HomeMy WebLinkAbout20169672 - PermitProject Address: 1303 S Evergreen St
Assessor's Parcel: 014-222-30 Lot: 158
Unit:
Block: NA
Bldg:
Tract: 2626
Address Range:
Historic: No
Suite Range:
Zoning: Rl
at City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (7'14)647-5853
Permit #i 20{69672
Pin #: 33879
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Francisco Castaneda
1303 S Evergreen St
Santa Ana, CA 927071418
(7141 231-0084
Bright Electric lnc.
1208 East Walnut #l
Santa Ana, CA 92701
(7141 973-2211
Fee Type
01 1 16002 51603 Serv Meter
01 1 16002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
55 37
22.95
57.20
Qty
1.00
1.00
1.00
Fee
$55 37
$22 e5
$57 20
Bstch* :51?73 I / IZ/2trl? ID : C(:tJEL.l.-A
0f f ice: CTYH Trnns*: 116 1 of' i
Acct* : Ref * : ?Lrl 69 67:!
Rcpt*:tt?747?10 9/I2/2|JI9 2:rr? F[1
Trgnsgct i on Totol t517 .72
Brisht Electric Inc,
State Lic #: 715443
Lic Type. C-10
Bus. Lic #: 198097
Workers' Compensation lnsurance:
.Carrier: California lnsurance Company
Policy #: 4600918601
Expires: 06/01 l2O2O
Generol Plnn Updqte Fee
0l I l6LnJ2- 516CIlrlnJlt-
Electr i cnl
Ul I 160t:r2- 516113r-10r-r-
I (:L Check LlLrg6l 1
$112
$517
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
Service Meter
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2016
Dard
ffi,",
I-
! uare:09/1 2t2019
Account#
Mrsc. Receipt:
Mrsc. Receipt:
Misc. Receipt:
Total
Notes: Upgarde. Hand out given.
Fee Total
Paid to Date:
Balance Due:
Zuniga, Allissa
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MtD#'. 2019-154362
01 1 16002 51600
01 1 16002 51603
$22.95
$1 12.57
$1 35 52
$0 00
$135.52
ELECTRICAL-INSPECTOR RECORD
t'\7 ,)/\-i l:
APPROVALS DATE ID/SIG.COMMENTS OWNERBUTLDERDELCARATION 't
I hcrcby allinn undcr FEnalty of Frcrjury th{t I iln cxcnrpl fmm thc Conlraclos' Licnsc Lrw for lhc following rcasn (Scc.70-11.5
Busirrcss and Profcssion Codc): Any City or County which rcquircs a ;rcrmit to mnslruct. alls. improvc. dcmlish or rcplit any
structurc, prior lo its issunncc. ulso rcquires thc applic{nt for such lrcnnh to filc a signcd slalcmnt lhal he or shc is liccnrcd pursuanl
lo lhc prcvisions of thc Controctor's Liccnscd Law (Chaplcr 9. Comrncrcing silh Sslion 7U)() of Division 3 of thc Busincss atd
Prelcssions Codc) or that hc or shc is cxcmpt thcrcfrom and lhc bdsis for thc alhgcd cxcmption. Any violation of Smtion ?03 I .5 by any
spplicant for a Frmil subjels lhc applicanl lo a civil pcnally of nol morc lhan fivc hundrcd dollars ($5U)).
_1. as owncr of thc propcrty. or my cntployccs wilh wagcs as lhcir solc compcns:ltion. rvill do thc work and the stnrlurc is not
intcndcd or otlcred t'or salc (Sec.7044. Busirrcss and hofcssions Code: Thc Contractor's l,iccnse Law does nol apply lo an owner of
lhe proJrcrty rvho builds or inlproves thcrctrn. and who dtrcs such work hirnsclf or hcrsclf or through his or hcr own employces.
provided that such inrprovcnrcnts arc not intcndcd or otTcred for sah. If. horvcvcr. thc huilding or irnprovenrcnt is sold withirt onc )rcar
of conplction. thc Owncr Buildcr will havc thc burdcn of proving that hc or shc ditl nol build or itnprovc the proprly for thc purposcof
sah).
-1.
as owncr of the propcrty. atrr cxclusivcly conlracting with liccnsed contr:rctors lo conslruct thc projcct (Scc. 7044. Busilrcss
and Prutbssion Codc: "I'hc Contractor's l,icensc Law docs nol apply to iln owner of propcrly who builds or itnprovcs thcreon.
and who conlracts for such projccts with a Contraclor(s) liccnscd pursuanl to lhe Contraclor's Liccnse Ltw).
I arrr cxcrttrrl undcr Scclion . ti. & P.('. lirr this rcasolt.
I)ate: Ou'ner:
WORKERS' COMPENSATION
DF'CLARATION
I hercby affirm undcr penalty of pcrjury one of the following declarations:
-l
have and will maintain a Ccrtificatc of Consent to Self-lnsurc for workers' comlrcnsation. as provided for by Section 37fi) of the
I-abor Codc. for the perfirmancc of the work for which the permit ls issucd.
-l
havc and will maintain workers' conrpensation insurance. as required by Section 3700 of the l-abor Code. for thc performance of
thc work for \hich this permit is issued. My workcrs' com;rcnsation insurancc canicr and policy numbcr are:
.-
Policy Number: Expircs:
_l ccrtily that in lhc pcrfrrrnrancc of thc work lirr which this pcrrnit is issucd. I shall nol cnrploy any lrcrson in any nlanncr
so as to hccornc subjcct to thc workcrs'cornpcnsation lilws ol'C-'alifornia. antlagrcc that if I should hccottrc suhict to thc
workcrs' conrpcrrsation provisions of Scction 37U) of thc l;rhrr Codc. I shall. forthwith contply with those provisions.. ,
WARNING: Failurc to sccurc workcrs' compensation covcragc is unlau'ful. and shall suhjcct an cntploycr to criminal pcnalties and
civil fincs up l() onc hundrcd thousand dollars ($in addition to thc cost of compcnsation. clamages as providcd for thc
Scclion 3076 ol'lhc Lalxrr Ctxlc. itttcrcst attd 5-Jtr,,,o 1-l z- ln .S
I hcrchy af llnn undcr pcnalty of pcrjury thal I arn licensed unrlcr of Chapter 9 (commcncing with Scction 7000) of Division 3
of thc Busincss and Profcssions Codc. and rny license is in full fbrce and cffcct.
Liccnsc Nunrhcr:a/ fll?3
D"t", q 1211
I hcrcby aflirm under lrntlty of pcrjury that lhrc is a @nstructhn lending agercy for thc 1rcrformrce of lhe wolk for which this tEmit is
issued (Se. .1097. Civ. C.).
[.nder's Nf,rc:
I-clxlcr's Atlclrcss:
APPLICANT DFCLARATTON
I hcrcby aflirm undcr penalty of pcrjury one o[ the folkrwing dcclaral ions:
Dcnrolition Pcrmits-Asbcstos Notification Fedcral Rcgulations (Title 40. Part(r)
-Rcquired
lrttcr of Notification
-l
ccrtify thal lhc fcdcml rcgulations rcgarding asbcslos rcrmvalarc not spplicablc to this Pmjcu,
_l ccnify that I havc rcad this application and stalc thal lhc atDvc informtion is corcct. I agre to @mply with sll Cityand Counly
ordinamcs lnd Statc lnws rclaling to building construction, nd hercby authoria rclrcs/I.tivcs ofthis Cily and County to ents ulnn thc"^#,:::#ili,
^r_1147*"-u**.",rnn rir-- 4fn ;it- 5, B rik
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor ,
Bonding I Grounding / UFER ghqla
Transformers t I I
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Wails (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh),
Meter Release 9lfilzt k*,4o
I I
Rouqh
Service lVleter tl
FINAL glrE lz,
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