HomeMy WebLinkAbout20132286 - PermitCity of Santa Ana
Permit Couni"r' (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 14) 667 -2738
Electrical permit #: 2011I;2286
tnspector's Section: (714)647-5853 /h
Project Address: 2206 S Oak St Suite:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 016-101-03 Lot: POR 1
Owner:
Address:
German R Velasco
2206 Oak St
Santa Ana, CA 927072925
(7141 432-8712
Fee Type
Addn/Res
Receptacle
Switch
Light Fixture
Fwu
Ded. Circuit
Serv Meter
lssuance
Amount
0.06
0.84
0.84
0.84
8.90
8.90
27.00
32.50
Qty
1,053.00
4.00
3.00
5.00
1.00
1.00
1.00
1.00
Fee
$63.1 8
$3.36
$2.52
$4.20
$8.e0
$8.e0
$27.00
$32.50
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Addition
Addn
Occupancy:
Constr Type
Code:
R-3/U-1
V-N
cEc 2004 Notes: Letter of auth on file. Relocate meter - handout given
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Amsden, Julie
Date:
Date:
Date:12t19/2005
Misc. Receipt
Misc. Receipt
Misc. Receipt
Building Permit Fee Total:
Paid to Date:
Balance Due:
$150.56
$0.00
$150.56
This permit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wod< authorized by this
permitis suspended or abandoned at any time after the work is commenced for a peiod of 180 days.
Before such wo* can be recommenced, a new permit shall be first obtained to do so.
Account #. 01 1-01-5913 lnspector MID#: 2004-59747
t(\
I
ELEGTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / 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
l.-T
Rough 4 1 tlgov a%/)
Service Meter *l-,lt /(v
FINAL '4 lzl?L >ft#fl
Notes, Remarks, Etc.
Owna-Builda Dccl[stid
I hscby allim undq pcsalty of pcrjury thst I m cxmpt fom thc CotrtmctoE' Limsc Irw for thc following l@ (s@.7031.5 Auinl;
md Prcfxio Codc): Any City q County which rcquiru a pcmit to ffistruct, altcr, improvc, dcmolish or rcpafu ey structm, priq to its
isumcc, also rcquirc thc appliot fo such pcrmit to filc a sigrcd statmdt that hc s shc is limscd pmuut to thc Fovjsios of thc
Cotrtretor's Licqscd Lsw (Chapt6 9, Cmcncing with Sation 7000 of Division 3 of thc Buins ud Prcfsions Codc) or rhat ln a
sh. is cx@pt th@frm ud thc bsis fa thc allcgcd amptio .Any violatio of Setim 7031.5 by ily applicut for I Imit subjcrs rllr
agplimt to a civil pcnalty of not mnc the 6vc hundrcd dollm ($500).
/\ u wta of thc propcny, u my mployu with wagc s thcir rclc comprnsation, *ill do thc work ed thc structuc is not inrmdad
br offqrd fc sslc ( Se.70il4, Bsins dd Prcfsim Cod.: Thc Contuts's Licasc Law dc trot apply to m owncr of thc propcrgr
who builds u impova thron, ad who dq such wor* hirelf or h6clf tr thrcugh his or ho m cmployo, providcd that such
imprcvmots re not intadcd or offcrpd fq salc. I( howoa, thc building o imprcvmot is sold within oc yo of cmplaim, thc
Ownq-Buildq will hsvc thc burda ofproving that hc or shc not build q improvc for thc purposc ofsalc).
_1, as owner of the propcrty, am
Profession Code: Thc Contractor's
exclusively contracting with licensed to construct the ( Sec. 7044, Bruiness and
Licensc Law does not apply to an owncr of who thcreon , and who
contracts for such projects with a Contracto(s) liccnsed pursuant to thc Licensc
_l arn exempt undcr for
Datc:
I hereby aflirm under penalty of perjury one
_lhavcmdwillmaitrtain&CcltificdaofcmffittoSclf-Insurcforworkm'cmpcns*io,o prcvidcdforbyScctio3TOOofthc
Labor Code, for thc pcrformancc of the work for which the pcrmit is issued.
and will maintain workers' compcnsation insurance, irs requircd by Section 3700 of thc Labor Code, for the pcrformancc of the
work for which this permit is issued. My workers' compensation insurancc carrier and policy numbcr are:
Carrier
Policy Number I Expires:
(This section need not bc complctcd if the pernrit is for One hun&ed dollan {$l0O} or less)
I shall not pcnon in any manner so as to
aSree if I should subjcct to the workers'
compcnsation of Section 3700 of the Labor Code, I with
\
WARNING: Failure to secure workers' compensation
fines up to one hundred thousand dollars ($100,000),in
the Labor Code, interest and attorney's fees.
and shall subject cmployer to criminal pcnalties and civil
addition cost of compcnsation, damages as provided for the Section 3076 of
LICENSED CONTRACTORS DECLARATION
I hacby aflim undq pcnalty of pcrjury tha I m licoscd unds prcvisio of Chapt6 9 (mmmcing with Srction 700O) of Dvision 3 of
thc Buins ud Profmios Codc, ud my liccnsc is in full forcc ud cffct.
License License Number
Date: Contractor:
CONSTRUCTION LENDING AGENCY
I hcrcby affim undo pcnalty of pcrjury th8t th@ is a constructio lcnding agocy fo thc pcrfmre of thc wck fil vhich this pcmit is
issucd (Scc. 3097, Civ. C.).
Lod6's Nmc:
Lender's Address:
APPLICAIYT'S DECLARATION
Demolition Permis-Asbestos Notification Federal Regulations (Titlc 40, Part 6)
_ Required Letter of Notification
that the federal regulations rcgarding asbestos removal are not applicable to this project.
certify that havc read this application and state that the above information rs colTect.agree to comply with allCity and County
County to cnter upon thcordinanccsandStateLawsrelatingtobuildingconstruction,
above mentioned property
Applicant or agcnt sig.
Permittec narne (print):
for inspection purposes.
and hereby authorize representatives of this City and
o