HomeMy WebLinkAbout20173960 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
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PermitCounter: (714)647-5800 lnspection Requests: (7'14)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #:20173960
Pin #: 65722
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Proiect Address: 1005 N Towner Sta
Assessor's Parcel: 405-281-09 Lot: 13
Unit:
Block: B
Bldg:
Tract: 1000
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Julian Galindo
1005 N Towner St
Santa Ana, CA 92703
(7141469-7192
Elite Electrical
1127 N Lowell St
Santa Ana, CA 92703
171414934483
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Serv Meter
General Plan Update
!ssuance
Microfilm Records
Amount
57.40
23.79
59.30
405
Qty
1.00
1.00
1 .00
1.00
Fee
$57 40
$23 79
$se 30
$4.05
Bstcht :6u315 gl I2/2lr2I ID:
0f f i re : i:TYH Tr'uri E* : IAc,:t*; Rel*: 2tJ
Rcpti;[13377?12 8/1?/2tt2L $r
Trcnsoritisn Tc'[trl $14
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El it,r
State Lic #: 1015563
Lic Type: C-10
Bus. Lic #: 378U5
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
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Ltl 1 I 6tJtJ2- 5 1 6r-rr:ulrlrl-
E.lectr icnl
tJl I l6LllJ2- 5 1 6t-t3tlt-t0-
!'l icr.Bf iln & Documents
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Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
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
com,menced.
Building Use:
Job Type.
Nature of Work:
Single Family Dwelling
Alteration
Service Meter
Julie
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cEc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Upgrade - handout given
Fee Total
Paid to Date:
Balance Due:
08/1 2t2021
Account#
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.79
$1 16.70
$4.0s
$144.54
$0 00
$144.54
lnspector MID#: 2021-167992
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ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.
Site-Work
COMMENTS
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (rnonument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor I ,^-
Bondins lGroundino I UFER lol0l8,('l&ffi1
I
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment /
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
[Meter Release
Rough ^ l-/Ll ./)o
Service N/eter ra r ld,l qrrvt{.4 AUU
FINAL tu/0/tu bUf,Afr tr
Notes, Remarks, Etc.
I hcrcby aflirm under pcmlty of perjury thst I m exempt ftom the ContractoB' Lien* law for thc following rc&sn (Scc.7031.5
Business ard Profcssion Codc): Any City or County which rcquircs a ;rcmit to onstrucl. alts, improvc, dcmlish or rcpair .ny
structurc. prior to its issuorcc. also requires thc 8pplicant for such pcmit to fih a signcd stdemnt that lE or she is liccnscd pusmt
to thc prcvisions of thc Contretor's Liccn$d lrw (Ch.ptcr 9. Comrcing with Setion 7000 of Division 3 of thc Busircss ed
PrcfcssionsCodc)orthathcorshciscxcmptlhcrcfromandthebosisforthcallcgcdcrcmption. Anyviolationofs€tkn703l.5byrny
applicant for 8 ]rcmit subFcts thc applicant to a civil pcnalty of not mrc than five hundred dollus ($500).
-1.
as owncr of thc propcrty. or my cmployccs with wagcs as thcir solc compcnsation. willdo thc work and thc stnrturc is not
intcndcd or offcrcd for sale (Sec.7044, Business and Professions Codc: Thc Contractor's Licensc [-aw does not apply to an owncr of
lhc propcrty who builds or improves thcrcon. and who docs such work himself or hersclf or through his or her own cmployces.
providcd that such improvenrenls are not intendcd or offcrcd for sah. If, howcver. thc building or improvenrcnl is sold within onc )tar
of completion. thc Owncr Buildcr will have the burden of proving that lrc or she ditt not build or improve the proprty for ttrc purpse of
sale).
_1. as owncr of thc propcrty. am cxclusivcly contracting with liccnsed contraclors to conslruct thc projcrt (Sec. 704/., Busincss
and Profcssion Codc: Thc Contractor's Liccnsc Law docs not apply to an owner of propcrty who builds or improves thcrcon.
and who contracls f<lr such projccts with a Contractor(s) licensed pursuant to thc Contractor's Liccnsc [aw).
-IamcxcmptundcrScction-'B.&P.C.forthisreason.
WORKERS' COMPENSATION
DECLARATION
I hcrcby affirrn urrtlcr pcnalty of pcrjury onc of thc following declarations:
-l
havc and will maintain a Certificate of Conscnt to Self-lnsure for workers' compcnsation, as providcd for by Scction 3700 of the
I-abor Code. for the lrcrformancc of the work for which the pcrmit is issued.
_l havc and will maintain workcrs' compcnsation insurance. as required by Scction 3700 of thc l.abor Codc. l<lr thc pcrformance ot
thc work for which this prmit is issued. My workers' comFrensation insurance carrier and policy numbcr are:
ccrtify that in thc Jrcrfrlrmancc of thc work for which this permit is issued. I shall not cmploy any lrcrson in any manncr
so as to bccomc subict lo thc workers' comgrcnsation laws of California, and agrec that if I should bccomc subjcct to thc
workers' comJrcnsation provisions of Scction 3700 of thc L-abor Code, I shall. forthwith comply with thosc provisions..
WARNING: Failurc lo sccurc workers' cornlrcnsation is unlawful. and shall subjcct an crnployer to criminal pcnalties and
civil fincs up lo onc hundrcd lhousand dollars ($cost of comgrcnsation. darnagcs Bs provided for the
Scclion labor Code, inlcrcst and attorncy's
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I hcrcby alfirm under pcnalty of pcrjury that I am licenscd under provision Chaptcr 9 (comrrcncing with Scction 7UX)) of Division 3
of thc Busincss and Profcssions Codc. and my liccnse is in full force and effect.
Liccnsc
I hcrcby aflirm undcr Fnalty of pcrjury lhat thcrc is r construction bnding agcncy for the Frformncc of lhc work for which this Ismit is
()\ol€v71
issued (Sec. 3097, Civ. C.).
l.ender's Namc:
lrnder's Address:
APPLICANT DECLARATION
I hcrcby allirm undcr pnalty of prjury onc of thc following dcclarations:
Demolition Pcrmits-Asbcstos Nolification Federal Regulations (Title 40, Part6)
_Rc<luircd lrttcr of Notifrcation
ccrtify lhat thc fcdcralrcgulations rcg:rding asbcstos rcmovala-re not applicablc to this pr<rjcct.
ccrtify that I havc rcad this and statc that the above information is corrcct. I agrclc to conrply with all City and County
and Statc [.aws and hereby authorizc rcprcscntalivcs of this City and County to cnlcr uprn thc
abovc nrcntioncd propcrty frlr
Applicant or Agent
Pernrilee name
El,rrr nO n7 On{ tr
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Date:_
"ro%/rt'lz'ct
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