HomeMy WebLinkAbout20173367 - PermitCity 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.173367
Pin #: 86354
y'-^
/-Proiect Address: 1260 E McFadden Avea
Assessor's Parcel: 932-110-70 Lot: NA
Unit A
Block: NA
Bldg:
Tract: NA
Address Range: 1ZS0-1ZT?
Historic: No
Suite Range:
Zoning: R4
Owner:
Address:
Esmeralda Villarruel
1260 E McFadden Ave, A
Santa Ana, CA 9270s
(7141 8s1-8655
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
4.05
Qty
100
1.00
1 .00
100
Fee
$57 40
$23 79
$se 30
$4 05
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
a
Planning Conditions:
Planning Approval By
Plan Checked By.
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuanc e, or if the work authorized on fhe site by such permit is suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Service Meter
, Julie
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3
VB
cEc 2019 Notes: Upgrade. Handout provided
Fee Total:
Paid to Date:
Balance Due:
0512112021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
$23 7e
$t t6 70
$4 05
$144.54
$0 00
$144.54
Inspector MID#: 2021-166288
ELECTRICAL-INSPECTO R RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs [-Bar Rouqh)
lVleter Release
Rough
Service N/eter It t
FINAL ln I 1t lX.ae
Etc.
I
!
OWNER BUI LDER DELCA RATION
I hereby affirm under pnalty of prjury that I am exempt fmm the Contractors' License law for the following reason (Sec.7031.5
Business and Profession Cule): Any City or County which requires a permit to construct. alter. improve, dermlish or repair any
structure, prior to its issuance, also requires the applicant ftrr such grrmit to file a signed statenrcnt that hc or she is licensed pursuant
to the provisions of the Contractor's Licensed t-aw (Chapter 9, Commencing with Section 7fiD of Division 3 of thc Business and
Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any
appficant for a permit subjects the applicant to a civil penalty of not rxrre than five hundretl dollars ($500).
^t/^rlCrJ,, as owner of the property. or my employees with wages as their srle compensation, will tlo the work and the structure is not
- intended or offered for sale (Sec.7(84. Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the property wlxr huilds or improves thereon, and whr dtrcs such work himself or herself or through his or her own employees.
provided that such improvenrcnts are not intended or offered for srh. If. hrwever. the building or impmvenrcnt is sold within one year
of completion. the Owner Buikler will have the burden of proving thrt he or she dil not buiH or impnlve the property for the prpose of
sah).
-I,
as owner of the property. am exclusively contracting with licensed contractoni to construct thc pnrject (Sec. 7044. Business
and Professbn Code: The Contractor's License Law does not apply to an owner of property who builtls or improves thereon,
and who contracts frlr such projects with a Contracto(s) licenscd pursuant to the Contractor's License Law).
_l am exempt undcr B. & P.C. for this
WORK TiRS' COM I'E,NSA'I'ION
DECLARA'I'ION
following tleclarations:I hereby affirrn under penalty of perjury one of the
_l have and will maintain a Certifrcate of Consent to Self-lnsure for workers' compensation. as pnlvi<Ied firr by Section 3700 of the
I-abor Code, for the performance of the work for which the permit is issued.
_l have and will maintain workers' comgrcnsation insurance, as required by Section 3700 of thc Labor Code, for the performance of
the work for which this prmit is issued. My workers' compensation insurance carrier and plicy number are:
in the performance of the work for which this permit is, issued, I shall not empk)y any person in any manner
and agrce that if I stxluld become subict to the
shall. forthwith comply with those pruvisions..
subject to the workers'compensation laws of Califirrnia.
workers' compensation provisions of Section 37fi) of the l,ahrr Cotle, I
WARNING: Faiture to secure workers' compensation coverage is unlawful. and shall subject an empkryer to criminal pnalties and
civil fines up to one hundred thousand dollars ($Ifi),fittl;, in addition to thc cost of compensation. damages as provided for the
Section 3076 of the Labor CtxJe, interest and attorney's fees.
K,",5)&\- il'\
DE,CLARA'NON
I hereby affrm under penalty of perjury that I am licensed under provision of Chapter 9 (comnrencing with Section 7Un) of Division 3
of the Business and Professions Code, and my license is in full force an<l effect.
License Class: License Number:
CONS'I'RUC'I'ION LTNDING AGENCY L
I hereby affrm under penalty of prjury that there is a congruction hnding agency for the performance of the work for which this permit is
issued (Sec. 3097, Civ. C.).
Lender's Name:
I
Lender's Address:
APPLICANT DECLARATION
I hercby affrm under pnalty of prjury one of the following declarations:
Dernolition Permits-Ashestos Nrxification Federal Regulations (Title 40, Part6)
-Required
l,etter of Nuilrcation
J certify that the federal regulations rcgarding asbestos renxrval are not applicable to this project.
4-U
--r-Jcertify that I have read this application and state that the ahrve information is correct. I agree to comply with all City and County
ordinances and State Laws rclating to building construction, and hereby authoriz.e representatives of this City and County to enter upon the
Grnritee name
firr inspection
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