HomeMy WebLinkAbout20167239 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20167239
Pin #: 40677
Proiect Address: 625 W Columbine Ave
Assessor'sParcel: 4'10-193-06 Lot: 66
Btdg:
Tract: 7058
Address Range:
Historic: No
E
Owner:
Address:
Phone
Tenant Name:
California Sunroom Pros
2534 State Street 1.472
San Diego, CA 9210'l
(877) 887-8846
Amount
1.45
1 .58
105
22.O8
55 04
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Lighi Fixtures
General Plan Update
lssuance
Qty
9.00
4.00
12.OO
1.00
't.00
Fee
$13 05
$6 32
$12.60
$22.08
$55.04
Phone
State Lic #: 991258
Lic Type: B, C-61
Bus. Lic #: 370912
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
86tchi:46581 - t0/21/2o18 ID: CCUI-LLAR
office: CTYH 116ns,i: 42 ? oi 3
Accti: Refi: 20167239
Rcat+:02419749 - lO/2+/2O18 l?311 '1
Tronsoct ion TotoL 1877.91
Col iforn io Sunroor Pros
Ct€neral Plon tlodatE Fee
0t116002- 51600000-
Electn icol
01116002- 51603000-
ICL Check 00520E
3?2.0S
t87. rl1
J8"17 .9')
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type:
Code:
Single Family Dwelling
Patio Cover
Patio/Enclosure
Planning Conditions:
Planning Approval By Date:
Plan Checked By: Date:
Permit lssued By: Hernandez, Kathy Date: 1Ol24l2O1A
Subject to Field: Account#
Buildins Permit #: 10197656
Every pefinil issued shall becomo invalid unless the wo* on lhe site
authorized by such peinit is commenced within 180 days aftor its
issuance ot if the No* authotized on tha site by such pemit is suspended
ot abandoned fot a peiod of180 days aftet lhe time the wotk is
commenced
Misc. Receipt:
[,1isc. Receipt.
Misc. Receipt:
Total
01 116002 51600 $109.09
$0.00
$109.09
lnspector MID#: 20'18-'t45996
0'1 116002 51603
$22 08
$87.01
Unit:
Block: NA
Suite Range:
Zoning: Rl
Conlractor:
Address:
Jim Weissinger
625 W Columbine Ave
Santa Ana, CA 92707391'l
(714) 308-6363
01 1 16002 s160:
01 1 16002 51603
01 1 16002 5160!
01 1 16002 5160C
01 116002 5160:
R-3, U
VB
cEc 2016 Notes: auth on file
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEL(ARATION
I hd.b, smnn undd D..ally of pdjury th,l I m .r.mfl nrm thc Conlrr.lor Lic.ne t w lor th. follo* ing r.sn {5(.7031 .5
Ausins ed Profdrcn Codc): Any Cit, or Counly which r.qun6 a Fnit ro coslrucl. all6- inp.oYe d.nolish or qht &v
slru.re Fff to ns iswcq also rcquir6 lh. applkdr for s,.h ,Efrit lo frlc a sisncd ndmdr lhal hc or slE i lid.d puN r
ro rhc p.ovisioB ol thc Conlr.cld $ l,ic.n.cd Law {Ch.pld 9, Com...irg wilh S(tiotr 7000 ol Division I oalh. B6in.$ ed
Pof*iotu codc) or $al tE or sh. is cx@pl lh6.tom ed ri. bdsi. iot ihc allcs.d cronFion Any violationofs..lio.?0115 byu,
applicmr aor o p.rnn subjcls rh. .ppli.ml lo , civil p.nslty oa ml mor. rh& fiv. hun&cd dollUs (1500)
l. s ownB otlh. !.oD.ny. or 6y oplord wnh wa*6 s rhcir slc .onpds.lion, will do ihc wo* od lh. sru.lc is nor
inrdd.d or otrq.d for sL (56 7(x4, B6il8 dd ,tofsioB Codq Th. Conlroclor't Ltcc Llw do6 oor apply to an of,n.r of
th.Etupdy who hril& or inpro!6lh@r dd *h. 66 tuch mrl himsclf or hq€lf or rhou8h hi! ot hB oq opl6yc6.
tmlid.d rh.i such impN\trls e rct unod orofia.d for sl. Il hoM.lhc toildins 6r in4ro!ffi G sld within un. ra
otompl.ln n. th. o*rd Builda will hav. lh. burda ol rrovins rhd h. D! rh€ dil ml hild or mForc rh. proFly tor lhc purFE oa
-1.
sow.6oIrhcFopdt, dncrclusir.lycontraclins $'llh licft.rl co.lr loulo cinerucr rhc,nojet (S( 704'1.8666
anl PioGsion Cod. The Cdtrttdol s Li..s. Law do6 noi apply to u os'nd o f nrop.ny wh. huilds or improv6 thsotr
and rvho .onrr&ts for loch projdis wilh a ContEclo(, lic4Fl ,u6uMi ro rhc Contador3 Li(tG ti*).
I m.rmor undd Sdion .B &PC forrhBr.Mo
woR(FRS' C()nlPF"\SA TION
DECI.ASAIIO!
I hd.b) am.n undd pmalty of psjuy on offic follovins ddlddions
-l
h.v. &rl *ill maintain o C6rificalc olconsl lo S.ll-l6ur. tor erlcd conlpdstion. s Fovid.d fot by Sslion .1700 of rh.
L.bor Cod., lor $. pdfD'llfucc oalh. wo* lor rtich thc lEmi i! isu.d
I hav. Md sill mi .in edrk.rJ comFnsali.. iBura.... 6 r.qun d by Sd nrn l70o of th. hbor Codc. for lhc pdfomdcc ol
rh. srrt lor whkn lhis Fmil n 6u.\i M, wmkdt comp.Balion insuruc. cdno Md !.licy nu'nbs sc
-l
cnt,fy rhal in rhc pdfoi,nancc of th. vork fo. {hich rht Fnit is issucd. I shlll nor @ploy any F.mn itr any freM
s s to h..om. subjd ro lhc worh6 compaerion L$s oa(alifomia ad a{d rhd if I should b..om. subjd to th.
\ork6' compqNlion prcvisNB oasdtion l7o0 oflh. ktor Code t shall. fonhreilh comply{ith thoe p6!i!ioB.
WARIIING: Failu.lo suc sorkdJ comFerio. cov.m3. is unlawtul. &d shall subjdr M 6ploF lo 6imi..l psdli.s dd
civil lin.s up ro oo. hur&€d lhoudd dolls (tloo.o{D). i. lddition lo th. .or of .omFNlion. d!rus.s E Provid.d tor lhc
Sdlr.1076 of rh. Lab.r Code int6d ed lilm.y s ld
IECIJIAI,IO!
I hd6y aitim undd p€nally or pdjury lnd I m [..nEd und.r Fotirion ofchaptd 9 (con'ntrins wilh S<rion ]000) of Divtrcn 3
oa rh. BusilB ed PoldioN Codc. sd oy licce a i, tull fotc. dd.iIEt
D.,",14v1!t
CO!:IIAIJCIIOIJ.}:NDTNGICEI.II
I hdhy ailm ddd Fn lly oa pgjury lhal lhqc i. t @(qodb. Lndiru ssocy rot rh. p<fol]6cc of lhc worl for shkh tnis Fnn ir
issu.d (sr 1097, ci! c)
AIflCASr.lEclAaAUIl!
I hdey allrft undd pdslty of psjury onc or tb. follow'ng dtlearioN:
D.molirion PmirvAshdtos Nolificatiof, l-.ddal RcsulolioB (Till. 40, Pan6)
R.qut d L.(d of Norificaion
-l
cairy rhlr rhc Lda.l r.8ulllioE ESodins sb6los rdoval r. not .pplk.bl. lo thi! poid
I cdil! thsl I h&. rc.d lhis lpplicario. atd al. fin thc .hv. infomalio. B corra]l. I ssr lo endy vnh dl Citv ed Coulv
odiMc6 ed Stal€ L!f,s ElarE ro blidi.g codruclion. ed hmby aulh6tn. r.Pr6.rnaliv6 oflh! Cily eld Counlv to 6ld upon rh.^!*I,iiT"L#!"W*,,.y'a,/s--
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Rough
Service Meter
FINAL tbihq n l4wt<<,6 ?4)urNotes, Remarks, Etc
o,,".tr>/Aq/rg....t....-
L.ndd'iNrm.
-
L.nd.''3 Ad&d:
-
Pole Bases
Communications Cable
Meter Release