HomeMy WebLinkAbout20167033 - Permit (5)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Electrical
Proiect Address: 3613 S Bear St
Assessor'sParcel: 931-164-19 Lot: 1, 2, 3
Unit: J
Block: NA
Bldg:
f .act 10212
AddressRange: 3601-3685
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor
Address:
John Plou
3613 S. Bear Street
Santa Ana, CA 927048260
17141856-9022
Fee Type
01 116002 51603 Air Conditioner
01116002 51600 General Plan Update
01 116002 5'1603 lssuance
Amount
96 90
22.08
55.04
Fee
$96 90
922.08
$55.04
Qty
1.00
1.00
1.00Phone
Phone
Climate Air Masters lnc
1139 N Anaheim Blvd.
Anaheim, CA 92801
(7141533-0402
State Lic #: 695854
Lic Type: C-35, B, C-10, C-20
Bus Lic #: 312465
Workers' Compensation Insurance:
Carrier: Security National lnsurance Company
Policy #: SWC120083'|
Expires: 0612512019
cop
Occupancy;
Constr Type
Code:
R-1
VB
cEc 2016
Y
Notes: A,/C change out. Like for like
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Miscellaneous
A,/C change out
Kelaher, Selena Date:
Date:
Date:
09t2at20'18 l\4isc. Receipt:
l\4isc. Receipt:
Liisc. Receipt:
Total
Chavez, Dave
Every pemit issued shall becone invalid unless the wo on lhe site
authorized by such pemit is commenced l/rithin 180 days aftet its
issuance, ot if the work authorized on the site by such pemit is suspended
or abandoned lor a peiod of 180 days aftet the time the wotu is
commenced
o9t28t2018
Account#
$174.02
$0.00
$174.02
lnspector It/lD#: 2018-'146501
01'116002 51600
01116002 51603
$22.08
$151 .94
Fee Total:
Paid to Date:
Balance Due:
Permit #: 20{67033
Pin #: 38960
q
Tenant Name:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA'IION
I hd.by amnn onds p.nalty o t pe4uly rfid I m .xdnpr fiom rh. Conrr.croB Lr.ne Law for thc iollowing rmn (S.c 70l l 5
Busin6s ad Pr.l6sion Code): Any Ciry o. Cou y which Equir6 a pdnn to consrod, .1i6. ihpro\q d.molsh or rcran dy
srructu€. pnor ro its issudc., .lso rcqun6 rhe applicer for sucn pn6n b Iilc a si8ned sd6.6l thal h. or $c it licdtscd pwel
tu rhc Fovisio8 olrh. Conrrrloi! Liccnsd L.w (Chrpl6 9. Cormocinr Nith S*rioo 7000 of Dilision I oflh€ BusiBs Md
Itof.sions Codc) or lh.r hc or she ir .iefrfl rh6dro'n sd rhe bdis for rhc rlL!.d .rmpiion Any violdionofseclion 70.! 1.5 bymyr '
dpplicdt for a Fmir subjdrs thc atplica.ltoacililp."anrofnolnor.thofivchun&€ddollds{5500).
-1.
6 osner of rhc Dropeny. o. fty.6rlolEs s irh \"s6 d rh.t $1. c.np$nion, $ill do tt wort ud l,l€ srudE a rcl
inrod.d oroffd.d tu sa].(S< 7044, aosind ed ProaBio6 Cod.: Tn ConlE.lois Lic€e L3w do6 .ol appl, ro m oMe oa
lhc Fop€1y sho hrlds or Lnprov6 lh@n. ed who do6 such wrt hins.lf or h@lr or lhough his oi hd om .mploycB,
rovid.d rhar such inporandrs ft nor iddd.d or offdid for el. If, howd6. rh. trildin-! or inl.tovorcnr is sld wilr,in on. ]r
ofcompldioa th. Osr6 Buikld $nl bNt tlE hmr6 olFoving rhd h. or she did mt tdld or inqrov. fic pmrsly for lhc purlD* of
l,6o\vnc ollhc Fop61y. r cxcluircly conlraclins wilh li..Nrd .ontaclo6
'o
codo.l lh. ptojccl (Sc 7L!U. A6ins
dd Pofssbn Cod.: The Conlractols Li..ns. Lz{ do6 nor apply ro d ownd ofprop.ny who builds or improvdlhad..
and who conhcrs fo! such proj..rs with a Conlraclo(s) licNd pu6@t r{' thc contrcrois LicNe bw)
I m erempt under Ssl ion . R. & P.C. ro! lhls ,ason.
r(l8[EBS_lArlEErlAIa!
DICIdAAIIAB
I hqeby amn. unds pqaltyofpsjuryoueorlhe fdlowinlr declealtuns:
I ha!. a sill maimain s C.nilicar. ofconsr to Sclf-lBu!.lorworler! conr!.nr.'ion.6 providrd lorbrSdionlT00oillE
Lrbor Codc, lor lh. pqfonne.. ofrh. work aor which rh. pdnir i. iso.d.
'
h.v. afld $ill mainlain wort.rr comr€ns.rion insumncc.6 r.qutcd tySdo.lT00ofth. Lnborcode. aor lhc psfomanc. of
rhc rork aor vhici lhis p€lmil ie isrcd. My workds comp€tral ion imurance cdid dd policy nunbr e.
I cdilyrhd i6th.pdrormanccotlh. work for qhich lhis p6mil is isu.d,I shall nol @ploy any pcen in m! menE
s d lo bsome subj{r to fie wo*6' cooD.nsarion &wr olcalilomia. dd agre ihat it I should b<.oE subjd !o rhc
Nod6' m rposrion povisioN of Sc.lion 1700 of th. Lrbo. Code. I sh!,|. fodh*ih mmply Nilh lhok pmvisioN..
WARNING: Failrc ro suc *0116 conpeGalion colrarc is unla{ lul. &d shall subjsl an onployr l. dniml p68hi6 dd
cilil nn.s up b one iundi.n rhousmd dolls l$100,000), in addnion ro rh€ coi ofcomp.Nation. dahas6 a provid.d aor rh.
sdridn 1076oarh€ L.bor cod. i d6r dtrtlre!'s a6
trcExsED_cotrrtAclaB
DICI48AIION
I h6eb, afm uidd p.n lty oa pdjuy rhsl I m licds€d undd Fovision otchaplq 9 (.oinacing *ilh S.dio, ?000) of Division l
ol lhc Busioe 4d Prcf6ioB Codc, axl my licc. is in irll for.. a.d .fldi.
Contr..lo.:
(QlnralqraN.LItDlNcAclNcr
I hqeby aflinn und6 p€.ahyofpsjury rhat Ihq. a a.oinrudion kndinB 0gocy forrfi. p<folr@cc oflhc*o for \rti.h rhis pdftil ie
issucd (Sc.l0i)?, Civ. C )
AIII.JIjANLDIiCLABAJIO!
I hcltry aflim undq roah y olFjury onc orlhc followo8 ddldalioB:
Ddnolnion Pdnits-Ash.slos Notifi cation !-.d6al R.lulations (Tnb 40. Pan6)
Requtcd t-dr$ olNorlfi cdion
-l
co1iry rhal thc ledqal rcsularions regddnrs dbdros ron{lal a. nor applicabl€ ro rhis prcjal
-l
.diry rhar I harc r@d rhis arplic.iion as1 $al. $ai th. above inaom0liof, is .ord. I agr6 lo cooply *ilh aU Cny and Counlt
oidi.anc6 ed Sl!r. Lrws r.laiing ro buildine conntud iorl rnd hdcby adfioriz. r.![6otaln6 o t rhis Cny &d Coonly ro 616 upon thc
alEv. Mrioncd Itropgly for inrp€lioo purpo36.
Appli.unl or Agsl SiEnutrre
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safe ty /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
To rquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service [\4eter /^
FINAL il-7"t(hlur6l
Notes Remarks, Etc
Site-Work
L.nd.i'Ad&s'-
tl
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