HomeMy WebLinkAbout20171847 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20171847
Pin #: 92782
Proiect Address: 3683 S Bear Sta
Assessor's Parcel: 931-166-09 Lot. 1, 2, 3
Unit: J
Block: NA
Bldg
Tract: 10212
Address Range: 3601-3685
Historic. No
Suite Range.
Zoning: R4
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Pam Mercado
3683 S Bear St #J
Santa Ana, CA 92704
(7141 488-2778
Climate Air Masters lnc
1139 N Anaheim Blvd.
Anaheim, CA 92801
(7141 533-0402
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
s9 30
4.05
i
Qty
100
1 .00
1 .00
1 .00
Fee
$26.71
$23 79
$5e 30
$4 05
State Lic #: 695854
Lic Type: C-36, B, C-10, C-20
Bus. Lic #: 312465
Workers' Compensation I nsurance:Carrier: SIRIUS AMERICA INSURANCE COMPANY
Policy #: WC47610
Lxpires: 0612512021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
AilissaY 09/08/2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Condominium
Miscellaneous
A/C & FAU
Zuniga
Occupancy:
Constr Type:
Code:
Date:
Date:
Date
R-3
VB
cEc 2019 Notes: Electrical for-A/C change out like for like and furnace
Every permitissued 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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23 79
$86 01
$4 05
Fee Total
Paid to Date:
Balance Due:
$11385
$0 00
$t t 3.85
\ ir [1c
lnspector MtD# 2020-1 61326
i
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DI.ILCARATION
I hereby affirnr under pcnalty of perjury that I am exetnpt from the Cbntractors' License l-aw for the following reason (Sec.7031.5
Busincss and Prolbssion Codc): Any City or County which rcquircs a pcrmit to construct, alter. irnprovc. demolish or repair any
strucrure, prior to its issuance. a.Lso requires the applicant for such 5rcrnrit to file a signed slatemenl that he or shi is licensed f$rsuant
lo thc provisions of thc Contractor's l,iccnscd law (Chaptcr 9. Commencing with Section 7000 of Division 3 ol'the Busincss and
Professions Code) or that he or she is exempt therefrom and tlre basis for tlrc alleged exenption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to 0 civil penalty of not more than five hundred dollars ($5tttl).
_1. as owncr ol'the propcrty. or my crnplovecs with wagcs as their snlc comgrcnsation,
interxled or offered for sale (Ser'.7O14, Business and Professiorrs Corle: Thc Contraclor's
willdo thc work and the structure is not
, License Law does not apply lo an owner of
the property wlxr builds or improvas therurrq and wlp dtrcs such work himself or lrcrself or througlr his or her own entployees,
provided that such improvcrrcnts arc rnt intcndcd oroffcrcd for sale. Il. howcvcr, thc building or inprovenrcnt is sold within one year
of comphtioru thc Owner Buiklcr will havc thc bunlen of proving ttut hc or she did not buikl or inprove Orc pnopaty for thc plrrpose of
sale).
_1. as owner of the propefly, am exclusively contracting with licenscd contraclors to construct thc projcct (Sec. 7044, Busines
arxl hofessitxr Code: The Contractor's License Law dcrcs not apply to an owner of proprty who builds or inrproves thereon.
and who contracts for such projccts with a Contracto(s) licenscd pursuant to tlre Contraclor's Licensc l-aw).
-IantexemptunderSectitltt-,B.&P.C.fortltisreason.
WORKE,RS' COM PI,NSATION
DECLARATION
I hc'rcby affirnr undcr pcnalty of pcrjury onc of tltc fbllowing declarations:
_l have and will nuintain a Certilicate of Consent to Self-lnsure for workers' conrpen.sation, as pmvided for by Section 3700 of the
Labor Code, for thc pcrfonnarrce of the work for which thc perntit is issued.
/t#have alxl 3700 of the Labor Code, for the performance of
work for iuxl lxrlicy numbcr iuc:
4 (
Eik,/'5 l) [Policy L
_l ccrtify that in tlrc pcrlirrnuncc o[thc work f<rr whiclr this pcrmit is issucd, I shall not cnrploy any l)crson in any nlanncr
so as to bccornc subject to thc workcrs' conrpcnsation laws of California. and agrce that if I stnuld beconrc subject to thc
workers' conrlrcnsation provisions of Section 3700 of the Labor Code, I shall. forthwith conrply wilh thosc provisions..
a
WARNING: Failure to secure workers' compensation coverage is unlawful, and shal! subject an employer to criminal penaljes and
civil fines up to one hurxlred thousand dollars ($100.0(X)t. in addition to the cost of compersation, danrages as providedibr the
Scction the latnr intcrcst and
c r
I hereby affirnr under penalty of perjury that I anr licenscd Chapter 9 (conmrncing with Section 7000) of Division 3
of the Bu.siness and Professiorrs Code. arxl my license is in full force and efifect.
(,
License
1
I hcreby al'lirrn undcr pcnalty
issued (Sec. 3097. Civ. C.).
CONSTRUCTION LENDING AGENCY
of pcrjury that thcrc is a construction hnding agcncy for the pcrl'ormancc of thc work l'or which this pcrrnit is
Lender's Nanre:
APPLICANT DECLARATION
I hercby affrm undcr penalty of pcrjury onc of the following declarations:
Dcmolition Permits-Asbcstos Notification Fcdcral Regulations (Title 40, Part6)
-Requircd
l-ctter of Notificaton
-l
ccrtify that the fcderal regulations regarding asbestos removal are not applicablc to this pro]:ct.
,illn[*,fy rhat I have read this application and state that rhc above information is correct. I agrc.e to conrply with all Ciry and County
-ordina\ccs and Starc l^aws relating to building constructioc and hcrcby auttnrize rep$:scntatives of this Cily and County to enter upon th
above rncntioncd property for
Applicant or
Itcrnritcc nanre
Site-Work
Underqround
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bondins lGroundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouoh)
Meter Release
Rough ,\
Service [Vleter I\
FINAL ll-7-n7r0 vhly1 1,1
Notes Remarks Etc.
Rev. 08-07-201 5
will uraintain workers'
which this lrcrnrit is issucd.
,
)
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