HomeMy WebLinkAbout20166637 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 * FfeCtriCal
Permit Counter: (714) 647-5800 lnspection Requestsl (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 20166637
Pin #: 55403
Proj ect Address:.1712W McEvov tn
Assessor'sParcel 101-532-05 Lol. 22
Bldg:
Tract; 2887
Address Range:
Historic: No
Suite Range:
Zoning: R'l
E
Owner:
Address
veronica Berber
1712 Mcevoy Ln
Santa Ana, CA 92706'1333
1.7141454-3944
Alps A/C & Heating lnc
1000 E Howell Avenue, Unit
Anaheim, CA 92805
(714) 633-8892
Fee Type
01116002 5160: Air Conditioner
01116002 5160C General Plan Update
011'16002 5'160: lssuance
Amount
96.90
22.O8
55.04
Fee
$96.90
$22.08
$55.04
Qty
'l.00
1.00
't.00Phone
Tenant Name:
Phone
t inc Inr
Llp r, ul;.
flrlfrl ll_t-
trSt-rL[-r-
fi[0r-lur]1,67tt
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type
Code:
Notesr New A/C unit and turance replacement
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Zuniga, Allissa
Every permit issued shall become invalid unless the wo* on the site
authoized by such permil is commanced withn180 days after ils
issuance ot il the work authonzed on the site by such pormit is suspended
ot abandoned fot a period o1180 days aftet the tine lhe wotu is
commenced
08/r3/2018
Account#
$174.O2
$0.00
$17 4.02
lnspector tvtD# 2018-145321
0'l 1 16002 51600
01 1 '16002 51603
Fee Total
Paid to Date;
Balance Due
U nit:
Block; NA
Contractor;
Address:
State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 0177939
Workers' Compensation lnsurance:Carrier: FALLS LAKE FIRE AND CASUALW COMPANY
Policy #: FLA00731700
Expires: 10/19/2018
Bot,:h+ r 45-143 - g/13/2r-"i18 ID: (:ClJb.
0{f i,:e; (TYH Trflns+: 104 1 aA,:,:ti: fief*r 201666j
tlcp t i :0?3i3,t66 - .q/13/2(r19 11:37 A
Transa':t ic,n To[al $466,17
lti
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
A/C FAU
R.3, U
VB
cEc 2016
Planning Conditions:
$22.08
$151 .94
ELECTRICAL.INSPECTOR RECORD
D tD/stG.APPROVALS COMMENTS OWNER Dt]II-DER DELCARATTON
I hcrcby alfinn nnncr pcnrlry ol p.rjury rhar I !n cxcmpt fm'n rhc Co racnn l-i(nr ltr* lor rhc rouosing r.asn is.c70ll.5
Brsincs\ ! l Prolt$ion C(xlc): Any Ciry or Counr, whtch rcquirF a Fnni! h sn{ru.i. allci innmvc, dcmlhh or rcErn any
slflcntrc. t]rnrr. ira h\unncc. lho r.qutcs rh. {rplicrnr fq \ chIlcnhirro filc r \igtrcd n cfrl rhar hc.r sh. is liccnscd puruanr Ih lhc pNvGions olthc Contmcrols Li.cnsd bw lch prr 9, Com'ndn.ing snh Sc.rn,n 7000 oiDivirtr.l ol lhc Businct rnd
PNrc*ion\ Codc ) or rhlr hcorshc iscxcnrpr rhcEfrofla rhc bosn f rhc allcscd crenun,. AtryliolarionofScdi,n7O1l5hynny
appli.rtrl f.r ! Flnrn \ubJ..hrk aplli.unr lo dcivilpcnulryolnornnrcrhln l_rvc h!ndrc.ldollurs l$500).
-1.
as otnn of thc tmFny. or my cnDlorr.s wilh w,g.r thc ir n, L (r, mr.nral ion. uilldd rh. wrk d,n lh. {mum i\ tu(
intcnd.t or ollercd lor ek (Se.7lr4. ausincs Pmrcssn,nr CdL Thc cdnkNor's Liccn{ Lrw d&s nor lprly ro an owfti dr
thc Dmpcny wh. boiktx or imtms rtrdrn, a wln dms sEh slt hinsclf or hcrclf or thmu8h hn or her .sn cnfloyccs-
,rtuvidcd thtrr skh imptu[mnc m fln inkrdcd o, ofier.d for elc. lt hoEur. rlr huruin8 or in!. ,EnE.t h $ld sirhin oqw
or cdnDlcrk,n, rhc O*nc. lluildcr *ill hlt rhc budcn ol EovnE lh.l hc or shc did nol build or imtmrc ft lmFny for tl.c pu4n€ oa
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aso*ncrof Ihc pmrcny. ! cxclusivcly cotrlr.cr ing wirh li.cnsdl .onr..r.u ro mnsnd r hc pmF..' (Scc 7(}'l,|. Bunncs
,nd I'i,rc$kJi Codc:'l-h. Conrtuctr's Liccns€ l,aw docs nor lpply Io un owrcr ol'propcrry sno builds or improvci rhcrcon.
lnd wno.utmclrforsu.hpmic{cwirhacoNa.kd\)li.cn\cdru*u.rbrhoconra.kysLi..nsbw).
-l
lnrcxcmpl urdcr Sdiotr-, B. & P.C. forthis rcNJn
Dele: O*...
wonxris' r:rrupir.rslrxlJ
![cr.a.8alla!
I hcrct y aaltn undcr Foally of Frjuiy om ol thc folhwinS dcclrarnrns:
-l
havc und will nmintlin n CcnifEarc ol Con* nr sclr.lnsu,. ror workc6' $nrpc.salion, rs povidcdlorbyScclionlT00ofrhc
Lnhor Corlc. for thc pcrform^..c ol lhc vork for whi.h rh. Fnnir ir is\u.d
Xll;l'll willflrainloinworkcE.onucnsolioninsurrmc,,snqundbySccrn,nl?moflheLnb.rCodc.forrhcpcrloflnrnccol
} wortec' comrns i.n imurfiEc c0ri$ nM Flicy nunrhcr irc:
e3
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IccniryrhrlinrhcpcrlornNreoilh.workritr$hichrhr!Iicnnislrsucd,I\hlltror.qloyrtrylrrotr rnyn$nNr
$ r\ to k\o r suhl.rr r) rhc w.*.^'onl|].isrr im hw\ ol Crlllan,ir. rnd 4ft rhd ir I \k,uhi h.com \uhicr t, rh.
workcn'.otrrt trsrri( pmirion\.iSdi,:l7mofrhcIf,htrGnlc.I\htrlllnnh$irh.ordywirhrho{!tuvni(,s
.ivil linc\ up t, onc hrndrd rhousnd:::wT{
conpcn\ari{,n covcrusc is nnl wtul. 3nd \hl
dollan (Sl(X)nnr in xddirion ro rhc cod
Lll sul,lccr an enllnotcr t, dni.al linrliis xnd
ofc{mnenerion. dntusc\ rr !6vidcd lo, lhc
I h.sby arfird undcr lcnahyol p..jury rh,r I a'n lic.n$d uulcr pmvirt'n ot Chaprcr 9 (dnnnEnclng eirh Sc.rt,n 7000).1 Divi\nnr:l
of rhc 0uircs and PrcIc$iorr Code, un my liccnsc is in full forc ond .lI&1.
C-ZC)
t s
CONIIA!]CIIONI.ENDINCIIiENCI
I hcrchy afirm undcr lcnally ot pcrjury lhol lhcr h a .onsldclion knding o8lncy for lhc lcrformrncc of lhc qort ,br which lhh ,cflnil Ls
hsucn (Se. 3097. Cir. C.).
AITIJqANLDEIIIAAIPN
I h.r6, anim undcr pcnolty ofpcryryonc olrh.followi.g d.clrarions:
Dcnbliliotr PcnniB-Asbcsros Noiifi.arion Fcdft.l Rcgtlartr.i (Tirle 40, Pan6)
R6qrtun bircr of Norilicltion
I ccnnirh rhc,adcralr.!nl.lion\ togrdnr! n\b.{o$ctrxxrl rrc mrrppliclhlc b rhi\ pfl,j.cr
*l ccnify lhar I harc rcod this application flxl srarc th,t rh. fi,ve inromri,n is.oft.cl.I agN lo.r
ordimnccs rtrd Shrc bws rclatinE to building.onsrru.!io6. and hcr.bydurhorte r.,)!.rnlarivcs otrhis
.'hr. n.nri.trftt bn,..nvrur h..ri.in. m,r\
nrr,**, -n*-,.r*.*r- Z
P.n,,,renamc,pri,: Xg7 $t/2rt<
nrrlr" wirh rll cirl.trd counry':';);'?;'r-
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Life Satety /Low Voltaqe
Fi re Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Eqlding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceili4gs (Hard & Soff it Rouoh
Cei lings (T-Bar Rough)
Meter Release
Rough
Service Meter r
FINAL a t4€ -/o/41 ('U
Notes Remarks Etc.
Siqns (monument)
Ltn.lcr'' AdJrc*