HomeMy WebLinkAbout20166428 - PermitCiW of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana 92702 Electrical Permit #: 2lJ16,6424
Pin #: 23111
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4\ 647 -5853
Proiect Address: 1213 N Linwood Ave U nil:
Block: NA
Bldg:
Tract: 2648
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 400-272-07 Lot: 203
Owner:
Address:
ANN JOHNSON
1213 N LINWOOD AVE
Santa Ana, CA 927012716
(71414674712
Fee Type
0'l'116002 51603 Serv Meter
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
53.28
22.O8
55.04
Qty
1 .00
1.00
100
Fee
$53.28
$22.08
$55.04Phone
Tenant Name:
i[; ,i
Contractor
Address:
Berryhill Electrical Contract
241 West Wilson St #17
Costa Mesa, CA 92627
(714) 599-0994
pl
orPhone
State Lic #r 874389
Lic Type: C-10
Bus. Lic #: 341226
Workers' Compensation Insurance:Carrier: Norguard
Policy #: 8RWC884785
Expires: OAl29l2O18
lrPd(lts
6UUr-r{fl:r-
LIIIII
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Service meter
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2015 Notes: Handout given
Planning Approval By Date
Date
Dale
Misc. Receipt:
Misc. Receipt:
l\4isc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Amsden, Julie 07 t1712018
Account#
Every permit issued shall become invalid unless the wo* gn lhe site
authoized by such pemit is cgmmenced within180 days after its
issuance, or if the wo authorized on the sito by such permit is suspended
or abandoned for a period o1180 days attet the lime the wotu is
commenced.
$130.40
$0.00
$130.40
lnspector MID#: 2018-144690
$22.08
$108.32
Fee Total:
Paid to Date:
Balance Due:
/ 17 / zr.tli3r(lnsi: .j5
Ref+:
-'i/1.//2ltl
Planning Conditions:
01116002 51600
01 1 '16002 51603
ICAL-INSPECTOR RECORD
APPROVALS ID/SIG.-CWMENTS
Site-Work
Underground
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab / Floor )
Bondinq / Groundinq / UFER ,/
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Solfit Rouqh
Ceilings (T-Bar Rouqh)
l\/eter Release I
7
Rough \
Service Meter r a\
FINAL ,/4{fi-t \Dlrrh /d\
Notes, Remarks, Etc.I
{}WNSR BI JII-DEN DEII]ARAfIoN
I lErcb, nrirn xnd.r F6ah, ot pcrjury thlt I m cxcnfl tmm lhc C.nrero^ Lic..* tjw for rh. folhwins .casn (s.c 701 I 5
Busincss md Pmlcssion Codc): Any Cny or Counry shich r.quncs r Flnlir io consltocr. alrq, inrrovc. d.mlish or Eloit uny
\rrucruE,,,ior ro irs hru,k .,l$ rcquircsrh. amlica for suchpcmilro fika sigNd srarcmnt lhal tror shc k licen*d poruan
to lhc povkions ofrhc Conr!rcroir Liccn\cd U{ (Ch,fl.r 9. Commming *ith Seclion 7000 or Dir(ion I otlhc Busincss and
Pmfcssions Codc) or ihdl lr or thc n crcnpr lhcrcfron lnd lh. bsis for thc alkgcd cicoprion. Any viol.rion otScdion 70:]l 5 6y an,
amli.a.( lb, a p.mit subjels rhc applicrnl ro rcivilpcnrllyolno! mrcrhan nrc hudrcd dollus(3500).
-1,
!s o*mr of lhc pmpcny, or
'hy
cmplortcs wilh w.Bcs .s lhct slc comt'cniorion. will d. tl* udk nrhc auture h nn
inrcfli.d.ror.r.drorelc(Ss?04,1-Susitr.sundProrcssioasCodcThcContdorsLiccnsLIwdocsnorlPplyi{,anowN.of
rh€ lmpcd, who iD ds or i,rp.Ths rtEb.. ,ild *tu dds skh wot{ hnD$ ll or ncrcll'or rhoueh hir or hf .wn cn9loyccs-
piovidcd rh,r s!.h iq)n'vcm.rs uc trol inlcdcd or oarml for slc lt ho*dr. rrt builti.S or itqnoKm.t k sld wilhin orc FD
of conpLrii,,! rhc O{er Builds will haw tht hrd.n ol pmvinS lhal hc or shc dd nor buill or in{rort $. ,mrEly fo, rtr puq-Y ot
l.dro*n.r.rthcptu!.ny.amcxclusivclyconlrrcrinsNililiccn\.dc.nta.romro.o$lru.rilEpmicl(Scc?Or4.Bu\i,'cs
atu ProtxsionCodc: The Conr,ci(r's Li..nsc hw @snorlpplylosnowncroipropcnywhobxildsoiinptov.slhcrcon.
and who co m.N tor such pmtcds wilh a Conlldo(s) liccn\ed l[^ud ro rhc C.nlradols Licc,se L!$)
I rmrrcmpr rndcr Sccrtr .u &l'C l,trrharc vnr
D.r.: Owner:wotxFls' c'ompruslrrrw
DECLAAAIIAN
I hcrcby nflirm undcr rnalryofpcrjuryore or rhc followinA d(lmrbnsl
I hrved will Ninrlin ! Ccn irtsrc .r Con*.r ro sdlrlnrur. rn sorkcr' comltcnsation. as pmvilcd ru by s*tion 37Oo ol Ihc
I-ah, G c, rrtr rhc prrLlmne oilhe work nn wni.h rhc rcmn n i\sucd
-,hrvcondsillnuinrrinworkcrJconJrns,rioninsuntuc.0srcquncdbySNlion:lT00orrhcLtrhorcodc,forlh€pc.tonmmcofrhhp.rmiris i\sucd. Myworkcrs .onD(nsrlbn irsurnnce.nricr xlpli.ynxn$.r drc:
Cr^r^srd
v.t c 1 fl)zi/zorB
-l
ccnili rhar h rtu p(rt ntuncc orrhc wo* ror *hich rhis F.nrn h hsucn- I rll nor cmploy rny l.rsn if, 0n] nronrcr
$ At,h.conrsubrLrrrorhcwo cs' con!r.!s!t io n lats ofcllifunir, Md agEc rhar ill should hccoE ruhjcci ro rh.
workcri ..nD.nsrr io. t'ovnions of Scd ion :l?00 oI lhe I rbor Codc. I nhlll ndhwilh $mply * ilh tho$ Pmvision\
WARNING liilurc b {crrc *ork r(..nllrnqrn,n.ivcruc rr unhrfu| $d shrll $hjccr m cn[k,ycr t, silnim] P.rohi.\ and
.ivil linc\ uIr)onc hundrrd rh.usamldolh* (Sl([).(rX]). ir rddirion t' rh. cnd ofconrF (nrion, dr. Acs r\ Irnrlidcd nr ih.
n 1076ofrhc ltrlxn C,rlc, inrcrc( d.d,xomy's fccs
Appll@l:
ucrNsltlcllNr&rgl(x
DECI.dEAIION
z7v3 y 9Jrn""*.,-" C-lo Vo",," n,"*,
f*," tP1zt, 8)"",."(' B. -t Lttt E le ttn'rc^ |
CANIiIBIJI:DANTEIDIIIj.&CENCT
I hcrcby atnm und.r pcn,hy of pcrjury rhor thcrc n a anslruction lcnding qcncy rd rh. DcrfotmRrc ol lhe work fot whi.h rhis Isnir is
issuc<l (Scc.l{r7, Civ. C ).
APPI ICANT DECINRA'I'ION
I tLrrt'y dlm undcr pcnrlryorFrjur!.nc ollh.lollowin8 dcclomlions
Dcnrlirion Pcrmils'Asbcnos Norifi carinn F.dfial R.Eulnrions (Tirlc'10. PM6)
-Rcquncd
Lclrc. ol NorirKdi.tr
I cdrifyrhar rh. L{cral Rgulltions rcsadinE ashcstos rcmul ue nor rmli.$L l. lhis pmlccl
I.dfyrharIhavca.drhhonplicrli()naBlslarcrhdrhcahrcinf(m ion i\ conNr I a3.e ro s,mpl, sirh all Cir y .nd Couflly
o'dinirGrtrdsh cbssrclnlinstohuildirgcon(ruclion-udn.rcbyaurhori2.r.flcscnlarivcsoilhisCirya Counryro.trrcruln.rh.
nrcnrnrned pop.dy for inrpccrion ru
",** n*-r"*",r",ot,Qf,,,4
B-tan,S, _bt4A ,
't l7l zotl
I II
DATE
Communications Cable
ta
1 I l't/tvx
I hcrcby aflinnundcr pcnalty oI ri.rju,r rhat I an licn$d xtulr prcvision ofClutls 9(conrmncing {nh Selion ?$0) oI Dilnion:l
of rh. Burincss and Pof.$ions Codc, and my license h in flll f(Kt ard .ffccr.
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