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HomeMy WebLinkAbout20166308 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (lvl-19), Santa Ana, CA927O2 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Electrical Permit #: 2O166308 Pin #: 23415 Project Address: 3027 W Brook St Unit: Block: NA Address Range: Historic: No q Lot: 120 Contractor Address: VALENTINE PEREZ 3027 W Brook St Santa Ana, CA 92704 01116002 51603 01116002 5160C 01116002 5160: Fee Typs Amount Qty Air Conditioner 96.90 1.00 General Plan Update 22.08 1.00 lssuance p.6g66; ; 4427i 5SSlq1V1tB 1.QS r nff ice! (.iYH lrqne+3 '/tAt:cL+: Reft: :4 rr F,:pt+:02317r?4 - 7/2/2tJ1g i".4tl IronscEt ion Totsl $:;J; Fee $96.90 $22.08 $55.04Phone Tenant Name: tlphs Air i:'ro Phone State Lic #: 1034511 Lic Type: C-20 Bus. Lic #: 369883 Workers' Compensation lnsuranceCarrier: Exempt Policy #: Expires: 1on ljpdote Fee 516001100- 5160300U- 001028 917 4.02 $0.00 $174.02 (ienerol F 01116002- Electr i,:q (rl l 1600?- ICL i:heck Building Use; Job Type: Nature of Work Planning Conditions Plannang Approval By: Plan Checked By; Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous A,/C & Furnace Occupancy; Constr Type: Code: R.3, U VB cEc 2016 Zuniga, Allissa Every permit issued shall bacome invdlid unless the wotu on the sile authoized by such permit is commenced within 180 days after its issuance, or if the wo* authoized on the sile by such permit is suspended ot abandoned fot a peiod of180 days aftet the lime lhe work is comfiencecl. 07 to212018 Account# lnspector 01 '1 16002 51600 01 '1 16002 51603 $22.08 $151 .94 Fee Total Paid to Dale: Balance Due: Bldg: Tract 4025 Suite Range: Zoning: R1Assessor'sParcel: 109-752-11 Owner: Address: Alpha Air Pro 18'l l5 Valley View Ave #205 Santa Ana, CA 92704 (888) 6634260 Notes: lnstall new AJC unit and change out existing furnace. Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total MID#: 2018-144403 ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BtI!LDER DELCARATION I hcrcby 3f6rn1undcr lcn,lry of Frjury thd I !n crcnrlr lrom rh. a, racloB Lic.n{c Liw for rhc n bwin8 rca$n (Sc.70315 Businc$ !d Prolcsion Codc) Any City or Cou,ty *hich rcquncs n tcrnrit lo con(rcl. allcr, inurolc, dcn,lhh nr rclon sny sru.l8c. Eior ro ir\ issuak., als rqxirc* rhc dptlicanr (tr suchtcmir k,lilc d \igncd {brcnrnr rhai h.ur rhc h li.cnkd puisud ro rhc pmvni.trs oflh. Conlmcl.ls Liens.n ljv (Chopr.r 9, C.mn.mine wirh Sc.lion r(]0O of Dilision 3 .f l,'c Btsincs an! PbrcsionsCodc)orrhar h.orrhc !.ieorr rhcrcfrom lnd rh€ b!\i for rhcalkred.rcdpliod. Any vk,l,!ionorseri,n T0ll.s byany npplicad for a p.mn subjccts th. rpplicant ro a .ivil p.mky .l nor mrc rhu nvc hundrcd dolles (S5m). -1, rs owncr of lhc proFny, (, ny cnpb)e\ {ilh Buscs 0s thcn ync conDcnslrnrn, *ill do rhc wot aid lhc srMurc i\ ior i .Mcd or oflarcd f.r elc (SN.7044. Busin.sr dnd ProLsions Codc l]1c C.nta.rof 1 Li..n* tis docs n.lamly to rn owrcrof $c poFny wno hlilts or imposs r['mtr ad who nB sEn s* linrclf or hc&ll or rhou3h nis o, hcr o*otmplorccs. prolid.d rhar su(h impomNs @ rht inrcnd.d or.ff.Ed fo. sL li h$rr. rh. tniHin8 or in{,mwmnr is {'ld {irhin.nc F.r oacotrpk b., th. Owftr Build.r will hr!. ilE hurdcn of t o!in! rhd h. ur rhc did mr toilll or inpmw rhc potdy for th€ luqns of I. n(ostrdr l rhcpn,p.at. rtrrcxclu\ncly..nracrtrg sirh li.cn{d foftrcrr^ h .oNtucr rtr o(ic.r (scc 7(x-{, Bx\i'trs afrl thr'c\\in(i'dc:fncCo.lrrlorsl,iccnrcLnwdoc(trorrttlybanotrncr.It',o|xn,rh{,huildrorn.prove\rnercoD. !.d vho .o kaLr\ fr :u(h pn,jc.rs sirh a Gn Dcr.n r liccn{d purshtrr ro rhc Cunkrtn-s Lkcns liw) I d.x.mpr undd Sdt,n 8 & PC lnrrhi\rcJvn, !I.}8f,8&S:TOMSENIiAIAN DECLAM.IJA! I hcrcbyaIfifln trodcr pcnahyof n rjuryonc orrh. folbwing deldorions: Ihrlcrxlwillnri.hinNCcnili.rrcorcon\.nrt,Scllln\rtur{nworkdscorp.trs on.N pr.vidcd Lrbysccli{r lT(x)olrhc Ljllr Cdq fir ric pc.io!@ice o t rhc wo* for stth I hc rcrnir h i\su.d I hav. rnd will m.inrain w.d.ra ..mFns i.n insuirn.e. r.qxiftd by SL\rbn l7m olrh. tjtu Ord., for lhc pcrlilirMf,c of ihc workfnr which rhis ,,.rnir is hshd Myuorkss comp.nerion in\urincc.anicr 0ndF,liynun rcr u. -l enily rh.t ir rhc l)crLnmtre of rhc tforwhi.h$t pcirnn k i$ucn.l sh.ll not enDloyanyrnotr in any nEnnct $ r\t) h..oar {'hF.rr. rh. $orkrrr cor|rn\dntr, h$r oi Calili)(rir. xnd r!'.c rhi ll sh)uld h(conf, \uhjLr|orhc i\ unhsllrl. d shrll subic(r rn.nDl.rcr ro aimiral n rrlri! !trd civrl tlms un u on. hundrcd rhousaid dolles (or.omp.nsatn.. dlnEBcs as rmrmcd lnr rh. S.didr 1{)76.rrh.li,litra.. i' cr.{ Mn ari ,r",' Qf o\.\9.,t'lrl( l. \( \ I l()\ I hcrcby afinn ulldcr Fndryofprrjury rhnr I afr lietra{ utrdcr Eovi\ion of(-}+rr.9 (conrtncing wirh Sc.rbn 7m0r olDNision l ol lhc gusincs md Pofcsn,ns Codc. ud my licensc is in tull lora aRl cl,fccf ' @,(2o La>\buqL1!)f@ * u,#- C0!,IIAU.(:IIANIDIDIIC.AGII!(I I hcrcby rfllnnrndcr p.nrlr!ofp.rjur, rhar thcc t. $ndtucri,n hndirf rgcr! for rtu l.rfonmmc olrh. mrk ior shich rhis pcnnir h k\r.d (Scc :1007. Civ C ) A!zucAI{fDEclrtxAlLQN I lEtby altm unlcr pcuhy otl)c jury oft ofthc aollowins d6lodnn,\ Dcmlnion Pcrmi's Ashe$os Nolirrcolnrn lcdcrll Rcruldions (Tnb 40. Pnn6) Rcquir.d t-crr.r ol Nolilicrrior l..nifyrhrrrh.fcJcrrlrcguhri{,\mgudingr\lx{osrnx)slrrcnorarpli.rbtn)rhi(rrolc.r -l ccnili th8t I hNc rcad rhk npd icurion ud {0rc that lhc ntn$ irntrnd ion k cotr cr I a8re ro onrply *irt all Ciry ad Cotr y odin(nccs and Srntc L.*srclding inE conslru.ri,,n. rtu hcrchy trurhorizc rcprcscnr!rirc\ ofrhis Cn, trnd Cornry t, drcr u,a)n rrt drivc nrcnliomd 0n)ncny ror in( ,1l,plir nl or.\rul Si,:ni PIot-tg., Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Satety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Bonding / Groundinq / UFER Transformers To rquerng Sub-Panels Roof Top Equipment F actory Wired Unit Walls (Conduit) Walls (Rough) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Ivleter Release Rough Servrce Meter FINAL 41nil4 n .{nw4><1 D-/ Notes, Remarks , Etc. 'l at Under Slab / Floor Air Conditioners I