HomeMy WebLinkAbout20165790 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requestsr (714) 667-2738 lnspector Section: (7'14) 647-5853
Electrical Permit #: 2O165790
Pin #: 15038
Proiect Address: 2809 W Willits St
Assessor'sParcel: 109-822-11 Lot: 90
Unit:
Block: NA
Btdg:
Tract: 3915
Address Range:
Historic: No
Suite Range:
Zoning; R'l
E
Contractor
Address:
01 't 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
51603
51603
51603
s1600
51603
Phone
Tenant Name:
RAMONA MENDEZ
2809 W wlLLTTS ST
Santa Ana, CA 927041556
(714) 376-0191
A Plus Heating & Air Condit
11330 Knott Street
Garden Grove, CA 92841
(714) 901-0500
Fee Type Amount
125 Volt Receptacle 1.40
Light Fixtures 1.0'l
Air Conditioner 93.28
cenerat pt&9Url6fJ 3629 zt}.4
r..rr""" !,!!;::' r:tYH 52t6
$i'F t+ ?t't')2179'l-/ -
Tronsq,:t ion fotql
Qry Fee
1 00 $1.40
100 $1 01
1 00 $93.28
1 OO $21 25' :. 1.oo 952.98
A Plus Hentins & Air, ,-lr'Jit icPhone
State Lic #: 763154
Lic Type: B, C-20
Bus. Lic #: 193586
Workers' Compensalion lnsurance:
Carrier: Employee Service Group
Policy #: WCO34124212
Expires: 0710112018
Gen€rol Plon Updnte fer
S1116002- 516fi(r(rtrlr-
E lectr i.ol
(r111600?- 516ir30(rt-r-
ICL ChecI 22934
l,.tl )1
t149.67
iJ66. 31
Building Usei
Job Type:
Nature of Work
Planning Conditions:
Single Family Dwelling
Alteration
HVAC
Occupancy:
Constr Type
Code:
Plan Checked By
Permit lssued Amsden, Julie
Subject to Field
Building Permit #
Every pemit issued shall become invalid unless the wo* on the site
aulhoized by such pemit is commenced within180 days aftet ils
issuanco, ot if the wotk authorized on the site by such pemil is suspendod
ot abandoned for a peiod o1180 days after the line lhe work is
commenced.
R-3, U
VB
cEc 2016
05t07t2018
Account#
Notesr Direct change-out of furnace & lst time installation of
alc
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 20'18-143'182
01 116002 51600
01 116002 51603
$21 .25
$148.67
Owner:
Address:
Planning Approval By:
$169.92
$o.oo
$169.92
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
lt/eter Release
Rouqh
Service I\4eter
t-lrr,t &'/2>)FINAL TIID II?'T
Notes, Remarks Etc
OWNER BUILDER DEI,CARATION
I h$cby afirm und$ p.Mlty of pcrjury lhal I am cxempi fmn rhc C.nke.ro^ Li.cns Lar lor ln€ follo*ing ten (s*.70r1 5
Ausiness und ftofeasion Codc): Any Ciry o. Coumy ahth rcauncs ! pcmn to con(ocr, rllo, improv.. dcmlish or rcplir .ny
srtucr!,c, r.i, ro ni hsumc. .ho (iuircs thc arplicd lor such pcmir ro lih { signcd sr,r.m thot hc or sh. is liansd pusuanl
lo rhc pmvtions ofrtr ConrEcrrtr \ Liccr{d ttr{ (Chaprcr L Conrmcmins with Ssdion 7000 of Divtion I of'h! Busincs and
Pmfc$ions Codc) or thar he o h. h.x.mfr lhcrclronand lhctasir n lhc alLscd cx.nfrion Antvid ionofSdhn?011.5bylny
aptlic{r r(r n pcrnril subFctslhc rrpli.anllorcivilpcnolryoanor,tutcrhtrniiv.hundrcddollm(S5Ct))
l. d own( or thc pmlrny. or nry c'n hFcs sil h sryes or rhci. q,lc m p.nslion. will do llE wo.k and rhc nBk i\ *n
inrorlcd or oficrcd for slc (Sa ?O14. Busimss snd Eofe$ions Cdit: Th Conlmctor's Lian* Las thcs .or ,pP,y ro on nwrcr of
rhc Imp..ry vi. Irilds tr inpms rh.6n, ond whr &B such *\rI him{ll o. hcr*lfor rhtuu8h hi\ or h.r ow! .mployccs.
p.ovid.d rhil such lfllroEmnrs e mr inred.n o, ofl('d fo' qL. Il hlwlvci rlE tnikiry or iqmvcrnr k tld si$h .rc )ts
ofcoq,lcrion. rlt Oqn.r auiud wrll hrtc r hud.tr oflmrin8 rhd,rorsne dil et i{iU o. inpovc thc pNtEl} ior the pu4n*.r
l.rsoqNrolrhcpmfcny.!r,cxch\iv.lyconkrcrin!wnhliccDscd..nr roNlocon{tucr rhd nmr.d (scc.7014.3u $s
and hni$i,i Codc: l hc Cortd.(tr s Liccnrc Lrw docs norrpply b di.wncr ofprolcrty who hnildx or imFovcs rhcrcon,
nnd sh..otriMhiorsuchpmFcl\wirIuConknrodnL..iscdNNudnrk'rhcConrractr'sl-ircn\ctrw)
I rm.xrnrnr u.d.r S(rnn .B &PC lorrhFr$on
Orn.r:
u!)85EBLC0!I8ENS Il0!
PE(.LAXAIII)N
I h$chy.inr trkrcr pctrilry oi pcrjuy onc oirhc nnbwins dccltrri{r's:
-l
hrvc ud will@inrain rCcnillcrlcolaonrcnl to SelflnsuN lor *o,kc^ .ompctr$tion. N Pmvidcd rb!l'ySccri.n llTtxjorrh.
ljhor c(dc. aor rhe pc,ror@c. orrhc "ork lor qhich lhc ptnnit is ts!.d
I h.r. and willnuinlrin workcrr conrrcn\ali{rn in\utun c. r rcqxnLtl h,Salion ]700olrhe litltrCuJc, tar rhc Pe.foirnrnccof
Hr!'ti rrmi'
is i\$cd n insur.rcc clricr ond F'licy nu $.r (.
l,t-L.1-
i.y Nunbcr:-ErPircs
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ccnili rhar in
'hc
pcdoi,mncc ofr[c pork lor whi.h thn rcnnir i\ is\ucd. I shrll nor cnrfloy ony pcnon in trhy trhnmr
s r(h tE om subr.d h rhc workcrs .onqrcnerion lnws orcnlir(rni{ rnd lgr Ihlll il'I slouLl hco r {hjcd rolh.
"orkd( comp.nsorion provnion\ ol s(rn,n ]7{D uf rhc ubr codc. I shrll. iodn*irh mrply sirh rho$ fovhions
IVARNINC frilur. n, su( uork.( .onDcnurion mrcmAc is unhwlul. rnd \hrll srbJttr in cmPloycr lo cnlinrl FMllics and
civil ljnc\ up nr om hundrcd rhou\n d dollf\ (S|(D.OX)). i irion ro rh. corr ot..n'rxn€r
U(}:NlL(]]rr3 ctA3
Dllru-&\uaN
I lErh, uafim u.d.r p.Mlly or lcrJury thol I anr lien*d undcr fmvision olChrprd 9 (com'ftRin8 wilh Sccltr 7000) orDivii.n 3
ol lhc Busircss and Prcfesions Cod.. !i ny liccns h in full tuc d cttul
C.o-g-I
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I hcrchy ufimundcr F.,xrorpcljuryrhd rhcrc is r onslactiofl lcndin! ngcncr aoi rh. Frlornunrcc ofrh. w.rr lirr which rhh lEnnil h
nsucd (Scc.1097. Civ C )
-l
cdily rhlr $c rcdcmlr.Sulolions Essdins asbcsros ,.nbv!l m .or appli.,blc ro thk pmirr
l.cnifyrharl h{!c rcad lhhaptlic n,nullnnrcrh rh. rhrvc infoirndn,n is corer l arftt k,.o
ordirdEcs an(l Slllc ljss rchiing h bui y and Counly lo clrcr uF,n rtc
ah.vc mnrnrrcd pmt dy foi insrsl
.o ntucrnrurl hcrchyrurh.rizcr.prclcnrari!c\
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APPLICANTDEd ANATIoN
I nolSy offrm unds p6na[y ol ttrjlrr 6n. o(rhc following dcclamtions,
Dcnblitiotr P$mih-Asbcsros Norificarion Fcd.rd Rcgulario.s (Tillc 40. P0n6)
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4t30t2018
Go'gle'Maps 2809 W Willits St
lmagery O20l8 Google, Map data @2018 Google 20 ft
2809 W Willits St
santa Ana, cA 92704
httpsr/www.google.com/maps/place/2809+W+Will ts+St, +Santa+AnajCA+927041@33.7 408156,-1 17.9080343,56m/data=!3m 1 l1e3l4m5!3m4!1s0x80dcd862'1b97
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