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HomeMy WebLinkAbout20166114 - PermitCity of Santa Ana Permat Counter: (714\ 647-5800 20 Civic Center Plaza (M-19). Santa tura. CA 9rO2 Electrical Permit #: 20166114 Pin #: 3{4E8lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 Project Address: 2010 W Eleventh St Unit: Block: NA Btdg: Tract: 1685 Address Range: Historic: No Suate Range: Zoning: Rl q Assessor'sParcel: 004-173-22 Lot.85 Ownerl Address 01116002 01116002 01'116002 01116002 01116002 51603 51603 5't603 51600 51603 Fee Typo 125 Volt Receptacle Air Conditioner Serv ireter General Plan Update lssuance Amount 1.40 93.28 51.29 21.25 52.98 Qty 3.00 1.00 1.00 1.00 1.00 Fee $4.20 $93.28 $51.29 $21 .2s $52.98 Phone Tenant Name: Contractor Address: Temp Air System 2648 E Workman Avenue, #i West Covina, CA 91791 (526) 482-3176 Bot ch+:44?r:,5 - 6 0ff ice: (:TYH T State Lic #: 807933 Lic Type; C.20 Bus. Lic #: 335880 Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company Policy #: TEWC893547 Expires: 09/'15/2018 (cpt+:0:?9t:t64 ironEfltL ion I Ait R-3 VB cEc 2016 Notes. Electrical Planning Conditions Planning Approval By Plan Checked By: Permit lssued By: Subject to Field; Building Permit #: Chavez Dave-??' Datei Date: Date:06/08/2018 Account# Evory pefinit issued shall become invalid unless the wo* on the site authorized by such permit is commenced within 180 days after its issuance, ot if lhe wo* authotized on the site by such petmil is suspended ot abandoned fot a period of 180 days aftet lhe time the wo* is comfienced $223.00 $0.00 s223.00 lnspector MID#: 2018-143542 01 116002 51600 01 116002 51603 $21.25 $201.75 Hugo Hernandez 2010 w 11th st Santa Ana, CA 92703 (714) 936-9s14 Phone: 1 A 1 4! General Plcrn tJpdnt q rJl I l6r:_t?- 51,1lnl0rJi- Electr icol 0l I I 6r:rE?- 51,9'130r:rr1- ICL t:hecl irir-{ 1L_i Building Use: Job Type: Nature of Work: Single Family Dwelling Miscellaneous Electrical Occupancy: Constr Type: Code: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Fee Total: Paid to Date: Balance Due: ELECTRICAL.INSPECTOR RECORD APPROVALS DATE IDiSIG.-couInaErurs OWNER BUILDI'R DELCARATION I hcrcby afltm undcr lcnilty ol pciu,y rh{ I an ci.mrr liom rhc ConriacroN Li.c.\c kw li h..followinr rc!$n (S.c l0l l .5 B!\in.s urrl Profcssi.n Codc): Any Ciry or Counry which rcquins a Frmit lo con(rucl. allq. in,)lovc. dmhh or crah any Irucrurc. nrior ro ns hsurn.c. rl$ rcquncs ihc applic, for such pcrn h filc! siSmd starcrt rhal hcor sh. is liccn{d pususr ro lhc pmvtions olrhc Conrrlcru\ l-iccnscd Ltrw (ChlFrcr 9, c()onr..ing with sc.riotr 70oo of Dilkion 3 oflhc Blrinc$ and Prcr.\rio.r Cod.) o. rhir h.orsh. ncxcnrpr rhcrufrom,nd rhc b.sis for rhcaltscdcxcmprion Anyviolrrionors.crirnr0ll.5l,yany aprlicanr ro pc,nrir rbjEls rhc lrplicanr ro a civil !.aalry ol not mE rhln livc hundrcd dolle. (s5m). L * dwn$olrhc tbJrny..r mycnrloFrs pnh wrgcs as lhcn sE comncnsoti.n. willdo rtE $o& dnd lh. {EtuE is ml i cndcd or on'crcd for slc (Sa.7(44. Busi.c$.nd P,{,lc$io.s Codq Thc C.nta.rors Lic.ns Law drcs nol applt ro 3n owtur.r rhc pDFny sho hildi or ir{mws thmn. *d who d(B s-h *ork iirn{ll or hcr*lf or rhou8h hs or hn oNn c.rpLyces- pNlided lhat such intrcwnh e nn inrcnded o, otlbL{ f{, {k. lt towcv.i Ih. buildins or in{revcnEnr h sUsirhino* iu ol @trll,k n,n. lh. Owndr suildo will h,vc rhc bordcn ol Eoving th,l h. or shc did nol itrild or imptr)E rhc poltny tu rh. purPs ol -l. rr.si.rorrhclrfirp.ny., lcxclusivcly.ontu hns sirh li.cnscdconrr0closloonntucrrhc pmFd (s.. 7044.8usms ar.t ftotrxsion Codc Tnc Conl mdoi s l-iccnsc Law does mr lmly r. u owEr ol prol).ny aho bu ilds or inrprovc\ rhcrmn. ud wbo conrsck ror su.h tloi*k *irh a Coma.k'(9 lkcnscd t,unu'nr k, rnc Conrrerois Lntn$ Irw) lrnr.\.D,i nftl.r S{rnf, .lJ & I)C nn rh. '.i$ r lrrlr ()snrr }U8trDII5.:C!}MENSAIION DICI.AB^IIQN I hcrchy al'l tnr un,lcr rcnah!oIF-rj!ryodc.frhc tulk,win8 dc.l&riionl Ihrv.tunwill,MinllinaCcnific.tcoIConscnrloSclflnsurea.rsorkc^ codFjnqrhn. !s providcd forhySccrionl7L{)otrhe libor Co.lc. ror rhc pdrormmc olrhc mlk ror whi(h thc pcrmil is issued lhrvc.ndqillmri.lalnworkcrscompcnslrioninsurancc.!\rcqlircdhyScdionlT0Ooillf,l-lborQc-nrlh.Frfonnn.dor rhc *ork aor whi.h rhis p.nnir y porlcr' coflrprnslrion io\xrs'r.. .adicr a poli.y numbcr uc \ C 4t(rb Ic.nilyrhrrirlhcli.rlornEn..olrhc*orklorshichrhisncnn i\i\{td.Ishlltrotcmnloynny|tr{rinrny.r.' {' rsr,r hccoN sh]cd ro rhc workc( compcn\dn,n hw\ orcrlii,nir. kirtrccrhalifl\houl,ltto,csthJtdbrtE *qkcr'conrr.nsdionprovi\n,nsofSccri(,nlTmorrhcl;'tirGntc.lshnll.l'onh*ilhconrly*irhrh,rn(r^iois WARNINC Failuic ro h..urc workcr( conpcneti.n corcraSc h unlawtuL and \hall {brc.t !n cnrtloycr to riminal If,nrhi3 and .iril lind ut ro oft hutrdrcd Ihouslnd dollos (310o.(DO). in oddirnrn n, rh. c.i ormnpcnsrriotr. darMscs !s providd lnr rhc SNtion 3076 of $. htrr Codc, i.tcrcsl otrd altofty\ fecs.;";j.&$ ;;:;x xlnGr.\ LICENSED CONTRACTON DECIJAAIION I hcrchy affim !.der pctulry.fp.rjury th{ I ar liensd uodn pruvtion olChaprcr9 (oitumi.8 eirh scclhn 7OD) ofDiltion 3 ol lh. Busincs ond Profcssioos Codc, un my lic.ne n io flll r$e nnd .fiei. t-W cbffi4r7 ,",", .\rli\t ".,,*..x-EF4? ATYLE-I s-'I<11 IaISIBIJCITSNIENDIICAOEICI I hcEby trlfirnund.r F!0hyolp.rjury rhll lhcrc is a onslrudhn kndins,8ctr,16r thc p..foirMrcc oathc *o for shichrhG Fmil is hsu.n (Scc. 3097- Civ. C.). ,IIIII(ANLI)ICLAIAIIo! I rBr{ry.ltirr uMcr |xnally ol'p.!jur, onc oarhc i{nh,ins dcclarrrn,n\: Dcn,lirion Pcrmit A\b((.s NorillcrlFn rrdcrnl RcEuhrion\ ( lirlc40. Pld6l Rcquncd krrd olNolilicdhn 4rffiffiffiffiil;##ffid;,-,,il::-::ffi::rv'wvak L'... 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E$Sts. { a I '* i om 7-oIozo_Tl --,1 :Em J--l c)-mooooC mz.-l F F 1S+ R e & f ? a 3 z ts _o I cl = Cf I 9. € 3 2 aa 3 '- ='-, =: = .: "I .....- ^..!€ aEJ:.94R -a " 'c?eqat{8i e€EalEliE!es,?*il*li3:*{rEc9;:a sf =-o= s 3I i 3 d n 3 ^r n J ? = .B a : r i; q.!*Ei=i :+3$i:Ei+"s:P =2;e-a?:aLjg::= 5;a=6e:tIiSI' ;3sE:*E 613aaa aaa qs! i E a': * 9 a + ii - i;j 5 i !+i;3c€ +N;q 4a; Eiei*a gFlia;: E.oq = 1g 3 EEs: sA i3;?iE EIEEE F; + erfic sFFE aA:;;jE5 14.0. --i€a=r J1:! =1E+9E s3'Ia ;'3'?a ; =rUF *;: * q r* r? -- o L_r L-t >!o=D.o: c)!<-rYo-< o6 If-<omQo ul iI m a oz m7 o-l>-E - Fi li5 a !q= -r-o_n '0) trnDn Temp Air System Inc . 2648 E Workman Ave #3A07-777 West Covina CA 97791 Uc.807933 www.tempairsystem.com TEL 800-63G0082 email: info@tempairsystem.com a AIPTETIISYSiTE HEATING & COOLI Ntay 1, 2018 AUTHORIZATION FOR CITY PERN{IT I, Felipe Gonzalez owner of remp Air system Inc gives authorization to Jose A peratta to pick up, pull city permit and obtain business license under License * 807933- This Letter expires May 1{, 2019 lf you have any further questions please don't hesitate to call rne at 626482-3776 Sincerely s/zf rz / Felipe Gonzal President Iemp Air System, Inc 2648 E Workman Ave #300'l-177 West Covina Ca 91791 5 - 3- l'/" See Attached Notarized Document Dated 0(o1 pvlo Page 1 of 1