HomeMy WebLinkAbout20173080 - PermitCity 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 #= 2O173O8O
Pin #: 894{9
/|rtl'Proiect Address: 1206 N Evonda Sta
Assessor's Parcel: 100-223-09 Lot: 60
Unit:
Block: NA
Bldg:
Tract: 6588
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
JoseA&CeliaCardoza
1206 Evonda Street
Santa Ana, CA 927031134
(7141 623-3941
Quickshot Pool Constructio
16787 Beach Blvd Ste #
Huntington Beach, CA 9264
(657) 301 -2602
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Swim Pools
Spas
Genera! Plan Update
I ssuance
Microfilm Records
Amount
130.46
130.46
23.79
59 30
4.05
Qty
1 .00
100
1.00
1.00
100
Fee
$1 30 46
$130.46
$23.79
$59.30
$4.05
Babch'?:5ri7t11 4/6/ 2u2l
0lf i'-r:; {:;TH Trnris*: 65Acctt: Ref*:
Hcpt*:113243735 4/ 6/2rJ2I
Trgnso':t ion TotuI
ID: o,il
?rJl i/.it-tI
I : 39 F'fl
$1r421it..3State Lic #. 820869
Lic Type: C-53
Bus. Lic #: 375620
Workers' Compensation I nsurance:Carrier: Wesco lnsurance Company
Policy #: WWC3S12310
Expir{': 01t31t2022
fiu i ckslic't F'i'oI i:onst rucL i trn
Building Use:
Job Type:
Nature of Work
Add a swimming pool and spa
Aut,h*: r.rIiI
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool & Spa
Verduzco
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019 Notes:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 101 106349
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.
04106t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 7e
$320.22
$4 0s
Fee Total.
Paid to Date.
Balance Due:
$348 06
$0.00
$348.06
Inspector MID#: 2021-1 65338
JViolet\
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby uflirm under pcnahy of pcrjury that I m cxcmpt fmm thc ContracloF' Licenre kw for thc followitrg rcamn (Sc.7031.5
Busincss and Profcssion Code): Any City or County which rcquircs s lEnnit lo construcl. alts. improve. dcmolish or rcJnir any
slructure. prior lo its issume, als rcquircs the .pplicanl for such Frmit to lih a sigred statemnt that hc or shc ir liccnscd pusuant
to rhc pmvisions of tlE Conracbr's Licenmd [:w (Chaptcr 9. Comnrcncing wilh Sslion 7000 of Division 3 of lhe Busincss and
Prcfcssions Codc) or that hc or shc is cxcmpt thcrcfion and thc basis for thc alhgcd cxcmption. Any violation of Sethn 703 1.5 by any
applicant for a Frmit subjects the applicant to a civil pcnalty of not mrc than five hundrcd dollds ($500).
_1. as owner of the propcrty, or my employces with wagcs as thcir stllc comfrcnsation. will do the work and the structurc is not
interded or offcrcd for salc (Sec.7044. Business and hofessions Culc: Thc Contractor's Licensc [,aw does not apply to an owncr of
thc propcrty who builds or improvcs thcreon. and who docs such work himsclf or hcrself or through his or her own cmployces.
providcd that such improvenrcnts are not intcnded or offercd fbr salc. Il. txlwcvcr. thc buikling or inrprovcnrcnt is sold within onc )aar
of comphtion. the Owncr Buildcr will have thc burden of proving that hc or shc did not build or improve thc propcrty fbr thc purpsc of
salc).
_1, as owncr of the propcrty, am exclusivcly contracting with liccnscd contractors to construct the projcct (Scc. 7lW. Busincss
and Protbssion Code: Thc Contraclor's Liccnse Law does not apply to an owner of property who builds or improves thcrcon.
and who contracts fbr such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Licensc Law).
-IatttcxclnptundcrScction-.t].&P.C.tbrthisrcason.Date:_Owner:_
WORKF'RS' COMPENSATION
DEC] AIIATION
I hcrcby ufljrm under pcnalty of pcrjury onc of the tilllowing dcclarations:
-l
have and will maintain a Certificatc of Conscnt lo Self-lnsurc for workcrs' comyrcnsation, as provided for by Section 37fi) of thc
Labor Codc. for the lrcrformance of the work for which thc pcrrnit ls issucd.
&.bor" and will maintain workers' compcnsation insurancc. as rcquircd by Section 3700 of thc L-abor Codc. for the pcrfornuncc of
thc work for which this permit is issued. My workcrs' comlrcnsation insurancc carricr and plicy numbcr arc:
Policy o /-7/-27
_l ccrtily that in thc Jrcrformancc of thc work for which this prnrit is issucd. I shall not employ any person in any manner
so as to bccomc subjcct to thc workers' compcnsation laws of California. and agrce lhat if I should bcconrc subjcct to the
workcrs' conrpensation provisions of Scction 3700 of thc Latnr Codc. I shall. forthwith comply with those provisions.. t
WARNING: Failurc lo sccurc workcrs' cornpcnsation covcragc is unlawlul. and shatl subjcct an cnrploycr tch'iminal Jrcnaltics an<l
thousand dollars ($100,0U11, in addition to thc cost of compcnsation, darnage's..',s providcd lirr thccivil tincs up to hundrcd
Scctiun 3076 intcrcst antl attorncy's l'ccs.,
C
DT'CI ,IRATION
I hcrehy afflrm under pcnalty of pcrjury that I am liccnscd undcr provision of Chaptcr 9 (conrmcncing with Section 7m0) of Division 3
of thc Busincss and Professions Codc, and nry liccnsc is in full forcc and cffcct.
Liccnsc -r-Nunrhcr:?-
W
I hcrcby affum undcr pen8lly of pcrjury that thcrc is 8 conslructbn lcnding agcrcy for the pcrforue of the work for which this Fmil ir
issucd (Ss. 3097, Civ. C.).
lxnder's Nam:
lrndcr's Addrcss:
APPLICANT DTCLARATION
I hcrcby affinn undcr pcnalty of pcrjury onc of thc ltlllowing dcclarations:
Dcnrolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
_Rcquircd lrtter of Notification
_l ccrtily that thc fcdcral rcgulations regarding ashcslos rcrrloval arc trot applicahlc to this project.
_l ccrtity that I havc rcad this application and stale is corrccl. I agrcc to comply with all City and
ordinanccsarrd Stalc Laws rclating to building
atxlvc rncntioncd propcrty tbr inspcction
Applicant or Agcnt
Permitee nanre (
authorizc represcntativcs oIthis City and County thc
Site-Work (
Underground ,-l?7(/2Zz rr7
Pole Bases
Liqht Standards ^l
Spas, Pool, Fountains ?t2zl lLf-/t I
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundins I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilinos [-Bar Rouqh)
Meter Release
Rouqh
Service N/eter
FINAL lo'54a *,**Ll2-
Notes, Remarks, Etc.
\
ELECTRICAL.INSPECTOR RECORD
no n7 /^,n1 trf,Jnr
Ap;llicnnl:
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