HomeMy WebLinkAbout20173568 - PermitPin #: 87
Project Address: 2318 S Greenville St
Assessor's Parcel: 408-232-03 Lot: 20
Unit:
Block: NA
Bldg:
Tract: 2260
Address Range:
Historic: No
Suite Range:
Zonrng: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrica!
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2O173568
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Esteban Fuentes
2318 S Greenville St
Santa Ana, CA 92704
(7141 788-24s3
Eco Fresh HVAC lnc
228 E 2nd Ave
La Habra, CA 90631
(7141 855-1717
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
125 Volt Receptacle
Light Fixtures
Air Conditioner
Dedicated Circuit
General Plan Update
lssuance
Microfilm Records
Amount
1.57
1.13
104.40
26.71
23.79
59.30
405
Qty
1 .00
1 .00
100
2.00
1 .00
1 .00
100
Fee
$1.57
$1.13
$1 04 40
$s3 42
$23 7e
$5e.30
$4.05
r
Phone:
State Lic #: 1027312
Lic Type: C-20
Bus. Lic #: 370955
Workers' Compensation I nsurance.Carrier: lnsurance Company of the West
Policy #: WSDS05961000
Expires: 0211712022
Botch+351628 6/2L/2A2I ID: o,trornlesl l
0f f i ce ; (:TYH Trgn s* i' ? I rrf 3Acct*: Ref*: 2tt17:J569
Rcpti:tr3321243 b/21/2tr2l S:51 AH
Iranssct ion Totol f733.62
Eco Fresh HVA(: Inc
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
A/C
Arabe, Jill
\d Hernan dez, Kathy
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
06121t2021
06t21t2021
Account#
Misc. Receipt.
Misc. Receipt.
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Genernl Plnn Updnte Fee
ul I l6(ru2- 516Lt0Lt0Lr-
ll i crot' i lm & Documen[s
01I160U2- 377 700110-
El ectr i col
01 I 16u02- 516(13(1110-
Uisn
C(:* : *rrrrrr r*r * r5622
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.
lnspector MID#: 2021-1 66905
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 7e
$2t 9 82
$4.05
$247 66
$0 00
$2q.66
t . dr,l
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNER BUILDER DELCARATION
I hcreby afftrm undcr pemlty of lErjury thtrt I m cxempt fmm the ControctoE Liccn* Law for the fotlowing rcamn (Scc.il31.5
Business ord Prcfcssion Codc): Any City or County which rcquircs a Fmit to construct. altcn improvc. dcmlish or rcpair an,
structrc, [rior to its issuance, also rcquircs lhe applicst for such Jrcrmit to filc a signcd strtcrcnt lhal he or slE is liccnscd pllrMt
lo the Imvisions of the Conretor's Liccnrcd law (Chaptcr 9, Comercing with Section 7000 of Division 3 of thc Busircss ud
Pmfcssions Codc) or th.t hc or shc Ls cxempt thcrcfrom and thc b$is for thc slbgcd exemlnion. Any violation of Sction 703 I.5 by any
applicant for a Jrcrmit subjNts thc applicant to a civil penalty of not mrc thm fivc hundrcd dollas ($5fi)).
-1,
as owrrcr of the propcrty, or my employecs with wagcs Bs thcir solc comfrcnsation. will do the work and thc structurc Ls not
intended or offered for sale (Sc.c.7044, Busincss and Professions Codc: Thc Contractor's Liccnse Law does not apply to an owncr of
the propcrty who builds or improves thercon. and who docs such work himsclf or hersclf or through his or her own employees.
providcd that such improvcnrcnts arc not intcnded or offerLd for salc. If, howcrrcr. the building or improvcnrcnt ls sold within onc )rar
of completion. thc Owner Builder will have thc burden of proving that hc or shc did not build or improrrc thc propcrty for thc purgnse of
salc).
-1.
as owner of thc property, am cxclusively contracting with liccnscd contractors lo construct the project (Scc. 7W. Business
aml Pnofession Code: The Contractor's License Law docs not apply to an owner of property who builds or improves thereon.
and who conlracts for such projects with a Contracto(s) licenscd pursuant to thc Contractor's Liccnse l-aw).
-lamcxcmptundcrScction-'B.&P.C.forthisrcason.
Owner:wonr<nworr
DECLAIIATION
I hereby affirm under penalty of perjury one of the following declarations:
-l
havc and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
Labor Code, for the pcrformance of the work for which the frermit is issued.
-l
havc and Scction 3700 of the Labor Codc, for thc pcrformance of
rue:thc work for carrier ud policy
Policy
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ccrtify that in the pcrformance of thc work for which this pcrrnit is issued. I shall not cmploy any pcrson in any lnanncr
so as to bccomc subjcct to the workcrs' com;rcnsation laws of California, and agrce that if I should become subjcct to the
workcrs' cornpcnsation provisions of Section 3700 of the labor Codc, I shall, forthwith comply with thosc provisions..\
WARNING: Failurc to sccure workcrs' compensation covcragc is unlawful. and shall subjcct an cmployer to criminal J:cnaltics and
civil fincs up to onc hundrcd thousand dollars ($100,0001.
Scction 3076 of the labor Code, intcrest and attorncy's fees.
tn thc compcnsation. damagcs as provided for thc
!
I hcrcby affirm undcr penalty of pcrjury that I am liccnscd 9 (commcncing with Scrtion 7000) of Division 3
of thc Busincss and Profcssions Code, and my liccnsc is in full force and clTcct.
Liccnsc
W
I hcrcby ufiirm undcr Fnalty of pcrjury that lhcrc is a constructk n lcndhg agcncy for Ihe pcrformncc of the work for which this tsmit is
issucd (Scc. 3097, Civ. C.).
[rrtdcr's Namc:
lrndcr's Addrcss:
APPLICANT DF'CI ARATION
I trcrcty aflirm undcr pcnalty of pcrjury onc of the following declarations:
Dcrnolition Pcrmits-Asbestos Notification Fedcral Regulations (Title 40, Parl6)
_Requircd lrtter of Notification
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ccrtify that thc federal regulations regarding ashstos rcmoval arc not applicablc lo this projcct.
_l ccrtify that I havc read this application and statc that thc abovc information with all City and County
and County to entcr upon theordinanccs and Statc l,aws rclating to
abovc mcntioned propcrty for
Applicant or Agent
Pernrilee n&nre
and
I
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners ?-/a- ?-t As-**z
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
N/eter Release
Rough ? -/F-?.t 2.^?41-
Service N/eter
FINAL V.-la,-'' ,D<aat al>
Notes, Remarks, Etc.
[f,nrr nQ n7 Onl tr
(
Date:_
fiDate: f elu/tfl-t