HomeMy WebLinkAbout20173664 - PermitPin #:317 5
Project Address: 1048 N Cabrillo Park Dr Unit: D
Assessor's Parcel: 931-774-59 Lot: 2-5 Block: NA
BIdg: Address Range: 1oo2-1ogg
Tract: 10580 Historic: No
Suite Range:
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2O17366,4
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Job Villa
1048 N Cabrillo Park Dr. Unit #D
Santa Ana, CA 92701
(7141 862-6861
The Loftcrafters, lnc.
8 Hammond, #102
lrvine, CA 92618
(94s) 4s6-1 234
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01116002 5777C
Fee Type
Addn/Res
General Plan Update
I ssuance
Microfilm Records
Amount
0.16
23.79
59 30
4.05
Bs tch * z3l7 2? bi 29 i 2tt2 1
0f I i ce : (:1'YH Tr'on s* : 27Accti: tief * :
Rcpt*:tt333ttI9+ 6i29r2ir2,
Trsnsoct i on Toto I
Fee
$0 16
$23 79
$59 30
$4 05
lD: 0fnorol€51i,2af2
2ul 7 3661
9:25 AH
$712 . 16
Qty
1.00
1.00
1 .00
1.00
State Lic #: 463944
Lic Type: B, C-16, C-10
Bus. Lic #. 347414
Workers' Compensation I nsurance:Carrier: Ace America
Policy #. C68631G9S
Expires'. 1110112021
I'he Lol- t cr cr i' t €I- s r lItt.
, ,. r..r I j-l
. r' :
i
Master bedroom expansion of 133 sf
existi ng footprint)TUSD #4940
S'lS . t
14 , t..t
#Llr
3 -17
Building Use.
Job Type:
Nature of Work
Condominium
Addition
Bedroom Expansion
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019
fi tt2
Lr5 71126
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: (-> Amsden, Julie\//
Subject to Field: f /
Buirdins Permit #: 101106882
Date:
Date:
Date: 0612912021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
(infill within
$87 30
$0 00
$42.30
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MrD# 2021-1 66469
01116002 51600
01 1 16002 51603
01 1 16002 s7770
$23 79
$s9 46
$4 05
ELECTRICAL.INSPECTOR R ECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflinn undcr pcnolly of pcrjury that I m excmpl fmm thc Conlracton' Liccns Law for thc following rclmn (5@.7031.5
Busincss ond Profcssion Codc): Any Cily or County which rcquircs a tsmit to conslruct, altcr, improve, dcmlish or rcpair my
structuc. prior to its issuancc, also rcquircs thc applicmt for such Fmit to Iilc a signcd statercnl lhBt hc or she is liensd pusuut
to lhc pmvisions of the Contractor's Liccned kw (Chsptcr 9. Comrcrcing with Scction 7m0 of Division 3 of lhc Busiress tnd
PmfcssionsCodc)orthathcorshcisexcmplthcrcfromandthcbasisforthcallcgcdcxcmption. Anyviolationofscction?0-ll.5byany
applicant for a pcrmit subjccts the applicant to I civil pculty of not morc than livc hundrcd dollss ($500).
-1.
as owncr of thc propcrty. or my cmployccs with wagcs as thcir solc compcnsation. will do thc work and thc structurc is not
intendcd or offercd for salc (Scr.7044. Business and hofcssions Codc: Thc Contractor's Liccnse Law does not apply to an owncr of
thc propcrty who builds or improvcs thcreon, and who docs such work himsclf or hcrsclf or through his or her own employecs.
providcd that such improvcnrnts arc not intcrdcd or offcrcd for salc. lf, howcvcr, thc building or inprovcnpnt is sold within onc )rcar
of complction. thc Owner Buildcr will have tlre burdcn of proving that hc or shc did not build or irnprove tlrc prcpcrty for thc purposc of
salc).
-1.
as owncr of thc propcrty, am cxclusivcly conlracting with liccnscd contractors lo conslruct the proict (Scc. 7W, Busincss
and h,ofessiorr Code: Thc Contractor's Liccnsc Law does not apply to an owncr of property who builds or improvcs thcreon.
and who conlracls for such projects with a Contractor(s) licenscd pursuant to thc Contractor's Liccnse Law).
-IamcxemptundcrScrtion-.B'&P.C.forthLsrcason.rl.. r ^.
TOBtrEEIIO!4EENSAIqN
DECI.ABAIIAN
I hercby affrmundcr Fmltyof pcrjuryonc of the followirg d$luations:
I
-thaveardwillmintsiosCertilrcateofconsenltoself-lnsurcforworkcrs'compcnetioo,as
prcvidcdforbySstion3TOOofthc
Lrbor Codc, for the pcrformce of the work for whhh thc pqmit is issuc{.
bktra"c ana *itt maintain workeB' comlrcnsalion insumrce, s rcquircd by Setion 37OO of the tibor Codc, for thc Frforlrec of
thc work lbr which this is issucd. My workers' comJrcnsatiorr insurance carrier and Jxrlicy nurnbcr arc:
t
-l
ccrtify that in thc performancc of the work for which this prmit is issucd. I shall not cmploy any lrcrson in any manner
so as lo bccome subjcct to the workers' comlrcnsation laws of California. and agrcc that if I should bccomc subject to thc
workcrs' compcnsation provisions of Section 3700 of thc l-abor Codc, I shall. forthwith cornply with thosc provisions..
WARNING: Failure to secure workers' compcnsation coveragc is unlawlul. and shall subjcct an employcr to crinrinal pcnaltics and
civil fincs up to onc hundred thousand dollars ($100.0001. in addition cost of comlrcnsation. damagcs as providcd for the
Scction 3076 of the l;rbor Codc, intcrcst and altorncy's fccs.
q""",6f frf yr
LICENSED CON'I'RA CTOR
DECLARATION
I hcrcby affirrn undcr pcnalty of prjury thal I am liccnsed undcr provision of Chaptcr 9 (comrrrcncing with Scction 7000) of Division 3
of thc Business and Profcssions Codc. and my liccnsc is in full force and cffcct.
/Licensc C Nurnbcr:
6
CONSTRUCTION LENDING AGENCY
I hcrcby affirm undcr Jrcnalty of lrcrjury that therc is a construction lcnding agercy for thc pcrformrcc of lhc work for which this lErmit is
issucd (Sc.3097, Civ. C.).
lrndcr's Namc:
hnder's Address:
APPLICANT DECI {RATION
I hcrcby alfrm undcr pnalty of perjury onc of thc following dcclarations:
Dcmolition Permits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
_Rcquired lrtter of Notification
-l
ccrtify that the t'cdcral rcgulations regarding asbcstos rcmovalarc not applicable to this projcct.
statc that thc abovc intbrmation is corrcct. I agrec to cornply with all City und County
and County to cntcr uJnn thchcrcby aulhorizc rcprcscntatives of this City
abovc nrcnli<lncd propcrly firr inspcclion
?Appticant or Agent
\Pemile name (prinl):
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundinq / UFER /
Transformers \
Torqueinct
Sub-Panels \
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)d,tlz,,l-A20
Ceilings (Hard & Soffit Rouqh qlAb,llAa \
Ceilinqs [-Bar Rouqh)t I /
N/eter Release
Rouqh
Service N/eter /
FINAL Q/rh,JK%
Notes, Remarks, Etc.'l
)
El,-'.r nO n7 rrn{ q
Owner:_
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