall not cmploy any [rcrson in any manncr
so as to bccome subject to thc workcrs' compcnsation laws of California. and agrcc thal if I should becomc subjcct lo thc
workcrs' comfrcnsation provisions of Section 3700 of thc l-abor Codc, I comply with those provisions..
WARNING: Failurc to sccurc workcrs' comlrcnsalion coverag,c shall subjrrt an cmploycr lo criminal pcnaltics and
civil fincs up to onc hundrcd thousand dollars ($100,000;,
Scction 3076 of the [:bor Code, interest and attorrrcy's f'ccs.
cost damagcs as providcd for thc
t 1'7A-1. Ir\^. ^.
I hcrcby alfirm undcr pcnalty of pcrjury that I anr liccnscd provision of Chaptcr 9 (comnrcncing with Scction 70m) ot'Division 3
of the Business and Profcssions Code, and my license is in full force
Liccnse \o
.1
I hcrcby affirm undcr penalty of pcrjury that therc is a
issued (Sec. 3097, Civ. C.).
[.cnder's Namc:
lending agcncy for thc performancc of thc work for which this pcrrnit ls
lrndcr's Address:
APPLICANT DECI AITATION
I hcrcby affrm undcr pcnalty of perjury onc of thc following dcclarations:
Dcnrolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6)
_Rcquircd l*ttcr of Notification
-l
ccrtity that the fcdcralregulations asbcstos not applicable to this projcct.
inforrnation is corrcct. I agrcc to comply
rcpresentatives of this City
with all City and Crrunty
and County to entcr u1xrn thc
abovc mentioncd propcrty for
Applicant or Agenl
Pernritee nanre
Itt
that
and hcreby authorize
orr".- ?^L$-)l
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lVleter Release
Rough
Service N/eter
FINAL 8"lg-Ll w(frq"
Notes, Remarks, Etc.
f,J,^,no n7 onl tr
(r^^rl^-
Applicant:_
7