HomeMy WebLinkAbout20131162 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738
Electrical permit #: 2O1 3.1162
lnspector's Section: (714)647-5853 /-,
Project Address: 1937 W Meadowbrook Dr Suite:
Block: NA
Bldg:
Tract: 1631 1
Address Range:
Historic: No
Suite Range:
Zoning: SD4Assessor's Parcel: 140-061-75 Lot: 145
Owner:
Address:
Paul & Lina Cheng
3315 Fairview Rd
Santa Ana, CA 92704
(7141 317-5462
Fee Type
Fountain
!ssuance
Amount
59.25
32.50
Qty
1.00
1.00
Fee
$59.25
$32.50
Phone.
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
(: i t;s of' SonLo Ann
PD :8/5/2rlU5ID:00LltE00 L0c : c'tYH t-]t-]i
(:UST : I HV : ztr 131 162
0085 L1Lr04 Lr0rJ03 135 g/5/2005 3 3 30Fn
THAHSA(:TION TOTAL: g27T .79
Building f91./5(:K 127 t -7cl
CHANGE ttJ. u[t
Building Use:
Type of Work:
Nature of Work:
Single Family Dwelling - Dt Occupancy.
Miscellaneous Constr Type
Fountain Code:
R3/U1
VN
cEc 2001 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By: \-
Permit lssued Byi
Subject to Field: '\_
_
Teri
Date:
Date:
Date:08t05t2005
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #:
This permit shall expirc by limitation and become null and void if the wod< authorized by this permit
is not commenced within 180 days fiom the date of this permit, or if the wod< authoized by this
permit is suspended or abandoned at any time afterthe work is commenced for a peiod of 180 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Fee Total:
Paid to Date:
Balance Due:
$91.75
$0.00
$91.75
Account #: 01 1-01-5913 lnspector
J'
a
ELECTRICAL.I NSPEGTOR REGORD
i
APPROVALS DATE ID/SIG.COMMENTS OMfi-Buildq Dccl{ation
I hcrcby affim undd pcnalty of pcrjury that I m cxmpt fom thc ContractoB' Li@Gc Law for thc following rcdon (scc.7031.5 Bsincs
ud Prcfcsim Codc): Any City or County which rrquiru a pcmit to construcr, altq, improvq dmolish or rcpai ey suuctuc, lriq to its
issuucc, also rcquire thc applicat for such pmit to filc a signcd statcmmt that hc or shc is liccnscd puBumt to thc provisions of rhc
Contrrctor's Lifficd L8w (Chapta 9, Comocing with Sction 7000 of Division 3 of thc B6in6s ud Prof6sions Codc) or rhat hc or
shc is cxmp tltmfrom ud thc b6is ffi thc allcgcd cxcmption.Any violation of Sction 7031.5 by uy appli@r for a pcmit subjsr thc
applicet to 8 civil p€nalty ofnot morc thm fivc hundrcd dollus ($500).
_I, c ownr of thc propcrty, or my mployc with wagc r thcir solc cmposgtion, will do thc work od rhc structw ii not intodcd
or offcrcd f6 sslc ( Scc.7044, Buines ed Profssifis Codc: Thc Contractor's Licosc Law dq not apply to u omc of thc propcrty
who buil& or improva thmn, ud who ds swh wql hiruclf or h6clf or through hic or he wo oployc, providcd that such
imprcvmals rc not intqdcd or offatd for ralc, If, howwr, thc building or improvmat is sold within m! ycu of complction, thc
Omcr-Buildq will havc thc burdm of prcving thst hc or shc not build or improvc fo thc purpsc of salc).
_1, c ownr of thc prcpcrty, m acluivcly ontse{trg with lictrcd conttrctoE to costruct thc Fojcr ( scc. 7(X4, Buinos ud
Profcsion Codc: Thc Cmtrctor's Limsc Lrw dM not apply o m omo of prcpaty who builds u improve thcon , ud who
contr&ts for such prcjcsa with a Cotrtreto(s) limscd pursumt to thc ConEetor's Liccnsc Law.).
_l am exempt under Section
Date:
I hereby affirm under pcnalty of perjury one of the following
_IhavcudwillmaintainaCcnificucofConsmttoSrlflnsurcforworkm'compcnsation,c prcvidcdforbyScctim3T00ofthc
Labor Codc, for thc pcrfmme of thc wck fc which thc pcrmir is issucd.
_I havc ud will maintsin wqkcE' compcnsation insurmcc, o rcquircd by Sccdon 3700 of thc Labor Codc, for thc pcrfomue of thc
work for which this pqmir is isucd. My workm' ompcnsation insurm@ ffiiq ud policy numbcr rc:
Canier
Policy
(This section need not bc completcd if the perrnit is for One dollars {$100} or less)
_l ccrtify that in the pcrformancc of the work for which this is in any manner so :ls to
became subject to the workers ' compcnsation laws
compensation provisions of Section 3700 of thc
WARNING: Failurc o sccuc workm' mmpcroation covsagc is unlawful, ud shall subjcct s cmploycr to qimiml pcnalti6 6d civil
fine up to onc hundrcd thoudd doUffi (t 100,000),in addition to thc c6t of compcnsarion, dmgs r prcvidcd ftr thc Scction 3076 of
thc L:bor Codc, intqBr ad rnomcy's fc.
W
I hacby affim unda paralty of pcrjury that I m limscd uodq prcvisifi of Chaptq 9 (comcncing with Sstion 7000) of Division 3 of
the Bruiness and Profcssions Codc, and my licensc is in full force and effect.
Licensc Class' Liccnse Numbsr
Date: Contractor:
CONSTRUCTION LENDING AGENCY
I hmby affim unda pcmlty of pcrjury thaf th@ is a coNfuction loding agmcy fc thc pcrfmme of thc wck fff which this pmit is
isucd (Sc. 3097, Civ. C.).
Lmds'sNm:
Lender's Address:
APPLICA}IT'S DECLARATION
Regulations (Title 40, Part 6)Demol i ti on Perm i ts-Asbestos Noti fi cation Federal
_ Required Lener of Notification
_l certify that thc federal regulations regarding asbcstos removal are not applicablc to this project.
read this application and state that the above information is correct, I agree to comply with all City and County
Laws rspresentatives of this City and County to enter upon the..-/above
Applicant or
should becomc
with those provisions..
Pcrmittee
I
for
Lr o
Site-Work t ,n
Underground /n?A.,,-*/r-,k /r/a ) Pr4nf 't r?ta rt(
Pole Bases - -" a -f
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm lDampers
Communications Cable
Building
Under Slab I 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
Service Meter tl .-\
FINAL 1/ z lzr LL{?t)FlnL{D@s7b-nhb
Notes,Feparks, Etc.tt
lt
Ls-hall-not-crnPlor
I
Purposes.