HomeMy WebLinkAbout20165845 - Permit\Electrical Permit #: 2O165845
Pin #: 87398
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2029 N Millwood St
Assessor'sParcel: 396-041-34 Lotr 79
Unit:
Block: NA
Bldg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Contractor
Address:
Temp Air System
2648 E Workman Avenue, #:
WeEt Covina, CA 91791
(626) 482-3176
Fee Type
0'1 116002 51603 Air Conditioner
01116002 5'1600 General Plan Update
01 116002 51603 lssuance
Amount
93.28
21 .25
52.98
Qty
1 .00
1 .00
1 .00Phone
Tenant Name:
Phone
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Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Olvelling
Miscellaneous
NC
l\,lcCann, Melanie
Occupancy:
Constr Type
Code:Notes: auth on file
s
Date
Date
Date
05t10t2014 LIisc. Receipt:
lvlisc. Receipt:
lVisc. Receipt:
Total
Hernandez, Kathy
Every permit issued sha becofie invalid unless lhe work on the site
authorized by such peftnil is commenced within 180 days after its
issuance. ot if the work authoizad on the site by such pemit is suspended
ot abandohed fot a peiod of180 days aftet the time the work is
commenced.
05/10/2018
Account#
$21.25
$146.26
$167.51
$0.00
s167.51
lnspector MID#: 20'18-143288
01 't 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Oue
Trung Dam
2029 N Millwood St
Santa Ana, CA 92705
(71418754448
Fee
$93.28
$21.25
$52.98
State Lic #: 807933
Lic Type: C-20
Bus. Lic #: 335880
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company
Policy #: TEWC893547
Expires: 09/'15/2018
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Trons,r,:t ion TL.ll o l
6enertrl Fl on Updirt"
111I16002- 51 4 r-lilrlr" j -E1?.tr i,;ol
[t1115t:r[?- 516r:rJnrru-I([ (:he{k a[]rir
Building Use:
Job Type:
Nature of Work:
R-3, U
VB
cEc 2016
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER'M
I hcr.by.ll]rn uM.r |f.,lry orNrjurt rh,r I m cxcmfl no'n rh. G,h.don Li.ctrsc l-aw ror Ihc follorinS rc0str (S(.?0ll5
Businc{s lnd Pnlssion Codc): Any Cir, or C.unry shlch rcquircs 0 pcrnrir b cotr{rucr- rlrcr. imprcvc. d.nn,lish or r.pan any
nrucrurc. p'i(trk, i( irsran c. d$ r.quirs rhc lPlli.rnr for such Frmir n, tiLn si8trcd sarcnfft rh.t hcor shc is li.cnsed purHlri
t, rhc Dmvhiins ol lhc Conlrucr{n s Liccned l-rw lchaptcr 9. Connnercins wilh Scdnrn 70(]t1 oa Divni :r orrh Businc$ ntrd
Pmf.siohc Cod.) or rh, h..r sh. i! crc'pr rh.rdfrom rnd rhc ha\i\ f{tr rhc rllcgcd cxcmflion Atry violariotrofS(tion?0115 hy trtry
.Ipli.ad for apcnnn suhjNc rhc +tli.n to r.ivilFn,lryotnornnmrh,n,lv. hu nddollrs($5m)
-1.
!s owner of lhc pmtEny- or my cmployccs $ilh wr8.s as in.n sok on{cnsation. will do rhc sork 0.d lhc stur& i\ nor
intcnlcd oroficrcd for solc (Str 7044. Busines lnd Prcfession\ Codc fhc Conrrlcrols l,kcnE li* dNs nor ryply ro sn own.r of
rhcpnlxny who build\ or inpdvcs rlrc)n. unwho &rs srh so* hifrsclror h.r*lforthnru8h hh or h.. oqn cmplorccs.
povidcJ thar \uch impmhmnrs rc fln inr.ndcd or on'cftd Ior eL ll howcw, rtr huililiry or irpn,vcnrnr itr $Ll wirhin .rtr ,trr
olcotrlllklion. tlE Ow.cr Buitcr will harc rhe t{.dctr oiirmvinS ih.r hc or shc dil mr buiH or impnE lhc rmrf,n, fd rhc pqr'€or
I. r\o*ncrolrhclopetjt rmerclrsivcly.onrracring wnh liccnscd contrckns h cointuct rh Ifiicr (Scc 7(Il-1, Busnc\\
n*l Iri!,fl\si CoddrThcContrcttrsLiccn\cLrwdorsnorrppl,t,nnown$ofponnywh.huild{ornnpmvc\rtcrcotr.
n.d who .ontlct l'or {rh pnrc.k sirh r C.nrBcri)n n li.cnscd ptr^u hrhcGnnrncttr \ l.i.cn\c l.trq)
lr'ncrcn, utrJrr Sccrnr .B &PC turrhi\rc n,r
UABKEBS_COMIENSAIIoIT
PECLABAIIQIi
I hcrchy afllrm under pcnally ol Frjury one orrhe tollowing de.lrllion\:
-l
halc ad uill nEinlain a Ccnifrarc ol Concnr ro Sclf lnsurc for worksr colnposlrion. as pneidcd f(r by s(rion :lTlD ol th.
tjh.r Codc, fo! rhc pdforroRc ofrh. wo* ior whth rh. pc.mi k nsu.d
I hAr rnd *ill mainlrin worker' conFnsrrt,n insurancc. !\ rcqutcd hy Sccrin l XXl of rhc lrhor c()dc. fd rh- t{rfonMmu or
rlf qork lor *hth rhi\ pcrnril is h\ud My*or\c6 conrFnsalbn insurrncc .rrir rxl rx,licy nunrh.r nrc
l.cnify rhnr nr th. p.rformncc ofrhc qork fo. whi.h rhi\ r.rnir is i\sx.d. I slull nor cn{loy rny lcnon in any mo*r
{, !\ b hcom sul,jcr l{, ric workqi .on\Tnsal ion laws olcxlifo.niL rnd alrcc rhd irl shoxld tE..m subj.tl ro ttE
w.rlc^.oq,cnqri,,npmvi\nrn{6fSftrion:1700.frhclf,ho.Codc-l\hnl!.fonh*irho'npl!wirhrhospmvsions..
WARNINC Faihrc ro $cm @rtc^' compensarion covcmBc t unlawtul. md sh,ll slbjcr an cnploylr tu dimn,ll lEmlri6 and
civil 6ncs up to om hundrcd thousand doll&s (Sloo.(xrcr. rn iddriotr rn rh. .on or.omntt\artrr. 'lstuEc\ ti Pr.vid.d f.r rh.
Scrion l0,6orrhctib Code, inrcrc{ and a orrcy.lccs " t ,/\ I
,,,., 5.1 D' I A _ ***lrfu4 y-/,"d 0'>-
LICDNSFD t{NTRACTI,R
DECIdAAIIQN
I hcrb, bmrm und.r pcnahy oa p.rJtrry rhar I m licnr.d undd F{,!hio. ot Ch,pt.! 9 (..mmncin8 wnh Sdiofl ?(x)0) of Dilhion :l
of thc Busircss otrd Pmtcssions Cod.- and my liccn$ G in tull forcc aDd cffd
AOXEINIqUOIIENDAC.AG
I h.rb, arum und.r FnNlry of t,njury thar lh.rc i{ a .on{ru.rirn hnding r8cmt aor llE lcrfornEtre ol thc uolk nr which rhi\ Frmir h
hsucd (Scc 1097.Civ. C ).
ATILI'3]ILIIEqdAAIIAN
I hcdry rnm und.r Fnolty ofl€rjuy oft of lhc iollowlng d.cldarn,ns:
Demolirion Pemrih Ash€sros Norificalioi Federal Rcslllrions (Tirlc40, P!n6)
-Requned
kncr otNorifi cadon
l.cniltrh r rhclLdcrl'cgulnr'urs r.!ddnigasl{nosrcntr,! lrrc nrrrpt,ln t t) rhi\ frrrtc.r.
l.Lniftihr l hr\c r.rd thn lpflicalionand strl harthcat vc irlonnltion n
ordirrtr.cs dd Surc Lass r.ldritr8 ro buitnr8 co.srudnrr
agre ro comply wirn sllCiry,nd C.unty
ivcsnlrhnCnyandC,,unrJt,cntrr F)lrhc
,,,, t t&lb
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Translormers
To uerng
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
Ivleler Release
Rou gh
Service Ir,4eter
FINAL
Notes , Remarks, Etc
Pole Bases
Air Conditioners Policy Numh.r: jpi,es:
-
trndcr'. Addr.s
rh)vr nrtrritfrr L |Irr,1y rar
Applica orAllenlSignalur 1
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