HomeMy WebLinkAbout20174405 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20174405
Pin #: 60562
Project Address: 322 S Cooper St
Assessor's Parcel: 108431-08 Lol: 27
Unit:
Block: NA
Bldg:
Tract 3775
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Sang Lam
322 S Cooper St
Santa Ana, CA 92703
(7141 474-9998
American Electric Company
22399 Driftwood Court
Santa Clarita, CA 91350
(818) 8234348
01 1 16002 51603
01 1 16002 s1603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Serv Meter
Subpanel
General Plan Update
lssuance
Microfilm Records
Amount
57.40
57.40
23.79
59 30
4.05
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$s7.40
$s7 40
$23.7e
$se.30
$4.05
State Lic #: 938027
Lic Type: C-10
Bus. Lic #: 370700
lVorkers' Compensation I nsurance:Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY
Policy #: A9WC219462
Expires: 0112512022
\tEl-rer fl I l-' lfin UP 0OIe
ri l I 1 6Lu:r?-. 51 6[ir-r[rr_r[r-
Ele,:tr irlfll
r:tl I 16rrrr?- il 5r-r3[r[r[r-
11 i,:rof i Im & Do,:umen
r.i1 I l6rrrri- i;i-i7r-rtr[r[r-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/Su bpanel
Occupancy:
Constr Type:
Code:
Date.
Date.
Date:
R-3, U
VB
cEc 2019 Service meter upgrade and new subpaneUHand out
given.
$201 .94
$0.00
$201 .94
Zunrga nrrnsff 09t30t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Every permitissued 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 thi site by such permitis suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.7e
$1 74.10
$4.0s
llbr
?r
lr?r
30
lFief'tr-(lfl EIeCt f omF.ct
lnspector MID#: 2021-1 69190
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ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby atfrm undcr penalty of pcrjury thsi I m cxempt ftom thc Conraclo6' Liccn$e lav for thc following rcasn (Scc.7031.5
Busincs$ and Prcfcsshn Codc): Any City or County which rcquircs a prmit to construct. alter. improve, dcmlish or rcltsf any
structre. prior to its issuuce. also rcquiEs lhc applicant for such pemit lo filc a sigrcd slslercnt that he or shc b liccned puNmt
to thc povisions of thc Contraclor's Liccnsd [Iw (Chaplcr 9, Comrcncing wilh Sstion 7000 of Division 3 of the Busincss md
Prcfcssions Codc) or thnt hc or shc Ls cxempt threfrom and thc bssis for thc allcgcd cxcmption. Any viohtion of Sstion 7031.5 by any
applicant for a pemil subjcts thc applicant to a civil penally of not mrc than fivc hundrcd dollus ($500).
_1. as owncr of thc prof,crty, or my cmployecs with wagcs as thcir solc conlpensation. willdo the work and thc struc'turc is not
intcndcd or otTercd for sale (Scc.7M4, Busincss and Professions Code: Thc Contractor's Liccnse [-aw does not apply to an owncr of
thc propcrty who builds or improvcs thercon. and who docs such work himsclf or herself or through his or hcr own employccs,
providcd that such improvcnrcnts are not inlendcd or offercd for sah. lf. hclwcvcr. thc building or improvcnEnt is sold within orc )rcar
of comphtion. the Owncr Buildcr will have the burdcn of proving that hc or shc dkl not build or improvc thc property for the purynsc of
salc).
-1.
as owncr of thc propcrty. am cxclusively contracting with liccnsed contractors to constnrct thc projcct (Sec. 7U4, Busincss
and Profcssion Codc: The Contractor's Licensc Law does not apply to an owncr of propcrty who builds or improves thereon.
and who contracls for such projccts with a Contracto(s) licenscd pursuant to thc Contractor's Liccnsc l-aw).
-IamexemptundcrSection-.B.&P.C.forthisrcason.l)ate:
WORKERS' COMPT'NSATION
DECLARATION
I hcrcby affirm under pcnalty of pcrjury onc of thc following dcclarations:
_l havc and will maintain a Ccrtificate of Conscnt to Self-lnsurc for workcrs' compensation. as providcd for by Section 3700 of thc
Labor Codc, for thc pcrforrnance of thc work for which thc pcrrnit is issued.
_l havc and will maintain workcrs' compensation insurarrce, as requircd by Scction 3700 of thc [:bor Codc, for thc lrcrformancc of
thc work for which this permit is issued. My workers' compcnsation insurance carrier and plicy numbcr are:5 +.CUT a,p4D\q a)
1Policy
-l
ccrtify that in thc pcrformancc of the work for which this pcrmit is issucd. I shall not cmploy any pcrson in any man?rcr
so as to becomc subict to thc workers' comJrcnsation laws of California, and agree that if I should bccomc subject lo thc
workers' compcnsation provisions of Section 3700 of thc [:bor Code. I forthwith cornply with tlmsc provisions..
WARNING: Failurc lo sccurc workcrs'cornpcnsation covcragc is and an crnployer to criminal penaltics and
civil t'ines up to onc hundrcd thousand dollars ($100.000). in to the damages as providcd for thc
Section thc Codc. intcrcst and altorncy's fecs.
q 3o Zt
I hcrcby aflirm undcr pnalty of pcrjury that I anr liccnsed under with Scction 7000) of Division 3
of thc Busincss and Professions Codc, and my licensc is in full force and cffcct.'c- lo .,0LlLiccnsc
Y)23
thc lrcrformarcc o[ the work for which this pcrmit isI hercby affirm undcr pcnalty of pcrjury thal thcrc is a construction lending
issucd (Scc. 3097, Civ. C.).
[-cndcr's Namc:
lrndcr's Address:
APPLICANT NECLARATION
I hcreby affinn under pcnalty of pcrjury one of thc following dcclarations:
Demolition Pcrmits-Asbcstos Notification Fedcral Regulations (Title 40. Part6)
_Rcquircd l-ettcr of Notification
_l certify that thc fedcral rcgulations rcgarding not applicable to this project.
_l ccrtify that I havc rcad this application and that thc with all City and County
ordinanccs and State laws rclating to to enter upn the
abovc mcntioned proJrcrty for
Applicant or Agent
I'ermitee nanre f f Cto o(c 5
and
3 ofzt
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor lr
Bondinq lGroundino I UFER \o 1 )>lwv I
Transformers I
Torqueing I ),/,
Sub-Panels
,l-
I
/I I t \tyry2 v,
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinss (T-Bar Rouqh)
N/eter Release
Rouqh lr ,a
Service N/eter il IA DWqi
FINAL [0 14,1A
Notes, Remarks, Etc I
On., nA n-7 Onl tr
Owner:
/1
t
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