HomeMy WebLinkAbout20166311 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20{ 6631{
Pin #: 1o479lnspection Requests: (7 1 4) 667-2738 lnspector Section: (7 14)- 647-5853
Proiect Address: 2109 N Millwood St Unil:
Block: NA
Btdg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zonjng: Rl
q
Assessor'sParcel: 396-041-30
Lorena Panighetti
2109 N Millwood Street
Santa Ana, CA 92705
(714l. 547 -9',t42
01 't16002 51603
01 1 16002 51600
01 116002 51603
Fee Type
Dedicated Circuit
General Plan update
lssuance
Amount
24.79
22.O8
55.04
Qty
1.00
1.00
1 .00
Fee
$24.79
$22.08
$55.04
Tenant Name
Contraclor
Address:
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(949) 885-0r02
Eotrhi:44
Llt'f i,:e: ,-.
li(ct+ i
F:.pt+: tr?3
Tronso':L i
7 /2/2lJte
Irons+:1?1
Fel+:- 7 /2/2{t!9Phone
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation lnsurance:Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D5086310'17
Expires: 1010112018
rl'eeng
Iot, o I
ne Service
enerq 1 l
11160[i-lertr i,:o
t 1160tr2"
CL Che,:l:
t,pdote Fer(rtr0U0-
161,r30(r(r*
1013 t
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
HVAC
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016 Notes: Directchange-out
Planning Conditions
Ptanning ApprovlfEl Date
Date
Date
lrrisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
Plan Checked ryi
Permit lssued Ey
Subject to Fieldl
Building Permit #
Amsden, Julie 071o2t2018
Account#
Every permit issued shall becone invalid unless the wo* on lhe sito
authoized by such pemil is commenced within 180 days aftet its
issuance, ot if lhe wo* authotized on the site by such permit is suspended
ot abancloned fot a penod of 180 days after the time the wotu is
cofifienced.
MID#: 2018-144413
01 't 16002 51600
01 116002 51603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due
$101 .91
$0.00
$101.91
Lot: 75
Owner:
Address:
Phone
IU
?ll16r1.l
*:{r !i, t
lnspector
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARA'TTON
I hcrchy 0filirn unilcr tlcnalry ol r.rJUry rh.r I aln cxcmpl frorn rhc Conri0clon l,iccne Ij* in rhe folk,sinS rcrsntr (Sc..loll.5
Busincss rnl Profcsion Co<lc): Any Cily or Counr, shich re{tlircs tr pcmir h .on{ru.r. akct. rmprovc, d.'nolish ot rcpnn !try
{ocrurc. pri{,ro ir\ i\sro.c. also rcqune! rhc {di.rn' lnr \xch p.rnii b fiLx siSncd Mtmnr th0l hcor ch. is li.cn*d pur$3ii
lo rhc pmvisions ol lhc cotrroctols Liccnrd Llw (Chnplcr 9. Con nch.'nrs $irh sc.rion 7(xn o{ Dilhion I oflh- Businc$ ond
Pn,fc$iotrs (.odc) or llur tc or shc is cic'npl lhcrcftr,m4d lhc bs\is r rhcrllcSddcxcnlni,)n.Anyviol.lionofScclionT0:ll5hy3ny
ntli.rnrror,Frnrir\uhic.Brhcntplic,nrro0civilpcnalryornornrrcrh0n,ivchundrcndollar\(S5iD)
l. as owncr of rhc In,ttny. or nrt .nrthryccs wnh wlgci * lhcir $h .onfc"sd n)n. will do rhc $or\ rad rh {Mnh N k{
i, cndcd orollcrcdlirrqnclss.7o1.1.l'lsincssatrdlrrolcsions(ixlc:-lhcci,nta(r.fsLiccnscl-i$do$norapplyb3nowncrof
rhd pnIf,n, qlF huilds.r irqimvcs rhctonr aftl *h.dcssuchmrk him{lfor hc$clfoirh$u8hhis orlE osncnDkDccs.
rrovnhd rh(r suci iryr ovcmnls m mr idEndcd or oftcEd ,or $le lt ho*c\s. rh. huildinS or irqrmvcnrtrl i! sh wnhin nm $nr
otco'npLrt,n. rh. Oqmr Bniklcr willhrw rh. budr. ofptuvint rh, tt or $c dil d blild nr ilrprcvc lhc prcfrry for rlt Nqs{.f
l.rso*r(rolrlrpr'|Eny.snrci.lusirlyconlraclinB*ilhlic.n\cdcoDrrt,^ro.o{ru.rrhcpmjccr(Scc7r}1J.Bu\incs
,id l\di\si Codc: Thc Cotrtrcrofs Liccnsc tj* docs nor aptlyro atro$ncr ol pn'pcnywho build\ or imt(,vcs rhcrcoi.
ond who.o mcF io. rch ro]cclr wirh a C.nrncrul t liccnscd nuNur ro rhc Conhcttr\ l-iccn* ti\r ).
I dnrcrcmd undcr SNnon .ts 4PC lor lhis rcJ-,n
D,ler Owner:
woRxEns- c()MPtrNs noN
DEIUAA.IION
I hcrcby rfliifr undcr p.mtryol Flury onc olrhc folloairS d.rl{alioN
-l
hdlc ud sill nbinidi'r u Ccd ift,c of Cons.nt lo S.lt lnsuro lor workcn- compcnsri.n, !s polided lot by S*rion l70O of (lr
Llbor Codc. li,r rhc prnor.Eice orlh. *ork for whi.h rhc l.nhn h hsucd
I havc nnd will nritrriin {orkcrs coml}cn{l ion insurancc- N rcquird hy S(r nrn .l7tx) of rh. Lll{r Codc. Ior lhc psforDnc. of
! rhhFrnri n nsucJ Myworlcri onrpctrlrlior nru'rn( canicfund fni.y nuntEr iuc
OI
-l
ccnitylhnl in rhc pcrt)rnunc. ofrhc work tu whi.h rhn r.r.ir n issucd, I shnll nol cmtloy any pcrsoo in any ntuincr
$ as!,brco s subjc.! uihc aorkcs conDcn{alion h*solcalirirnia. lntl asmrhar irl\hotld }rcom subid rorhc
woricF.onurcnsllionDmvisionrolSdn'n:lTtuollhctltnrC{xlc.ldrll.lunh*irh.onulywirhrhoetmvisiors
W RNINC: F.ilur t, rdcutu workc^ (lmNns i,,n covcrrpc rs u lnqlnl rnd nmll n,hjccr an cnrpk)r$ ro ri'niMl ltnrlias d
civil nn.s p ro onc hond.d rhou\rnil dolldrs ($lm.Un),
'n iddniotr l{r rhc cosl of.oDpcnsalion- drnEgc\ rs Provid.d fitrrhcI-#d clxk. i'lcrc{ rnd xu,triry's l.r\
DECIdEAIION
I hcrhy afirm undc! rcn{hy of ocrjuy lhar I sm lien$i lnder p,ovision nrChaptc.9 (onxrcmi.8 with Scclion 7(x)0) olDir(k,n l
of (hc Burin.ss und Polcsiotrs Codc. ud my liccns n in tull iorcc und calecr
,r.r., ?l
T. LL F1U L,.1-1q s<{U;Ttd 6 tttutiz.o. t]"zry ]Yq
raxslf,ucllaNrllDlNcllirM:I
Ihcrc6ytrlltnu cr lrnrlry olpcrjuryrhd rhcrc i\ r.on{o.rion kidnrs rg.fl.y for rhc Friolnmncc olrhe *ork ft, thi.h rhn pcnnit t
issucd (S.r.ll)97. Civ C.)
APILIgANIDECI.AAAIION
I holtry.ntm und.r p.mhy of pcriury one ollhe following dcclaalions:
D€@liiion Prmns-Asb. os N.ti6c,tion F.dc6l RcSnl,rions (_tille 40. P.n6)
-Rcqutcd
Idlcr of Nolifr.lion
-l
e ify $ar rhe lcdcdl EBlhrions rg,rdin8 rstxstx rcmral dc not 0prlicublc lo this pmjccl.
I sdily ttlar I haw esd rht applkolion od slarc th,t lhc abovc intomErion is corel. Lg6 lo .r,mply vilh 0ll Citt and Counl,
ordin.m6 ,.d Sr(. llws Eldioe ro building constru.r ion, and hercby luttFtir rpE*d,rits 6f rhis Cny .nd Counly lo .ntl. opon rhc
^,,1b]t4L^-P
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Siqns (monument)
Life Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soflit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh
Service Meter
q fio/FINAL tf -&*I
Notes, Remarks, Etc.
ELECTRICAL-INSPECTOR RECORD
Under Slab / Floor
t4
I
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