HomeMy WebLinkAbout20173681 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: ?M) 667-2738 lnspector Section: (714) 647-5853
Permit #:20173681
Pin #: 65
Project Address: 1903 E Fruit St
Assessor's Parcel: 400-171-06 Lot: 4
Unit:
Block: NA
Bldg:
Tract 9208
Address Range.
Historic: No
Suite Range:
Zoning: R4
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
lnes Guerrero
1903 E Fruit St
Santa Ana, CA 92701
(7141 585-3670
Futura Energy lnc
13142 Barlon Road
Whittier, CA 90605
(562) 941-7459
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
4.05
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$26 71
$23.79
$se.30
$4 05
Batch*:5?762 7 / L/2tt?I I0: t1F'INEOAOflice:(:TYH Trans*:l"q 3of'3Accti: Ref*: 2[t173681
Rcpti:033+117& 7iL/2tt2l g:21 Al1
Tronsoct i on Totoi t599,48
State Lic #: 985827
Lic Type: C-36, B, C-10, C-20
Bus,Lic #: 351485
Worksrs' Compensation I nsurance:Carrier. TRUMBULL INSURANCE COMPANY
Policy #: 76WEGGB7317
Expires: 0712512021
Replace furnace & a/c compressor
t23 .79
$86. [tl
14, [|5
i5gg,4s
AuthS:tt2 l lSG
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
Alteration
Furnace & A/C
Occupancy:
Constr Type:
Code:
Date:
R-3, U
VB
cEc 2019 Notes:
07 t01t2021
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 fhe site 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
$86 01
$4.05
Fee Total
Paid to Date:
Balance Due:
$1 13.85
$0 00
$t t 3.85
Inspector MID#: 2021-167136
il
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DELCARATION
I hcrcby allirm undcr Fnalty of [Erjury that I m cxempt ftom thc ContrrcloN' Liens kw for thc fotlowing rcasn (Se.7031.5
Busincss ud Prcfession Code): Any City or County which rcquircs a tmil to construct. eltcr, imprcve, &mlish or rcpaL my
structurc, Irior to its issuance, als rcquircs thc applbut for such lEmit Io filc a signcd ststcmnt that he or she ir liccnsd pu$dt
to thc pmvisions of thc Crntractor's Liccnsd Law (Chptcr 9, Commncing wilh Selion 7000 of Division 3 of thc Busincss.ild
PmfcssionsCodc)orlhatheorsheiscxcmptthcrcfromedthcbaslsforthcallcgcdexcmption. AnyviolationofsetionT03l.5bydy
applicant for a trcmit subjsts thc applicant to I civil pcnalty of not mrc than fivc hundrcd dollus (S50O).
_1. as owner of thc propcrty. or my employecs with wages as thcir soh compcnsation. willdo thc work and the struclurc i.s not
intcndcd or offercd for salc (Scr.7Ut4, Business and Profcssions Codc: Thc Contractor's Liccnse [:w does not apply to an owncr of
the propcrty who builds or improves thcreon, and who drrcs such work himsclf or hcrsclf or lhrough his or hcr own cmployccs.
providcd that such improvcrncnts are not intcnded or offered for sah. lf, however, thc building or improvcrncnt is sold within onc ycur
of completion, the Owner Buildcr will have thc burdcn of proving that hc or shc did not build or improve the propcrty for thc purp.rs;e of
salc).
-1.
as owncr of the property, am exclusivcly contracting with liccnsed contraclors to construct thc prof.ct (Sec. 7W. Busincss
and Prrofcssion Code: The Contractor's Liccnse Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnse hw).
-IamexemptundcrScction-,B.&P.C'forthisrcason.
Date:
WOBf,EBI.GT}MEENSAIAN
DECI.ASAIIAN
I hcreby affum uodcr penalty of perjury orc of thc folbwing dclantions:
-l
have ard will mintain I Cerlifrcate of Consnt to Selflcurc for wkss' @trpensarion, s prcvided for by Setion 3700 of the
trbor Codc, for the lErfomnce of the work for whth the permit is i$ucd.
(-l havc and will rointsin workcB' compcnsation insurance, s rcquirct by Setion 3?OO of the Lrbor Code, for thc lgformncc of
' the work for which this permit is isscd. My work6' conpenration insurucc cmier ud [Dlicy number ue:
[-7 2-6- ->l
Policy
-1
t
_l ccrtify that in thc pcrlbrmancc of thc work for which this pcrnrit is issucd, I shall not cnrploy any pcrson ir?tny tnanncr
so as lo bcconrc subjcct to thc workers'conrpcnsation laws of California, and agree that if I should bec<lmc subject to thc
workcrs' compensation provisions of Section 3700 of the labor Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccurc workcrs' compcnsation coverage is unlawful. and shall subjc.ct an cmployer to criminal pcnalties and
civil fincs to orrc hundrcd thousand dollars ($100.000), in addition to the cost of compcnsation. damages as providcd for the
Scction of interest and attorncy's\.L
DECLARATION
I hcrcby affrm under pcnalty of grcrjury that I am liccnsed under provision of Chapter 9 (comnrencing with Section 7000) of Division 3
of the Busincss and Profcssions Codc, and my license is in full forcc and cffcct. -{
Liccnsc Nunrbcr:
otrt(q.1
W
I hcrcby allirm undcr pcnalty of p€rjury that thcE is a @ostruction krdirg agcrcy fo. the Frforc of the work for which this pcmit b
issucd (Se. 3097, Civ. C.).
knder's Nam:
Lender's Address:
APPLICANT DECLARATION
I hcrcbyaffrmunder penalty of pcrjury one of the following declarations:
Demolition Pcrmits-Asbestos Notification Fedcral Regulations (Title 40, Part6)
\Reouired lrttcr of Notifrcation-\
-I
certify that the fcderal regulations regnrding asbcstos removal are not applicable to this project.
I
/ I ccrtify that I havc read this application ard state that the is correct. I agrce to cornply with all City and County
ordinanccs and State l-aws relating to building construction, and represcntativcs of this City and
abovc mcntioned property for
Applicant or Agenl
Permitee nanre
-aulhorizc
a
lo cnlcr ugrn thc
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)
Walls (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
N/eter Release
Rouqh
Service N/eter lr
FINAL qlLa A f 6rfi-
Notes, Remarks, Etc.I \J
t
Qnrr nO n7 Onl tr