HomeMy WebLinkAbout20165919 - Permit (2)I,Electrical Permit #: 2O165919
Pin #: 7992li
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa a, Cl]?92702
lnspection Requests: (7 1 4) 667-2738 lnspector Section: (714) 647-5853
Project Address: 709 N Mantle Ln Unit:
Block: NA
Bldg:
Tract: 3708
Address Range:
Historic: No
Suite Range:
Zoning: Ri
q
Assessor'sParcel. 400-192-10 Lot: l9
Owner:
Address:
Barbara Page
709 N Mantle Ln
Santa Ana, CA 927014425
(7141 542-0',t40
Fee Type
01116002 51603 Air Conditioner
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
93.28
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$93.28
$21.25
$52.98Phone
Contractor
Address:
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(949) 885-0102
ilt,:h+:43894 - 5/?1/2r.r18 ID: J(lf ice: iTYH Tr(tn$+: 117 1,:{t+: Ref+r 21116:
r p t,+:1.1226829 6 - 1/21/Zltlg St27. onsq{t isn Tot(l1 $363,1
State Lic #: 795556
Lic Type; C-36, C-20
Bus. Lic #: 3U246
Workers' Compensation lnsurance:
Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D508631017
Expires: 10l0'll201a
I ecn!,t(lr Hc,me Serv t,_r_,s lnt
,ner(tl Pl(n [.lpdnte Fee
l r l6r:rtr!.' :,16r:fl:rtl[rl1*le,:tr ir:tt1
l16trl?.' r16l:l3Utfl:r-:l Che,:k r-r:i4998
Building Use:
Job Type:
Nalure of Work
Single Family Dwelling
Miscellaneous
A/C
R-3, U
VB
cEc 2016
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit Issued By:
Subject to Field:
Building Permit #:
Guevara, Jerry Date
Date
Date
ost21t2018 NIisc. Receipt:
lVisc. Receipt;
Misc. Receipt:
Total$Hernandez, Kathy
Every peftnit issued shall become invalid unless the wotu on the site
aulhonzed by such pemit is confienced within180 days after its
issuanca, or if the work authoized on the site by such permit is suspended
ot abandoned for a period of180 days aftet the tirne the wo* is
commenced
$ 167.51
$0.00
$167.51
lnspector MID#: 2018-143476
01 1 16002 51600
0'1 1 '16002 51603
$21.25
$146.26
Fee Total:
Paid to Date:
Balance Due:
Tenant Name:
Phone:
Notes:
05t21t2014
Account#
Occupancy:
Constr Type:
Code:
ELE RICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.boMMtNrs
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Si gns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding i UFER
Transformers
Torqueino
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
lvleter Release
Rough
I
FINAL L rytlllx a,trill- t n
Notes, Remarks, Etc
OWNER AUlI,DOII DELCARATIoN
I hurcby rrinn utulor pcnnlry or poju.y rh.r I m crc8fl riom rhc Conr,cur Lncnsc L!* ior rhc rirlkJ*ing tcrsn (Sccr0ll5
Busincs ond Pmn$ion Codc)r Any Cily or Counry *hi.h rcquiEs a pcflnir t, .oindd. r&, nnpiovc. d.mlish nr rcldn ony
{dcrurc, nritr t' ir\ nsuur.c.,ls, rcquir* rh. {tlictur f.rsuch Frmi r) nh i siBr.d latcnf,nr rhrl hcor shc h licensd ou^uanr
r. lhc pmvkiotrs of rlE C.nrracrols Liccn*d Llw (Chlprcr 9. ComnrncinE wirh sc.ri.n 7000 or oivnion I ol'lhc Busnrc$ and
PFn$ionsCodc)orrhlrtorshctcr.dprrhcrcrmnandrh.hasi\rorrhcalh!.d.xcmpti,rn.AnyriolilionolSa'i,n7O.ll5byLny
amlicnnr tu a tErnrir suhjc.rs rh. ,ttli.ant tu,.ivilpcn ryornor ftnc rhan nvc hutrdrcn dolltrs (S5m)
-1.
as owRr ol rh. I'()I)cny. or my emnlorcs wilh sascs ar rhct wlc confrtr{ra(nr, *ill do rrc uork md rhc nmruE h mr
nn.Mcil orofi.rcd frtr{tc(Sd.70t{, BusiRs* aM Pmfci\ions (-odc Thc Conto.rols Li.cnsc t w docs ml !ppl} ro an oen& of
lhcrmpeny phot ilds or improts rheNtr ud uho dcs such m hinrEllorhc^claorrh&lBhhi{oihciowncnDhyccs.
providcd rh slch impmve'rnrsm tror idcdlcd oroflcrcd lorslc.lt hd*e!.i rh€ brildin8 or impmlrm h$H*ithinorcycu
of conplclion- tlrc Owncr Buiklc *ill hls llE hurncn ol pmvin8 rlu hc o hc did mr tiuitl or itrqrer lhc pmrEny ritr
'h.
puts$ ur
L os owrcr or r hc Frpcny. oar erclusivcly .onlrooins wnh liccnrcd conrrNk,F b onddd rhc pK,jcr (sc. 7044. Busircrs
anl h'fLx\in Codc: 'l hc Conrrlcrois Liccnsc Law docs nor lprly ro an owncr.rprop.ri), sho builds.r imlroves rhcrcon-
dnd sho co m.B fo! sucn rojcds sith r Co.lE rons) lion{d N^u$r rorhcColxlacrffi l,rcc0sc ljw)
-l
.n excmpl under S(l ion-. B & P.C. for lhis Eav,n
]TOAtrIBS.:CIJMIENIAIION
DEUANAIO
I hdrchy Dinrh utrdcr pdnahyof tdjuryon of rh. followi"g d6_lrrdliotrs
-l
h!!c md sill minrain ! Ccn ificdc or c.n€nr b selr l nsu.c rr *ork r\' .onwns{ io., .\ nrcvidcd for h, Srcri,n ]70(r .f rh.
L3bor Codc. tor rnc pcr{olmrcc ot rhc *ork tu ehicn I h. pcnnil k issud
I h.rr.nd will mai .ir *orkcF .onlPctrsor ion insurr..c. {s rcquircd hyScclion 3?o0ol'rhc IrhorCodc. for rhc BYlornuncc ol
lhc aork lhr whi.h rhh rcmrir is ksuct. M, wortc comlcns0lion insurorcc ca cr dF,li.ymfrb.rft
_lccnily rhBr in rhc pcrfortutud oftlE work for *hi.h rhis lrrnrir is issDcd- I shill mr cmpLy ony pc6on in any mnn r
s as ro b..onr subir ro rhc workcc comrcnslrion l.*s ofcalibrnir. and asrc rhar irl shodd b..om subjctr ro thc
worlcrr conrpcnsllion nrcvhions olSdion lT0Ooflhc ljtr. Codc.l slDll. fonhwirh.omply wirh rk,! Pmvkiotrs
WARNINGT Fi,lxrc k, rcurc qorkeN' coDp.trsaiion .!vcD8c n unh'ful. a dEll $ihj.cr :n c'npk,yd tu dimin0lttMlla$ rnd
.ivil 6ncs up t, onc hundr.d rhons0nJ dollns (SI00.00O), nr nddiion ro cod ol co'npcneri,fl. da Dgcs as providcd for rh.
Sc.rir{:ll)76orrhc Lrli/ Cod(. i ercnNddkrNyr
I hcEhy llnrundcr t^-.n!hyof Ptrjurrrhar I D I undd Im)irjorrrfhrfld o r commL rtrg wnh Scclhn 70.ro) ol D* hbn J
.r rh. Bn$,rs.nd Protis'.'NCod. anl mvlid.nsc h
COISIBISUONIENIIN(iIIi.ENSI
I hcrcby lffinn ln<lcr pcralry.l tr.rjurr rh, rhdc is a.onitu.tir lcnding rS.my for rhc lolorro.cc ofltc wor* for whi.h lhis Fmil (
hsucd (Sec.ILD?. Civ. C.).
A.PELIIANI.DECI.AMtrON
I hgrt y afim undcr Dcnrlryofpcrhry.i. ofllr lollo*i.E d(Lturion\:
DcnFlition Pc nillAsirslos Notincation Fcd.n! Rcsulationr{'Int ll1). Psn6)
-Rcqutcd
Lcttcr o{ NoliaEarion
l.cnil!rh r rhc Ldcrrl l e noi rptli.rhlc t,rhi\ |j(+rr
xrkinrr. rhrrrlx rhn.
rucrion. frth.rcbyrurlxtrnrrrtrc\rtrr.lrvc\.1 rhi\Ciry
trc
Communications Cable
Sub-Panels
Service IVleter
,{pplic!nl or Agtnl Si(nnturc
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