HomeMy WebLinkAbout20170782 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #:2O17OTA2
Pin #: 556824,J
Proiect Address:1314 N Harbor Blvd
Assessor'sParcel: 198-043-17 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range: Bldg 100
Zoning: SP2
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone
State Lic #: 992157
Lic Type: C-10
Bus. Lic #: 349540
Workers' Compensation lnsurance:Carrier: Ace American
Policy #: C66357703
Expires: 0710112020
Gerald Marcil
43 Malaga Cove Plaza, Suite C
PALOS VERDES PENINSULA, CA 90274
(310) 376-8740
Sunset Ridge Apartments
Xero Solar
1117 sth Street, D
Manhattan Beach, CA 9026(
(s62) 319-90e4
Fee Type
01'l 16002 51600 General Plan Update
01116002 57770 Microfilm Records
Amount
22.95
3.91
Qty
0.00
0.00
Fee
$0.00
$0.00
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Revision Constr Type
Revision-Solar Code:
U, R-2
VB
cEc 2019 Notes: Revision to 20169899. Changing modules to different
type. System size changes.
Smith, Mark
Amsden, Julie
Date:
Date:
Date:
02t13t2020
05t21t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
lssuance, 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.
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
. lnspector MID#: 2019-154771
D
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ELECTRICAL.INSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE !D/SIG.COMMENTS OWNI,IR BUIl,DllR ITELCARATION
I hereby affrrl under pcnalty of perjury that I dil cxcmpt fiofi lhe CbntracloN' Liccnsc ljw for thc followinS rcasoD (Sec.7031.5
Business and Prolbssi()n Code): Any City or County which rcquircs a pcrmit to @nslrud. altq. tnprovc. dcmlish or rcpair any
structurc, pri()r to its issuance. also rcquires thc applicuil for such Fmrit lo filc a sigDed slatcmnt llBl lE or shc is liccrNcd pursuill
to thc pNvisions ofthc Contractor's l,iccnscd Ilw (Chaptcr 9. Commcncing with Section 7(x)0 of Division 3 ol thc Busincss and
ProfessioilsCode)ortl[thcorsheisexeDrptthcrcftomaildtlEbasistbrtlEallegedexenpliur. AnyviolalkDofSectionT03l.5byany
opplicantforapcrrnitsubjecrs(he dpplic0nltotrcivilpeniltyofnotmrcthanfivchundrcddollars($5U)).
_1, a\ owncr ol thc proJrny, or rny crnployecs with waSes as thcir sle compcngion, willdo thc work and the stMW h mt
intcndcd or olTered for sle (Se.7tX4, Business and Pmfcssions Codc: Thc Cootractor's Liccns Law docs nol apply to an owncr of
thcprcpeny whobuildsorimprovesllEB)n,ildwlDdNssuchworkhimselforlprselforlhrcushhisorlBrownenlployees,
provided rhat such improvcrrcils dc ml intcndcd or ollered for sh. Il. howcwr, tlE buildin8 tr inprovemil is sld wl}lio ore,rd
ofcomplclb[ thc Owrer Buiklcr will havc lhe bordcn ofpmving tlu hc o( shc did mt buill or itrpmw t]r pmp<ry for thc purpo* of
uk).
_1. as owner ofthc propeny, am cxclusivcly contracting with licc[*d contraclors to construct tha prcjact (Scc. 7(x4. Businc$
arxl hofessbr Code: The Contractor's Liccnse Law dtrs not apply to m owncr ofptolrny who builds or improves lhcr@n.
and who conuacts for such projccts with a Contracbr(s) licetr*d pursumt to thc Conractor's Licctrsc [2w).
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an.ienpt under Section , B. & P.C. tb! thir reason.
WORKERS' COMPI'NSATION
DECLARATION
I hc(eby nllirnr undcr pcnalty of pcr.iury onc ofthc li)llowing dcclilalinns:
_I havc arxl will nuintsh a Cenifiutc of Conscnt o Sclf-lns!rc for workds'$nr{Ensation, as pmvidcd for byScction 3700 of Ih€
tabor Codc, for lhc pcrfornurce ofthc work lor which lhc pcrmil is issued.
_l havc aDd will n)aintain workcrs conrpeNali([ insurance, as rcquiEd by Scction 3700 ofthc tibor Code, for lhc fErfomHrec of
thc work for which this Frnit is issucd. My workqs' compcNation iNulocc ffiier ilrd lnlicy number ue:
I
Policy Numbcr: Exptct:
_l ccrlify tlut in thc lrcrlirrnrancc of tlrc work for which dris Frnrit is issucd. I shall not cnrploy any lrcrsu) in any manncr
so as to bccorrc subjccl to thc workcrs' conlpensntion laws o[Califomia. and agree that it I stnuld bccorrc subjcct to thc
workers' conrFnsation provi5ions of Section 3?00 of the libor Code, I shall. fo(hwith conply with lhos prcvisions..
WARNING: Failurc to scure worlcrs'co,npelsution covaragc is unlawful, nnd shall subjact sn cmploycr to ffiminul pcnaltiA and
civil fines uP to oDc hundrcd thousa[d dollars ($100.000). itr addition rc the cost of conrpctrsation, danrages as provided for thc
Scction 3076 o[the titxtr Codc, int.rcsl and attorrcv's ltes.
LICENSED CONTRACTOR
DECLARATION
I hcEby affrm under Fnalty of pcrjury rhat I anr liccnsql undcr provision ofchaptcr 9 (conurEncing with ScctbD 7000) of Division 3
of the llusincss and Pmfcssions Codc. Anl my liccnsc is in full fore ud cffcct.
LiceDse Nunrber:
Date:- Cohthclot:
CONSTRUCTION LENDING AGENCY
I hmby aflirm under pcnahy of pcrjury lhd thffe is a constructhn lcnding a8ercy fo. the perfofiurce ofthc work for which this pcrmit b
issuc'l (Scc.309?, Civ. C.).
knder's Nanrc:
bndcr's Address:
APPI,ICANT DECI,ARATION
I hucby aflirnrundcr pcnalty of pcrjury onc of thc following declixalions:
Dcnrlilion Pcrmits-Asbcsk)s Notification Fedcral Rcgulatioos (Tillc 40, PM(,
-Rcquircd
bttcr of Notificatioo
_l ccnily thal thc ltdcral rcgulations rcgadin8 asbcshs refi)vll ile not applicablc to this projst.
_l ccnify thal I luvc rcad tlus applicalioo and statc llut thc aklvc informlion is co[ccl. I agre to conply with all Cily and County
ordinanccs and Slate lrws rclating to building construction, dd hcreby authorizc rcprcsenktivcs ofthis City and County to cntq upon t]E
ubove rrentioned propeny for inspection purlDss.
Applicent or Agmt Date:_
Pcmlle nsme {Drinl):
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rough
Ceilinss (T-Bar Rough)
lvleter Release
Rouqh
Service Meter
FINAL
Notes, Remarks, Etc.
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ELECTRICAL-INSPECTOR RECORD M 0
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Roush)
lVleter Release
Rouqh
Service Meter ?AZe)77 zt lzrz'l--lar !
-.FINAL s,zg -7n /(- L//:>/ur/q) o /
Notes, Remarks, Etc.
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