HomeMy WebLinkAbout20173945 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), SantaAna, CA92702 Electrical Permit #:2o^173945
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 1246 S Clara Sta
Unit Bldg Address Range: 124G-1249
Historic: No
Pin #:
Suite Range.
Zoning: R2Assessor's Parcel: 109-091-27 Lot: POR 12 Block. B Tract. 604
Owner:
Address:
Juvenal & Maria Jaracuaro
1248 S CLARA ST
Santa Ana, CA 927043202
(949) 630-1 s52
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 Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1.TO
Light Fixtures 1 .1 3
FWU 26.71
General Plan Update 23.T9
lssuance 59.30
Microfilm Records 4.05
Qty
300
100
4.00
2.00
1 .00
100
1 .00
Fee
$4.71
$1 70
$4 52
$53.42
$23.7e
$5e.30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:t Expires:
Plon Uptlot
5l 6ftrltrtrt
'f,
\ Buitding Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Electrical
Chavez, Dave
=_a
Notes: Electrical. Outlets,
f ixtu res
:
switches, ceiling fans (FWU), light
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 1 01107463
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.
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
08/09/2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.7e
$1 23 6s
$4.05
Fee Total:
Paid to Date:
Balance Due:
$1s1.49
$0.00
$151 .49
lnspector MID#: 2021-167908
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bonding I Grounding IUFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Rouqh)
N/eter Release
Rough
Service lVleter rl A.l ,Y-
FINAL 1
Notes, Remarks, Etc I
t
e
,I'I0N
I hcrcby aflirm under Fmlty of Frjury that I m cxctrrpt fmm thc ContractoE' Liccns tie for the following rc&sn (Sc.7031.5
Busincss and Profcssion Codc): Any City or County whbh rcquircs a Jrmit to @nstruct, alts, improw. demlish or rcIBir ily
structurc, prior to its ilsumc, dso rcquircs thc applicant for such pcrmit to file . signcd stalcrcnt thal he or shc is liccnsd pusuml
to the prcvisions of thc Conrrcbr's Licensd [nw (Chapter 9, Comrcncing with Setion 70OO of Division 3 of thc Busircss md
PrufcssionsCodc)orlhathcorshciscxcmptthrcfromedthcbasisforthcalhgcdcxemption. AnyviolationofsslionT03l.5byany
;gliet fnr a pmit subiets thc applicant to I civil pemlry of not mrc rhan five hundrcd dollus (5500).
$Lt. ,. n**, nf ,hc prcFny. or my cmplo,rces with wagcs as thcL solc comlrcnsalion, will do thc wtrk and tlrc stnEtw is mr- inlcnded or oflcrcd for slc (S6.7(X4. Busiress and Professions Code: Thc Crntnctor's Lhens [rw d@s not apply to an owmr of
thc pmFny who boilds or inprcG thc@[ dtd who d6 srch rc* himself or hcrslf or thrcugh his or ho own employccs,
Providcd thal such impmwmnts re mt inteid or offcrcd for sb. If. howcw, thc building or imprcwmnt is $U within onc )Ear
of strplction. thc Owncr Buik,r will harc the brrdcn of prcving that he or shc dil ret build or imprcw thc prcJrcny for thc purp$ of
elc).
-1,
as owncr of thc propcrty, am exclusivcly contracting with liccnscd contractorc to construct thc projcct (Scc. 7W. Busincss
and Profcssion Code: Thc Contractor's License Law docs not apply to an owner of propcrty who builds or improves thcreon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's License Lrw).
I am cxcmot
Dale:
eoK Cvnfro
woRxn'ts''covprNsd'rrr* - -
DECL{RATION
I hcrcby affirm undcr pcnalty of pcrjury one of the following declarations:
-l
have and will mainlain a Certificatc of Consent to Self-lnsure for workcrs' compensalion, as provided for by Section 3700 of the
Labor code. for the performance of the work for which the permit is issucd.
-l
have and will maintain workers' compcnsation insurancc. as requircd by Section 3700 of thc labor Code. for the pcrformarcc of
the work for which thls pcrmit is issued. My workers' compensation insurance carrier and plicy number are:
Policy Numbcr: Expires:
6;[3 enify rhat in thc Jrcrformrcc of the work for which this Jrcrmit is issuc<I. I $hall mt employ any prcn in any manrcr
-$ as lo bccorrc subjst to lh€ wo*crs' ompcnsation laws of Califomia. md agrc that if I should bccorc subjcrt to the
wo*c6'omlrcnsationprcvisionsofScaion3T0Oofthet2borfuc,lshall.forthwith@mplywiththospmvkions..
WARNING: Failurc to wurc workero' ompensation @vcrage is unlowful, md shall subjet an cmplo,€r to oimind pmfifi and
civil fines up ao orc hundrcd thousd dolhs ($100,000), in addition to the cost of compcnsation. damgcs o pDvidcd for thc
Scction 3076 of thc labor Code, interest and attorncy's fces.
o*"..ofl ?/2o2//*frfr cuMo ;
LICENSED CONTRACTOR
NF'CII\RATION
I hcrcby aftirm undcr pcnalty of perjury that I am licenscd undcr provision of Chapter 9 (commcncing with Section 7m0) of Division 3
of thc Busincss and Profcssions Codc, rurd my license is in futl forcc and cffcct.
Liccrtsc Nurnbcr:
CONSTRUCTION LNDING AGENCY
I hcrcby affrm undcr lEmlty of perjury that thcrc is a omtruction bnding agercy for thc pcrfomc of the rcrk for which this permit is
issucd (Sec. 3097. Civ. C.).
knder's Name:
[.ender's Address:
APPI ICANT NT'CLA&ITION
I lrcrcby affrrm undcr penalty of pcrjury one of the following dcclarations:
Dcmolition Pcrrnits-Asbestos Notification Fcdcral Rcgulations (Title 40, Part6)
_Requircd Lrttcr of Notification
-l
certify that thc fcdcral rcgulations rcgarding asbcstos rcmovalarc not applicablc to this projcct.
ccrtify that havc rcad this application and stalc that the atnvc inforrnation is correct. I agree to comply with all City and County
reprcscntativcs of this City and County to cntcr uponandStatc[,aws rclating to building constructi<ln.authorizc thc
abovc mcntioncd propcrty for inspction purposes.
Applicant or Agent
Pernrilee nanre
aurcl hcrcby
cultfo o,r", , og /o? /2021
Dn., nA n7 On1tr
,
B. & P.C. for this