HomeMy WebLinkAbout20173418 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical Permit #:2o^1734{8
PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspectorSection: (714)647-5853 Pin #: 43895
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Proiect Address: 1344 N Cabrillo Park Dr-a-Unit: C
Block: NA
Bldg:
Tract: 10515
Address Range: 1200-1490
Historic. No
Suite Range.
Zoning: R4Assessor's Parcel: 931-605-05 Lot: 14
Owner:
Address:
Carmen Ferro
12152 Center St
Garden Grove, CA 92845
(7141 31e-6312
01 1 16002 51603
01 1 16002 5160C
01 1 16002 5160r'
01 1 16002 5777C
Fee Type
FWU
General Plan Update
I ssuance
Microfilm Records
Amount
26.71
23.79
59.30
4.05
Qty
1 .00
1.00
100
1.00
Fee
$26.71
$23.7e
$5e 30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type.
Bus. Lic #:
Workers' Compensation lnsurance:
Cariler:
Policy #:
Expires:
Bstch*:59378 6/I/2it2l ID: ELIZABETH
Oltice: (:TYH Tr'nns*r 30 ? of 2
Accb*: Ref *: 2u173418
Rcpti:03300rJ36 6/I/?ttZL ?r4? An
Tronsnct i on Toto I $337 .7t-t
(:nr men Fer r o
Building Use.
Job Type:
Nature of Work
Condominium
Miscellaneous
A/C & FAU
Occupancy:
Constr Type:
Code:
R-2
VB
cEc 2019
Generol Plan Updnte Fee
0t 1 16tJLr2- 516LrLlLl00-
ll icrof ilm & Documents
$?3 .79
$4 , [r5
Notes:E I e c t rpli,ffi tFFf if, 6
ii{tl'A*' u n
auth "hi{t'?i,i,:: - r I 6r-rrr-rr-,-r-
Visn
it on rooftop Owner
Planning Conditions:(:(:i : ** t***r**x xx84 3?
$337. 7[t
Auth*:753r:rJD
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date:
Date:
Date:06/01 t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 1 6002 s1 600
01 1 16002 s1603
01 1 16002 57770
$23 7e
$86 01
$4 0s
Fee Total
Paid to Date:
Balance Due:
$1t38s
$0 00
$1 13.85
lnspector MtD#' 2021-166448
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DE,LCARA'TTON
I hereby affirm under penalty of perjury that I am exempt from the Contractors' License Law for the following reason (Sec.7031.5
Business and Profession Code): Any City or County which requires a permit to construct, alter, improve, dennlish or repair any
structure, prior to its issuance, also requires the applicant frlr such permit to file a signed staternent that he or she is licensed pursuant
to the provisions of the Contractor's Licensed Uaw (Chapter 9, Commencing with Section 7ff)O of Division 3 of the Business and
Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a lrcrrnit subjects the applicant to a civil penalty of not rrnre than five hundred tlollars ($5ttO1.
_1. as owner of the property. or my empkryees with wages as the ir vrle compensation. will do the work and the stnrture is rxrt
intentled or offered for sale (Sec'.7(X4, Business ancl hofessions Ctxle: Thc Contractor's License Law does not apply to an owner of
the property who builds or improves thercon, arul who drxs such work himself or herself or through his or her own employees,
provitled that such improvenrnts are not interxletl or offeral for sah. If, tnwever. tlre buikiing or inprovenpnt is sokl within one )tar
of cornpletion, the Owner Buikler will have tlre burden of proving that he or she did not buikl or improve the property for the puryxrse of
sah).
_1. asownerof the property, amexclusively contracting with licensed contractoni to construct the pnrject (Sec. 7(X4, Business
and hofessirnCode: TheContractor'sLicenseLawtloesnotapplytoanownerofpropertywhobuildsorimprovesthereon.
and who conlracts frrr such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-IanlexenrptunderSection-,B.&P'C'forthisreason.Owner:-
WO RK ERS' CONT I'L,NSA'I'ION
DI,CLARA'I'I(}N
I hereby affirrn under penalty of perjury one of the following tleclarations:
_l have and will maintain a Certificate of Glnsent to Self-lnsure filr workers' compensation, as provided for by Section 3700 of the
Labor Code. for the Jrerfornunce of the work for which the prmit is issued.
_l have and will maintain workers'compensation insurance. as required bySectionlT00of the LaborCode, forthc perfrrrmanceof
the work for which this prmit is issued. My workers' compensation insurance carrier and plicy number are:
Policy Number: Expires:
_l certify that in the perfirrmance of the work frrr which this perrnit is issued. I shall not empk)y any person in any mtyrcr
so as to become suhject to the workers'compensation laws of California, and agrce that if I should become subject to the
workers' compensation provisions of Section 3700 of the latxrr Cotle. I shall. forthwilh cornply with those pnrvisions..
WARNING: Failure to secure wrlrkers'compensation coverage is unlawful. and shall subject an empkryer to criminal penalties and
civil fines up to one huntlred thousand dollars ($100,000). in adtlition to the cost of com[rcnsation. damages as provided for the
Section 3076 of the Lahlr Code, interest and attorney's fees.
Date: Appllcant:
LIC ENS},D C(IN'I'RAC'I'(UI
DF.CLAR,\'l'l0N
I hercby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (comrnencing with Section 7firc) of Division 3
of the Business and Professions Code, arxl my license is in full force arxl effect.
License Class: License Number:
Date:
CONST'RUC'I'ION LENIIING AGIiNCY
I hereby aflirm under penalty of perjury that there is a construction hnding agency for the perfonnance of the work frlr which this prmit is
issued (Sec. 3097, Civ. C.).
Lentler's Nrme:
Lender's Address:
AITDLICAN'I DEC LARATION
I hereby affrnr under penalty of perjury one of the folklwing declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Nrlification
-l
certify that the federalregulations reganling asbestos renrovalare not applicable to this project.
-l
certify that I have read this application and state that the ahrve inftrrnration is conect. I agree to comply wilh all City and County
onlinances and State Laws relating to building construction, and hereby authorize representatives of this City and County to enter upon the
atxrve nrcntioned property frrr inslrcction purposes.
Applicant or
I'ermitee name (print):_
I 1...,..
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Damoers
Communications Cable
Building
Under Slab / Floor
Bondins / Groundinq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinss (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
N/eter Release
Rouqh
Service N/eter tl I
FINAL 0 llL\9kw6 t,
/
Notes, Remarks, Etc.I
Flev. 08-07-2015
Date: