HomeMy WebLinkAbout20173980 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2o^173980
Pin #: 73194
Project Address: 2144 N Greenleaf St
Assessor's Parcel: 002-081-08 Lot: 7
Unit:
Block: NA
Bldg:
Tract: 879
Address Range:
Historic: Yes
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor.
Address:
Phone:
FREDERICK TURNLEY
2144 GREENLEAF ST
Santa Ana, CA 927062534
(7141 585-7105
Seruice Champions
3150 E Birch Street
Brea, CA 92821
(7141 777 -7777
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
FWU
General Plan Update
lssuance
Microfilm Records
Amount
26.71
23.79
59.30
405
Qty
1 .00
1 .00
1.00
1 .00
Fee
$26.71
$23.79
$59 30
$4.0s
Botchf :6rt32g
lff icei (:TYH
A--ilrHLLLz r
icpti:113378M
I ronsoct I c,n i c
B/ I 312yttt
Ir'qn si : 57
ov r cEor t(
2 of 2Rei'*: 21117378tt
l, 3r2LrZ1 L2r26 F'll
t33 7 . lit
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 196430
Workers' Compensation lnsurance.Carrier: Everest Premier lns Co
Policy #: RM8WC00054-211
Expires: 0410112022
r€l"v I ce [:no,rlp lol-r5.
tI
Genergl l- lgn Updctie h
ttl I l6LtLt2- 51ot-ttt[tt tu-
Electr i c01
0l I 1o(t(tZ - 51 ottltt[t[t-
Fl icrof ilm & Documents
rtl 1 I 6r,tLt2- 3777[t[ttt[t-
I (:L Checil Lr+ 76[13
Notes: Change out of existing A/C unit.
Fee Total:
Paid to Date.
Balance Due:
$86. Lt I
$4.05
$337.7tr
)
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
Martin, Eric
Chavez, Dave
Y{''
Occupancy:
Constr Type:
Code:
Date:
Date.
Date:
R-3, U
VB
cEc 2019
08/1 3t2021
08/1 3t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 7e
$86 01
$4 05
$1 13.85
$0.00
$113.85
lnspector MID#: 2021-168088
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm under Fnalty of pcrjury that I am cxcmpt frcm thc Conlmctos' License law for lhe following rcuson (Scc.7031.5
Busincss airC Profcssion Codc): Any City or Counly which rcquircs a Frmil to construcI. altcr. impmvc. dcmlish or rcpir any
slructurc. prkr to its issumcc. also rcquircs lhc applic.nt for such lErmit lo lilc a signed slalcmnl thal hc or $c is liccnsd .pursuant
to lhc prcvisions of thc Contrelor's Liccnsd tiu (Chrptcr 9, Commncing wilh Sstion 7000 of Division 3 of thc Busincss and
PmfcssionsCodc)orthathcorshciscxemptthscfrcmandlhcbasisforthcallcgcdcxcmplion. AnyvklaIionofSGtknT0Sl.5bysny
applicant for o pcrmil subjsts thc applicant to a civil pcnally of not mrc lhan fivc hundrcd dollus ($500).
_1, as owner of the propcrty, or tny employces with wagcs as thcir solc comlrcnsation. willdo thc work and thc structurc is nol
intcndcd or offcrcd lbr salc (Sec.7B4. Busincss and Profcssions Codc: Thc Contraclor's Liccnse Law does not apply to an owncr of
thc propcrty who builds or itnproves thcrcon. and who docs such work himsclf or hcrsclf or through his or hcr own cmployees.
providcd that such improvcrncnls arc not intcndcd or offcrcd for salc. lf. howcvcr. thc buihing or improvcrnnt is soh within onc )tar
of complction, thc Owner Builder will havc thc burdcn of proving that hc or slre did not build or improvc the propctty for lhc purynrc of
salc).
-1.
as owncr of thc propcrty, am cxclusivcly contracting with liccnscd contractors to construct thc projcct (Scc. 7M4, Business
and Profcssion Codc: Thc Contractor's License Law does not apply lo an owner of property who builds or improves thereon.
and who contracts for such projccts with a Contracto(s) licenscd pursuant to thc Contractor's Licensc l-aw).
-lamcxcmptundcrScction-,B'&P.C.forthisreason.
Date:Owner:-
\T'ORKI.' RS' COt\ I PEN SATION
DBCLAITATION
I hcrcby alfirm undcr pcnalty of pcrjury onc of thc following dcclarations:
-l
havc and will rruintain a Ccrtificate of Conscnt to Sclf-lnsurc for workcrs' compcnsation. as provided for by Scction 3700 of thc
I-.abor Codc. for thc lrcrfornrancc of the work for which thc prrnit is issued.
_l havc and will nraintain workcrs' cornpcnsation insurancc. as rcquircd by Section 3700 of thc [:bor Codc, for thc pcrformancc of
thc work for which this pcrmit is issucd. My workcrs' compensation insurance carrier und plicy number are:
+!
2l ,o{,/o1 ^>I'olicy
t )f)
_l ccrtify that in thc lrcrforrnance of thc work for which lhis prmit is issucd. I shall not cmploy any pcrson in any manncr
so as to bccome subject to the workers'cornpensation laws of California, and agree that if I should hccome subject to the
workcrs' comlrcnsation provisions of Section 3700 of the Latnr Codc, I shall. forthwith comply with those provisions..
WARNING: Failure to sccurc workers' compcnsation covcrage is unlawful. and shall subjcct an employcr to crimirral pcnalt'rcs and
civil fincs up to onc hundred thousand dollars (S100.000). in addition to thc cost of compensetion. damages as providcd for thc
Scction 3076 of thc Lahlr Code, intcrest and attorncy's fccs.ra
Dare: oY//9/2/ftrran^ol.ez
LICENSED CONTRACTOR
DECLARATION
I hcrcby affrm under pcnalty of prjury thut I am licensed under pmvision of Chaptcr 9 (comnrencing with Section 7000) of Division'J
of the Busincss and Professions Code, and rny liccnse is in full forcc and effcct.
Liccnsc ,r^rr, (
C-20 Licensc \ 7!tu7o
o,," .6tl 13/ ?/
W
I hcrcby allirm undcr lrcmlty of pcrjury that thcrc is a construction bnding agcncy for the pcrfomce of thc work for which lhis lEntrit is
issucd (Scc. 3097, Civ. C.).
Lcnder's Narnc:I
[-cnder's Addrcss:
APPLICANT NT'CLARATION
I hcrcby affimr undcr penalty of pcrjury onc of thc following declarations:
Dcmolition Pcrmits-Asbeslos Notification Fedcral Regulations (Titlc 40. Part6)
-Rcquired
lrttcr of Notificatkrn
_l ccrtify that the fcdcralregulalions rcgarding astcstos rcmovalare not applicablc to lhis projcct.
-l
ccnify that I havc Md this .pplicarion md sratc that thc abovc informtion is corsI. I agre lo mmply wilh all Cilyarld County
odinanccs and Statc Laws rclaling to building construdion, snd hcrcby authorirc rcprcsntalivcs ofthis City xnd County to entcr ulDn thc
abovc mcntioncd proprty for inspcction
Applicant or Agent
Permilee n$me
,^,",-0Y)u/2/
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Poo!, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / FIoor
Bondinq I Groundi ng I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Wails (Roush)
Ceilings (Hard & Soffit Roush
Ceilinqs [-Bar Rouqh)
Meter Release
Rouqh
Service N/eter I tl ,\
FINAL t0 Ir "l DNv(i"fl
Notes, Remarks, Etc.
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