HomeMy WebLinkAbout20166542 - PermitCity of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-'19), Santa Ana, CA92702 Electrica I Permit #: 2016,6542
Pin #: 28046lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 802 S Golden West Ave Unit:
Block: NA
Bldg:
Tract 37'l l
Address Range:
Historic: No
Suite Range:
Zoningr R1
ry
Assessor'sParcel: 407-062.06 Lot: 21
Owner:
Address:
Mary Flores
802 S GOLDEN WEST AVE
Santa Ana, CA 927042819
(714) 558-1957
Fee Type
01'116002 5160: FWU
01116002 5160( General Plan Update
01116002 5160: lssuance
Amount
24.79
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$24.79
$22.08
$55.04Phone
Tenant Name:
Contractor
Address:
WCHeating&Air
41085 Golden Gate Cir
Murrieta, CA 92562
(9s1) 500-0700
Eotchir{5037 - 7 /26/2OLg I0: IIGARCIAoflice: CTYH ]ronei: 46 I ol 2Accli: Rafi: 2016651?
Rcott:023{2551 - 712612018 3212 Pn
Trsnsoct ion Totol t30S.93Phone
State Lic #: 779604
Lic Type: C-36, B, C-20
Bus. Lic #: 345089
Workers' Compensation lnsurance:Carrier: Cypress lnsurance
Policy #: WCWC907593
Expires: 0110112019
ldCHeoting&Air
G€nerol Plon thdote Fee
01116002- sr6000@-
EIectr icol
01116002- 51603000-
ICL Check 058508
t22.08
r79.83
t305.93
Building Use:
Job Type:
Nature of Work
Single Family Owelling
Miscellaneous
A/C & FAU
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes: New a/c unit and furnace replacement
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Alliss v Date:
Date:
Date:0712612018
Account#
Every pennit issued shall become invalid unless the wo* on the site
authoized by such pemit is commenced within 180 days aftet its
issuance, or il the wo* authoized on the site by such petnit is suspended
or abandoned fot a peiod of 1 80 days after the time lho work is
cofifienced.
$101 .91
$0.00
$101 .el
lnspector MID#: 2018-'144963
01 1 16002 51600
0'l 1 16002 5'1603
$22 08
$79.83
Fee Total
Paid to Date:
Balance Due:
NIisc. Receipt:
l\,lisc. Receipt:
l\4isc. Receipt:
Total
ELECTRICAL-INSPECTOR HECORD
APPROVALS DATE ID/SIG.COMMENTS
-l-
aso*ncrolrhcpmpcnr. ancrctusntlycunkn.ring anh lr..nscd.. rn.r()n ro con{tu.l rh pmF.r (Scc.7044, Bunncs
rnd Bal6sir Codc: Thc ConkNrois Li.cnse Law docs nol lpnly ro u owncr ofptuFny who huilds or imorovc\ rhcrco..
rnd who connrcrsrnsnchrhj.chwilh 0 Conta.tor(s) li.c.scrl pursuonl hrh.C.trtrctr's Lic.nsc trw)
I rn' c1.D,tr undcr S(r
l)drc: ()sner
lV( )RK l,-RS, aor\ri'ENSA ItON
DIiQATAIION
I hcr.ht rmflnrndd pcnrlryol trrjuryonc.l rhc lnlk,wir! dc.hrlriotrr
I hsvc ari will minrain a C.nificltc of Conrcnl to S.lalNurc foruorksr codp.nsdio.. rs pmvklcd lor by Sar ioo 37(x) of rhc
Lntr. Codc. for rhc pdr.@n.c or rhc work fn which ln. pcrmil n ks,cd.
zl(vc rna wlrr mrlnroin wo,km con,rcnsarion insorarcc. us rcqutcd hy sccr t,n 3700 or ric kho' G,dc. ror rh. I!.rrommc or
iss$d. Mysork.rs cunpcn\alion in\un cc.!rid and lolicy nunrhct m:rc
ca-)c_a79 z_.-,
-l
ccf,iiy rhrl in lhe nerrorron.c ofrh. w.rk rd whih rhis l.rnir ir irsudj. | $1ll norcoDloy,ny p.r* in,nyn'.nncr
$ r\ k, bccom srbirr r. rhc qorlas conEnsalion hws ol Cllifornia. an lgrc har ifI stbnld tE onE suhicr lorrE
work.rJ $npns,rio. povki.ns ofSaln,n 3?00 ofthc trtxrr (odc.l shal!. ronhwirh conrnly qirh lhosc Pmvisions
1!ARNINC: l.i lurc ro r.urc $orkcr\'.onrlt \rri{,r.oLcr i\ utrldwrul. {nn shrll \uhr$r an dnflo}tr ro.rininrlnc. ts and
,ddirion !. thc c.d or conDcns.rion. d.fr+cs as p.ovidcd for rhecivil lincs up ro .rc hundEd rholsand dolhtr ($l:":ry;;E 4__
lrl{l\lr\llr)\
CZO
7/24,//4
raNSIIlrJtalt-LDlluN(i-trGEN!.r
I hcrhy allirr und.r pcnahy ol pcrjtrr rh,r rhcd is a.onndcti,n Lndin8 rScNy ior rhc pcrforroncc olrhc work for which rhis Fmtil i\
issucd {sm :1097. civ. c.)
AffurANtoEcl,AEA.goN
I hlthy xltinn u ndcr pcnohyolpcriuryonc oflhc iollowing dccloralions:
Dcmnnion Pcmirs AstEsros Noiin.alion F.dcnlRcSul,ri,ns (Tillc 40. P0n6)
-R.q!ircd
l.ncr 6f Norifkari,n
lccnityrl ihc icd.rai rcgulalions rcsddins asbcslos rcmvul at ior rpll{nblcro thh Dm]ccl
-lccnily
rhal I turc .cad rhisnnrl (n,rnl{n.0111rhr rlrr. rnld rrrr i\.f'rr.r I
ordim.ces md Stilc tius rclllin8ft)in8..n(ruction. dr*l hcr.byaurhtrizc rc[trcr.llr
nhovc nr iotud ln,lr.ny Inr ins
Applic.nl o. Agcnl Signnlurc
2*q: *,*-t*-*
usB roofrply wirh rll Ciryand Counl,'.:::"'7u,-"-"',-
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Bouqh
Ceilings (T-Bar Rouqh)
Ivleler Release
Rough
Service [V]eter
FINAL He8//(I ry'.xyXt bj >7
Notes Remarks Etc.
Transformers
OWNER BUILDEI DELCNRATION
I hcrcby amnn u.dcrycnally of lcrjury rhar I am dcdrr tmm rhc Conrrd.i.s Lic.n€ tjw for lhc ,oltosina rctr{on (sDc.70rl.5
Businc$ ad Prcfesion Codc): Any Cny or Cou.ly whi.h rcqun ! r pcnnil to onrlrucl. olrs. impelc. dcmolish or E|nt any
stucrur. lrhl b ns issnoftc..ho rcluircs lhc lplliconl for such,Ennir b fib,sisn.d isrcdnr !h, h.orshc is liene{i p!F!a.r
ro the pmvhions of rtE Conlrs.rois Li..ns.d Ije (chrprcr 9. Comrcins wilt Secrion 7filo or Divkion I ofttr Businc$ rn{l
Porcssio.s c&lc) or thol h.orshc is cxcmpt lhcrcfromrnd thc blsis for rhc illcscdcrcmfln,n A.y violarion ofsccrioo 70:l1.5 by.ny
{mlic.nr ibr 0 pcnni slhjErs rhc uoplicrnltor.ivilrenahydriorm..thMfivchundreddollur(5500).
l. 0c owifi or rhc po,rny. or my cmplorrcs with wo8cs .s lhcir $k onpcnsar ioo- uill d. rtr wdl tnd lhc (utE is mr
inrc.di or .fi.rcd for slc (Sa.7O14. Btrsincs lnd PDfersion\ Cod€: Trt Conttdols Lacnc L.w docs mr 'pply ro o*Nr .r
rhc PIbp.ny whr boilds ur in!rcB th.N., an who des irch woll hinscllor hc'slfor rhmu8h hk tr hcr owtr cmployccr,
pnvilcd rh.r soch i'nprnknrnk m mr int.nddl or otr(rd for slc. ll horcq. ric buildiq or i,rfrohmnr is r,U wirhin onc ycJr
of€omolelion- Ihc Owrcr B!il&. will harc lhc bnrdcn orlmving rhdr hc or sh did mr buirl or iq'rore ttc pbpciy for lh. tdrPs.l
I he6by rfllrm undf pcmny of pcrjury lhal t,n liensd lndcr pmvision ofChaprd 9 (s'nmncitr8 wilh Scclion 7O0o) ofDivhnrn I
I rl'. Bu\ine* Dnd Pn,rc.!i(,n( Cod.. ot mv lncNc n itr tull roR ug{mt
7z2aaV
I.n'lcr'\ AJJ'c\.
II
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