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Home My WebLink About20467737 - Permit7 \*! City 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 #= 20467737 Pin #: 68933 Project Address: Unit: Assessor's Parcel 400-251-03 Lot NA Block: NA Bldg: Tract NA Address Range: Historic: No Suite Range: Zoning: C5 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: State Lic #: Lic Type: Bus. Lic #. Workers' Compensation I nsurance: Carrier: Policy #: Expires: Trinidad Cisneros 1125 E Seventeenth Street, W-17 Santa Ana, CA 92701 Owner-Builder 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 5160r^ 01 1 16002 5160C 01 1 16002 51603 Fee Type Amount 125 Volt Receptacle 1 .45 Light Switches, Occ. Se 1.S8 Light Fixtures 1.05 FWU 24,79 General Plan Update 22.08 lssuance 55.04 Qty 15.00 15.00 25.00 2.00 1.00 1.00 Fee $21 .75 $23.70 $26.25 $49.s8 $22.08 $55.04 Building Use: Job Type: Nature of Work: Commercial Tenant lmprovement TI-1st floor Occupancy: Constr Type: Code: Date: Date: B VB cEc 2016 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By:Zuniga, Allissa Subject to Field: Buildins Permit #: 10498364 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on the sife by such permitis suspended or abandoned for a period of 180 days after the time the work is commenced. 01t04t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Tota! Notes: Fee Total Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51603 $22.08 $176.32 $198.40 $0.00 $198.40 1 '$ !nspector MID#: 2018-147302 ELECTRICAL-INSPEGTOR RECORD nQ n7 ?n4 s, APPROVALS DATE !D/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm lDampers Communications Cable Building Under Slab / Floor Bonding I Groundins / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Roush) Meter Release Rough Service Meter FINAL l0- 5-A \I{D.tV Ir Etc.Notes Rema v OWNER BUILDER DELCARATION I hactry affm unda poalty of pajury thar I m crmpt from thc ContmctoE' Lic@c kw for thc followitrS r@n (5â‚¬.7031.5 Busins and Prcfsion Codc): Any City or County which rcquirs a po'rnit to coNtruct. alto, improve. dqnolish or rcnFir ary struc{uq Eior to its isumcc. also rcquirB thc applicant for such pcmit to filc a signed statmot that hc or slE b lic$cd plmant to the prcvisiom of tlE Contractor's Licoscd taw (Chapttr 9. Commcncing with Setiotr 7000 of Division 3 of thc Busin* md hofGsions Codc) or lhat hc or shâ‚¬ is qcmpt thqcfrom md thc bsis for thc allcgcd crmption. Any violation of Scrbn 7011.5 by my applicilt for a pdrnit subj(ts thc applicut to a civil pcmhy of not morc the fivâ‚¬ hundred doll8s ($500). __1. as o\r'ner of the F,ropcrty. or my employecs with wages as their sole compensation. willdo the work and the stntclure is not intended or offcred for sale (Sec.7044. Business and Professions Code: 'l'he Contractor's License Larv does not apply to an owner of the property who builds or irnproves theron, and who does such rvort himself or herself or through his or her orvn employees. provided that such improvanents are not intended or offered for sale. If. horvwer. the building or improvement is sold within one year of cornplaion. the Owner Builder will have the burden of proving that he or she did not build or irnprove the propoty for the purpose of sale). _1. as owner of the proptrly. arn exclusively contracting with licensed contraclors lo construct the project (Sec. 7U4, Business and Proftssion Code: T'he Contractor's License Larv does not apply to an owner of property who builds or inrproves thereon. and who contracts for such projects with a Contracto(s) licensed pursuant to the Contraclor's [.icense Larv). _l arn cxempt B.reason. 1-. I hereby affrrm under penalty of perjury one of the follorving -l have and will nraintain a Cerliflrcate of Consent to Self-lnsure for rvorkers' compensation. Labor Code. for the perforrnance of the rvork for which the po:rrit is issued. by Sc,ction 3700 of the -l have and rvill maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance of the u,ork for rvhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carricr: Policy __l certify that in the performance of the s'ork for rvhich this permit is issued. I shall not employ any person in any manner so as to become subject to the rvorkers'compensation lau,s of California. and agree that if l should become subject to the workers' cornpensation provisions of Seoion 3700 of the l-abor Code. I shall. forthwith comply rvith thosc provisions.. WARNING: [;ailure to secure rvorkers' compensation coverage is unlarvful. and shall subject an ernployer to crirninal perralties and civil fines up to one hundred thousand dollars tn the cost of conrpensation. darnages as provided for the Section Code. interest and fees. F I I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing rvith 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class:-I i^o-oo Nurnber: I) rr i r.'Contractor: CONSTRUCTION LENDING ACENCY I hreby aflirm undo Fnalty of pqjury that thqe is a construction lmding sgocy for the psfomucc of thc work for which this p6mit is issucd (Sa. 3097, Civ. C.). Lender's Name: Lender's Address: APPLICAN'T DECI TRATION I hereby affirm under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Parl6) _Required Latcr of Notilication _l certify that the federalregulations regading asbestos removalare not applicable to this project. _l certify that I have read this rvith all City and County and County to enter upon theordinances and State Larvs relating to above mentioned property for Applicnnt or Agenl Permitee nnme that t.t- Exoires: