HomeMy WebLinkAbout20166434 - PermitI City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2o^{66434
Pin #: 835EG
Project Address: Unit:
Assessor's Parcel 003-222-13 Lot: 133 Block: NA
Bldg:
Tract: 1529
Address Range:
Historic: No
Suite Range:
Zoning. Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
MARCO BRITO
910 E CATALINA AVE
Santa Ana, CA 927063048
(7141 371-8039
Homefor2 lnc
2U Redondo Avenue
Long Beach, CA 90803
(2131 804-s636
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type
New Res
Air Conditioner
FWU
Low Voltage/Res
Serv Meter
General Plan Update
lssuance
Amount
0.14
96.90
24.79
36.72
s3.28
22.08
55.04
Qty
370.00
1 .00
5.00
1.00
1.00
1.00
1 .00
Fee
$51.80
$e6.e0
$123.95
$36.72
$s3.28
$22.08
$ss.04
State Lic #: 1038048
Lic Type: B
Bus. Lic #: 370033
Workers' Compensation ! nsurance:
Carrier: Nat'l Liability & Fire lns
Policy #: A9WC971326
Expires: 0410312019
Botch*;14843 7/17/2tJl8 ID: CCUELLAR
Off i ce: CTYH Trqns*: 123 5 o[ 5Ac,:t*: Ref *: 2t:t166434
Rcpti;02326936 7/17/2ttl8 4237 Pl1
Trunsocbion Totol t5rtJ/r4,76
Hnrnefor2 Inc
Generni F'Iun Llpricrt e Fee $-l?,, t..il'.
tJ1 I I -50112- :l I 6tltjttrtrl--
li.tectr rcnl $4.1.'i.ri?
tll I lOt-ttl2- i:,l6tliltlt-ttt-
I(:L {',her[l [tt-t226$ $/r1r,',,'jr
V i sa il-, r tjt.lt"t . l-ltt
(:(:*: *r**,rr*r*r* *7tt26 Auth*: tr5351lr
Convert detatched garage to an ADU - with bedroom,
closet, living room, kitchen, and bathroom. Service
meter handout given.
$439.77
$0.00
$439.77
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Single Family Dwelling
Conversion
ADU
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cEc 2016
07t17t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Permit lssued Amsden, Julie
Subject to Field:
Building Permit #:0196793
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 180 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
$22.08
$417 69
lnspector MID#: 201 8-144134
ELECTR ICAL.I NSPECTOR R ECOR D
r\() ,17
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I hcrcby aflirm undcr Fnally of trcrjury lhal I am cxempt fmm lhc Contraclom' Licen* tiw for lhc following rcarcn (Scc.70ll)
Busincss and Profcssion Codc): Any Cily or County which rcquircs a ff,rmil to @nsIruct. alts. imprcvc, dcmlish or rquir any
structure. prior lo ils issuance. also requircs lhc applicant for such Frcrmit to lilc a signcd stalcmnl thal hc or shc is liccnsd pu'rsuant
to thc prcvisions of thc Contractor's Liccnscd law (Chaptcr 9. Commcncing with Scction 7ff0 of Division 3 of thc Business and
ProfcssionsCodc)orthsthcorsheiscxcmptthcrcfromondthcbosisforthcallcgcdexemption. AnyviolationofsctbnT0.ll.5byany
applicsnt for a pcrmit subjels thc spplicunl lo { civil penally of not rn)rc lhon fivc hundrcd dollors ($500).
-1.
as owncr of thc property. or my employecs with wagcs as thcir solc compensation. will do thc work and the stnrcturc is ff)t
intendcd or ofl'ered lbr salc (Sec.7B4. Busincss and Professions Crxlc: Thc Contractor's Liccnsc L.aw does not apply to an owncr of
lhc propcrty who builds or improvcs thcrcon. arxl wtro docs such work himsclf or hcrself or through his or her own employccs.
provided that such improvenrcnts arc rmt inlerxlcd or oftbred for salc. lf. h<lwcvcr. thc buihing or improvenrcnl is rcld within onc ycar
of cornphtion. lhc'Owncr Buildcr will havc thc burdcn of proving that hc or shc did not build or improvc thc propcrty for thc purprsc of
sale).
-1.
as owncr of lhc propcrty. anr cxclusivcly conlracting with liccnscd conlractors to conslrucl lhc projcct (Sec. 7W, Busincss
and ftotbsskln Codc: Thc Contractor's Liccnsc Law docs not apply to an owncr of prolrcrty who huilds or improvcs thcrcon.
and who contracts ltlr such projccts with a Contracto(s) liccnscd pursuanl lo thc Contractor's Liccnsc kw).
-l
arn cxcnrpl undcr Scction-. B. & P.C. lirr this rcason.
Date:-Owner:_
WORKERS' COMPFNSATION
DECLARATION
I hercby affinn undcr pcnalty of pcrjury orrc ol'the firllowing declarations:
-lhavcamlwill
maintainaCcrtificatc<lfConscnttoSclf-lnsurcftrrworkcrs'compensalion.as providcdforbyScction.lTfi)ofthc
Labor Ccxlc. for thc pcrformancc of the work for which the permit is issucd.
_l have and will rnnintain workcrs' compcrrsation insurancc. as hy Scction 37fi) of thc Labor Code. for the performancc of
carricr and plicy nurnbcr arc:the work frrr which this pcrmit is issucd. My workcrs'
Policy
_l ccrtity that in thc Jrcrformancc o[thc work for which this permil is issucd. I shall not cnrploy any lrcrson in any manncr
so as lo bcconrc subjcct to thc workers'conrpcnsalion laws of California. and agrcc thal if I should bc'come subjcct to the
workers' cornpcnsation provisions of Section 3700 of the [:tnr Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failurc lo sccurc workcrs' cotrrpcrrsation covcragc is urrlawt'ul. and shall suhjccl an cnrploycr to criminal pcnaltics and
civil fincs up lo onc hundrcd thousand dollars ($lffi.fiXll. in addition to thc cost of compcnsation. danugcs as providcd lor the
,:l1"'?r (*arrd attorney's fees.
Applicant:
I hcreby allirm undcr Jrcnalty of pcrjury lhat I arn licenscd undcr provision of Chapter 9 (conrnrcncing with Section 70m) of Division 3
of thc Busincss and Professions Codc. and rny liccnse is in l'ull frrrcc and clTcct.
Liccnsc Nurrrhcr:\o"38o\t
)
W
I hercby affirm undcr Jrcmlty of Frjury thut lhcrc is a constructk n lcnding agcncy for lhe JErfomre of Ihc work for which lhis Imit is
issued (Sa. 3097. Civ. C.).
kndcr's Namc:
Lcndcr's Arldrcss:
APPLICANT DECLARATION
I hcrcty atlinn undcr pnalty of pcrjury onc of the following dcclarations:
Demolition Pcrnrits-Ashcstos Notification Fcdcral Rcgulations (Titlc 40. Parl6)
Rduircd lrtrcr of Nolifi cdion
-l
cedity that the fcdcral rcgulations rcguding ssbestos rcmval re not rpplicabh to thls prejert.
-l
cedify thlt I have rcad this applicalion 8rd stste lhat the abovc infomtion is corel. I agrc to omply wilh all City and County
ordimres and Ststc hws rchring to building conslructiotr and hcrcby authorizc rcpEsnhliws of this Cily and Couily to cnts upon the
atxlvc nrcnlioncd propcrty for insJrcction purF)scs.
Applicant or Agenl
I'ernritee nnme ( prinl ):
,,r",-//nf t\
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
N/eter Release
Rough '1 ll\/t<t sb 6q
Service lVleter '^ / t ^t/-/.9
FINAL 7/"1 lA(Ururru M6J
Notes Etc.
Class: . B Liccnsc
,,r", -7 11 fl\conrracro., \\cnn€- GSC
G-