HomeMy WebLinkAbout20170106 - PermitProiect Address: 2504 W MacArthur Blvd-a-
Assessor's Parcel: 931-054-07 Lot. 1
Unit: E
Block: NA
Bldg:
Tract: 10907
Address Range: 2500-2544
Historic. No
Suite Range:
Zoning: SD6
City of Santa Ana 20CivicCenterPlaza(M-19), SantaAna, CA927o, 7A Etectrical
PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O17O{06
Pin #: 69237
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address.
Phone
Kanana Gitonga
2504 W MacArthur Blvd #E
Santa Ana, CA 92704
(7141 3264175
Alps A/C & Heating lnc
1895 S Santa Cruz
Anaheim, CA 92805
(7141 633-88e2
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
FWU
General Plan Update
I ssuance
Microfilm Records
Amount
25.76
22.95
57.20
3.91
Qty
1 .00
1 .00
1 .00
000
Fee
$25.76
$22 95
$57.20
$0.00
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State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 177939
Workers' Compensation lnsurance:Carrier: PREFERRED PROFESSIONAL INSURANCE
Policy #: ON0915G01
Expires: 1011912020
AIps h/t. & Hent ins Inc
(Gener'al Plan Updnte Fee
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Building Use:
Job Type:
Nature of Work.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Miscellaneous
A/C
Occupancy:
Constr Type:
Code:
Date:
R-1
VB
cEc 2016
Notes: Electrical for A/C change out
Fee Total
Paid to Date:
Balance Due:
11104t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa Date:
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 permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MrD#'. 2019-155643
01 1 16002 51600
01116002 51603
$22.9s
$82 96
$1 05 91
$0 00
$105.91
ELECTR!CAL.! NSPECTOR RECORD
t\Q n-, ?n,t f,,
APPROVALS DATE ID/SIG COMMENTS OWNERBUILDERDELCARATION I
I hoeby affirrn und6 penalty of psjury that I m excmpl from the Conlractos' Licre Law forlhe following r@n (Sft.7031.5
Busincs arxl Profsion Code): Any City or County which require a lmnit to comtrud. alt6. improvc. donolish or rcpair my
struclue. fior to its isuilce, also rcquirB the applicant for such pcmit to filc a signcd sldmBt that hc or shc b liccnscd psuut
to the provisioE of thc Contractor's Licosed kw (Chaptq 9. Cornmcncing \r'ith SBtion ?000 of Division J of thc Busine md
Prcfssions Code) or that he or she is cxmpt thrcfrom ild the b6sis for the allegcd exemption. Any violation of Scction 7031.5 by any
applicant for a pf,nit subjets the applicant to I civil pcnahy oftrot more the five hundrcd dotl&s ($500).
_1. as owner of the property. or my employees with rvages as their sole compensation. willdo the work and the structure is not
intendecl or offered for sale (Sec.7044. Business and hofessions Code: The Contraclor's License larv does not apply to an ou.ner of
the property u'ho builds or improv€s thereon. and who does such rvork himself or herself or through his or her orvn employees.
provided that such irnprovonents are not intended or offered for sale. If. however. the building or improvernent is sold within one year
of completion. the Orvner Builder will have the burden of proving tha he or she did not build or improve the propoty for thc purpse of
sale).
-1.
as owncr of the property. am exclusively contracting with licensed contractors to construct the projett (Sec. 7044, Business
and Profcssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
arn exempt under Section-. B. & P.C. for this reason.
Date: Owner:_
WORKERS' COMPENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the follorving declarations:
-l
havc and will maintain a Cerrificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code, for the performance of the rvork for rvhich the permit is issued.
f,t nru. and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the pcrformance of
the work for which this permit is issued. My workers' compcnsation insurance carier and policy number are:
,u,,,).'Ef.-rrohfratv
Policy *r,r*,
-Expirel:
I
_l cerrify that in the performance of the rvork for w'hich this permit is issued. I shall not ernploy any person in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the
rvorkers' compensation provisions of Section -3700 of the Labor Code. I shall. forthrvith comply with those provisions..I
WARNING: Failure to secure workers'compensation coverage is unlarvful. and shall subject an onployer to criminal peraltr$ and
civil fines up to one hundred thousand dollars ($100.000). in to the cost of compensation. damages as provided for lthe
Section of Labor Code. interest and fees.
I hereby affrrm under penalty of perjury that I am licensod under p,rovision of Chapter 9 (commencing with Section 7000) of Division -1
of the Business and Profcssions Code. and my licersc is in full force and effect.
c ruoColqSg
License
Date:
_License
t1
CONSTRUCTION LENDING AGENCY
I hoeby allirm undr pcralty of pcrjury that thqc is a construaion bnding agmcy for thc pcfomt of thc rcrk for which this pqmit b
isucd (Se. 3097, Civ. C.).
l-ender's Name:
Lender's Address:
APPLICANT DECLARAI'ION
I ha'eby aflinn under penalty of perjury one of the following declarations:
Dernolition Perrnits-Asbestos Notification Federal Regulations ('title 40. Part6)
-Rcquirld
l€tta of Notification
-l
cGtify that thc fcdsal rcgulatiom njuding rbctos rmoval rc not applicable to this prcjc1.
-l
cqlify that I hryc @d this applicalion and statc thd thc abovc infomation is conEt. I agr to @mply with all City ud County
ordirec€ &d Statc hB rclalhg to buildirg codrucrion. rd hq€by 8uthoriz rcprGatrative of this City ud Couty to atq upon thc
above rnentioned property for
D.,.i il lq lrfApplicant or Agent
Permitee name (print):
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Buildins
Under SIab / Floor
Bonding I Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Roush)
Meter Release
Rough lq--lq -l q e+8
Service Meter / -lo'?
FINAL t?. - t1-t"r/
Notes, Remarks, Etc.