HomeMy WebLinkAbout20166033 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-'19), Santa An4i CA 92702 Electrical Permit #: 2Ot66033
Pin #: 32684lnspection Requests: (714\ 667-2738 lnspeitor Section: (714) 647-5853 rv
ProjectAddress: 1605 N Rosewood Ave Unit:
Block: NA
Bldg:
Tract: l 196
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor'sParcel: 405-312-04 Lotr 32
Owner:
Address
Michael Briones
'1605 N Rosewood Ave
Santa Ana, CA 92706
(714l- 4014018
01 1 16002
01 1 16002
01 1 16002
01 I 16002
01't'16002
01116002
01 1 16002
51603
51603
51603
51603
51603
s1600
51603
Fee Type Amount
125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
Air Conditioner 93.28
FWU 23,87
General Plan Update 21.25
lssuance 52.98
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$1.40
$1.52
$1.01
$93.28
$23.87
$21 .25
$52.98
Phone
Tenant Name:
Contractor
Address:
JD Johnson Heating and Air
7886 Big Rock Drive
Riverside, CA 92509
(95r) 202-1002Phone
State Lic #: 1036754
Lic Type: C-20
Bus. Lic #: 369557
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
t,pd
;tr:rtl
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
HVAC
Occupancy:
Constr Type
Codel
R-3, U
VB
cEc 2016 Notes: 'lsttime installation ofa/c; furnace in atlic
Planning Conditions:
Planning Approval By Date:
Date:
Date:
Misc. Receipl;
l,4isc. Receipt:
l\4isc. Receipt:
Total
Plan Checked By:
Permit lssued By:sden, Julie 05/31/2018
Account#Subject lo Field:
Building Permit #:
Every permit issued shell become invalid unless the wo* on the site
authoized by such pemit is commenced within180 days after its
issuance, ot if the wo* authoized on the site by such pemit is suspended
or abandonecl fot a period of 180 days after the time the wo* is
commerved.
lnspector
01 1 16002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due:
$195.31
$0.00
$195.31
- 1/31/2n19
Tro s+: 39
Refi !
il - 5./31/?trlBIotql
Eotch;:4406
0f I ice: 'ilYlA,:.t+:
Rcat:: i?!g/,'
IronsGrt ion
l,l I i
lD John!.or Jp(ltine ond Air
$21 .25
$174.06
MID#: 20'18-'143691
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COIIIMENTS OWNER BUILDER DELCARATION
I hcreby rffinn unds pcn0lr, oi lcrjury rhar I m excmpr lioD lhe Conr.rron l,iccnsc liw for lhd rolloaing rcrson (sN.7oll5
Bu*inc* ,nl Piofcs\ion Codc): Any Citt or G,unty which r.quncr I Frmir ro c.nsd.t. rl.cr. inprovc. dcmohh or rcp8n ony
nrucrurc. prior ro ns hsuana. aGo regutcs rhc au,licanr lnr sucn Fmir ro filc a \i8ncd {drctu rhnr lr o, shc ii liftn*d pursudnr
b th. polnions ofdE Contm.rors Li.cnai tjw (Chlpto 9, Connnckin8 wirh Scction 7OO0 o, Divhion:l ofrhc Buiinc$ and
Polcsiotrs Codc)or thal hc or shc is eicnpt ltcrciro,n lnd lhe hash lor thc lllcgcd cic rpljon Any violdrinnorselionT0:115 by 0ny
rtplicr ror r ,'.nnir snhjft( rhc {rlicanr t, d .ivil pcnslry ol nor mor. rhM flv. hu Mrcd dollrs l$5u))
-1.
as owrcr of lhe pmrEny. rr my cmplores wirh waBcs .s I hcn eb coq,c.erion. qill do rhe w.a qnd rla strrm s nor
i cndcd or o[.rcd for sak (Se.7Or4. Busiicss and Phacssk,ns Cod.: Th: Contr.ror's Li.cnsc bw des nol qrlly lo in osner ol
rh. pNpcny who huildsor inDn)6lhcmn. tui *ho deF sEh wo* himsclfor hcrsulfor rhmugh his u hcr own.ntl.y.cr.
t'iovidcd lhdr srch i,n|}oBmnr mnor inr..dcd oroficRl for srlc.ll h)m\s. rhc hr ildin3 or in[mvcrmnl ismldwilhinnnc tsr
ofd,rplcrk,n- rhc O*ner Buildcr sill haw rlr l rdcn of povins rhd lr or shc dilmr btrin or i,r{mw rtE I,UIEny for lnc lurl[sof
LisoamrortFi,jnopcny,an.x.lusiv.lyconlrdinewirhli.cnscd.o.trrck,Ntoconstru.trhcpmjccllS(?(r14.Bu\incs
lnd t\ L\\bn Co c thcCotrrrrctoisLiccn\cLr*drcsnotrpplyro!nowncrorpn,p. ywhobuild\.rnnprov.slh.rcon.
rtrd who.orto.Bforsu.hpo,c.hwirhrA,nrrch,ls)liccnsddtufiuinrrorhcCotrtrcttr\Licctr€tjq).
I rd.x.n!rrrtr .r Socri{r .ll & I'C ntrrhn ruynr
DElr OBn.r:
u{]34!trul;1}u[E$ir[&NDI,Q A&Il!.)l
I hcrrbyrffin uidcr l. rlryol plrjrrto c ol rhr follo\tr,! dccllnrntr
!-rtxr Codc. forthcFnnnDrtuc ofrhc sork ror sl,ichrhr ncnnir i\ i\\ocd
I h.ve ann *ill
'uintoin
Bork.rs conrrEtrsaln,n nNumncc. rs rcquncd hy Scct ion .1700 o, rhc llhor (ndc. ror rh. Fiorroft. or
rhc wolk rbr which this p.nnir is hsrn M y workcr' co rp..salion insuroncc cnd., rd rnicy nun .r rc
is issucd.l shrll nor cflrnloyanyl)cson in lnymmlcr( and axrcc rhr if I slnuld tcconf, \ubitl ro ttr
I sMll. ionhwirhomrly *ilh lln,r povnnJns
WARNINCT ,jlilurc to sccurc workcn' .onrEnslrion ovcmsc is unh*lul. md \hall suhjc.r ,n cnDlolbr ro oiDinrl |cnrlri6 lnd
.Nrl finc\ up to ojc hunrleJ rhuuund.h,llar. ($l(,t,.Otx)), in dJi'ion u rhc..s .r.onrlrnstion. d.mscs as flolidcd foi lhc
sn run roTh,,f14
'
ih,.,
,;"",. ?/;l ; :-,;U-t"tzta
/ / DEILA8A.IMA
Ihcrchy'allirnrunJcrFnihyoincturyrh lo ' lrcns&l undcr provision or Ch+rq 9l co'nmncing wir h sfrli,n ?000) of Division l
or rhc ar\im\\!'rd Pmfc\\nnsCodc. ntrd nry li.cnsc n in iullnfcc aNlrll..r
Zo /o.3Lz5/e .-,*<-/d:1@
jjAN$BI](]IIQNIIIDIIG.IGENCI,
I hcrchy rfiinnrl(ldr pcnrhr.r p.rjxr, ih.r rh.r. h d ondtu.ri.n hnding d!.ncy br lhc Flformncc olrhc uork ror which rhh Ismir h
i$!cd (Scc l0S?. Civ. C ).
AIILICANLDECITIBAIIQN
I trN$y ofim under pcnrlty ot pcrjury onc oilhc lollowins dcclararion\
Dcnoliri{)n P.nnilsAsbc{os Norificalion Fcd.fu l RcSuhrnnr (Tnb 40, PM6)
-Rcquircd
t rrcrol Notific.lirxr
I c.nifyrhrrrhc fcd.rdl rcguhrn,di togdnli'rg a$.no\ r.trx,vnl irc norrt1I]li.rhlc N rhi\ 0oid
4"*r :*t .r;r:L'rr;",'r:
fy''vc mmrom,r lm6ry roln.pcr
i.ation a sl.tcthrt lhc ibovc inloirnrtion ilc.rccr l a8.eroconrlywirhall CirytrhJ coutrry
ivcs ofrhi! Ciry lnn Cou.ly b cnrd u
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouqh)
Ivleter Release
Rough
Service lvleter /lF|NAL 1/3//4 Vh WZ fl /a v
Notes, Bemdrks, Etc.
(2
APPROVALS
Nun$cr:-Expncs: