HomeMy WebLinkAbout20165839 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 9?702
lnspection Requestsr .714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 65E39
Pin #: 4o532
Project Address: 113 S Halladay St
Assessor'sParcel: 398-496-04 Lot: NA
Unit:
Block: NA
Btdg:
Tract: NA
Suite Range:
Zoning: C2
E
Owner:
Address:
Phone:
Tenant Name:
Contraclor
Address:
Jay Skenderian/Ken Morgan
4590 MacArthur Bldvd., #260
Newport Beach, CA 92660
(949) 251-8800
Las Casitas De Halladay
GKRW LLC
2913 Tech Center Dr
Santa Ana, CA 92705
(949) 229-5977 ext. 703
Fee Type Amount Qty
Notes: lnstall roof mounted pv panels. Contract price.
Fee
Phone
State Lic #: 999669
Lic Type: B, C-20
Bus. Lic #: 350306
Workers' Compensalion lnsurance:Carrier: State Fund
Policy #: 9234071
Expires: OBl24l2O19
Building Use:
Job Type:
Nature of Work
Hotel/Motel
Solar
Solar
R-t
VB
cEc 2016
Occupancy:
Constr Type
Code:
Planning Conditions:
Planning Approval By:
Plan Checked By: Smith, Mark
Permit lssued By: Chavez, Dave
Subject lo Field: Vd'
Buildins Permit #: 101 96390
Date
Date
Date
07t25t2014
07 t26t20'18
Account#
NIisc. Receipt:
lvlisc. Receipt:
N4isc. Receipt;
Total
Every pemit issued shall becofie invalid unlessthe wo* on the site
authoized by such pennit is commenced within 180 days afier its
issuance, ot if the wotk authotized on lhe site by such pefinit is suspended
or abandoned for a peiod of 180 days after the time the work is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2018-143279
Fee Total:
Paid to Oale:
Balance Due:
Address Range 113-115
Historic: No
ELECTRICAL.INSPECTOR HECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUTLDER DELCARATION
I hcrcbt amrn und.r p.nalry of F jury lhd I m crcry)r fmn lhc Conradon Li.cns Ijw lor lhc lolloains Endo ( se.70] 1 .5
susirc$ flxl Prclt$ion Codc): An, Cny or Counry whkh rcquir.4 , p$nril lo connruci. altcr, t.provc, dcnrlish or rc|Dn iny r
\rructurc- I,h!ro irs hsnancc.,lso tuquircs thc trpplhanr i.r such Fanil lo filc a \isncd sdrsmnt rh{t tEo! shc h licctrsd Purtuanr
r(' rhc Fovnions of rhe Conrr&rol\ t,i.cnsd ljw (Chsflcr L comnrminB qilfi Scclion ?000 of Divisbn -l oflhc tsusine$ and
Professions Codc) or lhar hcorshc k cx.frpt lhcrcfroNnd rhc hasn lor lhc rllcsed cicnPridn Any vi.hrion of Satbn ?01I 5 by rny
appli.anl tor a pe.nir subjc.hrhc dtpli.rnl to 0civilFnrhyofnor rmrclhln five hundEnd.ll i(g5m).
-1,dsoe@r.frhctblrny.ornycmlloreswnhwoBcs!srhctElcoopcnunr,qilldolhcwokandlhestndmhnorinrctrdcd or ondcd lor slc 1Sa.7044, Bliitsr aid Pmac$ions Gldr: Th. c.nrnclois Liccnse Lzr do* ..r amly to atr o*rcr ol
$c ptuFny uho builiis or inpmlcs rh.Nn. !i wk) &Es suL_h $* himsclforht*clrorlhrclehhhothcrownemploycc\.
pnridcd rhsr suci inDmhftds m , inrcodcl o olTcrcd for $lc ll ho*ck. rte htilding or impEEftnr is sld wirhin o't ytlr
otconplction, rhc OBmr Buius *ill hrv. rtb burdcnorpruvine d rEorshcdil mr t{ild or itnrm,ve rh. ln,Fiy lor thc purlnEof
-1.
as owrer.a rhc pmp€.rn s'n.x.lurivclt.onr&ring wirhli.ctr*d conlracl on nr .on{ dcr rh. pmtNr (scc 7014. Busioc.\
n l P$fAsa,nC.ilt: ThcContractnis Lic.nsc lrw dmsnoratplyh anowncrofrrol.nysho tuildsor imFovcr rh.rmn.
ud who conr8 Isi, su.h Eo,cck wnh a Co"rrddon, lacnsd Nnu.r rolieConrd.brs Li..nsc bw).
-l
amcxco,|I unJcr Sccrio
Dol.: _ Orrcr:
$oRI(ERs coiitiNsaroN
DICLASAIIQ!
t h.r.by aflirmundft r..,hr of p.qury onc of lhc follosins dcchrrrions:
Ihiv.,ndwillnBinlrraCcnilictrtcol'ConscnrroScli:ln\lrcnnworkcn compcn\atiotr. rs tmvidcd for by Scction ]7m ol tllf
l,!hrOde. tor rhc Frrornm.c orrltr work lorwhichthc psn n i\sucd.
I hrvc ,nd will nDn ain wortcrr conrpcns{n,n nrurakc. a\ rcquitud by Sat ion lTtX) of llE L!&tr Ad.. ror 6c Pc.ion*mc ol,,,.6[
0c8
o t'7 4
I ccnify rhrr in rh. pcndnni.cc.irhc uork for which lhn pernril i\ i\\ucd. l.hull trd c\roy rny Pc^on in a.y trrrtrtrcr
n) rs ro hconN hj(r to lhc uorkci\ compcn\rrtui ln$lol Crlif.nria. rnd rgsc rh r itl should ht.. rc strhl(r rolhc
workdr con{cn\nti.n provtions olSccrion.lT(xlolrhc l:txtr Cod..lshrll. ionhwilh conrtl, *irh rh.s !mvisions
WARNING: hihre to scurc workch omp.ns,tion covcmSc n unkwtuL and \h.ll subiccr n .mPlortt ro sininal Fdkis and
civil fincs !p lo onc hn.dftd rho$rli dollas (Sr0o.0oo)- in addilion ro rh. cor of.omPcnsslion. domscs a3 nmvidcd ror rhc
:;:: --Yt Ufr
*" "i-""::,,;" 2* .24--,-, U(ENSID!}iflA!A)B
DECI.ABAIIN
I hdrbyafirm und.r pcnslry of lcrlury rhlr I am lian{n onde, prcvision .l Ch.pls 9 (co'nmncins wilh Sdion ?000) olDivhtrn:)
of rtu Au\in s\ rnd ltola ssions c{dc. nnd mylicctrs is ir lull nrcr adrrrer
(Zo E41L 6q
.-,-^*.>< .&'. fut- -
CONiIAIJIJIONIINI}IIIi-&GENT:I
I h.rhy dnnn lndcr l.nrlly of I'c Ury litrl rheE t a con(ocrt'n Lndins ascky fttr lhc lFrl'onumc of rhd {t,k for $hich rhis Ilcrnil !r
issud (56. 3097. Civ. C. ).
trndci! Nrm
-
AEELICANLDECITISAIIO!
I tu, atrm undcr Fnally of perjlly one of rh. folh*irg deh..ri6nr
Dcmhion Pcrmns-Asb.{o. Nolifi.lrion FcdcEl R.sllctions (Tillc 40, P!ri6)
-Rcq!ircd
Ldl.rof N.tiaslion
- I .d
'ry
rhar th. rcdn.l rcElhrDn\ rcge{ing Dhc{o\ Gmvtl m nor rPpkrbk ln lhs I.FJ..|
Vl enrryrhd I how (adrhi{pflic nn n {rrc lhar thc rtrlc informdion is @nd. I aem lo cooply *ilh all Cily.rd Counly
oftliLtrr.c\ rfrt Srxr.l.r*a rchrnl8 ro hui]constfl.tnnr. drd hcrcbyrulhorizc rctlc\cnrrrivcs oirIis Cily ond
rli,vc rmnxoncd fl opcrry lor itrsp.dnn
.\pplionl or ,\g€nl SiEnolure: !(
P.m .etuftr(pnno: X 4)
'";/z'Lili
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilinos (T-Bar Rouoh)
Meter Release
Rouqh
Service ltrleter
FINAL I llbltr @Alo*tn z/
Not Remarks
I o e^.+1 a vr.-lt
-t
Etc.
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