HomeMy WebLinkAbout20274395 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 20274395
Pin #: 45388
Project Address: 2919 W Camile St
Assessor's Parcel: 109-821 -01 Lot: 149
Unit:
Block: NA
Bldg:
Tract. 3915
Address Range:
Historic: No
Suite Range:
Zoning. Rl
Owner:
Address:
Bob Bennett
2919 W Camile St
Santa Ana, CA 927041503
(7141 33s-1605Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Fee Type Amount
Demolition (includes ren 52.21
lnvestigation 104.26
Penalty 261.96
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
100
1 .00
1.00
1.00
100
Fee
$52.21
$1 04 26
$261 96
$23.79
$se 30
$4 0s
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
NOTICE OF VIOLATION
Bobch*:6tt9+3 9i3it/2tt21 IDI o,ilorolesl:lfllcei (:TYH lr'ons*: 1? 2 of 2Accti: Ref'* : 7tr27 +3?=.t
icpt*: [t3+288lt8 v r }ir/ 2021 I : 52 AH
Tnansocttc,n Totcti t6+0.66
Eoo Bennett
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permrt lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Demo Electrical
Notes:
Fee Total
Paid to Date:
Balance Due:
rrl 1 l6[t[t2- 1777u[r[r[r-
Electr r cn L
tll 1 16Lltt2- rl6tl3tltlu-
Uisa
(:(:* : t******r*t**8o+2
vt Hernan dez, Kathy 09t30t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
r€I1€POl l-"lOn LIP(10f,e fee $?3 .-/g
$4. LtIi
_ s477,73
$64U,66
Auth* : [t7 46+A
$505.57
$0 00
$505.57
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 after the time the work is
commenced.
lnspector
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.7e
$477.73
$4 05
MrD#'. 2021-1 69 162
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby afltrm undcr pcmlty of pcrjury that I m excmpt ftom thc Contracton' Liccns llw for thc following rcasn (58.7031.5
Busincss and Prcfcssion Codc): Any City or County whhh rcquircs a pcrmit lo onstruct, alts, imprcrc, dcmlish or rcpair my
smcrurc. lrhr lo its issuancc, als rcquircs the 8pplicant for such permit to file I signed slatemnt that hc or shc is liansd pusuet
to thc prcvisions of ftc Conlractor's Licnscd Law (Chaptcr 9, Commcncing with SEtion 7000 of Division 3 of thc Busincss ild
PmfcssiotrsCodc)orthatlrcorshcircxcmptthcrefrcmedthcbssisfortlrcallegcdcxcmption. AnyviolationofSationT03l.5byany
spplicanl for I Jxrmil subixts the applicant to a civil pcnalty of not morc thfi fivc hundrcd dolltrs ($5OO). '' '
-1.
as owncr of thc propcrty. or my cmployccs wilh wagcs as lhcir sole compcnsation. willdo the work ard thc structurc is not
interdcd or offercd for sale (Scr.7044, Business and Professions Code: The Contractor's Liccnse [^aw does not apply to an owner of
the pmJrcrly who builds or irnproves thcrcrln. and who dcrcs such work himsclf or hcrsclf or through hi.s or hcr own cmployccs.
providcd that such improvcnrcnls arc not intcndcd or offercd lbr sah. lf. howevcr. thc building or improvcnrcnt is mld within onc year
of cornplction, thc Owner Buildcr will havc thc burdcn of proving that hc or she did not build or improve the propcrty for thc purJrosc of
sale).
-1,
as owncr of the property. am cxclusivcly contracting with liccnscd contraclors to conslruct thc project (Sec. 7W, Busincss
and Profcssbn Code: The Contraclor's Licensc Law does not apply to an owner of propcrty who builds or improvcs thcreon,
and who contracts for such proFcts with a Contracto(s) liccnscd pursuant to the Contractor's Licensc hw).
_l anr c'xcnrpt undcr P.C.this
3O-7-"1
I hcreby afllrm under pcnalty of pcrjury onc of the following declarations:
-l
havc and will maintain a Ccrtilicate of Consent to Sclf-lnsurc for workers' compensation. as provided for by Section 3700 of the
I-abor Codc. for thc performancc of thc work for which the grcrmit ls issued.
-l
havc and will maintain workcrs' compensation insurancc. as requircd by Section 3700 of thc l-abor Codc, for the grcrformance of
the work for which this perrnit is issucd. My workers' comlrcnsation insurance carricr and policy number arc:
Policy Numbcr: Expircs:
_l ccrtily that in the pcrformancc of thc work for which this prmit is issued. I shall not cmploy any pcrson in any manncr
so as to bccomc subjcct to the workers' compcnsation laws of Californr1 1n{agrag ths, if I thoyld-.bcconrc subjcct to lhc
workers' compcnsation provisions of Section 3700 o$the l.abq Codc, t shafl. forthwith coniptf wlth thosc provisions..
WARNING: Failure to sccure workcrs' compcnsation coverugc is unlawful, and shall subjcct an cmploycr to criminal pcnalties and
civil l-rrrcs up lo one hundred thousand dollars ($100,000). in addition to the cost of compcnsation, damagcs &s provided for the
Section 3076 clf thc l-abor Codc. intcrest and atlorney's fccs.-zl
I hereby affirm under pcnalty of pcrjury that I am liccnscd under provision of Chapter 9 (commcncing with Section 7000) of Division 3
of thc Busincss and Professions Codc, and my license is in full forcc and effect.
Numbcr:Liccnse Class:
Dete:
W
I hcrcby stftrrn undcr pcnalty of pcrjury thut there is a @nstructiol lcnding agency for thc pcrformnce of thc work for which this permit is
issucd (Sc. 3097. Civ. C.).
[.cnder's Namc:
I-cndcr's Addrcss:
APPLICA NT ITF'C] ARATION
I hcrcby allrrm undcr penalty of perjury onc of thc following dcclarations:
Derrrolition Pcrmits-Asbestos Notification Fcderal Regulations (Titlc 40, Part6)
_Required lrttcr of Notification
-l
ccrtify that the fcdcralrcgulalions rcgarding asbcstos rcmovalarc not applicablc to this projcct.
_l ccrtify lhat I havc read this application and statc that thc ahrvc information is correct. I agrc',c to comply with all City and County
ordinanccs and Statc [,aws rclating to construction. and hcrcby authorize rcprcscntatives of this City and County lo cntcr upon thc
abovc mcntioncd ;lropcrty for
Applicant or Agenl
Permitee nanre (
a,-)o-Ll
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bondinq I Groundi ns I UFER
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
N/eter Release
Rouqh
Service N/eter
FINAL '8//-A LLr 9.a ter@> %;7
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