HomeMy WebLinkAbout20128232 - PermitCity of Santa Ana
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Electrical Permit #: 2lc128232
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738
Project Address: 2425 W Galifornia St
Assessor's Parce!: 408-061-33 Lot: 40
Suite:
Block: G
Bldg:
Tract: 506
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Lorenzo & lrma Ramos
2425 W California St
Santa Ana, CA 927044013
(7141 557-0600
A PIus Heating & Air Gondit
7600 Garden Grove Blvd.
Westminster, CA 92863
(7141901-0500
Fee Type
Air Condit
Ded. Circuit
Serv Meter
lssuance
Amount
34.25
8.50
25.75
31 .00
Qty
1.00
1.00
1.00
1.00
Fee
$34.25
$8.s0
$25.75
$31.00
$ee.50
$0.00
$ee.50
State Lic #: 7631 54
Lic Type: C-20, HlG, B
Bus. Lic #: 0193586
Workers' Compensation I nsurance:Carrier: Arch lnsurance Go.
Policy #: 28WC000089
Expires: 0 4101/2005
Building Use: Single Family Dwelling - Dc Constr Type
Type of Work: Alteration Occupancy:
Nature of Work: A/C & meter Code:
Planning Gonditions: Compressor Located !n Rear Yard.
Planning Approval By: Rodrig Ltez, Carlos
Plan Checked By
Permit lssued Byr
Subject to Field:
Amsden, Julie
VN
R3
cEc 2001
Building Permit #:
This permit shall expire by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained lo do so.
Notes: 1st time a/c installation & upgrade meter
Fee Total:
Paid to Date:
Balance Due
Date:
Date:
Date:
0812612004
0812612004
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:t
Account #. 01 1-01-5913 lnspector
ELECTRIGAL.I NSPEGTOR RECORD .l
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm lDampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL
Notes, Remarks, Etc.
I hcrcby afiim un&r pcnalty of pdjury thst I m cxmpt fm thc Cdtracto6' Limc Law for thc following rrco (s.7031.5 BEin6
ud Prcfsim Codc): Any City q Cuty which rcquirc a pcrmit to cmrud, alta, imprcvc, dmolish or rcpair sy structurg priq to its
ismcc, also rcquirc thc applicmt fq such pemit to filc a signcd statmat that hc q shc ig licmscd punuut to thc provisiqs of thc
Contnctor's Liqrd Lrw (Chapar 9, Cmmcing with Sctim 7000 of Divisim 3 of thc Buins ud Prcfeim Codc) or thu hc c
shc is aan4n thcfm md thc b8is fa thc rllcSrd qmptim .Any violatio of Setiq 7031.5 by ay 8ppli@t fc a pcmir subjcts rhc
applimt !o 8 civil Faslty of not tlm rhe Iivc hu&cd dollm (3500).
-L
I om6 of thq propcrty, c my cmployq with wa86 I thcir rclc mpcnsaim, will do thc wqt ud lhc sEuslw is oot intcndcd
u otfcttd fc salc ( Sc.7044, Buind ud Prcf*ions Codq Thc Cmracor's Limc Law dm not apply to e fln6 of thc Fopcrty
who builds u irnprove thoon, ed who dG rwh wq* himclf q hmclf c thugh his c ha own mployc, !rcyidcd that ruch
imprcmts rc not idcndcd tr off@d for salc. If, howcv6, thc building c impovmnt is sold within onc yo of omplaim, thc
Oma-Builda will havc thc burdo of prcvint that hc tr shc not build u imprcve for thc purpoec of salc).
_I, a omq of thc prcpcrty, m qcluiycly mtrrcting with limcd mtrrctG to mtruct thc Foj6t ( S@. 70,14, Bqinc md
Prcfsim Codq Thc Cutsetc's Li@sc lrw de not aIryrly to m oma of propaty who builds a imFov6 rhffi , ed who
mrra fff ruch prcjds with a Contracrd(s) lifficd punwt to thc Cotncls's Licm L8w.).
_I arn exempt under Section
Date:
& P.C. for this reason.
WORKERS COMPENSATION DECIl\NAfl ON
I hrcby afrim m&r ponlty of po'jury oc of thc follwing doclanriru:
_I havc ud will maintain a Ccnilicrrc of Cms6t to Sclf-lBE ftr wo*6' Gmpcosarion, s providcd fq by Sctim 3700 of thc
for the performance of the work for which the p,ermit is issued.
and will maintain workers' compcnsation insurance, as required by Section 3700 of the Labor Code, for thc performance of the
for which this is issued. My rnsurance carTrer number are:
Policy or
(This section not bc complcted if the One or less)
_I certi$ that in the performance of the work for which this pcrmit is issued I shall not employ any pemon in any manner so alr to
became subject to the workers ' compensation laws of California, and agrcc that if I should bccome subject to the workcrs'
compensation provisions of Scction 3700 of the Labor Codc, I forthwith thosc provisions..
/L
WARNING: Failure to secure workers'compensation coverage is and shdl subject an cmployer to crimind penalties and civil
6n6 up to onc huo&cd thruad dollm (t I 00,m0),i, additid to lhc 6t of @mpcnsatio, &magc r prcyidcd fq thc Setio 3076 of
thc Labor Codc, irt66t md attmcr's fG.
LICENSED CONTRACTORS DECLANATION
I hmby aflim uda pmalty of pcrjury thst I m licmcd u&r prcvisim of Chapr 9 (mmdcing with S6{ion 7000) of Divisio 3 of
thc Buine md Prcfciiotr Codr, ud my licmc ir in full fre ud cffet.
License License
Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that thcre is a construction lending agency for thc performance
issued (Sec. 3097, Civ. C.).
of the work for which this permit is
Lcnder's Name:
Lcnder's Address:
Dcmlitim Pmits-Asbetc Notif icaim Fcdaal *rffi_ Rcquircd Lrna of Notificatio
-l.crt(&that
thc fcdsal rrgulatifis rcgarding sbetoc moval rc not applicablc ro this proj@t.
ffir, *nrn t rcad this applicatio ud stdc thal thc abovc infmstio is ffil I lgr io cmpty eith all city md coutyqdirec md Statc Laws rclaring to building maucrim, md hmby uthcirc rcprcalstivc of this City ild Cosnty to ar6 upoo thc
above mentioned property
Applicant or agent
Perminee narne (print):
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