HomeMy WebLinkAbout20172230 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 20172230
Pin #: 936Oi
Project Address: 2148 S Sycamore St Unit:
Block: B
Bldg:
Tract: 597
Address Range:
Historic: No
Suite Range:
Zoning: R2Assessor's Parcel: 015-083-24 Lot: 15
Owner:
Address.
Long Quang
2148 S SYCAMORE ST
Santa Ana, CA 927072729
(7141 261407s
Fee Type
01 1 16002 51603 FWU
01116002 5160C General Plan Update
01 1 16002 51603 lssuance
01116002 5777C Microfilm Records
Amount
26.71
23 79
59.30
4.05
Qty
100
1.00
100
1 .00
Fee
$26 71
$23.79
$59.30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Man's Air Conditioning & He
2114 W Chalet Ave
Anaheim, CA 92804
(7141 234-0351
State Lic #. 695937
Lic Type: C-20
Bus. Lic #: 376665
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Building Use.
Job Type:
Nature of Work.
Single Family Dwelling
Miscellaneous
A/C
Occupancy:
Constr Type.
Code:
R-3
VB
cEc 2019 Notes: Electrical for replacement of A/C unit (Front House)
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date:
Date:
Date:11103t2020
Account#
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Total
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 permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$86 01
$4.05
Fee Total
Paid to Date:
Balance Due:
$tt38s
$0 00
$113.85
Inspector MID#: 2020-162569
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding lGrounding I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinss (T-Bar Roush)
l\Ieter Release
Rouoh
lService lVleter
FINAL -11-4 h'tkw)
Notes, Remarks, Etc.\-/
"l N t lrt?X'-l v
OWNER BUILDER DI'I,CARATION
I hereby affirnr under pcnalty of perjury that I un exenpt from the Contractors' License l-aw for the following rea$n (Scc.7031.5
Business and Prol'cssion Codc): Any City or County which requircs a pcrmit to c,onstruct, altcr. itnprovc, dcmolish or repair any
structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that lrc or she is licensed pursuant
to thc pmvisions of thc Contractor's l,icenscd hw (Chaptcr 9, Commencing with Section 7000 of Division 3 of the Busincss and
Professions Code) or that hc or she is exempt therefrom arxl tlre basis for tlrc alleged exenption. fuiy violation of Section 7031.5 by any
applicant for a perrnit subjects the applicont to o civil penalty of not more than five hundred dollars ($50ttl.
_1. as owner of thc propcrty, or my ernployees with wagcs as thcir solc compensation, willdo the wcnk and the stnrture is mt
intentled or offered for sule (Sec.7H+. Business and Prolessions CcxJc: The Contractor's License Law does not apply to an owner of
the pruperty wlro builds or improves thereon, uxl wlxr doe.s such work himself or herself or through his or her own enrployees,
providcd that such impmverrnnts arc rnt intcndcd orollerc'd for sah. Il, howcver, the building or improvcnrnt is sold within onc )ear
of comphtion, tlr Owner Builder will have the burden of proving that he or she tlid not build or improvc thc pnrperty for thc purposc of
sale).
_1. as owner of the propefly, am exclusively contracting with licensed contraclors to construct thc project (Sec. 7(X4, Business
arxl Pmtb:sbn Co<le: The Contractor's License Law does not apply to an owner of prope(y who builds or improves thereon.
and who contracts for such projects with a Contractor(s) liccnsed pursuant to the Contractor's License t-aw).
-l
anr exempt under Section-, B. & P.C. for this reason.
Owner:wonxprcffin
DECLARATION
I hcreby aflirm undcr grcnalty of prjury one of thc following dcclarations:
_l have and will nraintain a Certilicate of Consent to Sclf-lnsure for workers' compen^sation, as provided for by Scction 3700 of the
l-abor Codc, for thc grerforrnancc of thc work for which thc permit is issued.
_l have and will nraintain workers' conrpensalion insurarrce, as required by Seclion 3700 of the labor Code, for the perfornunce of
thc work for which this grcrnrit is issued. My workers'insurancc curicr arxl plicy nuntbcr arc:
Policy
_l ccrrity that in tlrc ;rrfornuncc'of lhc work f<rr this pcrmit is issucd, I shall not cnploy any l)crson in any manncr
of California. and agrec that if I slnuld becorte subject to thcso as to bccomc subjcct to thc workers'cotnpcn.sation laws
workers' conrlrnsation pruvisions of Section 3700 of the L-abor Code, I slull. forthwith conply with thosc provisions.,
WARNING: Failure to secure workers' compcnsation coverage is unlawful, and shall subject an employer to criminal penalties and
compensalion, danrages as provided for thecivil fines up to one hurdred thousand dollars ($ I cost of
Scction 3076 of thc Latxrr Ctxlc. intercst and
o*,, Y(ol( 3 7o'
\
I hereby affirrn under penalty of pcrjury that I anr licensctl under 9 7000) of Division 3
of the Business and Professions Code. arxl my license is in full force
r 2,oLicense
I hcrcby all'irrn undcr Jrcnalty of pcrjury that thcre is a construction lcnding agcncy for thc
issued (Sec. 3097, Civ. C.).
of thc work lbr which this pcrrnit i.s
[,ender's Name:
l.cnder's Address:
APPI,ICANT DECI,ARATION
I Mry aftirm under Jrenalty of pcrjury onc of thc folkrwing declarations:
Dcnplition Pcrnrit.s-Asbcstos Notification Fedcral Rcgulations (Title 40, Pan6)
_Rcquircd lrttcr of Notification
_l certily that thc fcdcral(asbcstos removal are not applicablc to this projcct.
_l ccnily thal I havc rcatl tlus statc tlul lhc ahrvc infornulion is corrcct. I agrcc to contply with all City and County
ordinanccs and State Laws rclating and hcrcby authorizc rcprcscdelirs of this City and County to cnter upon thc
above rncntioned propcrty for
Applicant or Agent
Pcrnrilcc nanlc
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