HomeMy WebLinkAbout20169396 - PermitProject Address: 1418 W Carriage Dr
Assessor's Parcel: 412-014-20 Lot: 31
Unit:
Block: NA
Bldg:
Tract: 6036
Address Range.
Historic: No
Pin #:
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #i 2O169396
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address.
Phone:
Shauntae Chandler
1418 W Carriage Dr
Santa Ana, CA 927046713
(7141 67e-5333
Home Renew 360
3711 N. Long Beach Blvd. #l
Long Beach, CA 90807
(s61) 800-0s30
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
Fee Type Amount
125 Volt Receptacle 1 51
Light Switches, Occ. Se 1 .64
Light Fixtures 1 .09
General Plan Update 22.9s
lssuance 57.20
Qty
100
1 .00
1.00
100
1.00
Fee
$1 51
$1 64
$1 0e
$22 95
$57 20
State Lic #: 982343
Lic Type: B, C-39
Bus. Lic #: 373438
Workers' Compensation I nsurance.Carrier: State Compensation lnsurance Fund
Policy #. 9144686
Expires'. 1011312019
Botch*:511ff5 - g/12/21:tI? ID: LR0SAI.ES
Ofl i ce: CTYH Trans*: 150 ? of 3Acct*: Ref *: 211169396
Rcpti: tt2716598 8/ I2/2ttI9 T 4g Pl1
Tronsact i on Totol 1463,32
Home Renew 36tl
Genr:Pol Plnn Updste Fee
0l I16002- 516000ttt1-
Electricol
Llt I 1611112- 51603000-
Vi;n
CC+ : rrr*rr*rrrr*4 106
i22. ?5
$61.44
$463. 32
Auth * :05463G
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Bathroom Remodel
Occupancy:
Constr Type:
Code:
Date
Date:
Date:
R-3, U
VB
cEc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernan dez, Kathy
Subject to Field:
Building Permit #: 101 101048
08/1 2t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01116002 51603
$22 es
$61 44
$84 39
$0 00
$84.39
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#'. 2019-153558
t
ELECTRICAL-INSPECTOR RECORD
rlc n7 Dn-i tr
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walts (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lVleter Release
Rouqh
Service lVleter t,
FINAL 16 lnlz-t tz&r n
Notes, Remarks, Etc.tl
-Zl -(J o*tL-
E
UT I
\r-
I hcrcby aflirm undcr pcnalty of;rcrjury lhat I am cxempt l'rom lhc ConlEclom' Liccnsc Law for lhc following rcason (Se.70.ll.5
Busincss atrd Profcssion Codc): Any City or County which rcquircs a Jrnnit lo conslrucl. altcr. improve. dcmlish or rcp.ir any
structurc. prior to ils issuance. also rcquircs thc applicant for such [Ermil lo filc a signcd slatcmnl that hc or she is liccnsd pursuanl
to lhd pmvisions of rhc Conlractor's Liccn*d Law (Chilptcr 9. Commncing with Sstion 7(XD of Division 3 of thc Busircss and
Pmfcssions Codc) or thnl hc or shc is cxcmpl lhcrcfrom and thc basis for lhc allcgcd cxcmplion. Any violalkrn of Scction 7O.l I ..5 by dny
applicant for a Jrcrnrit subjccls tlrc applicanr lo a civil pcnalty of not morc lhan fivc hundrcd dolles ($500). 1 |'
-1.
as owner of the propcrty. or my cnrployccs with wages as thcir sole cornpcnsalion. u,illdo thc work and thc stnrture is txrt
intcndcd oroffcred for sale (Sec.7B4. Busincss and Prot'cssions Clodc: Thc Contruclor's Liccnse Law docs not applyto anowncro[
thc proprty who builds or irnproves thercon. and who docs such work hirnsclf or hcrself or lhrough his or her own employces.
providcd thal such irnprovcmcnts arc not intcndcrl or offcrcd for sah. lf. horvevcr. ttrc building or improvctncnl is xrld within one ycar
of cornphtion. thc Owncr Buikler will havc thc burden of proving that hc or shc ditl nol build or inprovc thc pr)Frty for thc purynse of
sah).
-1.
asowner of thc propcrly. arncxclusively corrtracting with liccnscd conlraclors lo conslruct thc projcct (Sec. 7M4. Busirtess
and ProfbssionCodc: ThcContractor'sl.iccnsel-awdocsnotapplyloanowncrofpropertywhohuildsorimprovcsthcrcon.
and who contracts lirr such projccts with a Contractor(s) licerrsccl pursuilnl lo the Contraclor's License Law).
-lantexemptundcr.Section-.B.&P.C.ftlrthisrcason.I)ale:()rr ner:
}VORKERS' COIII PENSATION
DF'CLARATION
I hcrcby alf inn undcr pcnalty of'pcrjury onc of thc folkrwing rlcclarations:
-l
have and will rnaintairr a Ccrtificatcof Conscrrl to Sclf-lrrsurc for wrlrkcrs'cornpcnsation. as provided lbr byScction 37fi)of thc
Labor Codc. lbr thc perfornuncc of the work for which thc pcrmit is issucd.
-l
havc and will nrairrtain workers'compcrrsalion insurancc. as requircrl by Secliorr 370O of thc Labor Code. for the pcrfirrtnartcc o[
thc work tbr which this pcrrnit is issued. My workcrs' conrpcnsalion insurancc carricr and Jxrlicy numhcr arc:
Policv Nurnbcr: Exnircs:
_l ccrtity that in thc pcrlornrance o[thc w<lrk lbr which this pcrnrit is issucd. I shall nol crnploy any person in atry manncr
so as lo bccornc suhjcct to llrc workcrs' compensalion laws of Calif'ornia. and agrec that if I should hccome suhjcct lo thc
workcrs' contpcnsation provisions of .Scction -37fi) ot'thc krtxrr Codc. I shall. forthwith cornply with thosc provisions..
WARNING: Failurc to sccurc r+,orkcrs' cornpensation covcragc. is unlawful. and shull subjcct an crnploycr to crirninal pnaltics and
civil lincs up to onc hundrcd thousand dollars ($l(X).(XX)). in addition to the cost of conlpensation. damagcs as providcd tbr thc
Scction 3076 of thc Labor Codc, intcrcst and allorrrcy's lbcs.
o^", K'/24f
I hcrchy aftirnr undcr pcnalty of perjury that I arrr liccnscr.l provisiorr of'Chir;rter 9 (conrrncncing with Scclion 70U)) of Division 3
ol' the Ilusincss and Prot'cssions Codc. ard rtty liccrtsc is in t'ull frrrcc ard cll'ccl
I-icensc
Date:-/ 2-q ('ottlractrlr:
W
I hcrcby aflirmunder Fnally of Jrcrjury thst thcrc is a consrruclion lcnding agcrcy for thc lrcrfornuncc of lhc work for which this ]Emil ir
issucd (Scc. 3097. Civ. C.).
knder's Nare:
I-clttlcr's Atklrcss:
APPLICANT DECLARATION
I hcrcby alfinn under pcnalty of perjury onc of the following dcclaralions:
Dcnxrlition Pcrmits-Asbestos Nolification Federal Regulalions (Title 40. Part6)
-Rcquircd
Lcttcr of Notification
_l ccrtity that thc fcdcralrcgulalions rcgartling asbcstos rcrn<lval arc rrol applicahlc lo this projccl.
_t ccrtily tlrlt havc rcarl this application atxlvc irrforrnat iott is corrcct. I agrcr to conrply
reprcsentativcs of this City
u,ith all City alrrl County
rlrdinrnccs alrd Statc laws rclaling atttl Couttty Io cnlcr upon
abovc nrcntioncd propcrty for
Applicanl or Agent
I)enrrilee nanre ( print):
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