HomeMy WebLinkAbout20170577 - PermitCity of Sa.nta Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2(J170577
Pin #: 6s83tr{
Proiect Address: 1806 W St Andrew Pl Unil:
Block: NA
Btdg:
Tract 1907
Address Range:
Historic: NoAssessor'sParcel: 408-312-09 Lot. 9
M & S Builders
18750 Oxmard St #463
Tarzana, CA 91356
(855) 931-3333
Amount
0.00
000
Qty
1 .00
1.00
Fee
$0.00
$0.00
P hone
Tenant Name:
Conlractor:
Address:
M $ S Green-Power Energy I
'18750 Oxnard St #403
Tarzana, CA 91356
(855) 931-3333Phone
State Lic #: 1038283
Lic Type: B
Bus. Lic #: 374A29
Workers' Compensation lnsurance
Carrier: State Fund
Policy #: 9238677
Expires: 0912512020
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2019 Notesr lnstall solar panels/fees pd on 101102830/auth on file
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: $\-\ Hernandez, Kathy
Subject to Field:
Date
Date
Date 01113t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 1 01 102830
Every permlt issued shall become invalid unless the work on the site
authoized by such permit is commenced wtthin360 days aftet ils
issuance, ot il the work authorized on the sile by such pemit is suspended
or abandoned lot a peiod of360 days after the time the wo* is
commenced.
$0.00
$0.00
$0.00
lnspector MtD#. 2020-157050
Fee Total
Paid to Date:
Balance Due:
Suite Range:
Zoning; Ri
Owner:
Address:
Fee Type
011 16002 5160C General Plan Update
01116002 5777C Microfilm Records
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BUILDIiR DELCARATION
I hd.i,, amnn under pcflalty ol p.rjury th.r I on cx€nDt from rh.-Contr.,r6' LicrN tis lor the follo\viu !.en (Sd.703 I t
Buins s.d !rcf*ion Codc) Aoy Cily or county (hict r.qote . Fflnil ro .onshrl. ah6, nnprolc dmolish er r.,an my
srrucru. pri6r ro ns isud.e. .lso rcqutB lhc applic.nt for su.h D.mil to file a sryncd $almdl rhar h. or shc is licdscd PUEWI
to thc provisioas oilhc Co.rdcroas Liccni.d La* ((rEfld 9, aommemirS wirt Sdion 7000 ofDiv$ion I .fthe Busincss md
Prcresions Code) or thal h. o. sh. i!.rmrl thd.fiorn and th.bsk aor the allcs.d cxdprion AnyviolalionofSelion ?011.5 by any
.pplic6 aorapcmritsubjdslhc.pplicantloacililpcnaltyot.olhor.rh&fivehrdreddouas($500)
L 6 osner of$. pop.dy, or b), enrplole Nirt v.B6 slh€ir solc cohp..eri.n, *ill do rhe so and lhc nndr 5 mt
idede{ o.olIred aor elc(Se704.1. Busin* &d &'or6s 6 C.d.: rh. a'ontradois l,ictrc L,ry do6 not applt ro .n o$nd o t
thc p'lpqly uho l,ril& or impov6 thqotr. d who &6such \u,* hnnsclfot hdklfor throlsh his or h.r o(r..'Ployc6,
ptuvid.d thot sNh imlnovendls e rcl iordd.d or ollecd lor s!]e Il ho\'r"d. fi€ buildins or impovffil is $ld wnhi. o.. ,d
olcompkion. rh. O*ncr Buil&r rill hale tc hnd.n ofprolin8 lh,l h€ or lhc did mt bulld or inNv. fit Pspdl, for lhc plrPor of
L s omrs oi lhc prop6ry, on cr.lusir.ly .ontacr in8 Nirh licors€d conlrNtoFto col(rud rhc rojd (se 7orr. t,llirs
dd P$asi)n c.dc: Thc Conlraclors Liccnse Law do6 nol a$,ly m d o$.6 orprop.rly who builds or inprov6lhdd...
and *ho conrmcls for such troj*rs *nh a conta.to(t li.fted puBud rolheConl,rtois l,ictuc Lr*)
I dn e\.mpt undcr S..lion , B & P C. for rhis r6on
uaf,tr!8s:ca!!f,Els rar
DECLAAAIIO!
I h.reby amun unds pc0alry oI psjury on€ otlhc rolloyins d(leario6:
I ha\ . dd {ill mainrain a C.nificalc oi CoMt to sclf lNurc for *orkm .onpdB.lio". s pro}ided lor by sdion 1700 of rhc
l*bor Codc, ld lh. polomdrc o arhc worl for which lhc pqnrit is issu.d.
Ih0ueandLeiU'nointaioreorldcomp.sarioniBuiafte.srcqunedbySdionlT0(rorlhcl-^b.t(bd..lorlh.IErlonn&..of
rlt work lor\rhich thls pqril is $uo] My *oik ,T +t4rd
caricr and policy nufrb.r
259c4,a-CNW /L,r"r*r.*,3 L)8_6_?:t el
lccniayrharinrh.pdfolmnc.oflh€$orkfor\hi.hthisp.rrnilisitsud.lshallnorsDplot.ntpssonioaoydrnnd
s 6 io b€conrc Nbjdl lo r hc Lvo*6' c.m!i.n$r ion l.\rs of ( alifomi.. 6d asrd lhal if I should hc.ome $bjd to the
\rorkql compeNlion prolisionsolSdrioi 1700 ofrh. Latir Cod..lshall,lonhwnh comDly Nirhlho$ tro!isio6.
sdure \ork€rs' compcNalion co\cralc E unl vlul
r r€d thous d dolla6 ($100,000). in addnbn ro
d shall subjc.l s onploys lo o,ninal p.nahi6 ..d
ol coflrpcNlioo. d&n.sd a provided aor rhe
Cod€. inr.rst Md atom*t a6bZO
!IC!.!8.!-! !!rf
I hs€by anun under p.nax, o apaju, that I an licflsl trndd provision ofchafld 9 (commmcints $ilh S6tion 7000) orDirision l
of thc glsios ed P(l6ionr cod.. .Id my li.6r is in fuU lora ud .rtur
,z>)LicmcclN ,
-.-
"^," o, f t>f za>-""*..4
I hcrcb! allifln trndd t)erit! of pcrru' r- ltal dr6e E a.o sl4.ri.n Ldding.Scncy for lhe pgiomoce orlh. \rorl for $ni.h rhi! tsnri b
is$cJ is.( 10q7. ciY c )
Lcnddl Narne:
AITLTCANLDIiCIAB4IIO!
I had, alljm undd Fnalty oflojuryon€ oflh. fouowing d(ldlioc:
D.dolition Pmire^sberos Nolin.aliotr F.dml R€xulatio6 (Till. 40. Pan6 )
_ Rcqun.d Ldl.r oaNolificalion
I csrily rhar li€ f.d6al EEul.rioG rcgading 6b6ros rmolal e. nor aiplicabl. lo lhis prcjc.lx
I ftd,L rhar I ha\ c 'ad rhs .pplicst mn dd $dc rhd rh. .bo!. inlomalion t con61 I aBra ro .o,nply wnh .ll Cily and Counly
odioanc6 dd sralc las rclar ina lo buildin! conn d\i hercb) aurhoriz. itlrLscnhns.lrhis Cn,
ats\ c nBtrlioned popcn) nr
Appricrnlor ,\BenlsknNlure ;A/;A
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
[Jnder Slab / Floor I I
Bonding / Grounding / UFER Dll+fia i 5'7
Transformers lr
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment Zo 1>lrmat .#t 7
Factory Wired Unit 'ut
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rouqh)
Meter Release 2 ?o Dftnr)a -f t-/
I 0r
Rough
Service Meter
FINAL 7 D
Notes Remarks, Etc
Ldd6 s ddrss: