HomeMy WebLinkAbout20173764 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714)647-5853
Permit #:20173764
Pin #: 82093
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Project Address: 118 N Laure! St
Assessor's Parcel: 198-252-26 Lot: 126, POR 127
Unit:
Block: NA
Bldg:
Tract: 540
Address Range:
Historic: No
Suite Range:
Zoning: R2
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
lsmael H Solano
1 18 N Laurel Street
Santa Ana, CA 92703
(7141 478-7065
Sevilla Construction lnc
17280 Hlgh Country Cir
Perris, CA 92570
(s51) 378-0860
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 s1603
01 1 16002 5777C
Fee Type Amount Qty Fee
Res Rewire 0.16 1 ,519.00 $243.04
Dedicated Circuit 26.71 2.00 $53.42
Low Voltage/Res 39.56 1.00 $39.56
Serv Meter 57.40 1.00 $57.40
General Plan Update 23.79 1.00 $23.79
lssuance ,-::,i.i ,,\.:.... 1,:..,,i 59.30, ,- i :t. 1.00, l: $fi9.30
MicfofilmReOOrdS,;:..i:;, 4.O5r):.-'..-: r 1.00 ,r$4.05
,.:;1 ; ''',r - .;' .l i ;.t.., ..,
,.,,..,.i,,..,,'.'\J;'.i.i,.'.i'.-'.i,..-.,."'....,
,'l.i t'! lr.lr..i . t-:j': il-,r..,.:.. ;i r .r ' i. , i
State Lic #: 1020315
Lic Type: B
Bus. Lic #: 377867
Workers' Compensatton Insurance:Carrier: State Compensation lnsurance Fund
Policy #: 9226425
Expires: 0211612022
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Electn i caI
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(:(:i : * *trttr r x* **4S64 Auth+:u0?15fi
Building Use:
Job Type:
Nature of Work
Single Family Dwelling OccuPancy:
Alteration Constr Type:
Fire Damage Repair/Patio g6Code:
R-3, U
VB
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Verduzco, Violet
Subject to Field:
Buildins Permit #: 101 106405
$
Date.
Date:
Date:07 t13t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical for fire damage repair
Fee Total
Paid to Date:
Balance Due:
Every permitissued 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.
01 1 16002 51600
01 1 16002 51603
01 1 16002 s7770
$23.79
$452 72
$4.0s
$480 56
$0 00
$480.56
lnspector MID#: 2021-1 65461
ELECTR ICAL-! NSPECTOR R ECOR D
[Jr.rr nA n7 Onl
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby afftrm undcr lf,nahy of Frjury that I u cxcmpl frcm thc Contracto6' Liccnsc ljw for thc following rcasn (Ss.70i1.5
Busincss and Profcssion Codc): Any City or County which rcquircs a Frmit lo onstruct. altq, improvc, dcmlish or rcpair any
structw. Idor to its issuarcc, also rcquircs the applicant for such pemit to file r signcd statcmnt tha he or shc is liensd puomt
lo lhc pmvisions of thc Conraclor's Licen*d [lw (Chaplcr 9. Comncing with S$tion 7000 of Division 3 of thc EusiEss od
PmlcssionsCodc)orthathcorshciscxcmptth@fromundthcbasisforthcalhgc{cxemption. AnyviolationofSetionT03l.5byany
applicant for a pcmit subjccts thc applicunt to a civil pcmlly of not mre thsn five hundrcd dollrs ($500).
-t.
as owncr of thc propcrty, or my cmployces with wagcs as thcir sole comlrcnsation. willdo thc work and thc stnrclurc is not
intcndcd or offcrcd for salc (Sec.7044. Business and hofcssions Code: The Contractor's Liccnsc [^aw does not apply to an owncr of
thc propcrty whcl builds or improves thcrcon. ard who dcrcs such work himsclf or hcrsclf or lhrough his or trcr own cmployccs.
providcd that such impmvcnrcnts are not interdcd or offcrd for salc. lf. howevcr, the building or irnprovenEnt is sold within one )rcar
of complction. tlrc Owncr Builder will have thc burden of proving that he or shc did not build or improve the propcrty for the purynsc of
sale).
-1,
as owner of thc property, am exclusively contracting with liccnsed conlractors to construct thc projc.ct (Scc. lW. Busincss
and Profcssion Codc: The Contractor's Liccnse Law docs not apply to an owncr of propcrty who builds or improves thereon.
and who contracts for such projects with a Contracto(s) liccnsed pursuanl to thc Contraclor's Liccnsc hw).
-lamcxemptundcrScction-,B.&P.C.forthisreason'0wner:
IIIXf,EBSTAMTENSATON
DECI.AEAUAN
I hcrcby affEm undcr lEmlty of perjury orc of the following dsl8rstbN:
-l
haw ard will mintain a Ccfiilhat€ of Consnt to Sclf-lnsm for mrkm' smpensalion, as prcviled for by Sction 3700 of thc
trbor Code, for thc pcrforrc of the vo* for uhich thc pqmit is issued.
)&5aw and will minlsin workerc @mFnsatbn insurare, rs rcquircd by Setion 37OO of thc kbor Codc. for thc perforrrc of
/thc work for whbh this pmit is issrd. My workc' @mpensation insuree wbr ard polky oumbcr rc:
t.-i-..
Policy Numbcr: Expircs:
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ccrtify that in thc Jrcrformance of thc work for which this grcrmit is issucd, I shall not cmploy any lrcrson in any manlrcr
so as lo bccomc subject to the workcrs' compcnsation laws of California, and agrce that if I should bccomc subjcct to thc
workcrs' compensation provisions of Scction 3700 of thc L,abor Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccure workers'compcnsation covcragc is unlawful. and shall subfct an cmploycr to criminal pcnaltics and
civil fincs lo onc hundrcd thousand dollars ($100,0m). in addition to thc cost of damages as providcd for thc
Scction Codc, intercst and atlorney's fecs.
IUTCLAILl'tl()N
I hcreby affirm undcr pcnalty of perjury that I am liccnscd undcr provision of Chapter 9 (commcncing with Scction 7000) of Division 3
of thc Busincss and Profcssions Code, and my licensc is in full force and cffcct.
Liccnsc
CONS'I'RUC'I'I()N t,IiNI)IN(; AG ITNCY
I hcrcby allirm undcr Fnslly of pcrjury thal lh@ is a @nstruction lerding lgcrcy for thc perfomre of thc work for wNch this pcmil is
issucd (Se. 3097, Civ. C.).
hndcr's Narc:
l.cndcr's Addrcss:
APPI ICANT DT'CLARATION
I lrcrcty affrnn under pcnalty of perjury onc of the following dcclarations:
Dcmolition Permits-Asbestos Notification Fcderal Rcgulations (Title 40. Part6)
_Rcquired Lrttcr of Notification
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certify that thc fcdcral regulations rcgarding asbestos rcmoval are not applicabh to lhis projcct.
_l certify that I have read this application and stale that thc above information is correct. I ugrcrc to comply
ordinanccs and Statc Laws relating to building construction, and hereby aulhorizc rcprcsentativcs of this City
with all City and County
abovc nrcrrtioncd propcrty ftlr inspcction
Applicant or Agenl
Pernritee name
and to upon thc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq I Groundinq I UFER ?, _Le_zl Eu 31
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
N/eter Release 8 -ze-zl Rt-r 31
Rough
Service Meter ,-4..
FINAL D-ll'Ll IDthq
Notes, Remarks, Etc.\-/
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