HomeMy WebLinkAbout20167507 - Permitunit:
Block: NA
Bldg:
Tract: 7891
Address Range:
Historic: No
E
Assessor'sParcel: 396-381-20 Lot 29
20 Civic Center Plaza ([/- 19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit#: 201675O7
Pin #: 53982
Cify of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Contractor:
Address:
Solar 360
1572 N Batavia, Suite 2
Orange, CA 92867
(7141 401-7242
Fee Type
01116002 51603 Serv Meter
01116002 5160C General Plan Update
01 116002 51603 lssuance
Amount
53.28
22.08
55.04
Fee
$53 28
$22 08
$55.04Phone
Tenant Name:
Phone
Stale Lic #: 985010
Lic Type: B
Bus. Lic #: 345934
Workers' Compensation lnsurance:Carrier: NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
Policy #: WCC332562A
Expires: 0710412019
Botch+:47132 - 11/28/2018 ID: C('
offqsp: CTYH Trons+: 2l ?
Acct+! Refi: 201&7
Rcp!+:0?451 11 - fl/2&12015 tur4
Tronsoct ion Totol 1582.1
UinEent Curc i e
Solor 360
6enerol PIan Uedote Fee
01r16002- 51600000-
Electn if,ql
011160(12- 51603000-
ICL Che{k 007589
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued Byl
Subject to Field:
Building Permit #:
Occupancy:
Conslr Type
Code:
R-3, U
VB
cEc 2015
Notes: handout given
\l.[nernanoe., r"tny
Date
Date
Date 11t28t2018
Account#
01116002 51600
011 16002 51603
$22.08
$ 108.32
$130.40
$0.00
$130.40
Every pemit issued shall become invalid unless the wo* on the site
authoized by such pemil is commenced within180 days after ils
issuance, or if the work authoized on the site by such pormit is suspended
or abandoned for a penod of 180 days aftet the time lhe wo* is
commenced.
lnspector tt/lD#: 20'18-147963
Proiect Address: 1609 E Franzen Ave Suite Range:
Zoning: Rl
Kevin McGowen
1609 E Franzen Ave
Santa Ana, CA 927056928
(714) 3714835 ext. 8497
Qty
100
1.00
100
Planring Conditaons:
Single Family Dwelling
Miscellaneous
Service Meler
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total
Paid to Dale:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (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 (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
[/eter Release <^<,<,o ()9
Rouqh -ti6
flService Meter p:FINAL u 8/,n
Notes, Remarks, Etc.
OWNER BUILDI]R DDTCARATTON
I hdety rrm und6 pdslty of p€rjury lhal I d cxnpl ftoln rh. Co.t6clor' l,iccns. L{p for lhc rolbwing rc&n (s-.7011.5
AosinBs d Proasion Code): Aoy Cily or Counly which requtc a Fmn lo conslrucl, ah6. inptov., dcnoli,h ot Epat my
slructuc, rior to its ns@c€. ebo 6qun6 th. .pplicat aor such Fmil lo file a sisn d $ddar that h. or stE ii licosd pleanl
ro rh. previsioB of rh. Contia.roa. Lic.nsed Liw (Chaprd s, Comb..ci.s *ith Scclion 7000 ol Division I oflh. ausin€s md
Prorsions Codc) or lhar h. or sh. is ex.mfl thdcftoo dd the bsis for ln allegcd dmflion ,^., violalion olsdrid. 701 I 5 by an,
appli.rm lor apmn subjds lh. applicanl lo acirilpdallyofnot moclhd lir. hundr.d dolles (5500).
l. s o$nd of the Fopcny. o. dy cdplo)G *nh $ ,gc s rh.ir $1. comp€rsalion. qill do rn *or* dd $€ stM@ is rct
inrhdel oroll6.d for sl. (Se 71144, Busirs and PDl6sions Co&: Th.contactois Licas L.w do6 nol tppll ro d ownB oi
$c popgly who b{ilds or iiipmv6 lh66( md who doe sucn rclt himrelro. hd*lf or rhrough his or hd own cmpk v.6.
prolid.d thar such inprcqEtrls 6r oor i'n6!H oronqqr ror ek I[ hosd6. rhc triklins o. iqrer.]6r i! $ld Nithin nrc ]w
olcoopl.lion. rhe o* nd Buitld sill halc lh. hrdd oflrovin8 thd hc or sh. did nor b nd or i,npmrc thc pmrEly for $c purss of
l, s orvtrd of lhc plopcny. an cxclusivrly conkaclins virh licdrcil .onlractor ro conslruct th€ projel (sd 7014. AGD$
a.d Pofisio" Codc: Thccotrrsdoas Licose Las do6 not aDply to an orvns oaDroFny Rho blilds or imProrc th6on.
old {no cootrmis aor such proj6,ls wirh a Conr6cro(, hc@lcd pu6uMr lo lhc contadois t-icd* h{)
I on cx€mpr utrds Sction-, B & P.C for this r@o
O*ne
]laatrE8g-cq!4lENSAUA!
DECLARATTON
I hmbyliltrm undd Falyotpojuryon onh. fouowinS de,mtioB:
-l
naE ed will n,inrrin a C.nificab olconsdt lo S.lt-lcuc fot rcrl.m mnpcnotion, 6 providcd lo. by Sdtion .1700 of th.
L!bor_]}d., ro' rh. po foll@(c o f (h. m for u hich rhc p<trir E i"rsuci.
(ba\ c and *ill trEDtarn q olt..,!' comp<M, 'on '6drnc.. s '.qun n by scrion 37oo of rhc t bor cod.. ror th. psrom&c. of
th. work for which rhis pq n is iscd My work6! @np@srlion iBuMc. tris !.d lolicy nuhbd r.:
vtidc
v C<_\t?,9(Z A.o7 -3 t'l
-l
c.niiy rhar in rh. pdaormancc olrh€ sort lor which rhis p€mil is ssu.d.l shdll nol nplo, ony p.mn in an) ndnd
$ sto b€.omcsubid lo lhc rort6' comptsalio. las s of Caliaomi{ and agE rhar ilI sr'ould b.ton strbjd Iolhc
eo*6s compaetionrrevtiotu ols*rion llT0ooalh.I*o. ( ud.,l dEll. fonh*ilh co'nply wirhrho*Pmvisions
WARNINGT Failurc to ww worl6 cooptualion ovc68e is unbwrll, and shall subjccl D oployd io anninal p€Mlti6 and
.ivil nnB up lo oD. nund,cd lhousd doll6 ($100,000), in addnion b rh. con of conrp.Mrio.. d.m86 6 ptovid.d aor lh.
S(rion 1070 utih. b6.,r Code, rr66t
D.* ) t-llo'r b
lzr(j,lut!.!al
I hmby .ftm undd pdally ot pdjury that I m licoE€d undd provieiot of Ch.pl6 I (commocins vilh s.<ion 7000) ol Dirisiofl l
ol lhc Busins ed ProaNions (od€. dd ny licme is in luu lor.. dd .lldr.
1L1\/
LL-1b-l
CCIII8ICITONIEIDIXC-AGENCI
I hftby a,Itrm undd Fmlry ol pdju,) Oal rh@ is a co6loclion LndinS astry lor th. Paaor]@.. olln work lor vhich thir Fni i3
i.su.d (Se 1097. Ci! C)
AIIIICANI.I)ECI,JNAIIAd
I hcEty afim und6 Do.hy ofpdjury on. of$.lollosins ddldariotr:
Dcmlilion Pmits-Asb6tos Notifi.alion F.dral R.sularions (Till.40, P0n6)
-R.quircd
Lclrd ol Notifcation
-l
cdiry lhar rhe acddal r.rularioB rcSedins 6b€sos rdnolal ec not appli.abl. b rhis Pmj..l
I.dify thd I halc read lhis applicalFn and iarc rhd rhc abov. inaomalion is conccl. I asra ro.tmply$nh all Cityaod Counly
ordind.6.nd Stmc Larvs rektins ro buildios coturruction. and hdeliy autho,tc reprsataliv6 ofrris Cny ond Counlylo dr6 upon rhc
al$ c nbr n,ncd prupeny lhr
rptrlicn r o, gr t Sigflrl r.mi chtcl 4ox/eleotg
t/-2s-4
a,z-2:?:
lc .t
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n","*a g5o ) o
LcnJtr t Ad<i6.-
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