HomeMy WebLinkAbout20173314 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)-647-5853
Permit #: 2o^173314
Pin #: 74614P*/
Proiect Address: 2033 N Mantle Sta
Unit:
Block: NA
Bldg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 396-01 1-20 Lot. 115
Owner:
Address:
Mary Espinosa
2033 N Mantle Ln
Santa Ana, CA 927057614
(7141 450-0499
01 1 1 6002 51 603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Light Fixtures
General Plan Update
lssuance
Microfilm Records
Amount
1.13
23.79
59.30
4.05
Qty
2.00
1 .00
1 .00
100
Fee
$2.26
$23.79
$59.30
$4.05
Phone:
Tenant Name:
Contractor
Address:
Alan Smith Pools
227 West Carlton Ave
Orange, CA 92867
(208) 353-1082Phone:
ar
State Lic #: 571196
Lic Type: C-53, C-27, C-51
Bus. Lic #: 107
Workers' Compensation I nsurance.Carrier: Arch lns Co
Policy #: ZAWC 1254540
Expires. 0410112022
a
t
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Pool repair
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2019 Notes:Replace lights
Planning Conditions:
Planning Approval By
Plan Checked By:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Permit lssued Julie 05/1 2t2021
Account#Subject to Field:
Building Permit #:01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$61 s6
$4 05
Fee Total:
Paid to Date:
Balance Due:
$89 40
$0 00
$8S.40
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MtD#'. 2021-166109
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARAI'ION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' License Law for the following reason (Sec.7031.5
Business and Profession Code): Any City or County which requires a permit lo construct, alter, improve, dennlish or repair any
structure, prior to its issuance, also requires the applicant for such permit to file a signed staternent that he or she is licensed pursuant
to the provisions of the Contractor's Licensed Law (Chapter 9, Commencing with Section 70fi) of Division 3 of the Business and
Pnrfessions Code) or that he or she is exempt lherefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any
applicant for a grcrmit suhjects the applicant to a civil penalty of not rnre than five hundred tlollars ($500).
_1. as owner of the pmperty. or my employees with wages as their soh comJrcnsation, will do tlrc work and the structure is not
intended or offeretl ftrr sah (Sec.7(X4, Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of
the pnrprty wtn builds or improves thcrcon. and wtxr does such work himself or herself or through his rlr her own employees,
provided that such improverrcnts tue not intentled <lr offlercd for sale. If, however, the builtling or improvenrnt is sold within one year
of completion, the Owner Buikler will have the burden of pmving that lre or slrc did not buih or improve the pmperty for the puryxrse of
sale).
-1,
as owner of the property, am exclusively contracting with licensred contractors to construct thc project (Sec. 7(X4. Business
and hofesskrn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licenscd pursuant to th€ Contractor's License Law).
-IamexemptunderSection-,B.&P.C.forthisreason.Date: Owner:
WORKF'RS' COMPENSATION
I)ncutt lTroN
I hereby affum under ;renalty of perjury one of the following declarations:
/
/
-t
have and will maintain a Certifrcate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of thet lratxlr Cotle, for the performance of the work for which the permit is issued.
sntill#liilHl'ffi:'l',":,rffi'flli:,,1'Il*';;1,J;T:l:,1lJ.:'#ff#ffi:l'fi,::n:*1'' forthe performanceof
CJ).
1'l *^'07
certify that in the performance of the work for which this permit is, issued, I shall not empkry any person in any manner
, antl agree that if I shoultl become subject to the
shall, forthwith comply with thore pnrvisions..
so as to becorne subject to the wrlrkers'cornpensation laws of California,
workers' compensation provisions of Section 3700 of the l-atnr Code, I
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employer to criminal penalties antl
civil fines up to one huntlred thousand dollars ($lm.m0), in addition to the cost of comfrcnsation, damages as provided for the
3076 of thc Latxlr Code. interest attorney's fees.
o
DECLARATION
I hercby affirm under penalty of prjury that I am licensetl under proviskrn of Chapter 9 (comrnencing with Section 7UX)) of Division 3
of the Business and Professions Code, arxl my license is in full force and effect.
iTs;l Nunrber:
CONS'T'RUC'[ION LT]N DING AGE,NCY
I hercby affirm under penalty of perjury that there is a construction hnding agency for the performance of thc work for which this permit is
issued (Sec.3S)7. Civ. C.).
Lender's Name:
Lender's Address:
AI'PLICANT DECLARAI'ION
I trcrcby affnm under penalty of perjury one of the following declarations:
Dennlilion Permits-Asbestos Notification Federal Regulations (Title 40, Pan6)
-Required
lrtter of Notifrcation
-Jcertify
that the federalregulations rcgarding asbestos removalare not applicable to this project.
& certify that I have reatl this application and state that the atnve information is correct. I agree to compty with all City and County
onlinances and State Laws rclating to building construction, and hereby authoriz.e representatives of this City and County to enter upon the
lappicant or Agent)C
;r l'ermitee name
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER 7-ll- Lt D-,zrftz
Transformers (
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lVeter Release
Rough *l'l4t r-? {z
Service N/eter
FINAL 7-Z?"r D-*.ta-
Notes, Remarks, Etc.
/
ELECTR ICAL.INSPECTOR RECORD
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Rev. 08-07-2015