HomeMy WebLinkAbout20173847 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O173847
Pin #: 36945
Proiect Address: 2109 N Towner Sta
Assessor's Parcel. 001 -182-14 Lot: 32
Unit:
Block: NA
Bldg:
Tract: 2194
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Contractor.
Address:
Phone:
Karla Salinas
2109 N Towner St
Santa Ana, CA 92704
(949) 444-7009
Premier Pools Orange Coun
26052 Merit Circle #106
Laguna Hills, CA 92653
(949) 2154144
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount Qty
Swim Pools 130 46 1 00
General Plan Update 23.79 1.00
lssuance 59 30 1 00
Microfilm Records 4.05 1-00
Fee
$1 30 46
$23 79
$59.30
$4.05
F rem ir ools 0rnnee (:ountv
State Lic #. 798298
Lic Type: C-53
Bus. Lic #: 366736
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9158204
Expires: 0510312022
Genernl Plsn tjpdate Fee
tjl I l6tttt?-- 516tttttt[t[t-
Elecbr irtttl
trl I I 6Llt*t7- 51 6tt3tt[ttt-
11 icrof il;,\ Do,:uments
rrl 1 r.6rlt,t?- 7777rr[r[r[r-.
ICI (lhe':lr lJlJllllllST6S
Notes. New, in-ground swimming pool (240sf)
Fee Total
Paid to Date:
Balance Due:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool
$Hernan dez, Kathy 07t22t2021
Account#
Misc. Recerpt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2019
Building Permit #: 1 01107 305
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, 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 s1600
01 1 16002 51603
01 1 16002 57770
$23.79
$189 76
$4 05
$21 7 60
$0.00
$217.60
lnspector MID#: 2021-167534
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby lfftrm undcr penalty of pcrjury that I m crcmpt frcm thc Contrrctos' Liccns t:w for thc following rcasn (Scc.7031.5
Busincss aul Prcfcssion Codc): Any City or County which rcquircs a pcrmit to consNruc't. alta, improrc. dcmlish or rcpair anj
struclurc. prl)r lo its isswe, also requircs thc applicmt for such pcrmit to fih r signcd stalcrcnt th.l hc or shc is licnsd pusuet
Io thc pmvisions of thc Contractor's Liccn*d law (Choptcr 9, Commncing vilh SGtion 7000 of Division 3 of the Busircss end
PmfcssionsCodc)orthatheorshciscxcmptthcrcfromsndlhcbasisforthcalbgcdcxcmption. AnyviolationofscclionT03l.5byany
applicant for a pcmit subjccts the applicant to a civil pcnalty of not mrc than fivc hundrcd dollars ($500).
_1. as owncr of the propcrty, or my cnlployccs with wagcs as thcir solc compensation. willdo thc work and thc structurc is not
intended or offbrcd for sale (Sec.7044, Business and hofcssions Codc: The Contractor's License law does not apply to an owncr of
thc propcrty wtxr builds or improves thcrcon. and who does zuch work himsclf or hcrself or through his or hcr own employccs,
providcd thal such improvenrnts Brc nol inlcndcd or offcrcd for sah. If, howcvcr. thc building or improvenrnt is soh within onc )aar
of comphtion. the Owner Builder will havc thc burdcn of proving that hc or shc dlJ not build or inprove the propoty for lhc purF)sc of
salc).
-1.
as owncr of thc proFrerty, am exclusively contracting with licensed conlractors to construct the pmjc'ct (Sec. 7W. Busincss
and hrohssion Code: The Contractor's License Law docs not apply to an owncr of propcrty who builds or improvcs thercon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to the Contractor's Liccnse taw).
-IamcxcmptunderSection-,B.&P.C.forthisrcason.ll..r ^.
WORKERS' COMPENSATION
DECLARATION
I hercby affirnr undcr pcnalty of pcrjury onc of thc following declarations:
-l
havc and will maintain a Ccrtificatc of Conscnt to Self-lnsure for workers' compcnsation. as provided for by Scction 3700 of the
Labor Codc. for thc pcrformance of the work for which thc prmit is issucd.
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havc and will maintain workcrs' compcnsation insurance, as requircd by Scclion 3700 of thc labor Codc. for thc lrcrformance of
thc work for which this pcrrnit is issucd. My workcrs' compcnsation insurancc canicr and plicy numbcr arc:
Policv Numbcr: Exoires:
_l ccrtify that in thc pcrformance of thc work for which this permit is issucd, I shall not employ any pcrson in any manncr
so as to tlc'comc subjcct to thc workers'comlrcnsation laws of California. and agrcc thal if I should bc.comc subjc.ct to thc
workers' comgrcnsation provisions of Scction 3700 of the L:bor Code. I shall, forthwith comply with thosc provisions..
WARNING: Failurc
civil lincs up to onc
to secure workcrs' comJrcnsalion covcrage
hundred thousand dollars ($100.000), in
is unlawful. and shall subjcct an and
lo of thc
Scction 3076 of thc and all<lrncy's l'ccs.a
I hcrcby att'irrn undcr penalty of pcrjury that I arn licenscd undcr 9 (comrncncing with Section 7000) of Division 3
of the Busincss and Professions Code, and my liccnse is in full forcc and cffcct.
Licensc c53 I ty
I hcrcby allirm under Fnalty of pcrjury that therc is s construclion lcnding agcrcy for thc pcrfoMce of thc work for which this pemil is
i$sucd (Ss. 3097, Civ. C.).
hndcr's Nanrc:
Lrndcr's Addrcss:
APPLICANT DECLARATTON
I hcrcby allirnr undcr pcnalty of pcrjury onc of the following dcclarations:
Dcrnolition Pcrrnits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6)
-Rcquirccl
lrtter of Notification
-l
ccrtiti that lhc federal rcgulations rcgarding asbcstos rcmovalare nol applicable to this projcct.
_l ccrtify that I havc read this thc infornration is corrcct. I agrcc to comply with all City and County
ordinanccs and State l-aws relating to rcprcscntatives of this City and County to cnlcr thc
above mentioncd propcrty for
A;llllicrurt or Agcrtt
l'('rilrilN ilililtr (pritrl):
Site-Work
Underground g - 4-Lr **42
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundino I UFER
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
lVleter Release A
Rough Pool - F"uy$ ,
ol-.70 aI \UL)t)
Service [Vleter v \
FINAL [b -l r -Ll
Notes, Remarks, Etc
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