HomeMy WebLinkAbout20171852 - PermitProiect Address: 3709 S Alder Sta
Assessor's Parcel: 410-031 -03 Lol'. 27
Unit.
Block: NA
Bldg:
Tract. 6308
Address Range:
Historic: No
Suite Range:
Zoning: R1
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^171852
Pin #: 55852
L/tArv
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address.
Phone
Christina Ferguson
3709 S Alder St
Santa Ana, CA 92707
(562) 318403e
Flat Rate Remodeling lnc
369 N Fairfax Ave #7
Los Angeles, CA 90036
(323) 761-7540
01 1 1 6002 51 603
01 116002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
125 Volt Receptacle
Light Fixtures
Dedicated Circuit
General Plan Update
lssuance
Microfilm Records
Amount
157
1 .13
26.71
23.79
59.30
4.05
Qty
200
7.00
400
1 .00
1 .00
1 .00
Fee
$3 14
$7 91
$106.84
$23 79
$59.30
$4 05
Botch*:56431
tJlf i ce: (:TYll
Acct * :
Rcpt #: tt3tt61 995
Tr0n Enct i on Tat
I /g/TD: f1P
State Lic #: 996391
Lic Type: B
Bus. Lic #: 376268
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 911 2BT1
Expires: 0912312020
Rr_.f * :
? /9,/ ?tt2tr
r l nt Rnt e fterrrod e I
Notes:Electrical for bathroom remodel.
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
Alteration
Bathroom remodel
01104591
Occupancy.
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2019
09t08t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permit issued 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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MrD#'2020-1 61338
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$177 19
$4 05
Fee Total:
Paid to Date:
Balance Due:
$205 03
$0 00
$205.03
ELECTRICAL.INSPECTOR RECORD
APPROVALS COMMENTSDATEID/SIG.
Site-Work
Underground ,
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)I
7t70Walls (Roush)1t I 7 l lrt
Ceilinqs (Hard & Soffit Rouoh tlc I lt-O \ Y+-fr-E{a Ir u atrl>*4fr
Ceilinqs [-Bar Rouqh)
N/eter Release
Rough
Service [Vleter
rlFINALto ll I ,{S'qo
r--lNotes, Remarks, Etc.\\-/
OWNER BI.'II,DI'R DTiLCA RATION
I hereby affirnr under penalty of perjury tlrat I anr exenrpt from the Contractos' License law for thc following neason (Sec.7031.5
Busincss and Prolbssion Codc): Any City or County which requires a pcrmit to construct, alter. improve. dcmolish or rcpair any
structure, prior to its issuance. also requires the applicant for such grernrit to fih a signed slaternent that lre or shc is licensed pursuanl
to thc provisions of thc Contractor's l.iccnscd law (Chapter 9. Commcncing wilh Section 7fi)0 ol' Division 3 of the Business and
Professions Code) or that lrc or she is exen4rt therefrom and tlrc basi.s for the alleged exenption. fuiy violation of Section 7031.5 by any
applicant for a pennit subjects thc applicant lo a civilpenaltyof not more than fivc hundred dollars ($500).
_1. as owncr ol'the propcrty, or my ernployees with wagcs as thcir solc comgrcnsalion, will do the work and thc structure is not
interxled or offered for sale (Sec.7G4. Business and Profcssions Ctxlc: The Contractor's License Law does not apply to an owner of
the pruperty wlro builds or inproves tlrermn, and who does such work hinnelf or lrerself or througlr his or lter own enployecs,
provided that such improvcrncnts arc not intcndcd or ollercd for sah. Il, hnwevcr, thc building or inprorrcnrcnt is sold within one )car
of conpletioq thc Owner Buikler will have the burden of proving ttra he or she did not buikl or inpmve thc propary for thc purposc of
sale).
_1. as owner of thc propetly, am exclusively contracting with licensctl contraclors to construct thc project (Sec. 7044, Busirrcss
and Prolbssi<ln Code: The Contractor's License Law does not apply to an owner of proSrcrty who builds or improves thereon.
and who conuacts for such projects with a Contracto(s) liccnscd pursuant to thc Conuaclor's Liccnse [:w).
-IanlexemptutxJerSectitltt-,B'&P.C.tbrtlilsreason.l)ate:
WORKERS' COM PET{SATTON
DECLARATION
I hereby afTirm undcr penalty of pcrjury one of the tbllowing declarations:
-l
have and will nuintah a Certificate of Consent to Self-Insurc for workers' compensation, as prcvided for by Section 3700 of the
I-abor Code, for thc perforrnance of the work for which the permit is issued.
QGn"r. and will maintain workers' conrgrcnsation insurance, as required by Section 3700 of thc l-abor Code, for rhe perfornunce of
flt>uork for which this permit is issucd. My workers' compensation insurance carrier arxl plicy number are:
11
Policy ?(L1(La
_l ccrtify that in thc pcrfornuncc'o[thc work f<rr which this pcrnrit is issucd, I .shall not cmploy any lrcrson in any manncr
so as to bccomc subject to thc workers' compcnsation laws of California. and agree that if I should become subjcct to thc
workers' conrlxnsatiorr provision.s of Section 3700 of the Labor Code, I stull, forthwith conrply with thosc provisions..
WARNING: Failure to secure workers' compensation coveragc is unlawful, and shatt subject an cmployer to criminal penalties and
addition to the cost of comgrcrsation, danrages as provided for lhecivil fines up to one lrurrdred thousand dollars ($100.m0).
Scction 3076 of thc Latnr Code, intercst and attorney's fcc's.
lll
o^,,,lf b110 t(
I hereby affirnr under penalty of pcrjury that I anr licensed
of the Busincss and Professions Code. and my license is in full force antl etTect.
Applicant or Agent
,n
Chapter 9 (contnrcncing with Section 7000) of Division 3
ryL't rlLicenseNunrber:
CONSTRUCTION LENDING AGENCY
I hereby affirrn undcr pcnalty of pcrjury that thcrc is a construction lending agency for thc performancc of the work for which this pcrmit is
issucd (Scc. 3097, Civ. C.).
lrnder's Nanre:
APPLICANT DECLARATION
I Hry aflirm under penalty of perjury one of the folkrwing declarations:
Demolition Pcrmits-Asbcstns Notification Federal Regulations (Title 40, Part6)
Required lrttcr of Notification
_t certify that thc fcdcral rcgulations rcgarding asbcstos rcmoval are not applicable to thls project.
6."nify tlrat I luve read this application uxl state thar ilre above infornnrion is correct. I agree to conrply with all City and County
-gtinarrces and State Laws relating to building construction, and hereby auttnrizc represcntatives of this City and County to enter upon the
above rnentioned property for
*", Tf 8l 1-O
0B-07-2015
o DKeSe
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