HomeMy WebLinkAbout20170625 - PermitProiect Address: 2625 N Jacaranda St Unil:
Block: NA
Bldg:
T.act7287
Address Range:
Historic: No
Suite Range:
Zoning: R2
City nf Santa Ana 20 Civic Center P|aza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2lJ17o625
Pin #: 3{261$l
Owner.
Address
Phone
Tenant Name:
Roger T Lappin
2626 N JACARANDA ST
Santa Ana, CA 927056944
(7141 s32-1'.t46
Autumn Air lnc
1'119 W Collins Ave
Orange, CA 92867
(71417444432
Fee Type
01116002 51603 FWU
01116002 5'1600 General Plan Update
0'l'1 16002 51603 lssuance
01 1 16002 57 7 70 lvlicrofilm Records
Amount
25.76
22.95
57 20
3.91
Fee
$25.76
$22.95
$57.20
$3.91
Qt)
1 .00
1 .00
100
1 .00
Phone
State Lic #: 1057585
Lic Type: C-20
Bus. Lic #: 374879
Workers' Compensation lnsurance:Carrier: Compwest lns Co
Policy #: WCV550234601
Expires: 0511612020
lutulnn All
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rtr,
Change out furnace located inside in closet.
out a-Ic unit located on roof.
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Ouplex
Alteration
Furnace & a/c
R-3
VB
cEc 2019 ChangeNotes
Date
Date
Date
Misc Receipl:
Misc Receipt.
Misc. Receipt:
Total
Amsden, Julie
lnspector
01 't 16002 51600
01't16002 51603
01116002 57770
$22 95
$82 96
$3 91
Fee Total:
Paid to Date:
Balance Due:
$109.82
$0.00
$109.82
t
Assessor'sParcel 396-372-36 Lotr SOUTH HALF 3
Contractor:
Address:
Botch+:53996 - !/21/2t12ti ID: NGAIi
uff ice: (:fYH TrRrrs*: f,:l 1 irAcct+: ftel +: !tl17t-r6:
Rcpt+r(1296?328 - ! /21/?It'ltr 9r21 tiil
Tncrnssct ion Totnl $6?$. 7i;
Every permit issued sha become invalid unless the wo* on the sile
authonzed by such pemit is conmenced wilhin360 days after its
issuance, ot il the wo* authorized on lhe site by such permit is suspended
ot abandoned lor a period of 360 days after lhe time the work is
commenced
Building Use:
Job Type:
Nature ol Work:
Occupancy
Constr Typei
Code:
01t2112020
Account#
MtD# 2020-157211
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BIILDER DEI,CARATION
'I h.r.by smrm unds pmally of p6july lhal I an q€mpl iion lhe Colnraclo6 Lic@.l2{ fot lh. aolldwins r€Nn (S{.?O]l.i
BusinB &d Prolsion Cod.): Any Cily o! Counry which r.quir6 a p@En to co.ntud. all6, nnprcve &nolish or r+at uy
slrudure. For ro its isudcc. ale equn6 rhc +plicot for sucn p€mil to file . sisn.i slardnol rhar hc or sh. i, licdsd p@umt
lo th. I,o6iore of$. Cont&roas Licens.d &w (Chapld 9. Comen.ins *ilh Sdlion ?000 of Oivi3iof, I of$. Ausins e4
ProaGsiom Code) or thar hc or sh. is cr.mpl rhr.fiom od thc bais for lhe alLscd.xdFioi. Any liolalion ols€clion 7011.5 by ory
upplicanllorapedilsubjdsrh.arplica.troa.ivilp..anyofnolmorcthofivchundr.ddolld(S500).
I. 6 oMs oarh. Fopcny. or oy .nploys wnh *.gc s th.ir elc compasation. wiu do lhc worl and lhc shd@ is nor
inraded ororla.d ior slc (sd.7044. Buin6s ed hoasioN Cod.r'ltc Conlmtois l-ic€@ Law&s nor arpl, ro oMdof
the p6Fty lno boildsor imptuvelhson, d who do6 such sl( hims.lf or hNlf or tlmusn his or he own cmploy€6.
provid.drhrt soch imFovmrsemr htdi.do.o,r6cd forsk.li how6. thc buildins or hriolcffi i!sld*ilhi,on ta
of conpteio( $. Olos Buildd will h,v. lne ,mL, ofproln8 thil hc or sh€ did nol build or iry,bv. dt p@Fi, for th. purpGc ol
l, 6 owner ollhe plopdy, an crlusivelyconradinS wilh licscd cont.clos lo comlrucl th. p@jsr (S*.7044. B66s
od l'iotissbn Codc: Th. Conta.ror's Li.6c Law do6 nor apply lo os'n6 otproFny *ho builds o. inPmvd th6@n.
and who conrmcrs lor such proj*rs wilh a Coit6(o(, ltmdl puuumr lo rh. Contraclois Lic€nsc Law).
I m excmpl undd Sction _. B. & P C. foi this r@n
1L0E(!B[COrdSt;!,tArIA!
DICI,ASAIIO!
I h@by amm undr poahyolFjuryon€ ollhc rouowins dclaralioB:
I hav. .ri will mai.tain , C6rifEd. oaconsl to SelfJBuc loi voi.6 onpadion, 6 Fovid.d aor by Sdiotr 1700 of th.
tibor Codc, iorthcpqfom c€oflhcworl lor sti.h fic pent a i$u.d.
(&r.ve and will maifl.in worl{6 comp.s.tion iBut!trc, s r.quird by S<tio. 37OO orlh. tjbor cod., ror thc PstdmMcc ol
Oc @rt aor snich rhis Fmit i! isucd. My vort6 @mpqE6li,)n isumcc cnio dd Flky numhn 6.:
c*\.,Col-P lM.Y o
,,.*ldc v r{6 Ljq L I lt-
I c.nify th,r in thc pslomancc ofrh. qork aor *hichrhG p.mrn t issued, I shallnol dploy&yFson in &y.mna
$ 6 ro bccon. subjer to th. worlm' comp.Barion laws of califomia. ed osc thlr il I snouk h..om. cubj4l lo lh€
mrl6' onpdstion prcvisioN of Sdion 1700 ollh. Llhor Cod., I sh,lt. aonhwilh comply wnh $o* pmyisioB..
WARNINC: Failurc ro BEc Norld mnrpdsalion covsasc is unlaNtuL dd 5h.11 subj{t e mplo}s ro sininal FEhis aod
ovil nnd up ro on€ hundr.d thoused dollm (S100.000), i.ro (hc.6s oa.ome.nsation. dmaxcs d provjdcd tor lhc t
rjbor Code i.rd6l ud n om.y s
I
DECIASAIIIIN
I hd.lry tm und6 pcoally oa psjury lhd t m licoE d undr Fovbion of ChaBd 9 (.onmocins with S.rlho 7000) ot Division l
ol lh. aulin6s ed PofsioN Cod.. ud my licd* is in tull force dd .ft ct.
C-24 loslLns
t
CONiIAUqIION.LEBDIIC-AC,EICI
I hftby amm undq pqahy of p.rjury lhat lhdc is a constuciion ladinS t86cy for lhc pqfotu . ofrh. work for shi.h lhi. F,nn i!
issu.d (Se,1097, Civ. C ).
APPLICANT DECLARATION
IlEdyaftmundd p.nax, otpdjury on ofrh. aollowirS daLrations
D.nokion Pdnils-Asbelos Notific.rio, F.dsol Rcsulariom (Titl. 40, PB,l6)
Rcqut d L.lld ofNoiicaion
?-t c6t\lr thld th. i.nq.lt sul.tioN Esed,n8 sh€tos rmovai tc nor eplicablc lo this pFjer.
/-.4aSi t * t *"" roa ttis applicario. aid $at. th'r tnc abovc inromaton ir .oner. I .gre to @mply wirh .ll ciry and cou y
ordinm.* ed Srat. l,w Ehrhs lo buildins cotutnclion. and hftby tuthorizc rcp6dnlliv6 o I thi.s Ciy ad Couly 1o 6td upon rn
ab.ve nBIion€d plopeny lor
applisntoraE lSignrrur.
r,*.i,**."rn.i"0, C/,4.1
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
[,4eter Release
Rouoh I
Service lvleter / /FINAL / lrt(/ )d. F -Lrpnrl
Notes, Renia/ks, Etc
Rev 08'07-20'15
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