HomeMy WebLinkAbout20167485 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (l\4-19), Santa Ana, CA92702 Electrical Permit #: 2O1674As
Pin #: {9603lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address:1425 E Fr nzen Ave Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 396-242-38 Lot: 7
Owner:
Address
Fee Type
01 116002 5160: Air Conditioner
01 116002 5160C General Plan Update
01 1'16002 51603 lssuance
Qty
100
1.00
1.00
Fee
$96.90
$22.08
$55.04Phone
Tenant Name:tL/21/?otg lt)l
irsns+:22
REf + I 2rlr
- 1t/27 /rlitrg 1\
Contractor
Address:
Purcell Air Conditioning lnc
P.O. Box 6925
Orange, CA 92863
(714) 632-0250Phone
otol
rn0rtioning
updote Fee
,r-(100-
,JUtt[r-
r r**0917
Stale Lic #: 915946
Lic Type: C-20
Bus. Lic #: 371205
Workers' Compensation lnsurance:Carrier: Everest Natlonal lnsurance Company
Policy #: 760001,t593
Expires: 06/01/2019
gener
ulr16
Elertttlltl
Viso
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
AJC
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #;
Orozco, lvan Datel
Date:
Date:
't 1t27 t2014 l\4isc. Receipt:
Misc. Receipt:
NIisc. Receipt:
Total
\Lt Hernandez, Kathy 11t2712018
Account#
Every permit issued shall becorne invalid unless the work on the site
authoized by such pemit is commenced within 180 days aftet its
issuance, or if lha wo* authorized on the site by such pemil is suspended
ot abandoned for a petiod of 180 days aftet the tine lhe wotu is
cofimenced.
$22.08
$151 .94
$17 4.O2
$0.00
$17 4.02
lnspector MID#: 2018-147917
01 '1 16002 51600
01116002 51603
Fee Total
Paid to Dale:
Balance Due:
Btdg:
Tract 9151
Yolanda Villa
1425 E Franzen
Santa Ana, CA 92705
(714) 296-45s3
gotsh+
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Acqt+:
Rcpt i: :'fronEs
Iur
Amount
96.90
22.O8
55.04
Planning conditions:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Rough
Service Meter
FINAL t/'f/!1 1\8q
Notes, Remarks, Etc
OWNER BUII-DER DELCARATION
I hcrcby aflim undd poalry of Frluryrh3l I dn.xmpl 6orn lh. (.onk,croB Lic.nse Lnw for th. aonowins rcen (S6h3l5
slsin.ss and Proieion Co&)r Any Cily or Counly which requt6 . pomn ro coNtod, ahs, improv€. &nolisn oi rcpan dry
slrudwe. pior ro its iss@cc. llso r€qui6 rhc applicd lor such pamn $ fi1. . sisn€d slaloncnt thal h. or 31l. ir licded pl^umi
ro lhc ,novisioft of lhc contactois Lic.nrd L.w (Chapl6 9. Conrm€nci.! Nnh s€tion 7000 ol Division I oflh. auin s ed
Prufsions Cod.) or rhat hc or she is crcmpl th6.lio,n ed th. b6is for lh. alLt.d .xmplion. Any viohlionofsetio. T0ll.5 by any
applicant lor a p€mit subjdB rhc rpplicdr lo a ci! il pmalr, ol not mrc lh fiv. hun&cddotlds {$s0o)
I. s own6 of the prop€rly. or my cmplo)6 rvilh s as6 as rhci, 3ol. .onp.nsalion. $ill do th€ ro* ad $c amdu. t not
inldrdcd or oatdcd lor elc (SE 7044, B6i.B &d B'oasio6 Cod.r 11. aonlr.dors t-icd€ hw do6 nor apply lo u oM.r oa
rh. pn'Ddy who builds or imp6v6 rh66n, md * h. dos such srk himsclf o. h.elf or llwush his dr hd om onplotc6,
providql th such impovdcnts e€ nol intadcd oro,I6cd forslc.lf. ho(66. rhc blildins or i'ntrovonc is $ld silhin on. td
ofcomplerion. tfic O*nd Builds q,jll hlE t hrdd olFoving rhd h. or shc did no! build or inproE thc FDFry for lhc puFoE ol
t. as o$n€rollhc ropdly, @.xclusivclycont6dins wnh liceGed conlracto6 lo onslod rh. Fojed (Se. ?0'14. R6io6t
a.d P66sion code: Th. Conlrdo. s License Law do6 nor apply Io m orn.r o f propsiy vho blilds or inprorts thdon,
and Nio contracrs for sucl Foj€ds *iih a Co hdo($ lic.Ncd luEuanl lo lhc ( ohhadois Li.@ ln*).
_l anclcnipr undB sdrion .I}.&PC lorrhnrcae.
.IIOBtrEBfl(A!UINTA1IA!
DlCt !Auo!
I heEby dmrm und.r pe.ah, olpdjurronc oatbc lolloLvios dsldalb6:
-l
hav€ ond will ,minlrin a Colificarc ol Consmr ro Scll-16urc lor pork.6 conrpensarion, 6 povid.d for by setion 1700 of the
libor codc for lh. p6lommc. o t lh. wolt for Nhich lhc pmil is istued
-l
halc a.d will nainrain woitdl comp.d.lion iNurancc. 6 r.quted by Scr io. 1700 .l rh. Ilbor Codc for thc pqfotr@c. oa
the wo lir *hi.h this pann n is.d. My workd! co'npdsion iNuece ctno ed qolicy numbd 6.:
E- c-cor
TSpae /tt'??6 /-4
I.enifyrhd in lh€ pdformsnccoalhc *'orl for whict lhis p.rii h Gsu.d. I shallnol dlploy any p6oh i. an, nmno
so 6 ro b€com€ subjdt to thc wort6' conpGltion laws of Colifomia. tud a*c rha il I should b.Nnc srbjtrl lo lhe
sort6'compcNtionprovisiocofscdionST00ofthetitorCodelslBll,tonhslhcooplywihfio*provisiors
WARNING: Failur. ro sur. rvorke omposaion cov@sc E uila{lul, md shall subjd oplo)s ro oimintl ll<Ehi6 3nd
civil fin€s u! to onc hundr€d Ihosdd dollm ($100.000). i. addnio. lo the co$ ol compcNalion, ddn,8.s 6 providcd for lhc
sdion 1076ofrlE hu)r can( inr661ed arorEy's f6
/LZz -/r
I hd.by amm undd p.nally of psjury lhal I d lic..!.d undd rolision olchapt6 9 (co,.nocins with Sdion 1000) of Divisio. l
oa rhe BusinN ed PrcfsioB Codc. od my li.€c it in lull lotc .nd .fldt
C -zo 2[///
l/- 2t -7r
colsfaucu{lN-I.rlDllclcllcl
I hq.by amm lndd p.nalry of pdjury lhal th6e is a cotrnrucliotr lodiry ascocy for fic pdfomecc of the Nort for whi.h $n pdmn is
i$u€d {56.1097, Civ. C.).
APPLICANT DrCI {RA?IoN
I hGry amm undd paalry ol prjury on. ol th. lollowin8 d(l&arions:
D.molnion Pmirs-Asb6ros Norificatio. F.d6al R€guli ioN (Tn,. 40. Pan6)
-Rcquted
L.tt6 of Norifi cation
-l
.d ily rhal rhe f.doal rcgul,tioc r€8ddi,8 6b6los rcmoval r€ not atplicable lo this pbjd
I cditr rh.l I h.ve refld thb.ppli.alioo and slclcrhal ihc ah,vc inlonnariofl is corst. I as.a to co6lly *nh all city and Counly
ordinancB md Skte Lavs rclllins ro blildins co.nrudiotr dd h{.6},olhornc rcprslariv6 oflhir Ciryed cornryto 6td upon th.
on"' f/z7-/rabo!. frdrion d propcn,
Appli.rnl or Agen( SlSrt
Z-.er/
I
Communications Cable
Air Conditioners
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