HomeMy WebLinkAbout20168822 - 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^{68822
Pin #: 94949
Proiect Address: 1330 E Seventeenth Sta
Assessor's Parcel: 400-231-02 Lot: NA
Unit.
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning'. C4
Owner:
Address.
Phone:
Tenant Name: Target
Target Corp
1000 Nicollet Mall Rd
Minneapolis, MN 55440
(612) 304-5501
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type Amount
FWU 24.79
Min Fee Adj 48.59
General Plan Update 22.08
lssuance 55.04
Bcrt,:h * : Ir-r2?7 9,r'7 ,t]t-r1?
Itff i'rP: CTYH TrnnE*: 11
Notes: Replace (1) roof mtd unit
Fee Total:
Paid to Date:
Balance Due:
Qty
1.00
100
1 .00
100
T11 ,
Fee
$24.79
$48 59
$22.08
$55.04I E(l{lj\l t.C
t-, tvua tc.tEt,
'l nf ?
L t., I L'
S22 . l-tS
ttno tn.TaslJt tA
tq?3i t,0.? \,. , \.. I !, a.i
I
Contractor
Address:
Phone:
State Lic #: 970558
Lic Type: C-20
Bus. Lic #: 343377
Workers' Compensation lnsurance:Carrier: NAT'L FIRE
Policy #: G0432530S6
Expires'. 10/01 12019
AES MECHANICAL SERVICT
P.O. BOX 7801 15
TALLASSEE, AL 36078
(334) 252-0380
Acctt: Reff: :Sl ggS2?
Rcpt*: t12649125 6/7 /2019 2: 33 P!'!
Tr on sg,rt i on Tot q I t 57I . !9
AETJ IIE(:HANICAL SERVI(:ES GF:I}UP
Generql Plsn Updote Fee
01 I 16002- 516tr00[r[r-
Electn i ca I
01 116002- 516cr3tr00-
ICL Checlr t-151586
Building Use: Commercial
Job Type: Alteration
Nature of Work: Roof mtd equiP
Occupancy:
Constr Type
Code:
M
V B, SPK
cEc 2016
Planning Conditions: Screening required
Planning Approval By Date:
Date:
Date:
Plan Checked
Permit lssued Amsden, Julie
Subject to Field:
Buildins Permit #: 10199964
Every permit rssued 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 permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
06t0712019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51603
$22 08
$128.42
$1 50 s0
$0.00
$150.50
Inspector MtD#'. 201 9-150529
ELECTRICAL-I NSPECTOR R ECOR D
C)^', n0 n7 ?n{ f
APPROVALS DATE ID/SIG COMMENTS OWNER BUII.DER DELCARATION
I hcrcby aflirm urdcr Fnrhy of perjury lhlt I M excmpt lmm thc Conlracton' Liccnsc hw for thc following rea$n (Se.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a [rcrmit lo construct. ulter. improvc. dcmolish or rcpair ony
structurc. prhl lo its issume. also rcquircs thc applicanl for such Frmit lo fih a signed slalcmnl lhat hc or shc is liccflscd pumuall
to thc pmvisions of thc Contractor's Liccnsd hw (Chsptcr 9. Commncing silh SBlion 7000 of Division 3 of lhc Busincss and
Prclcssions Codc) or lhat hc or shc is crcmpt thcrcfnrm and thc basis for lhc allegcd cxcmplion. Any violalion of Sction 703 1.5 by any
.pplicantforaJErmitsubjcctsthe applicanttoncivilpcnaltyofnotmorclhanfivchundrcddollars($500).
a
_1. as owncr of thc proJrcrty. or nly ctnployces with wages as thcir solc conrpcnsation. will do thc work atxl thc structurc is not
inlcrrded or ()ffcrcd for salc (Scc.7044. Busincss and Profcssiorrs Codc: 'l'hc Contraclor's Liccnse [;tw docs not apply to att owttcr o[
the pr)pcrty who builds or impro\cs thercnn. and who docs such urrrk himsclf'or hersclf or through his or hcr own cmployces.
provided that such iltrprovcrr.nts arc nol intcndcd or olfcrcd for sah. It. howcver. thc huikling or intprovcnrcnt is sokl within onc )eur
of cornplction. thc Owncr Builtlcr will havc thc burclcn of proving that he or shc did not build or itttprove thc prnpory for thc purJnscof
suh).
_1. usowncrof thc propcrty. amcxclusivclycontracting with liccnscd conlraclorstoconslrucl thc pnrjcct (Sec. 7(X4. Busincss
and ltotbssion Codc: 'l'hc Contraclor's License Law docs nol apply to fln owncr of proJrcrty who huilds or improvcs lhcreon.
and who conlracts lbr such pr)jccts with a Contractor(s) licenscd pursuant lo lhc Conlractor's Liccnse Law).
-lamcxcnrptundcrSeclion-.B.&P.C.lilrthisreason.
I )ale.( )rr lrcr:
WORKERS' COI\I PENSATTON
DECLARATION
I hcrcby alfirm undcr pcnalty of perjury one of thc folkrrvirrg dcclaralions:
_lhavcandwill nuinlainaCcrtificatcofConscrrttoScll-lnsurclirrworkcrs'compcnsation.as providedforbyScction3Tfi)ofthc
Lrbor Cule. firrr thc yrcrfornrancc of thc work for which thc permit is issucd.
-l
have and will rnainlain workcrs' conrpcnsation insurancc. as rcquircd by Sccl ion 3Tfi) of the l-abor Code. lbr thc pcrtortnance ol'
. lirr which thirs pcrrnit is issucd. N'ty u'orkcrs' conrpcnsation insurancc carricr and policy nuntbcr arc:Ng*.S.'rL EAS
lhc work
Policy )
_l ccrtily thal in the pcrfrrrnmncc o[thc u,ork frrr which this pcrnrit is issucd. I shall not crnploy any pcrson in any nlanncr
so as lo hcconrc suhjcct to lhc rvorkcrs' conrpcnsation lau's of California. and agrcc thal if l should bccomc subject to thc
workcrs' cotnpcnsfltion provisions of Scction 370O of the Latxrr Codc. I shall. forthwith conrply rvith thosc provisions..
IVARNIN(i: [:ailurc to sccure u'orkcrs' cornpcnsation covcrilgc is urrlarvlirl. arrtl shall subjccl att cntploycr to crintinal Jrcnallies ttt<l
civil fincs up to onc hundrcd thousand dollars (Sl(X).UX)). in adtlitiorr lo the cost of contpcnsalion. danragcs as provided t'or thc
l'ccs.::::"u:il' ? :" :" :;:::, :
I hcrcby allirm undcr pcnaltyof pcrjury thal I arn liccnscd under provision of Chaptcr 9 (cotnnrcncing with Scction 7fim) of Division 3
of the Busincss and Prcfcssions Codc. attd nty liccnsc is in full tirrcc and cll'cct.
[-iccrrsc
Dale: _
1to55t
b-141 l,Yl1hanrca-l('oltlrtclor:
C(TNSTRUC I'ION LNNDING ACENCY
I hcrcby aflirm undcr lrnulty of Frjury that thm is o onstruction hnding sgercy for lhc pcrformamrc of lhe work for which lhis lErmit is
issucd (Sec. 3097. Civ. C.).
[rndcr's Numc:
knder's Address:
I hcr.ty aflim undcr lrcnally of Frjury orc or,* nffi
Dcrmlition Permits-Asbcstos Notification Fcdcral Rcgulations (Tillc 40. Parl6)
-Rcquircd
lrltcr of NotifEstion
-l
ccnify that thc fcderrl regulutions rcEarding lsbestos rcrmvol arc nol dpplicahlc to this prejcct.
_l ccnify that I have rcad this application ard stale that thc otnvc infomultrn is coret. I a8f,e to comply wilh all Cily and Coutrly
ordimnccs and Statc hws rclating to building construction. ard hcreby ruthorizc rcprcsntativcs oflhis Chy and Counly lo cntcr uFrn lhc
H*,::-.ffi,:"' -"fUL4 Go*di\- **, b n-l?
Pcmrremmc(prinr):-- - ---LUb@
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
N/eter Release
n
Rouqh ^\
Service N/eter t\
FINAL v-\\-7/a V.T ylt
Notes Re Etc.
161-l'l