HomeMy WebLinkAbout20168544 - PermitProiect Address: 123 N Jackson St-a
Assessor's Parcel: 198-25242 Lot: 147
Unit:
Block: NA
Bldg:
Tract: 540
Address Range:
Historic: No
Suite Range.
Zoning: R2
t
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #i 2fJ{68544
Pin #: 255&
Owner:
Address:
Phone:
Tenant Name:
Contractor.
Address:
Phone:
Alexander Dantes LLC
17300 Redhill
lrvine, CA 92614
(949) 383-8309
Cirus Development
17300 Red Hall Ave. #280
lruine, CA 92614
(916) 852-5575
Fee Type
01 1 16002 51603 New Garage
01 1 16002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
0.14
22 08
55 04
Qty
440.00
1.00
1.00
Fee
$61.60
$22.08
$ss 04
$??.09
$116.64
$S r 48t1 .61
State Lic #: 523605
Lic Type: B
Bus. Lic #: 346797
Workers' Compensation lnsurance:Carrier: Hartford Underwriters lns Go
Policy #: T2WEZO3188
Expires: 06/30/2019
Butch*;49511 4/25/21:tl9 ID: nriloralesl5ilffice:{:TYH Trnns*r51 + of &Ac':L*: Rr:f*: ?u16S514
H,:pt?;r:2&1itUS7 4/21/?t-t19 1r32 F'11
Tnnngcct,ion TobqL tSr48t-t,6I
elopmerit
6ener0l Pl cn Llpdnte Fee
r-r1 I 1 6tt0?- 516r:ullll:t0-
tlectr ical
tll 1 16fltt?- 5t6r:t3tltl0-
I (:L i.:h erl: 1?.6?Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
New Garage
Garage
Wrernandez, Kathy
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
U
VB
cEc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: New detached garage.
Fee Total
Paid to Date:
Balance Due:
04t25t2019
Account#
Buildins Permit #: 10197832
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 afterthe time the work is
commenced.
lnspector MID#: 2017-136574
01 1 16002 51600
01 1 16002 51603
$22 08
$1 16.64
$138.72
$0 00
$138 .72
I hqcby affrrn undc pcralty of pajury that f m excmpt from thc ContractoB' License taw for thc folbhqg rcn (Sx.ru-,,..
B$in6s ild Profasion Codc): Any City or County which rcquire a pomit to @strud, altc. improvg &molGh'or rcpeir mi
structue. prior to its issmcc, also rcquirG thc applicut for such perrnit to fil€ a signcd $atm@t that hc or shc b licetcd plmq[ .
to the prcvisioN of thc Contr.ctor's Liccnscd Law (Chaptq 9. Comcncing with Setion 7000 of Division 3 of thc Buins ud
Prcfsions Codc) or that hc or shc is cxmpt thqcfrom ed thc basis for thc allcgcd cxmBion. Any violstion of SE{bo 7031.5 by any
applicut for a po'mh subjets thc spplicut to a civil poalty of not morc tho fivc hun&cd dollus (1500).
-1.
as owner of the property. or my employees with wages as their sole compcnsation. rvill do the work and thc stnrture b not
intendod or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improvcs theron and who does such work himself or herself or through his or her own employees.
provided that such irnprovonents are not intendcd or offered for sale. If. howwer. the building or improverncnt is sold within one )Ear
of complaion, the Orvner Buildcr will have the h.rden of proving tha hc or she did not build or improve the propoty for the purpose of
sale).
_1. as owner of the property. am exclusively contracting with licenscd contractors to construct the project (Sec. 7044. Brsiness
and Prroftssion Codc: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contraclo(s) licorsed pursuant to the Contractor's License law).
-l
am exempt under Section-. B. & P.C. for this reason.
Owner:
WORI(ERS' CODIPEN SATION
DECLARATION
I hereby affrrm under pcnalty of perjury one of the following declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
l-abor Codc, ficr the performance of the work for which the perrnit is issucd.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of thc l-abor Codc, for the po'formance of
the work for which this permit is is$cd My workers' compensation insurancc carrier and policy numbcr are:
l)it t e
Policy Number: Expires:
_l certify that in the performance of the work for which this perrnit is issued. I shall not etnploy any person in any manner
so as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Lahlr Code. I shall. forthwilh cornply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful.subject an to crirninal penalties and
civil fines up to one hundred thousand dollars ($100.000).the of compensation.as provided for the
Section 3076 of the Labor Code, interest and attorney's
'2S-Zot
I hereby aflinn under penalty of perjury that I arn licensed undcr provision of Chapter 9 (comrnencing with Section 7000) of Division 3
of the Business and Professions Code. and rny license is in full force and effect.
License
L l-z l)
I hereby affrrm under penalty of per-jury that
issued (Sec. -j097. Civ. C.).
of the work for rvhich this perrnit is
Lender's Ad&ess:
APPI ICANT DECL T RATION
I hereby affrnn under poralty of perjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Titlc 40. PaI16)
-Required
l-,etter of Notification
-l
certify that the fderalregulations regarding asbestos removal are not this project.
infonnation is I agree to comply with all City and ('ounty
of this City and County to enter upon the
Dnte:,)- 2S - Zr:r
-l
cefli& that I have read this application and state that
ordinanccs and State Laws relating to
above mentioned property for
Applicant or Agent
I'crrttilec nil nle (prirrt ):
iurd
1
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq I Groundinq / 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)
Meter Release
Rough
Service Meter
FINAL ?4-ctzt lL Ot<,/c.us -27
Notes, Remarks, Etc.
no n7 )n -t r:,
ELECTRICAL.I NSPECTOR RECORD