HomeMy WebLinkAbout20173551 - PermitProject Address: 1709 S Woodland Pl
Assessor's Parcel: 013-244-18 Lot: 55
Unit:
Block: NA
Bldg
Tract: 1888
Address Range:
Historic: No
Suite Range:
Zoning: R1
City of Santa Ana 20 Civic Center Plaza (M-'t9), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20173551
Pin #: 98076
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
charles banh
1709 s. woodland pl
Santa Ana, CA 92707
(626) 31s-s602
Larry Nguyen
4920 Ariano Drive
Cypress, CA 90630
17141 280-5s15
01 1 16002 s1603
01 1 16002 5160C
01 1 16002 51603
01116002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59 30
4.05
Qt.v
100
100
1 .00
1 .00
Fee
$57.40
$23.7e
$s9.30
$4 0s
State Lic #. 1032529
Lic Type. C-10
Bus. Lic #: 368654
Workers' Compensatton I nsurance:Carrier: STATE COMPENSATION INSURANCE FUND
Policy #: 9222922
Expires'. 1211612021
]I
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Electrical
web_user 06/1 812021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
R-3
VB
cEc 2019
N/A - No Balance
N/A - No Balance
$144.54
$144.54
$0.00
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.
lnspector MtD#'. 2021-166871
f
-
ELECTRICAL.! NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNERBUILDERDELCARATION e t
I hwby affrm unds poally of pcrjury thal I m excmpt ftom the CortractoB' LiceN Law for thc following rcen (Sd.7031.5
Bwines ad Profeion Codc): Any City or Couty which rcquire a pamit to corutruci, 81i6, improvq danolish or rcpair oy
structue, pdor to its isswca also rcquirc thc applicot for such pconit to filc 8 signcd statmot thar hc or shc is licoscd pmuot
to thc provisiom of thc Conractor's Licoscd Law (Chapts 9, Commocing wilh Setion 7000 of Division 3 of th€ Buin* od
PrcfcsioroCodc)orthathcorshciscxqnptthqcfromildthe bssisfortheallcgedqmption. AnyviolationofsetionT03l.5byay
applicant for a pemit subjets the applicmt to a civil pcnalty of not morc thm five hundrcd dollus ($500).
_1. as o\vner of the property, or my ernployees with wages as their sole cornpensation. willdo the work and the struclure is not
intended or offered for sale (Sec.7M4. Business and hofessions Code: Thc Contraclor's License [^aw does not apply to an owner of
the property who builds or improv€s theron" and who docs such work himself or herself or through his or her own employecs.
provided that such hnprovanents arc not intended or offered for sale. If. however. the building or improvement is sold within one year
of complaion. the Orvner Builder will have the burden of proving that he or she did not build or irnprove the propoty for the purpose of
sale).
-1,
as owner of the p,rop€rty, am exclusively contracling with licensed contractors to construcl the projcct (Scc. 7044, Bsiness
and Pr,of€ssion Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves ther@n.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
am exempt under Section-, B. & P.C. for this reason.
flo t a.
WORKER.S' COMPEN SATIO N
DECT,ARATION
I hereby affrrm under penalty of perjury one of the following dcclarations:
_l have and will maintain a Certificate of Conscnt to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code, for the performance of the work for which the pcnnit is issued.
_l have and will rnaintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the perfonnance of
the work for rvhich this permit is issued. My workers' compeflsation insurance carrier and policy number .re:
Policv Numbcr: Exoires:
_l certify that in the pcrforrnance of the work for which this permit is issued, I shall not employ 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' cornpensation provisions of Section 3700 of the Labor Code, I shall. forthwith cornply with those provisions..
WARNING: Failure to sccure workers' compcnsation covcragc is unlawful, and shall subject an cnrployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000), in addition to thc cost of compcnsation, damages as provided for the
Section 3076 of the tabor Code, interest and attorney's fees.
Dofo. Annllnont.
LICENSED CONTRACTOR
DECI.ARATION
I hereby affrrm under penalty of perjury that I am licensed under provision of Chapter 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and cffect.
Liccnse
Date: Contractor:_
CONSTRUCTION LENDTNG AGENCY
I hereby affrm under penalty of perjury that thoe is a construction lending agency for the performance of thc rvork for which thls
issued (Sec. 3097, Civ. C.).
r{ennit is
\I-crndcr's Namc:
Lender's Address:)
APPLICANT DECLARATION
I hercby aflirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Required
Letter of Notification
_l certi& that the federal regulations regarding asbestos removal are not applicable to this project.
-l
ccriry rhat I havc rod this application md statc that the abovc infomtion is corccl. I agrc to comply with all City ud Couty
ordimncG ud Statc lrws rclaring to building constructioq ad hoeby authoria rcprmtstivB of this City 4d County to mtq upoo thc
abovc mmtioned prcpqty for impcrion purpose.
Applicant or Agent
Pcrmitce nRme
I)qlo'
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire AIarm I Dampers
Communications Cable
Building
Under Slab / Floor tl
Bondinq I Groundinq / UFER o ,7t tLl CItr&(K 7
Transformers ,t
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Roush
Ceilinqs (T-Bar Rouqh)I
Meter Release I (/-Dft*t'/
/
Rouqh I -l A ll .a
Service Meter (/v\Qtfra /
FINAL t5 lE Dd-{lt'';a
Notes, Remarks, Etc.
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