HomeMy WebLinkAbout20166739 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ot66739
Pin #: 20495
Bldg:
Tract: 7481
Address Range:
Historic: No
Suate Range:
Zoning: Rl
E
Assessor'sParcel: 396-253-32 Lot: 10
Unit:
Block: NA
Owner:
Address:
Juanita Vazquez
1422 E Cherry St
Santa Ana, CA 92705
Builder Services Group dba
475 N WILLIAMSON BLVD
DAYTONA BEACH, FL 3211,
(3861 304-2222
01 't 16002 51603
01 1 16002 51600
01 1 16002 51603
Amount
24.79
22.O8
55.04
Fee Type
FWU
General Plan Update
lssuance
Qty
't .00
100
100
Fee
$24.79
$22.08
$5s.04Phone
Tenant Name:
Botchi:45530 - 8/22/7119off ice: CTYH Tpsns+: 71Aict+: Ref+:
Rrpti:n?360494 - B/22/2lt!
Tronsoct ion TotolPhone
State Lic #: 1034361
Lic Type: B, C-61, C-2, C-20, C-33
Bus Lic #: 368185
Workers' Compensation lnsurance:Carrier: ACE AMERICAN INSURANCE COMPANY
Policy #: WLRC/I858147
Expires: 06/30/2019
iDi LRt,SAI-f
n
I
I
ldEr
GenffoI
nt 1t 6n0?
GrouF dl'{ I
Flan lJpdote Fee
- 5168r'l(rl:rf-r-
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Single Family Dwelling
Miscellaneous
AJC change out
Planning Conditions: Approval for A/C condenser change out only, like-forJike. No other work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
permitted.
Gomez, Pedro
Chavez, Dave
Every pemil issued shall become invalid unless the wo* on the site
aulhorized by such pemit is comfienced vtilhin 180 days after its
issuance. ot ifthe wotu authorized on the site by such pemit is suspended
ot abandonod for a peiod of 180 days afier the time the wo* is
commenced.
o4122t2018
Account#
Notes Replacement of existing A/c system. Same lcoation.
Like for like.
9101.91
$0.00
$101 .91
o8122t20'18 Misc. Receipt:
N4isc. Receipt:
lVisc. Receapt:
Total
lnspector MID#: 2018-145585
01116002 51600
0'1116002 51603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due
Project Address: 1422 E Cherry St
Contractor:
Address:
12.1-.118
$7? .9.r-
Date:
Date:
Date:
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DI]LCARATION
I hcreb, afirm undcr l,ctrllty of lcrjury rhar I m .r.n'nr frcnr tlE Conlo.ro6 l,iccns Li* for lhe folloqins rcu$n (S(.?oll.5
ausincss ,nd Pmrcssion Cde): Any Ciry or Counry shi.h rcqun s r Fmir lo en{ru.r, alr.r, improvc, dc.hli\h or rcpan a!,
{dcturc. Eior to irs LlsuN., also,€qriEr rhe lpplicmt for such Fmn to fiLasign d star.m rhal hc or sh. ic hc..sed ruBua.r
ro rhc phvnioic ollhc Conlnclor's Liccnsc{ Irw (Chaflcr 9. Comrcncjns witi Sccrhtr ?OO0 of Divtion I of rhc gusi.c$ snd
Pnfcssions Cod.) or rhsr tEor.hc h.rcryr rhcrcfrcor.trdrh. h$is for th. allc!.d . rc mpr ion AnyliolariorofS(rionTO:ll5hyan,
{plicanl for a pcmil subjNls lh. applicnnr ro,cirilp€nrhyolnol nwe rhln l'rv. hlndr.n do -s($500)
I. rr oemr .f lhd lrnF.r!. or ny cnplorcs wirh w.Ecs rs (h.i Rnc .onDcnsrr io6. will do rlr uork md rlt {tum i\ fin
irlrRkn or ofrcrcd lor $lc ( Sd.70t4. Bxsi.es r.d Pr.tc$ioN Codcr 'l hc Coninclols Liccn* t w docs nol lPply to an owncr or
rhcpNFny wh hilds 6r iryrorcs dxjmn. lnd who d6 slch w,lk himsclf or hcrelf orrhrooBh hi! shcro{n cnIk,}c8.
J,i(,!ided rhar such inrrorcmnrsmm, irtcndcn or o ftcrd foi elc. l l tu,wM.rlE hildingor irymrcmnr is sld Nirhirorc rte
ol cotr{'hion. th. ow..r auildcr will hrvc rh€ burden of pnvlns rhol hc or sh. did ml hild or impmrc dc pmFny for ilE puqn* ol
-1.
nso*rcror lnclllo|[ny. i,ncxclu\ilclt.onrdcring wilh liccnscdcontrocro^rocon(rud thc trejcct (Sc! 7t!l4, Lustric(
trid lbrcsii Cdlc: 'l hc Contrrrols Licctrse Lrw docs tror rptly k, trn owndr orpr.pcny wh{r build\ or i'.pFvcs rhcrcoo.
and Eho .o nds rrtr such projc.r sirh!Conhck(r liccnscd purui i0rhcCotrr..roir Liccn* tr*)
-l
lncrcnrnr unlcr sc.(mn .B &PC lorinisrcrn,n
Dole: Orner
rr)f,rlrN:r(,lttlitrAtroN
DTII.AIAIION
I hcrcby !all! undcr Fnllryofl*auryonc orrh. rdlowios dccl arions:
_l har &d will 'Einllin a C.nifratc of con*m ro Sclf- lnsurc tu wtrk€c ompcostk'r. s D,Dvilcd for by Serion l?m oa trE
Lrhor tuc. for lhc,,.rfmlm.lth. wor( Ior *hi.h th€ p.mil t issocd.
1 havc a.d qill mrinrrin workcr' compensarion ins@tuc, ai eqltcd by secxon r7(D or th. kbor codc. ror trE psfornurc€ of
lhc work for whth lhG p.mil is is$cd. lry wo*6s coqbsation insonnce cutr ad policy nuhbcr ml
c,.n,llcd trl4€^t. ,t)
5-i t 'r4 </ ta l19
Iccnilyrhd irrh.pcrli,min c.ilhcBork tu wh hrhi\Ifnnir i\n{'o{|.Is lltror crployrtry ncron l.nny nMncr
q, .(k,lf,om shjcd ro rhc *(trkc6 compctrs.iiofl hq(orcilitunria. (t l€to.Ihar ilI sh.uiJ hccom shJld l{,rll
*o'kc^ con,Fnsrri,Dptr,vhionsoiSccrion.lTU)olrhctjhrrCi c. l shrl . tunhw irh .o rrlv wirh rho{ prcvi\ior
WARNINO: lailu,c lo scurc workcs compcnsari.n covchsc i{ unlawrxl. md shlll rlbFcr an cmployrr ro oinioal rEMltis lnd
.ivil fi6.{ up ro od hundrci rhousnd dolltrs (Sloo.om). ii sdd nin (' rh. cn{ or comnclerj!|. d,mgcr ai pmrided tor rhr
S(rrcn nr76.l rhc lrn Gxic. inrc,c{ ! alormy\ fe.. , -Z--
o,'", t t/zzf rl. ^*r*,,* {'( / ''' e
LrclltEtLcottrtAcrrlBp&ct ASar&N
I ltEby aflnn utrder Fnahy of !.rrury thol I m lic.nsd hd.r f,rcvisio. ol Chlptc, 9 (mmmrcinB Nilt Sation ?uJO) olDi"ision l
of lnc Busircss and PolcsiorN codc.,nd ny lic.nsc is in tu|, tore andcfrNt.
Li".n{"cl,.*,}t-aa
u,r. n t/s zlr
(]ONSI'RI]CTI(}N LENDING AGFNCY
I hcFby aflirn undcr lcn{xy of Frjury rhar rh.e h . connddioo hndin8 sScncy fo! thc lerfornEm of rhc mrt for whkh thk rmir iq
issucd (s(. lor7. ci!. c.).
AIELIIANLDEII.Aa^.IjON
ILnbydln und$ prnrlry.rp$jury oic orrhc rollowins dcladions:
D.nn'lirn{ P.rnrir! ast no\ Norilicrrion lcdcralRcaulnrior lTirlc Llo. PM6)
Rcqui'cd l-rrrcr.f Norilid i,n,
_l ccrrify rhar thc fcdcml rcguhrions EgardinE (sbcsrN rcnDvolarc nol amlicublc lo this rrol€cr
/ccdily rhll I hale rcud rhis arplicnrion ud srete th lh. rt I agre lo enDrryith srt cil, rnd counry
o,{inr0.$ n.d surs Laws ElatinS ro b!ildin8 conchdior md hc,!b/ ru'hona rcprc<nldr$ ofrhh c y lnd counry to.nter uNn lh.
,hoE mrrtumd nmlcn, for hsF-rron purnqarA .?
noou,*r",ou",tr,,*>L.k /? o"," 6-zz -/ P.
P.md,rn,m.(prr ,, *- a-Puts+l fotc'-
Site-Work
Unde rground
Pole Bases
S S Pool Fountains
Lile Safety /Low Voltaqe
fle Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Translormers
Torqueing
Sub-Panels
Air Conditioners
Rool To ul ment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilin S Hard & Soflit Rou h
Meter Release
Rough
Service lvleter
FINAL <,tso/l(5\84
Remarks
ELECTRICAL-INSPECTOR RECORD
Landq " Addrc$
Liqht Standards
Siqns (monumenl)
Bondino / Groundinq / UFER
Ceilinqs (T-Bar Rouqh)
Notes,EtC.