HomeMy WebLinkAbout20166349 - 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 Sectjon: (7'14) 647-5853
Electrical Permit #: 20{66349
Pin #: 29017
Bldg:
Tract: 359
Address Range:
Historic: No
Suile Range:
Zoningr R1
qProject Address: 2425 N Poinsettia St
Assessor's Parcel: 003-081-13 Lot: 9
Unit:
Block: A
Owner:
Address:
Conlractor
Addressl
JUDY W TSCHETTER
2425 N Poinsettia St
Santa Ana, CA 927062051
(7141972-1762
Service Champions
3150 E Birch Street
Brea, CA 92821
17'l41777-7777
01 1 '16002 51603
01116002 51600
01 't16002 51603
Amount
24.79
22.O8
55.04
Fee Type
General Plan Update
lssuance
Qty
1 .00
1 .00
1 .00
Tenant Name
Sotch +: 4,1690
0ff ice; CTYH
Acct+:
7/9/2n19
Tnanri 3
Re
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: '196430
Workers' Compensation lnsurance:Carrier: Pacific Compensation lnsurance Company
Policy #: WA00060703
Expires: 0312212019
Rcpt+:[?321665 -
Trsnsoct iofl Totsl
Serv ice Chorp iong
Genernl Pl
0111600?-
E I P.tr i.ol
01116011?-
ICL Checlr
qn Updote F
5 1 6 0r.100r1-
5r603000-
01711t
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
A/C change out
Chavez, Dave
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 20r6 Notes: A/C change out.
Date
Date
Oatear'07t09t201a
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shallbecome invalid unlessthe wo* on the site
authotizod by such pemil is commenced within 180 days aftet ils
issuance, or il lhe work authorized on the site by such pemit is suspended
or abandoned fot d peiod ol 180 days after the time the wo* is
commenced.
$101.91
$0 00
$101 .91
lnspector MID#: 2018-144514
011 16002 51600
01'1 16002 51603
Fee Total:
Paid lo Date:
Balance Due:
Phone:
Fee
$24.79
$22.08
$55.04
Phone:
t??. trg
979 - fll
Planning Conditions:
$22.08
$79.83
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ()\lNl:R BUll,llllR DELc,\R,ll loN
I h.rcby nllirln undq reoalrr r,f pcrjury rhol I an cxcnDr rtu rhc C.trlrrclo^ l-iccnsc tiw for llrc tollo{ing tctr$n (S( 70.115
Busincsx !M Prcrcssion Gtc): Any Cil, or C.umy which rcquircs a Pcmir lo onslru.t. aho irflovc. &mrli\h or rcpJn inv
\rdcrue- rior b ts nsu!rcc. lto Eqxios lhc qrnli.anr aor \uch Fnnir kr lilc ! sigtud iatc'mnl lhol hc or shc i ticcncd PUmmr
ro lhc pmvi\i(ins or rhc cotrt.crofs l-iceo*d hs (chlprcr 9, ConnftkinS wnh Sccrn,n 7(]m ol Division I drrh' Btrsin's md
Profc$n'ns Cod.) or lhrr hcorshc ircxcmpl lhcrcfto lnd lhc ba{is ror rhc ollescdcx.tuflbn AnyvnnutionorsdtionT0:11.5bvrnv
appli.,nr for r pclmil suhJcrrs th. stpli.ant lo acililPcnalry.fnor mrclhon fivc hundrcd dollds (l3n)
l. $ owncr of lhc ltr.lfdy. or nry cnplolEr wirh sdScs as rhcir $le .onr.n\dion. will d! llt {orr uld rhc snd@ is mr
inrcrt|d or ofl.red r.r $lc rse ?O14. Blsinc* nnd Pmfcsions Codc Thc Conractois Licensc riw docs nol aPplv !o on owrcrof
rhc rn,pcriy sho hoildr or nnpore. Emn. od who dcs skh M,ir hinscllor hcr.lror rhnnrgh hh or ltr 6*n cnlnovcc\-
pfuvidcd r lrt sDch inDrovc.Enb d frr intcBlcd .t or.B1 f{, {h ll h)kvcr (lE huiding or itr{htlm.r is $ld wirhin orc r{
;lconqJhri4 rtr o*rcr Auibcr ,ill ha\t rh. bun ofProri.slhd lEdsrf,dil mr tlild or impnM lhc lFFnv ro: rh. turpos ol
-1.aso*nrrol$cpn,pcny-a
cr.rhiv.ly.ontrNlirrs wilh liccnlcd .oDlriclor lo .on(ru.r rhc lolccl(Sa.7o1t B^inc$
a l PftJfssihCodc: Th.ConttcrolsLiccnsc lj*docs mr trpllyto ano{ncr orFoPcnvwho huild\ or improrcs rh'rcon,
{nd who comm.k for such Fojccrs *nh , conricro(, liccn{d ptr(unnr h lhc conr'acftt Lhcns uwl
I crcNo utrdcr Sc.r
6 L.azo <!S(o
3
CONS'fRIJ(1]IoN I FNDING AGFN(]Y
I hcrby lmrmunder,,cnalryofp.rju.ylhal rh!rc i{ t.onsdclion lcndins asc.cy for rnc t'(rfornencc ofrhc wor* {or rhichlhir |Ermit is
hsu€d (Scc. lm7. Civ C.).
APPLICANT NFCL RATION
I h.r'by,fllnnundcrynnllrr.rtdrjury one ollhe l'ollowiir dcclahtiLins:
Dcnrhion P.mnsAshcsros Norificarion Fcdcrll Rcsulalions (Tirl. 40, Ptrn6)
-Rc!!t
d lxflcr of N.tificrrt,n
l.drilyrhd rhc ltdcral rctuhriotrr rcB ding tr\Irdo\ rc.{,Ml rrc nol rtPli.rblc to rhn !rojccr
l.cdilt rhrrl hi\crctullhis!Iplicari('nMJnd.rhd rhc lltx)vc inlnrnri.tr iscoilccl lrgrccr
. in.n.c\ r Srar.Lrwrrclali4lohuilding..DNrr.riotr,iNlhcrchyrtrrh.riltrcltrcscdrrivc\.f
ak,vc nEnriurd pmpcn, Li iNrcclionI)u
Applicanl or A8cnl Signaluft :
,Q"7 /nL-r2"15
o conply qirh lllCny,trd Counly
rhrsCr) ond Cnu.ryh c nulsnrhc
*,"-2fr/s
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lVleter Belease
Rouqh
Service ltrleter
FINAL zlcs ltx f-ntn*t 4.,,
Notes, Remarks, Etc
"*ffi
I hcrcby.mnnundcr pcMlry or pcrjuly orc ofrhc follosing dmld0lions:
-l
hovc od siu ndmai. . Ccnifrdlc of Con*nt b sclf'lnsurc tor workc^ comrcnsal io.. !s Fbvil.d lor bv Scl ion l7m of rh.
tjbor Codc. for thc pcd.rro..c or lhc uo* for *hth rh. pcmfi ir nsued
,ldfho"c aid *ill 6!ii!,ii wortcn coopeordrbn insnrlnce. as rcqlncd hy sccrion l?00 or rhe Lf,hor codc. ro. rh. Fro'nErcc or
thc sflk fowhrhrhF n€m r F\u.d My*dkr^ s,r{t$alr.n in\uEr.raEf,r ad n lk, ndrnrrr e
,*", PAc"r rtC r /
n,.,"..*,-!DA @oa-Q2Ql- r,,". 1/z-z//?
-l
cdity thar in lhc pcrto,mftc o(rhc solk fo. *ti€h rhi r.rnir is nsucd.l sh.ll noi.mplov anv P€rsn i. anv mrnncr
s * to Sccom slbj.rr rd ihc uorkes' conqrnsal ion l.ws ol C,liforni[ and agm rhar if I sholld rrconr bjcd to rhc
workcs am!€nsalion pbviqi.nsofScclion 3700.lrhc rih.t Codc.I shlll- tiinhwid omplv Nilh rho{ lmvhions
WARNINC: Fdilui.lo s.urc vorkc .omr..sdion cov.mse is oni,wtul. n.d shlll s hFi an cmFlolq lo dimin lEroties ond
ciril fi.cs up ro onc hundr.d rholrlnd dolltrs ($lOO,(xlO)- in dddirion lo rhc cost orcomtc.srliotr. d!@gcs ns providcd lor rh'
Sc(ri6n J07o.llhc tit-{ C.dr. d'cr+{ Ed atroirEy\ lccs
,n" @I'7/7t4o,u-^, E--
I hercby amrn undcr ncnolryofFrju,r rhd I an li.cns.d lndcr Pmviiion orC:lEPlr 9(.omren.inC wilh Sslion 7000) olDivision l
of rh. Businc$ lnd Pmfcsions Codc. ad hy lncn* is in tull forc and eltecr
tfid(r . N.'n,c