HomeMy WebLinkAbout20273935 - PermitProject Address: 5419 W Flight Ave
Assessor's Parcel: 108-585-16 Lot: 48
Unit:
Block: NA
Bldg:
Tract: 4559
Address Range:
Historic: No
Suite Range:
Zoning: Rl
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 #:20.273935
Pin #: 119OO
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Phi V. Dinh
6391 Gloria Drive
Huntington Beach, CA 92647
(7141 ss3-7811
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
Demolition (includes rer 52.21
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
100
100
1 .00
Fee
$52.21
$23 7e
$s9 30
$4.05
$23 .79
$111.51
l{. [|5
t938 .99
$o'rlcg
oF
Botchf36Lr2l3 \iil}itll I0: oftrornleslS
{ ror,hrtffi ,n :; ; ; I# r{5'p"
2
Fhi V, 0inh
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
N/V - Legalize Patio Cover
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019
General Plon Updqbe Fee
ul I l6LlLl2- 516tttt[t[t[t-
Electr ico I
rtl I l6trrr2- 5l 6tr3tt[t[t-
Ilicrof ilm & Documents
rtl I 16tttt2- 1'77 7[ttt[t[t-
ICL Check t-t 1?+
Notes: Remove unpermitted electrical inside unpermitted
partitions within permitted screened patio. Cap back
to point of origin.
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Martin, Eric
Buirdins Permit #: 1 0 2107 447
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MtD#'. 2021-167612
Date:
Date
Date:
08/05/2021
08t05t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave-v
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$1 1 1.51
$4.0s
Fee Total:
Paid to Date:
Balance Due:
$1 39 35
$0 00
$139.35
I
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hercby aflirm undcr pcmlty of perjury that I m excmpi ftom lhc Contractos' Liccns [lw for thc followirg rca$n (Scc.7031.5
Busincss and Pmfcssion Codc): Any City or County which rcquircs a ;rcrmit lo onslrucl, ultq, improvc, dcmlish or rcpair my
struclurc. p.hr to its issuarcc. als rcquircs thc applhant for such lEmit to file a sigrcd slalcmnt thal lrc or she is liccnsd pususrt
io thc prcvisions of thc Contrctor's Liccnsd trw (Chaptcr 9, Cormcncing with Scction 7000 of Division 3 of thc Business od
PrcfcssionsCodc)orthathcorshcisexemptthcrcfromundthcbdsi$forthcallcgedcxcmption. AnyviolationofscctionT03l,5byany
applicant for a pcrmit subjccts tlE applicant to a civil penalty of nol mrc than fivc hundrcd dou{s ($500).
_1. as owncr of thc property. or my cmployecs with wagcs as thcir sole cornpcnsation. will do thc work and the structure is not
intcruled or offcred for sale (Scrc.7044, Business and Profcssions Codc: Thc Contractor's License [:w does not apply to an owner of
thc propcrty who builds or improvcs thcrcon. and who dclcs such work himself or hersclf or through his or hcr own employccs,
providcd that such improvcnrcnts are not intcndcd or offcred for salc. If, howcvcr, thc building or improvcnrcnt is sold within onc yeiu
of cornphtion. the Owncr Buildcr will havc thc burdcn of proving that hc or shc did not build or inrprove thc property for the purpose of
sh).
_1. as owncr of the propcrty. am cxclusivcly contracting with licenscd contractors to conslruct thc propct (Sec. 704. Busincss
and Profession Codc: Thc Contractor's Liccnse Law does not apply to an owncr of propcrty who builds or improves thcrcrln,
and who contracts for such projccts with a Contractor(s) licenscd pursuant to the Contractor's Licensc l-aw).
_l am cxcnrpt undcr B. & P.C.
a
I hereby affirm under pcnalty of perjury one of the following declarations:
-l
have ard will maintain a Certificate of Consent to Sclf-lnsure for workcrs' compensation, Bs provided for by Section 3700 of the
labor Code, for the pcrformancc of thc work for which thc prmit is issucd.
-l
have and will maintain workcrs' compensation insurance, as requircd by Section 3700 of thc l.abor Code, for the pcrformance of
the work for which this permit ls issued. My workcrs' compcnsation insurancc carrier ard policy number arc:
Carricr:
Policv Numbcr: Exoires:
_l ccrtify that in thc pcrforrnance of thc work for which this permit is issucd, I shall not employ any pcrson in any manncr
so as to bccorrc subjcct to thc workers' compensation laws of California. and agrce that if I should becornc subjcct to the
workers' comgrcnsation provisions of Scction 3700 of the L;rbor Codc. I shall. forthwilh comply with thosc provisions..
WARNING: Failure lo srccurc workers' comgrcnsalion covcrage
civil fines up to onc hundred thousand dollars ($100.000). in
is unlawful. and shall subjcct an employcr to criminal pcnaltics and
addition to of compensation, damages as providcd for thc
Scction 307(r Latror intcrcst and attorrcy's fccs.
o
I hcrcby affirnr undcr pcnalty of pcrjury that I am liccnsed 9 (commcncing with Scction 7000) of Divisioh 3
of lhe Business and Professions Codc, and my liccnsc is in full forcc and cffcct.
Liccnsc Class: Licensc Numbcr:
Date: Contractor:
W
I hcrcby afftrm undcr pcnalty of JErjury that thcrc is a construction hnding agcncy for thc performc of thc work for which this pcrmit is
issucd (Ss. 3097, Civ. C.).
lrndcr's Nanrc:
lrndcr's Addrcss:
APPLICANT DECI ^ RATION
I trcrcby affrnn undcr pcnalty of prjury one of thc following declarations:
Dcmolition Pcrmits-Asbcstos Notification Federal Regulations (Titlc 40, Part6)
_Rcquircd lrtter of Notification
_l ccrtify that thc f'cdcral regulations rcgarding asbcstos rcrnoval arc not applicablc to this projcct.
state that with all City and County
and County to cnlcr upon thc
abovc nrcntioncd propcrty for inspcction
Applicant or Agent P4, l> t N+f
Site-Work
Underqround
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq / Groundins 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 Roush)
l\Ieter Release
Rough
Service N/eter I ;i, )
FINAL lql fl)l -T I-^^- ^t r
--i)
r AQ n7 Onltr
f
I
Permilee name tprint): (
,,,", raEla/Zoz t
Notes, Remarks, Etc.,l I