The URL can be used to link to this page

Home My WebLink About20174180 - Permit^ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714) 647-5853 Permit #i 20174180 Pin #: 44866 (. Proiect Address: 1024 N Olive St-a- Assessor's Parcel: 405-283-20 Lot: 34 Unit: Block: NA Bldg: Tract: 354 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone Tenant Name: Contractor: Address: Phone Sal Ramirez 1024 N Olive Street Santa Ana, CA 92703 (7141 884-2545 Empire Plumbing Heating & 8349 Katella Avenue Stanton, CA 90680 (7141 816-512s 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 5160C 01 1 1 6002 51 60;' 01 1 16002 5777C Fee Type 125 Volt Receptacle Light Fixtures Serv Meter General Plan Update I ssuance Microfilm Records Amount 1 .57 1 .13 57.40 23 79 59 30 4.05 Qty 100 100 100 100 100 100 Fee $1 s7 $1 13 $s7 40 $23 7e $5e 30 $4 0s State Lic #: 794154 Lic Type: C-36, C-10, C42, C-20 Bus. Lic #. 163353 Workers' Compensation I nsurance:Carrier: lnsurance of the West Policy #: WSD50S13z701 Expires' 1011512021 7 8/26/ ZLt? r { Trnn s* : 16- Ref i 77Lt 8t'i6i'tlr Totnl lD: flv I CCo'Bntch*:6Ll{/iIi'icei (: Irl Acci*: tcpt+: Ll33?7 Ironsoct t or /. (",l 2rri'7+1S ?r+li An t+4S . i37 $147 .24 $0 00 $147.24 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 Service Meter Occupancy: Constr Type: Code: Date: Date: Date: R-3 VB cEc 2019 upgrade/handouts given l-lJ ilfi t+ t++g Verduzco,vi"rN Misc. Receipt. Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: 08t26t2021 Account# 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 srfe by such permitis suspended 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 $t r9 40 $4 0s lnspector MtD# 2021-168452 ELECTRICAL-INSPECTOR RECORD ()r.r, nA n7 Onltr APPROVALS DATE ID/SIG.COMMENTS oWNERBUILDERDELCARATION .I hcrchy affirm undcr Fnalty of pcrjury thot I m crcmpt fmm thc Contracto6' Licenrc kw for thc followitrg Msn {Ss.7031.5 Business ard Profcssion Codc): Any City or County which rcquircs a JErmit lo @nsIrucl. alls, improvc. dcmlish or rcpair st structurc. prbr to its issuffie, ds rcquircs the appticsnt for such [rcmit to filc a signed statcmil thal h. or slrc is liccn$d pml6ni to lhc pmvisions of thc Conractor's Liccnred t:w (Chapier 9, ComncinS wilh Scction 7000 of Division 3 of thc Busiress und PrcfcssionsCode)orlhuthcorshciscxcmptthcrefmmandthcb&sisforthcalhgcdcxcmption. AnyviolationofScctionT03l.5byany applicant for s Jrcrmit subjccts thc applicant to a civil pcmlty of not mrc than fivc hundrcd dollus ($5fl)). -1, as oercr of thc prcFny, or my cmplo)rys uith wagcs s thcir sle compcnsstion. willdo tlrc work and tlrc stnE{E is mt o intcndcd or offered for sle (5(.7044, Busincss and hofcssions Codc: Thc Contractor's Licetrs law does not apply to an owrcr of the pDIEny who builds or inpmws thâ‚¬ffin. .nd who d@s sch mtk himsclf or hcrsclf or thrcugh his or hcr own employes. providcd that such imprcvcmnts rc not iilcrdcd or offclcd for $b. If. howw, thc buiHing or improremnt is $H sithin onc )cu of otr{rhtion, thc Owrcr Buikkr will harc the hurdcn of prcving that hc or shc dil mt build or improrc trc pmFrry for thc prqns of sb). _1, as owncr of the propcrty, am exclusivcly contracting with liccnscd contraclors to construct thc projcct (Scc. 7U4. Busittcss and Prrofcssion Codc: Thc Contractor's Liccnse Law does not apply lo an owncr of proFrcrty who builds or itnprovcs lhcrcon. and who contracts for such projccls with a Contraclor(s) licenscd pursuanl to thc Contractor's Liccnsc [:w). -lamexcmptunderScction-,B.&P.C.forthisrcason. f\oto. WOIIKERS' COM PENSATION DECI dRATION I hereby affrrn undcr Fnalty of pcrjury onc of thc following dcclarations: _l havc and will maintain a Ccrtificatc of Conscnt to Self-lnsure for workers' compensation, as provided for by Section 3700 of the I-abor Codc. for the pcrformance of thc work for which the pcrmit is issued. -l havc and will maintain workers' compcnsalion insurancc. as rcquircd by Scction the work for which this pcrnrit is issucd. My workcrs' compensation insurance ciuricr 37fi) ot'thc Labor Codc. lirr thc pcrl<lrnuncc of +Tfr't3ql*' /c lf- LPolicy _l ccrtify that in thc pcrforrnancc of thc work for which this Jrcrmit is issued. I shall not cnrploy any pcrson in any manncr so as to bcconr subject to the workcrs' compensation laws of California, and agrcc lhat if I should becomc subjcct to the workcrs' cornpcnsation provisions of Section 3700 of the l-:bor Codc. I shall. forthwith comply with those provisions.. WARNING: Failurc to sccure workcrs' comlrcnsation covcr.lgc is unlawful. and shall subjcct an employcr to criminal pcnaltbs and civil lincs up to onc hundred thousand dollars ($100.000). in addition to thc cost of comlrcnsation. darnagcs as providcd for thc Section 3076 thc Codc. intcrcsl and attorncy's I hcrcby afflrrn undcr pcnalty of pcrjury lhat I ant liccnscd undcr 9 (comnrcncing with Section 7000) of Division 3 of thc Business and Profcssions Codc, and my liccnsc is in full forcc and cffcct.)1,ltf(Liccnsc Llo 2A vL .L Numbcr: \ rl-- W I hcrcby aflirm under Jrcnalty of pcrjury that ttm is a snstruction bnding agency for lhc performrce of thc work for whkh this pcmit is issucd (Sc. 3097, Civ. C.). kndcr's Nam: I-rndcr's Addrcss: APPLICANT NECLARATION I lrreby afl'irnr under pcnalty of prjury onc of thc following dcclarations: Dcmolition Pcrmits-Asbcstos Nolification Federal Rcgulations (Title 40. Part6) _Rcquircd lrttcr of Notification _l ccrtify that thc fcdcralregulations regarding asbcstos rcmovalarc nol applicable to this projcct. _l ccrtily that I havc rcad this statc that thc abovc intbrmation is corrcct. I agrec to comply with all City and County ordinanccs and Statc Laws constructi<ln. and hcrcby authorizc rcprcsentativcs oI this City and County to cntcr upon the abovc rrrcntioncd propcrty trlr Applicant or Agenl I)ernrilee purF)scs. \r-'h -/rr- +ffi Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bondinq I Groundinq I UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls (Conduit) Walls (Roush) Ceilings (Hard & Soffit Rouqh Ceilinqs [-Bar Rouqh) N/eter Release Rouqh Service N/eter I FINAL tJz^ le,tr[q^ Notes, Remarks, Etc.rf v _ Owner: Exnircs: (r.--(nrr^.o^--)