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Home My WebLink About20171878 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5e53 Permit #: 2fc171878 Pin #: 74390 Proiect Address: 141 I S Pacific Avea Assessor's Parcel: 109-263-12 Lot: 62 Unit: Block: NA Bldg: Tract. 1508 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor. Address: Phone: Victor Higareda 1418 S Pacific Ave Santa Ana, CA 92704 (7141 331 -2166 Alps A/C & Heating lnc 1895 S Santa Cruz Anaheim, CA 92805 (7141 633-88e2 01 1 16002 51603 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 Fee Type Air Conditioner General Plan Update I ssuance Microfilm Records Amount 104.40 23 79 59 30 405 Qty 1.00 1.00 1 .00 1.00 Fee $1 04 40 $23 7e $se 30 $4.05 $23 .79 t 163 , Ttlt $4 , r:r5 $375. g5 Bntch*:5649? 9/Ll/?r-r2r-t ID: I1PINEDA 0f t' i ce: (:TYH Tr nn E* : 5? 2 ol 2 Acct*: Ref *: 2r:lt71g7g Rcpt # : [rI 1613S4 9 / 117llt2ir 1? : 06 PH Trnnsnct i on Totn1 $375.85 Alpg Al{. & Hecttins Irrr State Lic #: 667953 Lic Type. C-20 Bus. Lic #: 177939 Workers' Compensation lnsurance:Carrier: PREFERRED PROFESSIONAL INSURANCE Policy #: ON0915601 Expires: 1Ol19l2O2O Genernl Plcrn Updnte Fee Lrl I l6trrt?- 516r-ttttt[t[t- Electr i col Lrl 1 I 60Lr?- 51 6tr3ll[r[t- 11 icrof i Im & Dscuments r.i 1 1 1 6rrtr2- 1777lttt[t[t- I CL Ch eclr Lt36?g?Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Alteration A/C Occupancy. Constr Type Code: Date. Date: Date: R.3, U VB cEc 2019 09/1 1t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: 1st time installation ol alc Fee Total: Paid to Date. Balance Due: , Julie 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 permitis suspended or abandoned for a period of 360 days afterthe time the work is commenced. 01 1 16002 51600 01116002 51603 01 1 16002 57770 $23.79 $1 63 70 $4 0s $191 .54 $0.00 $191 .54 lnspector MID#: 2020-1 61437 I ELECTR!CAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEI.CARATION I hrcby affirm unds penalty of perjury that I m cx@pt ftom thc Conrac{oB' Lic6c Law for thc followiog rwn (Sc.7011.5 Buinss ad Profsion Codc): Any City or County which rcquirs a pannit to construcl, altc, improvc, dmolish or rtpair uy sbuclurc trior to its isuacq also rcquiG thc applicut for such Frmit to filc a signcd stat@ot tha lrc or sltc is ticmscd pwant to thc FovisioG of the Contretor's Licqscd llw (Chapt6 9. Comcnciog with Setiotr 7000 of Division 3 of thc 8uh6 ed PrcfNioN Codc) or that hc or shc i! qmpt thqcftom ed thc basis for thc allcXcd amption. Any violation of Selbn 7031.5 by my appliwtforapcmitsubjetsthc applicanttoacivilpcmltyofnolmorcthefivchundrtddollm($500). _1, c omq of thc propcrty, or my cmploye with waga re thcir mle omperuation, will do 0E wtrk ud thc structrc is mt intsdcd or offcrcd for slc (Sc.7044, BBins md Prcfsiom Codc: Thc Contrrctor's Licce bw do6 not apply to u omq of thc prcpqty who tuilds or impros tltaon, ad who do€ wh wrt himclf or hcrclf or thrcugh his or hc om mploye prcvidcd that such improvffits e mt intcrdcd or ofu for slc. lf. howq, thc buil4ing or improvqEl is sld within onc )ar of compt:tion, thc Ovma Buik'la will havc thc hrdor of prcving tha hc or shc dil mt buiH or irryorc thc popcty br thc purpo* of sh). _1. s om6 of thc pIopqty, m cxclBivcly contracling with licenscd contractoE to @nstruct thc projc{ (S@. 7044, Bahe and Pioftsion Codc: Th€ Contractor's Liccw Law do6 not apply to e own6 ofpropcrty who builds or imprcve thaon, md who conkacts for such projErs with 8 Conlncro(s) liccnscd pum@t to thc Contractor's Licw trw). I m cxmDt utrds Setion-, B. & P.C. for lhis rcen. WORKERS' COMPENSATION DECLARATION I hereby alTirm under penalty of perjury one of the following declarations: -l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the LabSr Codc, for the perfonnance of the work for which the perrnit is issued. Lllnur"and will maintain workers' co :e. as required by Se,ction 3700 of the Laborff]?#Hx#,*"#ffi' -Code. for the performance of are: lo lnlzctPolicy -l certify that in the performance of the work for which this permit is issued. I shall not ernploy any person in any manner so :rs to becorne subject to thc workers' compensation laws of California, and agree that if I should becomc subject to the workers' compersiltion provisions of Section 3700 of thc tabor Code. I shall, forthwilh comply with thosc provisions.. WARNINC: F-ailure to serurc workers' compensation coverage is and shall subject an onployer to criminal petralties and civil fincs up to one hundred thousand dollars ($100,000), in cost of cornpensation, damages as provided for the I attorney's fees. I hereby affirm under penalty of perjury that I arn licensod under 9 (commencing with Secrion 7000) of Division 3 of the tsusincss and Professions Code. and my license is in full force and effect. License bb "er32 CONSTR,UCTION LENDING AGENCY I h@by affm undr pcmlty of pcrjury thd thft is s consiruclion hnding agocy for thc pqfomcc of thc wo* for which ahis pqmh is issucd (Se. 3097, Civ. C.). Lcrtrlct''s Nirtttc. Lender's Address: APPLICANT DECLARATION I hereby affinn under penalty of perjury one of the following declarations: Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40, Part6) -Required Letter of Notification -l cedify that the federalregulations regarding asbestos removal are not applicable to this project. _l certiff that I have read this that the above infonnation is conect. I agree to comply with all City and County ordinances and State Laws relating to enter upon the above mentioned property for inspection Appticant or Agent I I'ermitee nrnle and hereby authorize representativcs of this City and kl Site-Work Underground Pole Bases Lisht Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm I Dampers Communications Cable Building Under Slab / Floor Bondinq I Groundinq / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinss (Hard & Soffit Roush Ceilinqs (T-Bar Rouqh) Meter Release Rough Service Meter FINAL ll' lz "4,U["YutU\7qJ Notes, Remarks, Etc. Rev. 08-07-2015 Oafe: ?