HomeMy WebLinkAbout20172954 - PermitProiect Address: 718 S Kilson Dra
Assessor's Parcel: 011-093-18 Lot: 5
Unit:
Block: NA
Bldg:
Tract: 608
Address Range:
Historic: No
Suite Range:
Zoning. Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2o^172954
Pin #: 71027
1,.
Owner.
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
James Gary
718 S Kilsong
Santa Ana, CA 927015331
(310) 8s0-0406
Wintex
6139 Melvin Ave
Tarzana, CA 91356
(818) 781-1818
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
2.00
1 .00
5.00
1 .00
100
1.00
Fee
$3.1 4
$1.70
$5.65
$23.79
$5e.30
$4.05
State Lic #: 1036640
Lic Type: B
Bus. Lic #: 370894
Workers' Compensation I nsurance:Carrier: Sirius America
Policy #: WC52894
Expires: 0811512021
Bntch*:58494 StL'ii}urll ID: EL
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Add attached aluminum patio cover ICC #2676
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Building Use:
Job Type:
Nature of Work:
,)
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Patio Cover
Patio Cover
Kathy 03/17 t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
Notes:
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
Buildins Permit #: 1 01 106168
Every permit rssued 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 MID#: 2021-1 64950
01 1 1 6002 51 600
01 1 16002 51603
01116002 57770
$23.7e
$69.79
$4.05
$97 63
$0.00
$97.63
ELECTRICAL-I NSPECTO R R ECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflinn undcr frcnalty of pcrjury that I m excmpt frcm the ContrrctoG' Licenrc kw for lhc fotlowing reNn (Ss.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs s Frmit to @nstruct, alts, improvc, dcmlish or rcJnir any
structre, prior to its Lssuffic, also rcquircs thc lpplhant for such Frmit to filc a signcd slrtcrcnt lhat hc or slE h licen$t tlrrsMt
to thc prcvi$ions of thc Contrsctor's Liccnsd Law (Chopter 9, Comcncing wilh SNtion 7000 of Division 3 of the Business and
PrcfcssionsCodc)orthathcorshcisexcmptthscfrommdthcb&sisforthcallcgcdcrcmption. AnyviohtionofsetiooT03l.5byany
applicant for a pcrmit subj6ts thc appliclnt to r civil pcmhy of not mrc the fivc hundrcd dolles ($500).
_1. as owncr of thc propcrty. or my cmployecs with wagcs as thcir solc com;rcnsation. willdo thc work and thc structure is not
intendcd or otlcred for sale (Scc.7044, Business and Professions Codc: Thc Contraclor's License law docs not apply to an owncr of
the pnlpcrty who builds or improvcs thcrcon. and who docs such work himsclf or hcrself or through his or hcr own cmployccs.
providcd that such improvenrcnts arc not intcndcd or olTcrcd for srh. If. howcvcr. thc building or improvcnrcnl is sokl within onc ycar
of cornpletion. thc Owncr Buildcr will havc the burdcn of proving that hc or shc did not build or improvc thc propcrty for thc purynsc of
sale).
-1,
as owncr of the propcrty, anr cxclusivcly contracting with liccnsed contractors to construct thc pr<rject (Scc. 7W, Busincss
and hofession Codc: The Contractor's Liccnsc Law docs not apply to an owncr of propcrty who builds or improvcs thcrcon,
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Conlractor's Liccnse taw).
-l
am cxempt undcr Scction-. B. & P.C. for this reason.
l)ale:Owner:_
WORKT'RS' COMPENSATION
DECLARATION
I hcreby affirm undcr pcnalty of pcrjury one of thc following dcclarations:
_l havc and will maintain a Ccrtificatc of Conscnt to Sclf-lnsurc for workers' compensation. as provided for by Scction 3700 of thc
Labor Code, for the pcrformance of thc work for which the permit is issucd.
-l
havc and will maintain workcrs' compensation insurance, as requircd by Section 3700 of the labor Code, for the pcrformancc of
the work for which this pcrmit is issued. My workers' compcnsation insurance carier and policy number arc:
Policy Numbcr: Expircs:
_l ccrtify that in thc pcrformance of thc work for which this pcrmit is issucd, I shall not employ any pcrson in any manncr
so as to becomc subjcct to thc workers'compensation laws of California. and agrcc lhat if I should bccome subpct to the
workcrs' cornpcnsation provisions of Scction 3700 of thc Labor Code, I shall, tbrthwith comply with thosc provisions..
WARNING: Failure to sccure workers' compcnsalion coveragc is unlawful, and shall subjcct an cmploycr to criminal pcnalties and
civil lrncs up to one hundred thousand dollars ($l00.mO). in addition to thc cost of compcnsation, damages as provided for thc
Section 3076 of thc l,irbor Ccxle. intcrest and attorncy's
7 I
I hercby affirrn under pcnalty of pcrjury that I anr licenscd Chaptcr 9 (cornrnencing with Scction 7m0) of Division 3
of thc Busincss and Professions Codc. and my liccnsc is in full force and cffect.
)o361=\oLicenscNumbcr:
W
I heEby affrm undcr pcndty of perjury that thcrc is a onstrucrbn bndirg agercy for thc pcrfom of thc work for which this pemit is
issucd (Scc. 3097. Civ. C.).
kndcr's Nam:
[-endcr's Address:
APPLICANT DT'CI ARATION
I hcrcby affurn under pcnalty of pcrjury onc of thc following dcclarations:
Dcmolition Permits-Asbcstos Notification Fedcral Regulations (Title 40, Part6)
_Rcquircd lrtter of Notification
_l ccrtify that thc fcdcralrcgulations rcgarding asbcstos rcmovalarc not applicuble to this projcct.
_l ccnify that I h{vc rcad this application ud statc that thc abovc infornulion is corct. I agre to comply wilh nll City and County
ordinarccs and Stalc hws rclating to building conslruction, ard hcrcbyaulh)ria rcprcsilativcs ofthis City and County to cntcr upon thc
above mcntioncd property for purrroses.
Applicunt or Agent
Permilee nanre ( print):(r'1 y'4 z.A^ -?/ .'-t
I)ate:?/r> /zr
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Sl ab I Floor
Bonding I Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Wails (Roush)
Ceilings (Hard & Soffit Roush
Ceilinqs [-Bar Rouqh)
lVleter Release
tl I ^-
Rouqh q IAILT wt{>I
Service lVleter ^A .-A
FINAL LlY'OYI,\Dilqi,1
Notes, Remarks, Etc.
fJ r-..nQ n7 r)nl tr
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