HomeMy WebLinkAbout20166560 - PermitCity of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Electrical Permit #: 2O166560
Pin #: 60338
Project Address: 3126 S Rita Way
Assessor'sParcel: 412-022-06 Lot: 14
Unit:
Block: NA
Bldg:
Tract: 6564
Address Range:
Historic: No
q
Owner:
Address:
Contractor
Address:
Albert L Thoma3
3126 S Rita Way
Santa Ana, CA 927045737
(714) 904-0016
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92855
(949) 88s-0102
Fee Typo
01116002 51603 FWU
01116002 51600 General Plan Update
011 16002 51603 lssuance
Amount
24.79
22.O8
55.04
F6e
$24.79
$22.O8
$5s.04
Qty
1 .00
1 .00
1 .00Phone
Tenant Name;
Phone
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 341246
Workers' Compensalion lnsurance:Carrier: LIBERTY INSURANCE CORPORATION
Policy #: WA763D508631017
Expires: 1OlO1l2O1a
gotch+:45097 - l/31/2ElS I0:
off ice: iTYH TPons+; 59AEcli: Rel+: 2r1
ficP ti: 0?345491 - 7/31/2fr!Y, :.)l
T.onsoct ion Totol i7 ll
6reenst(r rlofie SePV ices Inc
Generol Pl
01116002-
ElB,:tr icol
01116002-
ICL Che,:k
rn Update Fee
;1600w0-
,r-r30(r0-
10313
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
A/C change out
Guevara, Jerry
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2016
Notes: A,/C change out.
Date
Date
Date(/07131t2018
Account#
0713112018 Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the wo* on the site
authorizad by such pemit is commenced wilhin 180 ddys after its
issuance, ot if the wotu authorized on the site by such pennit is suspended
ot abendoned lor a poriod of 180 days aftet the time the wotu is
cofimenced.
$101.91
$0.00
$101 .91
MID#: 20'18-145031
011 16002 51600
011 16002 51603
$22.08
$79.83
Suite Range:
Zoning: Rl
Fee Total:
Paid to Date:
Balance Due:
lnspector
APPROVALS DATE ID/SIG.COMMENTS
Underground
Pole Bases
Li ght Standards
Spas, Pool, Founlains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Facto ry Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilinos (T-Bar Rouqh)
Meter Release
Rough
Service lVleter
@trurtAFINALL//4///-/tD -
Notes, Remarks, Etc
-v
OWNER BUILDER DELCARATION
I hcrcb] .innr undcr Nmlty oI Frlury rhar I m .xcmpl frcm rh. Conlr0clos t,icense Li* lor rhc lolbwiog t r$tr (s.. 70.11.5
Blsircss und Pft'fcsion Codcl: An, Ciry or Colnry *hich rcqtircr r lrcdrir t, con\lrucr. alrcr, imptuvc. dc'nolkh or rcn0n uly
{fl.rurc, Irior tu irs hsurn.o. rko rcqutcs lhc rprlicMt ro. lu.h pcrnln b fih n si8rcd lltmnt lhol hc .r shc h licci*d pu^uh
io rhc polisions ot rhc Conrrs.tr's l-lc.nsd Ij$ lchnprcr 9, Commctuin! wirh sccrion ?fi)o ol Divhion 3 of lhc Inrines a.d
PmicssionsCod.)orrh.ih.orshciscxcnqrhcenosaftlrh.tusiforrhc.llc3cdcxcnprion.Anyvi.htionofScclionT0ll5hyany
applic.nl f.r r ,.rnril rubFch rh. rypliconr lo ! civil pc.dry of nor mrc rhu fivc hu nd'aal doue\ (S5m)
I. as owncr or rh. ,mr.ny. or nry lnrlloyccs wilh wa8cs !s rhcn bb cornpctrsrn r. will (kr tht sort ud rhc dMruc n ton
irtcnncd ororcrcd lo! slc 1Sa.7044, ltlsiEs flnd Pmfcsions Codc: Thc Co riclff s t,ic.n\c I-,w rcsnoramlrroatroRncrof
rhd pftDcn, *tx, hikls or inprovc* lh.d r.dd whodods\!ch*orkhimsclr.r hcrscllorlhmuahhh or tu, or'! cdplolecs.
lrovi.lcd rhor such inrpmwrEnrs N tror inrcndcd or onircd aor \!l€ ll. no*cEr, rhc boildinS or impmkrm is sold within .N FJr
ofcomplcrion. riE owrcr Buikcr will harc ll.c burdcn of povirr8 d,r tE or shc dil ml llliu or u.aevc rhc pmFi, ror 'h lUrF,* or
-1.
!sowncroirhc prcpcny- amqclu\ilcl,coDrracrins sirh liccnsd conti.bn tJ .on{tu.r rh. rnicr (scc 701-1.8unnc$
rM PnrrssirnCodcrlhcConl!rcro.sl-iccnsctiwdosmlnptlyroatrowncroltmpcnywhobuild\orinrpn,vcsrl'.rco.
ond who co mcls tor such lmjccrs qirh r Conlmcro(, liccnscd puruanr r{' rhc Codrlclois l,i.ci* Ldu).
-l
anrcxcmpl u.dn Sclion
u!}tstr[&s:l;o]lfjNsAJ]Q!
DECIAAA.IIO!
Ihdrchydfnn uidcr pdidryofp.ruryoN ofrhc foll{,wi',8 dc.l[ iotrs
I htrlr hlwill nbinr4in aC.nir-rc,rc.lconrcn' r, scltln{.. for uork.( conr.$,rion.0s lrcvidcdlbrbySalinnl?(x)orrne
L,l,or Codc. for rhc pertornunc€ of rhc work for wnkh rhe pcflnir h k cd
_l ha\tanlvillnri iir *orkcs' .onrFtr\or ion iNumn.c- r! rcquitcd hySccrion.lT(X)olrhc lrhrCodc. f.rrhcr.rf,rnDmcuf
Fnnil n isrucd. My workcr'.(nnrcn iur ir\urincc. tricr d.d rnicytutr'hcr ra.
lo't -.1 1*-
I ccniry rhit in rh. f[iform,tuc df rh. $ ork for *hi.h rhr l. trir is nsucd. l null nol cmploy rny pcFon in an! manrcr
$ !s lo bcLrm uhjccr ro rhc soi(cn'conD(n\alion l.w\ or Colilornil snd lgN rhn' ill should ttolE nrblctt ro rhc
sorkcN.onrF.snlionpmvhionsolSccri,rnlT(roolrhcL,atnrCodc,l\h,ll.lonhwirhc.nrtlywirhrho*Inovhiom
C<),-17 555
,2-3_t^tt€Grz,aS*er-
!:ANEIBIJqIIIIIIENDINCTAEICI
I hcnby nfitf, under pc,ahy ol lcrjury lhlt lhft n ! onslrudion kndiB oscrcy lnr lhc psaornDtc .f rhc work for which lht Frmil is
h\!cd (Sc. :ll)97. Civ. C.)
AIELUANLIIES,TBAIIO!
I Mrt affid unlcr p.nrhyorp.rjnry orc ol'hc aolto*ing d..lfi,ri.ns:
t).mlirion Pcnnirs AslEsros Notifi.arn,n Fcdcr.l Rqulartuns (lirlc 40. Pd6)
-Req!ncd
llus olNoritr.drion
I.enirl_rhrr Ihc fcdcr lrclrlnrion\ (g tnin! r\hrno\..trxrrlrrr mrxmli. lch,rhnnr,Ir.r
-l
ccdiiyrh[ lhn\c rc!d rIi{apnli.riion rnJ (rrcrhrr rhd itx'\. i',n]rmarion i\.otrccr lrgftcr o.omplywitnlll Cilyaftl Counl,
lhn Cily and Counly ro enrs uF. fic
^,",=?-al-t Z
okiinrnccs! Srirc lrx rclaringt, huildinC.oi{D.ri{
rbrc mnlioncd propcny io. inspcc
l\Dpliotrlor /lg.trlsi8$l
Sll E,-l€b
ELECTRICAL-INSPECTOR RECORD
Site-Work
WARNING: Fuihic k k.ue workcB orll[ns{n,n covcE!. is unlaufnl. $d shlll subict on cnplort, !o mdi'll |rtuhi* trnd
.ivil 6n.s xp ro onc huflircd rhousand dollaN {S10o.000), h addition ro rhc cnsr ofconvEnsar o. d,oa8.r s rmvid.n lor rh.
S€lio, 10?6 of lnc hbor Codc. inlcrcst and arlonry r fccs
",,,, 1-3i-tk npp,*,,E l4D 3l-,84\zl.\ -.
UIENSEILCINIAASI]A
DECi ARATI(TN
I h€reby affirm u cr rcnshy oi pcrjury rhnr Lh licn{n undcr ltr.liri.n .t Chdpr$ 9 (.om,rcn.inB with Sdion 7000) ot Divi\io. 3
of lhc BusiNssa PmfcssionsCodc. od my liccns h in iull force dcfltcr
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