HomeMy WebLinkAbout20173509 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
Permit Counter. (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2o^173509
Pin #: 4O9O2Rr
Proiect Address: 701 E Stanford St-a
Assessor's Parcel: 014-392-01 Lot: 43
Unit:
Block: NA
Bldg:
Tract: 6337
Address Range:
Historic. No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Harkirat Jando
701 E STANFORD ST
Santa Ana, CA 927072347
(626) 3s1 -1e27
Choice Air
3633 Woodpecker Street
Brea, CA 92823
(7'.t41 388-7986
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Air Conditioner
General Plan Update
lssuance
Microfilm Records
a Amount
104.40
23.79
59 30
405
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$1 04 40
$23 79
$5e 30
$4 05
State Lic #: 855665
Lic Type: B, C-20
Bus. Lic #: 342939
Workers' Compensation I nsurance:Carrier: W.C. Evanston lnsurance
Policy #: SWC1328038
.r, Expires: 03/01 12022
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Lll I t6ut-t2- lil6t-tJt-tCItt-, Brilding Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
HVAC
Jacinto, Heidi
Chavez. Dave<2.o
Occupancy:
Constr Type.
Code:
Date:
Date:
Date:
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Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
06/1 5t2021
06/1 5t2021
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Notes: !nstallation of HVAC system
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 the 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
$1 63 70
$4.05
$191 54
$0 00
$191 .54
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lnspector MrD#' 2021-166786
n
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNE,R BUILDER DELCARA'I'ION
I hereby affirrn under penalty of perjury that I am exempt from the Contractors' License Law for the following reason (Sec.7031.5
Business and Profession Code): Any City or County which requires a permit to construct, alter, improve, rlenmlish or repair any
structure, prior to its issuance. also requires the applicant for such permit to file a signed staternent that he or she is licensed pursuant
to the provisions of the Contractor's Licensed Law (Chapter 9, Commencing with Section 7fiX) of Division 3 of the Business and
Pnrfessions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any
applicant for a permit subjects the applicant to a civil penalty of not mure than five hundred dollars ($5001.
-1,
as owner of the property, or my employees with wages as th€ir mle compensation, will do the work antl the struc'ture is not
intended or offered for sale (Sec.7(Xa, Business and Professions Code: The Contractor's License Law does not apply to an owner of
the property who buikls or improves thereon. and who does such work himself or herself or through his or her own employees.
providetl that such improvernents are not intended or offered for sah. If, however. the building or inqrrcvefis s<rld within one )€ar
of completk)n, the Owner BuiUer will have the burden of proving thar trc or she did not buikl or improve thilfrny for the purgrse of
s:rle).
-1.
asowner of the property, amexclusively contracting with licensed contractors to construct the pmject (Sec. 7044. Business
and hofessbn Code: The Contractor's License Law does not apply to an owner of proJrcrty who builds or improves thereon.
and who contracts for such prujects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-IamexemptunderSection-,B.&P.C.forthisreason.
WO RK EILS' COMPENSATI ON
DT'CI IRATION
I hereby affirm under penalty of perjury one of ttre following declarations:
-lhaveandwill
maintainaCertifrcateofConsenttoSelf-lnsureforworkers'compensation,as providedforbySection3T00ofthe
Labor Code, for the performance of the work for which the permit is issued.
_l have and will maintain workers' compensation insurance. as required by Section ST00 of the Labor Code. for the yrcrfirrmance of
the work for which this permit is issued. My workers'tnsurance and gxrlicy number are:
a
Poricy *,^*,, '* CV...E IWO% Expires:
b
-l
certify that in the Srerformance of the work for which this prmit is issued. I shall not employ any F,erson in any manner
so as to beconp subject to the workers' compensatbn laws of California. and agrce that if I shoukl becorne subject to the
workers' compensation provisions of Section 3700 of the Latnr Ccxle, I shall, forthwith comply with thor pmvisions..
WARNING: Failure to s€cure workers'comJrensation coverage is unlawful, and shall subject an employer to criminal penalties and
civil fines up to one hundred thousand dollars ($100,000). in of comlrcnsation, damages as provided 6,11fire
attorney's fees.
(
I hercby affirm under penalty of prjury that I am licensed un<Ier provision of Chapter 9 (comnrncing with Section 7m0) of Division 3
of the Business antl hofessions Code, and my license is in full force arxl effect.
License e B
t
I hereby affirm under penalty of Srerjury that there is a construction lending agency for the performance of the work firr which this permit is
issuetl (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
A PPLICAN'I' DECLARAI'ION
I hereby affirm untler penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Recluired
Letter of Notification
with all City and County
and County l0 enter uprn the
above mentioned property for inspection
Applicant or Agent
l)e rnritee D(
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service Meter ,a-I h.n */a
FINAL lUt/l v\-tt (/I
Notes, Remarks, Etc.I
Rev. 0B-07-2015
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