HomeMy WebLinkAbout20172429 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2o^172429
Pin #: 36343
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Proiect Address: 914 E Clemensen Avea
Unit:
Block: NA
Bldg:
Tract: 4226
Address Range.
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 396412-06 Lot: 91
Owner:
Address.
Juan Madrigal
914 E Clemensen Ave
Santa Ana, CA 9270s
(7141 656-866s
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Swim Pools
Spas
General Plan Update
!ssuance
Microfilm Records
Amount
130 46
130.46
23.79
s9.30
4.05
Qty
1 .00
1.00
1.00
1.00
1.00
Fee
$1 30 46
$1 30 46
$23 79
$5e.30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type.
Nature of Work:
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool & Spa
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019 Notes: New inground swimming pool & spa; change gates to
open outward. Letter of auth on file.
Planning Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
, Julie 12t10t2020
Account#
101 105430 01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
$23.79
$320.22
$4.05
Fee Total:
Paid to Date:
Balance Due:
$348.06
$0 00
$348.06
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector MID#: 2020-163232
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work I
-,4ttuthdUnderqround(4
Pole Bases
Liqht Standards It ,:a:
Spas, Pool, Fountains t,Y,a{wuua \{a
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor t/.,1 L =.J atl
Bondinq I Groundins I UFER 'ql (//
Transformers tl 7
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
Meter Release
Rough
Service Meter .^L hl t n
FINAL IUIN[,V uKhn ildq
Notes, Remarks, Etc.ll
I
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OTV N I.:,R II I' I I,I )I.]R
I hereby affrnr under penalty of perjury that I am exenrpt from the Contractors' License [.aw for the following rtason (Sec.7031.5
Busincss and Prol'cssion Codc): Any City or County which requircs a pcrmit to construct, altcr. irnprove. denxtlish or rcpair any
structure, prior to its issuance. also requires the applicart for such pernrit to fih a signed slaternent that lre or she is licenscd pursuant
to the provisions of thc Contractor's l,iccnsed Iaw (Chapter 9. Commcncing with Section 7000 of Division 3 of thc Busincss and
Professions Code) or that lrc or she is exempt therefrom and tlre basis for the alleged exentption. Any violation of Section 7031.5 by any
applicant for a perrnit subjects the applicant to 0 civil penalty of not rnore than five hundred dollars ($5m).
owncr ol'thc prolL-rly. or tny crnployccs with wages as their sole cornpcnsation, willdo the work and thc stlucture is not
or offered frrr sale (Sec'.7(}f4. Business and Prufcssions Corlc: The Contractor's License Law tloes not apply to an owner of
the pmperly wlxr builds or imprcve.s thereon, and wlxl does such work himself or lrcrself or through his or her own enrployees,
providcd that such improvcmcnts arc not intendcd or olTered for sah. Il, howcvcr, the building or improverncnt is sold wilhin one ycar
of comphtioq the Owner Buikler will lrave thc burden of pnrving ttrat he or she did not build or inrprove Orc property for thc purposc of
sah).
_1, as owner of the properly, am exclusively contracting with licensed contraclors to conslrucl tlrc prcject (Sec. 7044. Business
and Prolesskrn Code: The Contractor's License Law dtrcs not apply to an owner of progrcrty who builds or improves lhereon.
and who contracts for such projccts with a G)nlraclor(s) liccnsed pursuant to the Contractor's Liccnse Law).
_l anr excnlpt under B. & P.C. ltrr this reason.
I hcrcby aflirm undcr pcnalty of pcrjury onc of tltc fbllowing dcclarations:
haveandwillntaintainaCertilicateofConsenttoSell-lnsureforworkers'cornJrensation,as providedforbySection3T00ofthe
Codc, for the Jrcrfonruncc of thc work for which thc Jrcrntit is Lssued.
_l have and will nuintain workers' conryrcnsation insurarrce, as required by Section 3700 of the l-abor Code, for the grcrfornunce of
the work lbr which this pcrnrit is issuctl. My workcrs' conrJrcnsation insurance czurier arxl plicy numbcr arc:
that in thc ;xrtirrnuncc of thc work f<rr which this 1rcrmit is issuc'd, I shall not cmploy any lrcrson in any manncr
.so bccomc subjcct to thc workcrs' conrperrsation laws of Califonria. and agrcc that if I should bccolnc subjcct to the
workers' conrpensation provisions of Section 3700 of the L:bor Cotle, I shall, forthwith comply with those provisions..
WARNING: Failure to secure workers'compcnsation coverdge is unlawful, and shall subjcct an employer to criminal penahies and
civil fines up to one hurdred thousand rlollars ($100.000). in addition to the cost of compcnsation, danuges as provided for the
Scction 3076 of thc Latnr Codc, interest and attorney's
o^ru, /2,/o'Zo ?-€L
I hereby affrnr under ;rcnalty of perjury that I anr licenscd under provision of Chapter 9 (conrnrncing with Section 7000) of Division 3
of the llusiness and Professions Code. arxl rny license is in full force arxi elTect.
Licen.se Number:
CONSTRUCTION LENDING AGENCY
I hercby al'ljrrn undcr pcnalty o[ pcrjury that thcrc is a construction lcnding agency for thc pcrlbrmance of thc work lbr which this pcrmit is
issued (Scc. 3097. Civ. C.).
lrnder's Name:
l.cnder's Address:
APPI,ICANT DECI,ARATTON
I tucby aflirm under pnalty of pcrjury onc of the following declarations:
Demolition Pernrits-Asbestos Notification Fcdcral Rcgulations (Titlc 40, Part6)
-Rcquircd
lrtter of Notification
ccrtily that thc fcdcral rcgulations rcgarding &shstos retnoval arc not to this projcct.
tlrat I rcarl tlis that thc ahrvc is corrcct. I agrcc to conrply with all City and County
and rclating to building of this City and County to cntcr upon thc
above rrrcntioned
Applicant or Agent
lDcrmilcc namc
inspection purposes.
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