HomeMy WebLinkAbout20131287 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Gounter: (714)647-5800 lnspection Requests: (714)667-2738
Electrical permit #:2Ol 311287
a
lnspector's Section: (714) 647-5853 h
Project Address: 1937 W Meadowbrook Dr Suite:
Block: NA
Bldg:
Tract: 1631 1
Address Range:
Historic: No
Suite Range:
Zoning: SD4Assessor's Parce!: 140-061-75 Lot: 145
Owner:
Address:
Paul Cheng & Lina Caturano-Cheng
1937 W Meadowbrook Dr
Santa Ana, CA 92704
(7141 317-5462
Fee Type
Receptacle
Switch
lssuance
Amount
0.84
0.84
32.50
Qty
5.00
1.00
1.00
Fee
$4.20
$0.84
$32.50Phone
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
{: i ty of Snnto Ann
PD : 8/ LI /ZOfi?TD :S(:ALDEROLOC : C'TYTI I-III.J(:t!sjT: IHV:2[131297
a$47 0ltlrl rll'0u3529 gl Ltl?u05 2: 121-'i1
I I(ANSA(:T I0H T0TAL : $40. 5
Bu i ld i ns t37.54
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
(.redit (.nrd Fee
v5rj71345
(:HAHGt
t2
t40
$tJ
.99
.53
r-rft
Building Use:
Type of Work:
Nature of Work
Single Family Dwelling - Dt Occupancy:
Alteration Constr Type:
Ouflets & Switchs Code:
R3/U1
VN
cEc 2001 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Serna, Janet
Date:
Date:
Date:0g/1 '4 t2005
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #'.
This permit shall expirc by limitation and become null and void if the worl<. authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wod< authoized by this
pemit is suspended or abandoned at any time afterthe wofu is commenced for a peiod of 180 days.
Beforc such work can be tecommenced, a new permit shall be first obtained to do so.
Fee Total:
Paid to Date:
Balance Due
$37.54
$0.00
$37.54
Account #: 01 1-01-5913 lnspector
t
ELECTRIGAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Owner-Buil der Declaration
I hereby aflirm undcr penalty of perjury that I am exempt form the Contractorst uicensi
,
Law for the following reason (sec.703l.5 Buiness
md Profffiion Codc): Any City or County which rcquire a pcmit to construct, altcr, improva, drmolish or rcp8ir ay strudm. priq !o its
issume, also rcquir* thc applicut fq such pcrmit to lilc a signcd statmet that hc or shc is limscd pumuot to thc provisions of thc
Cmtrrcror's Licoscd Law (Chrptcr 9, cmmdng with Scction 7000 of Division 3 of the Buinqs od Profqsions Codc) or thd hc or
shc is cxmpt thcrcfrcm od thc bsis fo thc allcgcd cxoptior .Any violatio of Sction 7031.5 by ey appli@t ftr 8 pcmir subj@ts thc
applicer to a civil pcnalty ofnor mm rhu fivc hundrcd dollm (9500).
}(-1, o owno of thc propcrty, or my cmployc with waga o thcir solc @mpc[satiff, will do thc work od thc structuc is not intcndcd
d, ofrscd fq salc ( Se.7044, Buins ud Prcfssions Cod€: Thc Cmlractor'3 Licmsc Law dc not apply to e omq of $e prcpqty
who builds o impov6 th@, ud who dc srch wqk himclf or hmclf u thrcugh his or hcr wn mploycs, prcvidcd that such
improvmots uc not inh&d ff offacd fff salc. lf, howwr, thc building or improvomt is sold within onc ycr of cmplctio, thc
Owncr-Buildq will havc thc burdm of proving that hc or shc not build or improvc fo tho purpsc ofsalc).
-1,
6 owncr of thc prcperty, m cxcluivcly @nrrcdtr8 with licoscd conracbrs to consruct thc proj@r ( Scc. 7044, Buin6s md
Profssion Codc: Thc Cmtrelor's Licffic Laq do€ not apply to o oma of popaty who builds s improvc thmn , md who
cotrrcts for such projcts with a Cotreto(s) limscd purswt to thc Contsetor's Licm€ Law.).
Iam under Section
I
I hereby affirm under penalry of perjury one
-IhavcmdwillmsintaitrsCatificstcofCoosottoSclf-lnsurcfoworkcrc'compqrsation.d
prcvi&dfqbySetim3T00ofthc
Labor Codc, for thc pcrfme of thc work for which thc pqmit is issucd.
-I
havc ild will maintain wsk6' compcrsdion insmcc, 6 rcquircd by S@tion 3700 of thc Labor Codc, fq thc pcrfmue of thc
work for which this pcrmit is isucd. My wsk6' mpctration insurue mis ad policy numba rcr
Policy
(This section need not bc completed if the permit is for One dollars {$100} or less)
\y ccnify that in the pcrformance of the work for which this is issucd, I shall not employ any person in any manner so as to
agree that if I should become subject to the workers'became subject to the workers ' compcnsation laws of
compensation provisions of Section 3700 of the Labor
and
shall, forthwith
It
WARNING: Failurc to sccure workers' compensation coverage is unlawful,
fines up to one hun&ed thousand dollars ($100,000),in addition to thc cost of
the Labor Code, interest and attorney's fecs.
pcnaltics and civil
compcnsation, damages as 3076 of
LICENSED CONTRACTORS DECLARATION
I hocby affim unda poalty of pcrjury that I m licoscd undq prcvisim of Chaprq 9 (comocing wirh Sstion 7000) of Division 3 of
thc Buin6s od PrcfBsims Codc, ud my limsc is in full fmc ud cffcct.
Liccnse Class: Licensc Number
Date:Contractor:
CONSTRUCTION LEIYDING AGENCY
I hmby afrim uda pcnslty of pctjury rhat th6c is I @osbuctio lmding agacy fc thc pcrfme of thc wsk ftr which this pcmil is
isucd (Sc. 3097, Civ. C,).
Lada's Nmc:
Lender's Address:
APPLICAIYT'S DECLARATION
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part 6)
_ Required Lettsr of Notification
€ccrtify that the fcdcral regulations regarding asbcstos removal are not appticable to this project.
Hcerti$ that I have read this application and stste that the above information is correct. I agree to comply with all City and County
ordinances and Statc Laws relating to representatives of this City and County to enter upon the
above mentioned
npprll-o,
tPermittee
sig It
Site-Work -A..j
Underground p uA t7:,
Pole Bases
ay'?b/'re h
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough I /^,.A.
Service Meter qlz lzt W \27
FINAL 6X7lt@ 'fu{Tc TINE I
Notes, Remarks, Etc.
It).l .'
.thie+Cegon___
purPoses.