HomeMy WebLinkAbout20173887 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2O173EET
Pin #: 56678
Proiect Address: 1121 112 N French Sta
Unit:
Block: B
Bldg: Address Range: 1121-1129
Tract: BOTELER'S ADD Historic: No
Suite Range.
Zoning: SDl9Assessor's Parcel: 398-028-05 Lot: 11
Owner:
Address:
Phone:
Tenant Name:
Contractor.
Address.
Phone:
Diana Jiang
518 Luminous
lrvine, CA 92603
(949) 293-6747
Coastal Heating & Cooling, I
24217 Carnation Way
Lake Elsinore, CA 92532
(s4e) 482-2s9s
PERMIT CANCELLED\->\ cosifr.-\<-\t, r-
DATE:
\q\rs\21
INMAL:
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Heat Pumps
General Plan Update
lssuance
Microfilm Records
Amount
104.40
23.79
59 30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$1 04 40
$23.79
$se 30
$4 0s
Bntch*:60112
: [t336?3?6
Trnnsnct i on Toto
ongtnl Hent ins & (:ool ins r In
NGA
State Lic #. 1045446
Lic Type: C-20
Bus. Lic #: 378529
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company
Policy #: COWC23BI BB
Expires: 0711512022
Building Use: Fourplex OccuPancy:
Job Type: Miscellaneous Constr Type:
Nature of Work: A/C Installation (mini-split) Code:
R-1
VB
cEc 2019
Genernl PInn Updnte Fee ,$:?3.7
Lrl 1 1 6LtLt2- i1 6[rr_r[r[r[r-Electrirnl $163.7
Lrl 1 l6lrrr?- 516tr3tt0tr--
11 icrCIf iln t Documents t4,l:l
r_r1 l160Lt2- =-,77 7[r[r[l[r-
lnstalllUeo of mini-split ArC system providing a ffi3 4 .2
i n te ri o r 6f de,I lS tUtlf;{dlt ttf fiffi n o rtffi p }A# rry Tf;rtsS
Planning Conditions: OK to issue for minisplit only, unit is located behind a solid fence and
staircase. Max dBA generated is 52dBA
Planning Approval By: Martin, Eric Date: 0712912021 Misc. Receipt:
Plan Checked By: Date: Misc. Receipt:
Permit lssued By: Chavez, Dave Date: 0712912021 Misc. Receipt:
Subject to Field: V' Account# Total
Building Permit #:
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 s1600
01 1 16002 51603
01 1 16002 57770
$23.79
$163.70
$4.05
Notes:
Fee Total:
Paid to Date:
Balance Due:
$191 54
$0 00
$191 .54
lnspector MID#: 2021-167733
/
ELECTRICAL-INSPECTOR RECORD
Or..r nO n7 On{tr
APPROVALS DATE ID/SIG.COMMENTS I hcrcby afftrm undcr lEnalty of pcrjury lhal I m excmpl ftom the Conracbs' Liccn* law for thc following rcasn (Sc.7031.5
Busioess ard Profcssion Codc): Any City or County vhich rcquircs a pctmit to onslruct. alts, imprcw, dcmlish or rcpairrany
structurc, prior to its issuffic, also rcquircs lhc applicont for such pemit to filc a signcd sldcmnt that he or dE is liccnsd punuilt
to thc prcvisions of thc Conractor's Liccnsd t{w (Chaptcr 9, Comrcing with Setion 7000 of Division 3 of lhc Business md
PrclbssionsCodc)orthothcorshciscxcmptthwfromandthcbasisforthcallcgedcxcmption. AnyviolationofscctionT03l,5byany
upplicsnt for a JEmit subjsts thc applicmt to o civil pcn<y of not mrc than fivc hundrcd dollus ($500).
_1. as owner of thc propcrty. or my employecs with wagcs as thcir soh compensation. will do thc work and thc stnrcture Ls rnt
intcndcd or offercd for salc (Soc.7044, Busincss and Professions Code: The Contraclor's Licensc [:w does not apPly to an owncr of
lhc propcrty who builds or improves thcrmn, and who does such work himself or hcrself or through his or her own cmployccs,
providcd that such improvcnrcnts are not intcnded or offcrcd for salc. If, howcvcr. thc building or inqnovenrcnt is rcld within onc )aar
of comphtion. the Owner Buildcr will have ttrc burden of proving that he or she did not build or inprove the profrrty for the purpose of
sah).
_1. us owncr of thc propcrty. am cxclusivcly contracting with liccnscd contractors lo construct thc projcct (Scc. 7M4, Busincss
and Protbssion Code: Thc Contractor's Licensc Law does not apply lo an owncr of property who builds or itnproves thercon,
and who contracls for such projccts with a Contracto(s) liccnscd pursuant to the Contractor's Liccnse hw).
-IamcxemptundcrScction-'B.&P.C.forthisreason'Date: Owner:
WORN rRS' COMPF'NSATION
DECI ARATION
I hercby affum undcr penalty of perjury one of the following declarations:
_l havc and will nraintain a Certificatc of Consent to Sclf-lnsurc for workers'compcnsation, as providcd for byScction 3700 of the
l,rrbor Code. for thc pcrformance of the work for which thc prmit is issucd.
_l havc and
thc work for
)
will 3700 of the Labor Codc. for thc pcrformancc of
arxl gnlicy number are:
ur \n'{'d
t \o 01 zLPolicy
_l ccrtify that in thc Jrcrformancc of the work for which this grcrrnit is issucd. I shall nol cmploy anylrcrson in any manncr
so as to bccomc subjcct to thc workcrs' compcnsation laws of California, and agrcc that if I should beconn subytct to thc
workcrs' compensation provisions of Section 3700 of thc [:tnr Codc, I shall. forthwith comply with thosc pmvisions..
WARNING: Failurc to srccurc workcrs' compcnsation coveragc is unlawful, and shall subict an employcr lo criminal pcnaltics and
compcnsation, damages as provided &rr thccivil fines up to onc hundred thousand dollars ($100.m0). in addition to lhe of
Scction 3076 of intcrcst and attorney's l'ccs.
ID ('?)q LI
DECLARATION .
I hcrcby affirm under penalty of pcrjury that I am liccnscd undcr provision of Chapter 9 (comnrencing with Section 70m) of Division 3
of thc Business and Profcssions Code. ard my license is in full forcc and effcct.
Liccnsc
. C)-O Number:- luqgqqb
o Lt
W
I hcrcby affrm undcr lrcnalty of lEjury thst thcrc is E @nstruction brding agercy for thc pcrfol1we of thc work for whhh this permit k
issued (Sec. 3097, Civ. C.).
[-ender's Name:
lrnder's Address:
APPLICANT NF'CLARATION
I trcreby affrm undcr pcnalty of pcrjury onc of the following dcclarations:
Dcnplition Permits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6)
-Rcquired
lrttcr of Notifrcation
_l ccrtify that the fcdcral regulations regarding asbcstos removal are not applicablc to this project.
Lh..rtify that I have read this application and state that rhe abovc information is corrccl. I agrcrc to comply with all City and County
ordinanccs and State Laws rclalirrg to building and hcrcby authorizc rcprcscntativcs of this City and County to cntcr uJmn thc
atxrvc rrrcntioncd propcrly for inspcction
Applicant or Agent
Pernritee name
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinss (T-Bar Rouqh)
N/eter Release
Rough
Service N/eter
FINAL
Notes, Remarks, Etc.
-I
E--:-^.,.
_License
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