HomeMy WebLinkAbout20170534 - PermitProject Address: 1620 E Stafford St
Assessor'sParcel: 400-295-13 Lot: 38
Unit:
Block: NA
Bldg:
Tractr 2648
Address Range:
Hisloric: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 2lJ17o534
Pin #: 73273 {
Owner:
Address
Contractor
Address:
LISA PORCELLA
1620 N STAFFORD ST
Santa Ana, CA 927013232
(7141272-03s8
Nexgen Air Conditioning an,
700 N Valley Street, Suite K
Anaheim, CA 92801
(557) 208-1987
01116002 5'1603
01 1 16002 51600
01116002 51603
01116002 57770
Amount
25.76
22.95
57.20
3.91
Fee Type
FWU
General Plan Update
lssuance
Microfllm Records
Qty
1.00
1.00
1.00
1.00
Fee
$25.76
$22.95
$57.20
$3.91
Phone
State Lic #: 1011173
Lic Type: C-2O
Bus. Lic #: 353953
Workers' Compensation lnsurance:Carrier: Old Republic
Policy #: A1CWA0001400
Expires: O1l29l2O2O
Nexsen A i P (:ond it , on ins (lnd He
Botchi rEJTJS - !/ 6/2t12tl
0r'f ice: (.TYH Trone+r 111Acct+r ftel+r
f.rcp t+ 1U2859759 - l/ 6/2tt2ll
Trnn sctct ion Total
Generol Plqn Update Fee
{r1 1 16r:lu?- t' 160(t(tfttt-
E lectr icol
r:r11 16002- :i16r:13tr(rtr-
ll icrol ilm & Docutents
irl I 16(ru2* I7770trE0-I(L (heck tr?7639
Jr"rl i
Building Use:
Job Type:
Nature of Work
R.3, U
VB
cEc 2019
Single Family Dwelling
Miscellaneous
A./C & Furnace
Notes: Change out A./C, Ducts, & Furnace
Planning Conditions: A./C Unit in Rear Yard.
Planning Approval Byl
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:01 1 16002 51600
01 1 16002 51603
01116002 57770
$22.95
$82.96
$3.91
Fee Total:
Paid to Date:
Balance Due:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pormit issued shall become invalid unless the work on the sile
authorized by such permit is commenced within360 days after its
issuance. or if the wo* aulhotized on lhe sile by such permil is suspended
ot abandoned lor a period o1360 days after the time the wo* is
comm6nced
lnspector MID#: 2O20-156921
$109.82
$0.00
$ 109.82
Suite Range:
Zoning: Rl
Phone:
Tenant Name:
Occupancy:
Constr Type:
Code:
01to6t2020
Account#
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.OWNERBUILDERDOLCARA'TION
I h..eb.v afitu unds Fnalryof Fjury lh.r Idcrmpr liom rhc Co r.cro6 Licds. tin lor rh. folloNing r@n(sd701It
Busincss and Proa6sion codc)r n, city or coum, which mqon6 a pnnir to consrtucl, .ltr, inprov.. ddolish or leair any
struclure prior 10 its isumc.. also r€!un6 the @plic r lor surh F it to file a sirfl.d slatmflr lhal h. or shc ; licftcd pud r
ro rhe provisio.s ollh. Conlr.clors Lic.nsed t w (Ch.fl.r 9, Comm.ncinS silh Sdion 7000 ofDivision I ofthc gusincss ud
Professioos Codc) orlhat he or shc Ls cxcmpl thqcliom.nd thebsis lor Ihc alle8.d crmplion. Anyviol.lionofSe.lion 70ll I 5 hy any
aptli.aor ror a pdn subj<ls rh. ap,li.ant ro ! ciril peoalry or ool !nor. rh& nve hundred dold 6j00)
l. a osn( of lhe FoFiy, or m, employd $ ilh ra*6 N rh€ir sL cohp6Mrio,. *ill do lh. q(rt dIhenruclrcisnol
inrerded or ollcrcd for sle (S€.7Or4, Busins od Prol6sions Codq 'l he ConrBclois Li.msc Li$ do6 n.r aF ly ro .n o$nd of
rhc pmpsly sho hilds or iqrovBlh6on- ad * ho do6 such NrrL hins€lf or hffi.lfor rhrouEh htu or hs o\n.nploy6,
,rovid.d rnal such imprcvanors e rct inrcrd.dorors.n 6rsl. I[ how6,6.lhc toildiru or imprevmc is snd silhin on. y6
.fcomddion, rhc ()*rd Bnildd sill Mrc th. hnlar oarrovi'U ${ hc or sh. did nor btrild oi nnrov. fi. ,,!F1y for th. Nrroe of
l. 6 orvnq ofrlrc propeny..m crchNivcly contmdinB \vnn licmsd connadorslo connrud lfic pqel (S(. 70.14, BBIN
and I\r,r*ion Codc: Thc Contaclr's Lic.tuc Las do6 nor apply lo a..rn6 or propdlJ-' $ ho btrilds or imlrovB th6.on.
.nd \no cona.cts tr .h prcjds with a Conhcrorls) licdB€d puGuaar Io the Conrraclois Lico$ I aw)
larercn, undcrScuxotr .B & PC lorlhis.ea{a.
Orner
1!Oa[88{!:O!IEEI&!M!
Dtcl,]lxauQ!
I tcreby atirm und6 ruahyolp6juworu oflhc lollowin8 d6ltralio6:
I hav. ad uill mainrain a c€nia,cdl. olcoMl ro sclf-lNur€ tor soirs compots{io.. 6 pmvid.d aor by s.{rion 1700 o f th.
L.bor Codc. for lh. psfomflnc. oflfic woII lor wh ich lh. ,mil is isu.d.
Z!i+u,. una * ,rr *"'n,
"in
* nrl6' cfmpssar
'on
iNuranc.. 6 i.qurcd b, s..tion lToo or rh. L.bor ( ode, lbr lhc p6rdmmc. ol
rh. work aor shi.h rhis p.mrn is isual M,r!6 .ontdrarbn iBurmc ceid md policy.umbd dc:a-
<)
I clni! rhal in the pdlo' 'nanc. ofrhc sork ror \hich this psmil is irsuc!, I shalln.r mtloyant
e 6
'o
l$om subjer ro rh. workm' comp.ff.rio. lass ofcaliLmia, and a8re that ifl shoold t comc subjcr lo thc
Nork6' co,npaetion ,mvhioN of Sdion l70O olrh. tjbor (hd.. I shall. fonh\rith comply wilh lhs proisions .
W RNINC: Failurc ro kur. $0116 <onlp.nslion covdaec ir unla$lul. dd shall subjdr m anployd ro fnninal p<trti.s af,d
.ivil nn6 up to onc hundrn rhousand dollm (Sl0o.0o0). i. lddniod ro rh..o$ ot comp.ffilion. d ra86 6 proridcd for thc
inrcrd and atom6y','s fLs
l.t( ENsaD ('()NltL\( I()R
DICLIA{ISI
I ho€by sftu m undd Fn.liyoipdjurylhd I m licas.d undd tlorision olChapt6 9 (conm6ci.s wnh S.dion 7000) olDirision:]
oa rhe ausi.as and PolaioB codc, md my licms. is in full lor.r md .aa.cl.
,.,,-,.Cb* C7?
".," /./a,/z-o riceNeNumE /o///73
C9I|SIAICI!!'I-LEIDUCAEIIC]
I hdeb, amirn undd pcn.lry.ipdj!rytld
'h6!
h a $*'ndtJ. kndins astr., aor rh. F fonnmce oanE qort lor shich lhis !6mil is
isnEd (sd. 11097. cn. C.)
APPI-ICANT DECLARATION
I h!*ry afift ondd pd.hy olperiury on. olrh. aollowins d(ldarioft:
Ddnolirion tqmirs'Asb€ros Norificarion rcdml Rqnhlions ll irl.40, Pano)
R.{uteJ Ldrd ol Nolifrcalion
I cerlify lhar lhc lqi6al re8ulal ioos r.xaniry.stsros rcmo\0la,e nol ipplicnble to lhk p,oj€cl.
I cnlilr rhd I naE rcad $t appli(arion md sr.rc rnd d. ablc infomiti.n is..n&l I.sr*'ocorhplywilhillCiryandCounry
&d h€r.t y aurhorte rqrBmrarirs oflhis anysnd (
t"s,
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
N/eter Release
Rough
FINAL /-r"- ?4 D-..f ,'.!
Notes, Remarks, Etc
COMMENTS
Pole Bases
Service lvleter