HomeMy WebLinkAbout20174371 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)-647-5853
Permit #:20174371
Pin #: 71404
Project Address: 5506 W Lehnhardt Ave Unit:
Assessor's Parcel 108-591.{1 Lot: 8 Block: NA
Bldg:
Tract: 4560
Address Range:
Historic: No
Suite Range:
Zoning. Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Marilyn Elwood
5506 W Lehnhardt
Santa Ana, CA 927041824
(562) 2304163
King Neptune Pools
1409 Riviera Drive
Santa Ana, CA 92706
(7141 200-81 15
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
Demolition (includes ren SZ.Z1
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
100
100
1.00
1 .00
Fee
$s2 21
$23 79
$5e.30
$4 05
State Lic #. 101 OIU
Lic Type: C-53
Bus. Lic #: 363008
Workers' Compensation lnsurance:Carrier: Compwest lnsurance Co
Policy #: WCVS504964
Expires: 0312412022
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i',ins Heptune F'ogIs
iierier'nI F'1nn UPdcrbe Fee
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Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Single Family Dwelling
Miscellaneous
Demo Swimming Pool
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
N/A
N/A
cEc 2019
U1 1 16u02* 516t-ttrUt-tt-t
t.lectricnlpl I l6LtrU- Il6tJJlJ0tJ
Notes: Demo swimming pool and back fill/handout given
\t$ Hernan dez,Kathy 09t28t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
TotalSubject to Field:
Buildins Permit #: 101 108085
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 sife 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 s1603
01 1 16002 57770
$23 7e
$111 s'
$4 05
Fee Total
Paid to Date:
Balance Due:
$1 3e 3s
$0 00
$139.35
lnspector MID#: 2021-168977
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEITARATION
I hrcby allim undq penalty of pcrjury that I m cxcmpt from the ContracloB' Licffi law for thc following rcer (Sc.7031,5
Bwin* and Profsion Codc): Any City or County which rc1uirc a pamit to conslruct, alte. improvq dlmolish or rcpair uy
stIuclurq prior to its isuilcc, also requiG the applicut for such pennh to filc a sigoed statwot thst hG or slrc b [ce$€d pulsust
to the prcvisioE of tlrc Contractor's Licased kw (Chapt6 9. Commcncing with Sction 7000 of Division 3 of the Bulnqs md
Prcfc$ions Codc) or that hc or shc is qcmpt thftfrom md thc basis for thc allcgcd crmption. Any violatiotr of Sclion 7031.5 by my
applicant for 8 pcrmit subjcts thc applicmt to a civil pcmlty ofnot morc thm livc hundrcd dollm ($500).
-I.
as owner of the property. or my employecs with wages as their sole compcnsation, will do the work and the stnEture is not
intended or offered for sale (Sec.7044, Business and Professions Code: The Contractor's License law does not apply to an owner of
the propa'ty who builds or improves thcron, and who does such work himself or herself or through his or her own employees,
provided that such funproveinents are not intcnded or ofFercd for sale. I[, howwer, the building or improvement is sold within onc year
of complaion, the Orvner Buildcr will have the huden of proving that he or she did not build or improve the property for the purpose of
sale).
_1, as owner of the propo'ty, am exclusively contracting with liccrsed contractors to construct the project (Sec. 7044, Busincss
and Pnofcssbn Code: The Contractor's License Law does not apply to an owner of property who builds or improvcs thereon,
and who contracts for such projecfs with a Contraclo(s) licensed pursuant to the Contractor's License [aw).
_l am exempt under Section-. B. & P.C. for this reason.
Dete:
WOStrESTSOMEENSAIIAN
DECI.AEAIION
I h@by rffm undq paalty of pqjury onc of rhc following delealioro:
-l
havc ud will mintsin E CqiificEte of CoMt to SclfJBurc for wrk6' compqtsarion a providcd for by S*tiotr 3700 of tbc
La$r Codc, for the pafome of thc wo* for vhich thc pqmit b isued.tv
Ahavc md will mintain worko' compcroation imurucc, a rcquircd by Sction 37OO of thc lzbor Codc. for rhc pGfolmcc of
the pennit is My insurance carrier and policy number are:
Policy
_l ccrtify that in the performancc of the work for which this perrnit is issued, I shall not employ any person in any manner
so ,ls to become subject to the workers'compensation laws of California. and agree that if I should becomc subjcct to the
workers' cornpensation provisions of Section 3700 of the kbor Code, I shall, forthrvith cornply rvith thosc provisions..
WARNING: Failurc to secure workcrs' compersation and shall subject an to and
civil fines up to one hundred thousand dollars ($100,000). in to the cost of the
Section T "!!fl':ry1'|**'i and attorney's fees.
DECII\RATTON
I hereby affrrn under penalty of perjury that I anr licensod under provision of Chapter 9 (commencing with Soction 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License -28-z
W
I hrcby aflim udo pemlty of perjury that thft is a @ostructiotr lcnding ag6cy for thc pqfomce of thc wol.k for which this psrtrit b
issued (Se. 3097, Civ. C.).
knder's Name:
Lender's Address:
APPLTCANT DECLARATION
I h€reby aflirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Lctter of Notification
_l certify that the federal regulations removal are not applicable this project.
that I have read this application state that I agree to comply with all City and County
hereby
above mentioned property for
Applicant or Agent
[\4
Permitee neme (print):
of this City and County to enter upon the
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool. Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire AIarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Roush
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter I
FINAL tck/a rlrtr 4e
Notes Rema Etc.
D,^.rr na n7 ,n{ tr
p-*n;r.rZ'7+-Z>
Contractor:Date:
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