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Home My WebLink About20173955 - PermitCo () Cify of Santa Ana 20 Civic Center Plaza (M-1 Santa Ana, CA 92702 Permit Counter. (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 J Electrica I Permit #:2O173955 Pin #: 50997 /h Project Address: 1909 W Harvard St Assessor's Parcel: 408-351-31 Lot: 19 Unit. Block. NA Bldg: Tract: 4402 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Guadalupe Torres 1909 W Harvard Street Santa Ana, CA 927044730 (7141 864-8470 Alcazar Heating and Air Con 22868 Akipa Ct Wildomar, CA 92595 (7141 s97-9374 01 1 16002 51603 01 1 16002 5160C 01 1 16002 51603 01 1 16002 5777C Fee Type Air Conditioner General Plan Update I ssuance Microfilm Records Amount 104.40 23 79 59 30 4.05 Qty 100 1.00 1.00 1 .00 Fee $1 04 40 $23 79 $5e 30 $4.05 State Lic #. 1077120 Lic Type: C-20 Bus. Lic #: 378633 Workers' Compensation lnsurance: Carrier: Norguard Policy #: ALWC298016 Expires: 0710T 12022 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 Miscellaneous Furance/Comp Combo Martin, Eric Verduzco. Violet 08/1 1t2021 08/1 1t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: Occupancy: Constr Type: Code. Date: Date: Date: R-3, U VB cEc 2019 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. 01 1 1 6002 51 600 01 1 16002 51603 01116002 57770 $23 7e $163 70 $4 05 $191 54 $0 00 $1 91 .s4 Inspector MID#'. 2021-167975 ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby amrm undcr lrcnalty of pcrjury lhat I m cxcmpt from the ContmcloE' Licere hw for thc following rcarcn (Sec.7031.5 Busincss ond Prcfession Codc): Any City or County which rcquircs a lrcrmit to construct, alts, improvq dcmlish or rcpir any sructre, prhr to its issuancc, also rcquircs lhc applicanl for such pemit to lilc a signed stalemnt that lrc or shc is liensed pu$8nt to thc Imvirions of Ihc ContEctor's Liccnrcd t:w (Chaptcr 9. Comrcing with Scctiotr 7000 of Division 3 of lhc Busircss ed PmfcssionsCodc)orthsthcorsheiscxcmptthcrcfromedlhebssisforthcallcgcdcxemption. AnyviolationofsetionT03l.5byany applicant for a fEmit subiâ‚¬ts the applicant to a civil peElty of not mrc thil five hundrcd dollus ($500). _1. as owner of thc propcrty, or my employces with wages as thcir solc compensation, will do thc work and the structurc is not intcndcd or ofl'cred for salc (Sc.c.7044. Busincss and hofessions Codc: The Contractor's Liccnse l.aw does not apply to an owner of thc propcrty who builds or improves thcrcon. and who dcrcs such work himself or hcrsclf or through his or hcr own employccs. providcd that such improvcnrcnts are nol intcrxlcd or offcrcd for sale. lf. howcvcr, thc building or improvcnrent is sold within one )rar of comphtion. thc Owner Buildcr will havc the burdcn of proving that hc or shc dll not build or improve the proprty for thc purposc of sah), -1. as owncr of thc propcrty. am exclusively contracting with liccnsed contraclors to construct thc projcct (Sec. 7W, Busincss and hofcsskln Code: Thc Contractor's License Law does not apply to an owncr of proprty who builds or improves thcrcon. and who contracls for such projects with a Contracto(s) liccnscd pursuant to the Contractor's Liccnsc taw). -IamcxcmptundcrScction-'B'&P.C.forthisrcason. Dale:_0wner: WORNEIIS' COMPENS ATION DF'CI ARATION I hcreby affirm under penalty of perjury one of the following dc.clarations: -l have and will maintain a Ccrtificate of Consent to Sclf-lnsure for workers' compcnsation, as provided for by Scction 3700 of the Labor Codc, for the performancc of the work for which the grcrmit is issued. -l have and will maintain workcrs' compensalion insurance, as rcquired by Section 3700 of the Labor Codc, for the pcrfornunce of the work for which thls pcrmit is issued. My workers' compcnsalion insurance carrier and plicy number are: Carrier: Policv Number: Exoires: _l ccrtify that in the grcrformance of thc work for which this prnrit is issued. I shall not cmploy any frcrson in any manncr so as to bccomc subjcct to thc workers' comlrcnsation laws of California. and agrcc that if I should bccomc subject to thc workcrs' compcnsation provisions of Section 3700 of the Latnr Code, I shall. forthwith comply with thosc provisions.. WARNING: Failure lo sccurc workers' conrpcnsation covcrage is unlawful. and shall subjcct an cnrployer to criminal pcnaltics and civil fincs up to one hundrcd thousand dollars ($100.0001. in addition to thc cost of compcnsation. damages as provided for thc Section 3076 of the [:bor Codc, interest and attorney's fees. Appllcant: LICENSED CONTRACTOR DF'CLAITATION I hercby afTirm under pcnalty of pcrjury that I am liccnsed undcr provision of Chapter 9 (comnrcncing with Section 7000) of Division 3 of thc Business and Profcssions Code, and my license is in full forcc and effcct. License Class: License Number: Contraclor: W I hcrcby aflirm undcr lrcnally of pcrjury thrt lhcrc is a construction lcndirg agency for rhe perfomncc of the work for which this pemil is issucd (56. 3@7, Civ. C.). lrndcr's Addrcss: APPLICANT NECLARATION I hcrc'by affrm undcr pcnalty of Jrcrjury one of thc following declarations: Demolition Permits-Asbcstos Notification Fcdcral Regulations (Titlc 40, Part6) _Rcqu ircd lrtter of Notification _l ccrtity that thc fcdcralrcgulations regardirrg asbcstos rcmovalarc not applicablc to this projcct. -l ccnify that I havc rcod this applicslion ard slatc thal thc atnvc infomtion is corel. I agrc to @mply sith all Cilyand County ordinarccs and State [aws rchting to building construction, ad hcrcbyauthoriz4 ]cprcEntaIivcs oflhis City and County to cnt6 upon thc abovc rcntiorcd prcpcny for inslrtion purposs. Applicant or Agent Pernritee name (orint): I t.r r r.. Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding I Grounding I UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) wails (Rouqh) Ceilings (Hard & Soffit Rouqh Ceilinqs [-Bar Rouqh) Nleter Release Rough Service [Vleter FINAL tb tv 7t Dk#* Notes, Remarks, Etc. O,rr nQ n7 2n{ q Date: knder's Name: