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Home My WebLink About20174595 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 2o-174595 Pin #: 29562 tir'ln Project Address: 1006 N Lowell St Assessor's Parcel: 405-282-13 Lot: 10 Unit: Block: A Bldg: Tract: 1000 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address. Phone: Matthias Knuth 1006 N Lowell St Santa Ana, CA 92703 (310) s72-e067 01 1 16002 51603 01 1 1 6002 51 60C 01 1 16002 51603 01 1 16002 5777C Fee Type Serv Meter General Plan Update I ssuance Microfilm Records Amount 57 40 23.79 59 30 4.05 Qty 1 .00 100 100 100 Fee $s7.40 $23 7e $se.30 $4 05 Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Electrical web user Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Electrical Fee Total Paid to Date: Balance Due: Occupancy: Constr Type: Code: Date: Date: Date: R-3 VB cEc 2019 10t22t2021 Account# N/A - No Balance N/A - No Balance $144.54 $144.54 $0.00 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 site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2021-169639 ELECTRICAL-I NSPECTOR R ECOR D APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELSIRATION I hercby affirm under penalty of perjury th.t I m cxempt from thc ContrrcloB' Liccns trw for thc followirg rcasn (Se.7031.5 Busincss and Profcssion Codc): Any Cily or County which rcquircs a Jrcrmit to @nstruct, altr, imprcrc. dcmlish or EJEir oy structurc, prior to its issurec. also rcquircs the applicmt for such pcrmit to lih a signcd slatemnt that hc or slrc is liccn*d pwant to thc pmvisions of thc Controctor's Liccnsd law (Chaptcr 9, Commncing wilh Sstion 70@ of Division 3 of the Busircss and PrcfcssionsCodc)orthathcorshciscxcmptthrcfrcmadthcbasisforthcallegedcxcmption. AnyviolationofSNtion?031.5byany applicrnt for 8 lprmit subjccls the applic&nl to a civil penslty of not mrc the five hundrcd dollus ($500). -1. as owncr of thc propcrty. or my employccs with wagcs as thcir soh comlrcnsation. will do thc work and thc struclurc is not intcnded or offcrcd for salc (Scc.70t4, Business and Professions Codc: The Contractor's License law docs not apply to an owner of thc proprty who builds or improves thcrc$n. and who docs such work hirnsclf or hcrsclf or through his or hcr own employccs, providcd that such improvcnrnts arc not intendcd or offcrcd for salc. lf. howcver. thc building or improvcrrnt is sold within one )aar of cornpletion. thc Owner Buildcr will have thc burdcn of proving th,at hc or shc did not build or inprove thc propcrty for thc purynsc of sah). -1. as owncr of thc propcrty. am cxclusivcly contracting with liccnscd contractors to construct the projcct (Scc. 7W, Busincss and Profession Codc: Thc Conlractor's Liccnsc Law does not apply to an owner of proJrcrty who builds or improvcs thereon. and who contracts for such prop.cts with a Conlraclo(s) licenrcd pursuant to thc Conlraclor's Liccnsc L:w). -IamexcmptunderSection-'B.&P.C.forlhisrcason.Date: Owner: WORK I'RS' C()TTT I'ENSATI( )N DFCLARAI'ION I hcrcby alllrrn undcr pcnalty of perjury onc of thc following dcclarations: -l havc and will maintain a Certificatc of Consent to Sclf-lnsure for workers' comlrcnsation, as provided for by Scction 3700 of thc L:bor Code. l'or the pcrformancc of thc work for which thc Jrcrrnit is issucd. -l have and will maintain workcrs'conlpcnsation insurance. as rcquircd by Section 3700 of the L^abor Code, for thc pcrformancc of the work for which this pcrmit is issucd. My workers' compcnsation insurancc carrier and policy numbcr are: Policv Number: Exoires: -l ccrtify that in the pcrformancc of thc work for which this prmit is issucd. I shall not cmploy any pcrson in any manner so as to bcconrc subjcct to thc workers' comlrcnsation laws of California. and agrec that if I shcruld bcconre subject to thc workcrs' comlrcnsation provisions of Scction 3700 of thc labor Code, I shall. forthwith comply with tlrosc provisions.. WARNING: Failure to sccurc workers' compcnsation covcrage is unlawful. and shall subjcct an cmployer to criminal ;rcnaltics and civil fincs up to one hundrcd thousand dollars ($100.ffi0). in addition to thc cost of compensation. damagcs as providcd for the Scction 3076 of the [:bor Ccxlc. intercst and attorney's fccs. Date: LICENSED CONTRACTOR DECII\RATION I hcrcby affrm under pcnalty of pcrjury that I am licenscd under provision of Chapter 9 (comnrcncing with Sc.ction 7m0) of Division 3 of the Busincss and Professions Code, and my license is in full forcc and cffect. License Numbcr: Dale: W I hcrcby affirm urdcr pcnalty of Frjury that thcrc is a onstruclion lcnding lgcrcy for thc trcrfotl@cc of lhc work for which lhis ]Emit is issucd (SE. 3097. Civ. C.). [.cndcr's Namc: lrnder's Address: APPI TCANT DECLARATION I hcrcby affrrm under pcnalty of pcrjury onc of thc following dcclarations: Dcmolition Pcrmits-Asbcstos Notilication Fcdcral Regulations (Title 40. Part6) _Rcqu ircd l-cttcr of Notification _l certity that thc t'cdcralrcgulations rcgarding asbcstos renrovalarc not applicablc to this projcct. _l ccrlify that I h!rc rcad Ihis spplicalion srd state that thc abovc informtion is corct. I agrc to emply with all Cily ard County ordinarccs and Slatc hws rclating to building construcliotr ard hercby authorizc rcprcrntativcs oflhis Cily and County to ent6 ulnn thc [bovc rcntiorcd prcpeny for inspcrtion purposs. Applicant or Agent Pcmlte Ere (Drht): Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under SIab / Floor 7, Bonding I Groundins I UFER DKy-IY / Transformers Torqueing 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 U -15 7 (" Dtkt v5? Rough Service N/eter bvi'*{/ FINAL o (. f'rVl-*Y Notes, Remarks, Etc Dr.., nO Dn{ tr Carrier: