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Home My WebLink About20173986 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (7'14) 647-5853 Permit #:20173986 Pin #: 14067 Project Address: 1937 W Meadowbrook Dr Assessor's Parcel: 412-521-79 Lot: 145 Bldg. Address Range: Tract: 1631 1 Historic: No Unit: Block. NA Suite Range: Zoning: SD4 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Jesse James 1937 W Meadowbrook Dr Santa Ana, CA 92704 (7141 721-35s3 AIps A/C & Heating lnc 1895 S Santa Cruz Anaheim, CA 92805 (7141 633-88s2 01 1 16002 51603 01 1 16002 5160C 01 1 16002 51603 01 1 16002 5777C Fee Type FWU General Plan Update lssuance Microfilm Records Amount 26.71 23.79 59.30 405 Qty 2.00 1.00 1.00 1.00 Fee $53 42 $23.79 $5e.30 $4.05 tzJ . lY 14 , t-t5 tll? . "/2 $501 . :[ 2 State Lic #. 667953 Lic Type. C-20 Bus. Lic #: 177939 Workers' Compensation lnsurance:Carrier: PREFERRED PROFESSIONAL INSURANCE Policy #: ON0915602 Expires: 1011912021 Bntch*:6u3+g 8/I6/2u2I ID: ofiloroleslS 0f f i ce: (:TYH Tron E* t 12 2 nf' 2Acct*: Ref*: 2t117:3?8rl Rcpti:tt338tt1Lr6 gi 16/2u71 9rL2 An Tronsoct r on Toto l SILI1 . 12 Alps A/t. & Heat ins Inc Building Use: Single Family Dwelling Job Type: Alteration Nature of Work: HVAC Julie Planning Conditions; Compressors located along side yard Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Occupancy: Constr Type: Code: Date. Date: Date: R-3, U VB cEc 2019 08/1 6t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Generni Pian Uponte Fee 0l I 16002- 5lattt-t00tt- 11 icrof iIn & Docutents 01 1 16tttt2- 177'7[t[t[ttt- E lectr i co I t-tl I 16ott2- 5161r3[tu[t- I(:L (:hecl: [t+6?60 Notes: Replace (2) furnaces & (2) compressors. Fee Total Paid to Date: Balance Due: Every permitissued 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 fhe sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $23 79 $1 t 2.72 $4.05 $140 56 $0.00 $140.56 lnspector MID#: 2021-1 68 17 1 I ) \J ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby afnrm undcr pcnalty of pcrjury that I m cxcmpt frcm thc CrntractoG' Liccnse llw for thc follovinS rcasn (Scc.?U3J.5 Busincss ad Profcssion Codc): Any City or County whhh rcquircs a [rcmit to snstruct, altcr, improvc, dcmlish or rcpair any structurc, prior to its issuarce, .l$o rcquircs thc applicant for such lErmit to filc a signcd statcmnt thst he or shc is liccnsed pursuant to thc pmvisions of thc Contrsctor's Licenscd Law (Chrplcr 9. Commncing wilh Sfflion 700O of Division 3 of the Businert md ProfcssionsCodc)orthathcorshciscxcmptthscfromandthcbasisforthcallcgcdcxcmption. Anyviolalionofsmtion?03l.5byany applicanl for a pcrmil subjffts thc applicant to a civil pcnalty of not mrc lhan fivc hundrcd dollds (S500). -1. as owncr of thc property, or my cmployecs with wagcs as thcir solc comlrcnsation. willdo thc work and thc structure Ls not : intended or olTcrcd for sale (Scr.704a, Business and Professions Code: The Contractor's Liccnse [-aw does not apply to an owncr of the propcrty who builds or improves thcrcon, and who docs such work hirnself or hcrself or through his or hcr own cmployces. provided thal such improvcments arc not intcndcd oroflered for salc. lf. howcver. thc building or improvcnrcnt is sold within onc year of completion. thc Owncr Builder will havc thc burdcn of proving that hc or she did not build or inprove the propcrty for thc purpose of sale). -1, as owner of the p,ropcrty, am cxclusively contracting with licensed contractors to construct thc projcct (Sc.c. 7W, Business and Professbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such proFcts with a Contracto(s) licensed pursuant to thc Contractor's Licensc [:w). _l am cxcmfrt under Section_. B. & P.C. for this reason. Date: Ownen WORKT'RS' COMPENSATION DECI ARATTON I hereby affirm undcr penalty of perjury one of the following declarations: -l havc and will maintain a Certificatc of Conscnt to Self-lnsurc for workers' compensation. as providcd for by Scrtion 3700 of the Labor Codc, for lhc pertbrmance of thc work for which thc pcrmit is issucd. #m*will nraintain workers' compcnsation insurancc. as requircd by Scction 37fi) of thc Lrbor Codc. for the lrcrformancc of which this prmit is issued. My workers' compcnsation insurance carrier and plicy numbcr arc: e(r DL{lrtr l)>Policy -l ccrtify that in thc pcrformancc of thc work for which this pcrnrit is issucd. I shall not crnploy any pcrson in any manner so as to bcconrc subjcct to the workcrs'compcnsation laws of California, and agrce lhal if I should becomc subjcct to thc workers' cornpcnsalion provisions of Scction 3700 of thc Latnr Codc. I shall. forthwith comply with thosc provisions.. WARNING: Failurc to scurc workcrs'compcnsation covcragc is unlawful. and shall suhFcl an cmplo)rcr to ciminal lrcEltbs and civil fincs up lo onc hundrcd thousand dolles ($l0o,m0), in oddilion to thc cost of compcnsation, dsmgcs as providcd for lhc Section 3076 of thc Codc. intcrcst and attorney's t r DI'CI,AR/\'I'I()N I hercby alfirm undcr penalty of prjury that I arn licenscd undcr provision of Chaptcr 9 (comnrcncing with Scction 7000) of Division 3 of the Busincss and Profcssions Code, and my license is in full forcc and effcct. License W I hercby afnrm undcr Fnalty of perjury that thcrc is a construction lcnding agency for thc pcrformncc of thc work for which this pcnnit is issued (Scc. 3097. Civ. C.). [-cnder's Nurnc: Lrndcr's Addrcss: APPLIC {NT NF'CLARA TION I My affrnn undcr pcnalty of perjury one of thc following dcclarations: Demolition Perrnits-Asbcstos Notification Fedcral Regulations (Title 40. Part6) _Requ ircd l-ctter of Notification ffi dffi :-dffi ffi ;ffiiffi*ffi"*:-*r**'.****?*r,,* above mentioncd property for ( Applicant or Agent Pernritee nanle "",",o01 16 f )f Site-Work Underoround Pole Bases Light Standards Spas, Pool, Fountains Sions (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding I Grounding I UFER Transformers Torqueing Sub-Panels tl .a- Air Conditioners 1 lLlLt rD(31) Roof Top Equipment I \-/ Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilings (Hard & Soffit Roush Ceilinss (T-Bar Rouqh) N/eter Release Rouqh Service lVleter tl ^-- FINAL 1ltlzt l(d ( 5',1 , Notes, Remarks, Etc.tl -- nu nQn onl ( _Expircs: /_b +CI ]t6t)l