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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