HomeMy WebLinkAbout20165770 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Sectiont (714) 647-5853
Electrical Permit #: 201li,|577(J
Pin #: 65570
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 1953 E Fruit St
Assessor'sParcel: 400-171-29 Lot: 27
Unit:
Block: NA
Bldg:
Tract; 9208
Address Range:
Historic: No
E
Conlraclor:
Address:
Tenant Name
Albert Griggers
1953 E Fruit St
Santa Ana, CA 927014454
(5671 232-0970
Petersen & Dean lnc dba Pe
39300 Civic Center Dr
Fremont, CA 94538
(714) 805-3903
Fee Type Amount Qty Fee
Notes: lnstall new roof mounted solar PV system. ALL FEES
PA|D ON 10't96321
$0.00
$0.00
$0.00
State Lic #; 468117
Lic Type: C-36, C-10, C-20, C-39
Bus. Lic #: 318074
Workers' Compensation lnsurance:
Carrier: Dept of lndustrial Relations
Policy #: SP4056778
Expires: 04l3Ol2O1A
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Solar
Solar
R-3, U
VB
cEc 2016
Planning Conditions:
Zuniga, Allissa
Date
Date
Date
Buildins Permit #: 10196321
Every permit issued shall become invalid unless the wotk on the site
authorized by such pemit is commenced within 180 days aftet its
issuance, ot il the wo* authotized on lhe site by such permit is suspended
ot abendoned for a peiod of180 days aflet the timo the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MtD#. 2018-143111
Fee Total:
Paid to Date:
Balance Due
Suite Range:
Zoning: R4
Owner:
Address:
Phone:
Phone:
Occupancy:
Constr Type:
Code:
05lo2t201a
Account#
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DELCARATION
I hemhy atfirh r cr FnJ(y oi tlcrjury lhnr I nn cxcmpt riom thc On actm Lh.nsc tre r rhc lollowinS tcobn (scc 70ll 5
arsinc* und Pi,,rc*ion codc) Atry Ciry or c{Dnl, which requnc\ r Fnnit Io con(rud. lltcr, imProvc, d.Bri\h or mp0n otry
nturrurc. priorio irr isuotrcc. alv, squncs !h. rrDliranr ror \uch p.imi o nb0 siBmd sr cmnl rhar Lor sh. n li.cnscd pursuMl
h rhc F,virions lrhc contr&ro.s Liccnscd lrw (Chr er 9. Commencins snh s..rion 7filo ol Oivhi.n 3 olrhc Busincss and
Pmlcsrion\ C.d.l or rhd hc or she ircxcmrlrhcrclionrlnd rhc ha\t nr rh..llcecd cxcmplin Any violaliondrsc.rirn 70ll.5byany
!ppliconr tor r Il.mrit subjccrslhc apPlicani ror.ivilpchrlryol mr nMc rhnn livc huidrcd dollnr: (S500r.
I, N owncr or rhc pruJEdy. or my cflploFcs silh vlges us th.t {,lc comt nv iotr. *ill do th€ *or* llld rhc {turm i\ nn
i c c{ or olttrcd for $lc (Ss 7(}44. Busincs d.d hdisionr codc Thc Conrrclols Liccns tl* des nor lpply ro {n oNmt oi
rh.pn'Fnt sh) huilds or nntons fi.mn. lrd who d@s such wlt hnnsclaor hcr*lrdr rhmuSh his or hcr oun emPloycc\.
proridi rhar such inl'Dwrnrs m frn imcndcd oroficrtd ibr sh.lf. lrrscvcr.lh. trihing or inDmvcmnr t $lil wirhi. otu ytn
ofo,r{hri[ rhc O*ncr Buitlcr sill hlrt rnc hordq of l,o!i.8 Ihtrt h. or sh. dxl nor truild or imtnovc rhc ,'rlgly for rl* IjDrpo* of
l. \owtrdol'rhcIJr'rcny.rncxch\iv.ly..ftddg{irhli..n\cdco rndrs lo con(ru.r rhc phJccr (Scc.7(}1-l.llxsir'c$
r t ltrissi)nC.lt ThcCoitd.r.as Li.cflsc l-au docs nor rDplylo !.owncrofpn)|x ysho buildror inrpmvcs ricrcon.
rtrd qho Nfln rrs r'or such pmic.( sirh , coihdon s) li.cn\cd tursurtrr tu lhc Qn ra.ntr s l.ic.tr{ IiN)
IrncicD UndcrS.ciion .B &PC lnrrhi\rcrvnr
lyllBtrEElila[lrENSAIIgN
I)E(Lt&rIlaN
I hcrcbyrilirnrundcr p.tr.lryolpcrjuryo tof rhcn,ll.singde'lafuri,rN
I hnlc frl will nEi"llir a Cen iltirc .l (uMnr b SrllrlNud tu sorkcn coDlcnsol ion, as Fovidcd tur by ssr ion 1700 o I ilE
Lutxtr c.J.. r(tr rhc p.rrormrcc of rhc qork for shi.h lhe Fn.n h nsuc
I h.v.and will mi rin sorksi conrFn\rrion insufu'x.. us rcqtrtcd ny SRr ion .l7m ol rhc I trtDr Cod.. ror rhc pcrlo.nnncc oi
rhc sork lnr shich l[h ri.nnil i\ hsuc{ My workcr'.oi1p.n\rrion insuiitr.ccorid x] plicynunlhcr rc:k
5 ()30
-l.cniiylhal
h lhc Nrli,rtunc.ol rh. work rdNhi.h rhh lcflni n issucd.l shnll nor dmploy rny$rs,n in lnynutrncr
v, * t' tdr,ft srhj$r r) rhc *ode6 conlll. sllion lar'\ otcllifonil r'd ald rhar,fI stuukl b(com subjccr io rtr
*o*c*'corpcns,ionfmvtionsoiScclionST(xloirhcLahorC(lc-llhall.ronhqilhcorplrwilhlhoscPmvnbn\
WAI{NNC: liilulc nr Ecurc Norkcn $nrt r\rrion .olcflsc is utrhwtul. lnd shall slhjccr !n cmploycL ro dnnnEl Pcollrhs (nd
civil !inc\ ut lo onc hundrcd lhou\rnd dollars aldirsn h thc cosr oi comncn\arn,n, damPcs as providcd hr rhc
scclnr 1076 of lh.litu Crxlc. inr
"",", -slzlt*
Ihcrcbyaitr!frlcrprnlxyorpcrjurtrhdIlnrliccnslundcrnovi\i.trorChrrrd9l.onnrncir8wilhSNlhnr00orofDivtio':l
.l rh. Ausircs ond Prolt$i,)ns Codc- tr &y liccn\c i\ in full f(rl{ dd c lINt.
;7
I
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hsucd lS\.'. .1097. Civ C )
APIIICANfDECI.AAA.IION
I hry rtrm und.r penrhyof p.riury one orlh€ lolloqin8 dElanrions:
Dcmolirion Pcrmns Aili$os No'ilicarion Fdcal RCEU larions (Tillc tO. Pun6)
-Rcq!ircd
trrrcr ot Ndinc,iion
I c.nify rhrr rlr l.dcrdrc!uhtiotrs F8nrdinS rlh-(os rdr$vLrlrc tror rU,li(rhlc I' rhn nn)jccr
-l
ccniiirhd I harc rcad rhi\ tr ri(r ndinrcrhlrhcrhncrtrlornrri, i\..n..r lalr--ir(o !n,sirhtl Ciryxnd(inn v
ordinln.es urd Srarcl$r rcbii4r connrud ion. r,rl hcr.hy nurho,izc reFc{nuriv.\ or rhk Cjllrnd Counr} to enr$ uFrn rlt
trholc nrcnrionld pnrpcny ibr i
,\plli$ l rr Asr lSiAnsl
aan ?ua3c,4zl g
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditroners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Solfit Rouoh
Ceilinos (T-Bar Rouqh)
lVleter Release
Rouoh
Service lt/leter
FINAL c ll0ltr 1
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Notes, Remarks, Etc.v-". lL'