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HomeMy WebLinkAbout20166559 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 l nspection Requests: (7'1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 Electrical Permit #: 20{66559 Pin #: 34o24t Bldg: f@d:2322 Address Range: Historic: No Suite Range: Zoning: Rl EProject Address: 1517 N Linwood Ave Assesso/sParcel: 400-242-22 Lol:24 Unit: Block: NA Owner: Address Contractor Address: Greenstar Home Services ln 1951 N Main Street Orange, CA 92865 (949) 885"0102 Fee Type 01116002 51603 FWU 01116002 51600 General Plan Update 011'16002 51603 lssuance Amount 24.79 22.O8 55.04 Fee $24.79 $22.08 $55.04 Qty 1 .00 1 .00 1 .00Phone Tenant Name: State Lic #: 795556 Lic Type: C-36, C-20 Bus. Lic #: 344246 Workers' Compensalion lnsurance: Carrier: LIBERTY INSURANCE CORPORATION Policy #: WA763O508631017 Expires: 1OlO1l2O18 Irenef o t r:r1116(rtri Ele,:tr ri r:rl116fr(rl ICL Che| he Serv lceE lnr UpdRtl !0iltliru- u30(r0- 1031J E Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Alteration A/C Change out Guevara, Jerry Chavez, Dave Occupancy: Constr Type Code: R-3, U VB cEc 2016 Notes: A/C change out 07t31t2014 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total (- Every pennit issued shall become invalid unless the wotu on the site aulhorizod by such pennit is commenced wilhin 180 days aftor its issuance, or if the work authorized on the site by such pemit is suspended or abandonod for a petiod of 180 days aftet lhe time tho wo* is commenced. $101.91 $0.00 $101.91 lnspector MID#: 20'18-145030 0'1 1 16002 51600 0'1 1 16002 51603 $22.O8 $79.83 Fee Total: Paid to Dale: Balance Due: Patricia G Hoiles 1518 N. Linwood Santa Ana, CA 927012723 (714) 543-8838 Phone:Sqtch+:45(97 - 1/tt/zn,8 IDr Jrolficel ,.iYH Trons+: ig -Acct+! Ref+: 2rjl6a ftcp ti: (l?3,t 54gg - 7l\t/zt)l$ 11ti.: Tronsqct ion Totql i77 t ..i 07t31t2014 Account# Date: Date: Date: ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby dmrd undcr pemlry 6f pcrjury rhnr I am cxcmpr frcm thc ConrEcroF l-tcnse l-aw for rhc followi.S eaq,n (Sc?031.5 ausinc\* ntul Prof.ssion Codc): A.y Ciry o, Colnl, which rcquircs ! pcrmn ro consrdcr. ahe,. improvc. dcmlish or eran any {fl.ruE, prh,r b irs irruance. nl\o equnB rh. applicanr ln such pcm ro filc i sisrd slllcftnr rhd lr or rhe ir li.en*d puruanl !o lhc Imvhions oi tlE Conlrock t Li.crsd tiw lchnp'o 9, conmkii* sirh sc.rion 7o0o or Division 3 ollhc Busincs andt Pr.fc$nrns Codc).r lhlt hcorshc G cxcmpl lhcrcirom.nn lhc basis ior ln. lllc8cn cx.'nption Antvhl ionofsetbn?031.5byony ,ppli.anr tu a Fnnir snhj.ch rh. lpplicanr ro acirilpcnoltyofnot mrc thotr fivc hundreddollaniS500). - l. os o*ncr ol rhc I'o,)cny, or m, cq,lorNs wnh sag8 rs rhcir $h co'np.nurion, will do rlt wo* ad itr snxim n mt inr.ndcd or orlcred aor {lc ( SE 7044- Bosircs and Pmfc$ions Codc: llE Co.rrocrq s Licen\c tiw doe\ nol aI,Pl, ro u o*ncr of rhc pNncny wtn t{ilds or in{mEs rrlmn- alll *ho de\ sh uo* hrnNclr.r tuficllot thmugh his o. hcr owncq,loyecs. nrovidcd lhd su.h irymwnEnR iE mr mrc lol n offcR{ t slc. Il h,$t$r, rhc hoildinS or inrl,mwmnt is sld wnhin orc }Ed or.rn'nkrb( rh. Osicr BnikLr *illhlr rh.blrdcn ofpovins rh hc or shc dil mr ldild., nryroE rh. popca, for rh. tqrE of l.Lsosrororrhrtmr.ny.rm.rclusivcly.ontacri',A*iriliccnscdcontrctnsbcon(rucrrhcpmtcr(Scc?(}1.r.Buin.* lnd hi,L\sirn Conc ftc C.nlmclff s Licensc Laq des nor annly b o owNr oi polErty who bu ilds o, nnprovc\ ihcrcon. rtrd who cofimch for sn.h pm,c.c Nirh x Cortncbn s) liccnscd Nrurnr t, rhc (l 'r.ktr s l-i.cn\. hs) lr r.Nntr tr 1i., Scr.o DEir: O*n.r: woR(rRs aaMPiNi^iiilN OICLABdII!)N I hcehy rfiirnundfi rcnrlry or pdjury onc orrhd ft,llowins Jcchrrltuns: lhrv.ddwillnuirrainaC.dirEarcdlconrnrhSclflNurcrbrsnrkcnconr|rnslri{rr.rsFovidcdf{trhrSccriooS?fi}oarhe titx, c('dc.lor lhc lofoiruncc orrhc wolk lbr whi.h thc pcrnril i\ i.suql I hrvc lni willouinr.in workcr{ .omFnsariotr nsxran.c. !\ nton.d bySc.rion l7(x)ofrh.ljborCod.. fo.rh.t rfoflutrcc of rM work fn qhi.h lhG pcnnir is is$.d. Mrwort$J comr.nsation insurM.c.mifiud Flicy numb.r tuc: . /o- l- -l.crlily lhar in rhc pcrloiinrncc oirh. \'ork lnl $h{h rhn r(irnir ir i\\u.d. I drll nor cmnl.y !try p.ron in any mann.r {, a\ h tf,co'm lubicr Io rhc *orkers compcnsarion laws olCalir.rni( and trgrc ihJr ir I rrDul<l hc.onE \uhicr ro rhc sorkc^ co rFnsnrn,n fiovi\bns ofS(rion ]700ofrhc Ldnr Codc. l \hall. fonh*irh conrply wirh rho* lR,vilions WARNINC: Failurc lo €urc sorkeN civil filcs uI, ro one hundrcd lhousand ssrion 1116 ollhe t.ator Codc. inrcren ompcns ion covcraSc is unlawtul. ond shlll subic! !n cnulolcr to rini.alFnallts lnd dollan ($luJ.UJO). in addnion io thc cosl ofcomncnsalion. dam8cs as plovidcd io,lhc '7^\t- I sx D};ILABAIION I furby l,li,nu.ddpciahyo{!.rjurrlhrlrmliccnscdundcrpn)!i\n ofchrtrcr9($h.rc.ingwirhSccri.n7000)orDivi\i.n:] or rhc Bu\incs Md ltoltsiun\Codc. tr'd my liccnsc h tu lnllture rndrrrtcr. C:lr":-t S ,,.iL:31 G 3)qr ca!$rBustrotr.LEtDltc_acElcr I hcnby aafum undcr pcnalry or p.rjury rhit rh@ ir a ..nsrruction lending 'scfty for rhc ll.rr.rfuftc or !h. work lor which liis pcrmi' is hrkd (s( 1097, civ c ). AIILI!;ANLIECIIA.IION I ffiy trtrm undcr p.nahy or FrFry onc orrh rolowine ddlddklns: Dcftli'b. Pcr6n\ Arb€{oi Norificarion F.dedl Rcrllarionr (Tirlc40. Pnr6) Rcquind htrf ot Noriakarbn -l ccnirylnd lhclcdefllrcBulolions rcgarding ash:nosrcnmval ic nor rrph$lc to lhis lro]ccl .nli'irtr.c\ n J Srrrc l-rws tolarirA n) dhorc n'rtr(n,ncd pn't.nr lnr instcr oirhis Ciry Md countyto c.rc! ulon Ihc Urli(lnl (r A,lcnl Si*nllU i> 5-i-Rput'1 Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Salety /Low Voltaqe Fire Alarm / Dampers Building Under Slab / Floor Bonding / Grounding / UFER Translormers Torqueing Sub-Panels Air Conditioners Roof T op Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouoh Ceilin gs (T-Bar Rough) lvleter Release Rou gh Service Meter FINAL v//L//(eO/W-,(9- Remarks Etc. --+ Communications Cable Notes, .]E *" ' ?" 3a1<6 -r------