HomeMy WebLinkAbout20165930 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65930
Pin #: 8365?J
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 550 S Harbor Blvd
Assessor'sParcel: 108-681-05 Lot
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Clara Han
550 S Harbor Blvd
Santa Ana, CA 92704
(714) 803-2885
South West Sun Solar, lnc
13752 Harbor Blvd
Garden Grove, CA 92843
(714) 582-3909
Fee Type Amount Qty Fee
PAID
I,IAY 22 ZOIB
Phone
State Lic #: 1004567
Lic Type: C-10
Bus. Lic #; 350754
Workers' Compensation lnsurance;
Carrier: COMMERCE & INOUSTRY INSURANCE COMPANY
Policy #: 033571266
Expires: 06/0'112018
City oT Santa Ana
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R-3, U
V B, SPK
cEc 2016 Noles: lnstall solar panels/fee pd on '10196510
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Perm.t #: 101 9651 0
Every parmit issued shall become invalid unless tha wo* on the site
authotized by such permil is commenced within 180 days aftet its
issuance, or if the work authoized on the sile by such permit is suspended
or abandoned fot a period of180 days aftet the time the wo* is
cofimenced.
\0\ u".n"n0"., xatnv
Date
Date
Date 05122t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$0.00
$0.00
$0.00
lnspector MID#: 2018-'143491
Fee Total:
Paid to Date:
Balance Due:
Bldg:
Tract: NA
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUILT'ER DELCARAIION
I hcrchy rrtr6 und.i f,cnnlry of Frjury rhrr I d exchpr fDm rhc ConrracroF l,i..n\c lj* nrrhc nnbsins saen (Scc 70.115
Busincs\ rM Pmhsn,. C.d.): Any Cily or Coumy which r.allncs r pcrdi nr mn{tucr. ahcr, im[ov.. d.frrhh nr ru|Jtr ,ny
nructurc- pri0tu irs isuancc. !1y, rcquies lhc rptli.Mi ror.u.h p.irnn i. filc a siSn d {arcmm rhd h.or sh. k li.ctr$d pu*uanr
to rh. fmvilions of lh. Conttrcr(r's l-i.cn$d l-,w (Chtrprcr L C.nncmi'r! wirh Sccrnri ?000 ol Dilnnnr I .frhc Borincsr and
PR,rcssions Codc) or rhar hc or shc h cxcmpr rhercriomrnd rhc busis tbr lhc {llc3cd cic'nption. Any viohrn,nofSc.rion'703l r by rny
rlpli.anrlorrp.nnisnbj(srhc.prlic,nrroa.ivilpc.,lrrornorturcrhxnfivchundr.ddoUrsl$r0o)
l- r\ oencr of lhc pmFny. or m, cmpkrrrcs qilh {accs r\ rh.ir $lc onrEnsurn,n. s ill do rhc wrt md ltr (d1@ is ft,|
i c&rrt or orlaid n, $lc (SN.?0r4, Busin.\s and rto,bs\ionc C{xlc: 1!c ConrrDckn \ l -icctrs lls do6 n r rIFIy ro r owncr ol
rhepmFdy sho buildso! in]Ix^!! rhcN.. dld who des s$h so* hiDscllor h.6.llo! rhou8h his or hc! orncmplor.cs.
Drovidcd rhir such nnEovcnrnrs ec nori cndcn or olir.d fn srL.ll lD*cvci. rhchuildintor inlprcKnEni issklwirhinonc F.nr
orc.'ryhri,r rh.Owrcr Boildcr willh& rhc l,lrdcn oltnvirS lhd lE or shc dil ior hoix o, nnltro!. rtc pn,p.iy r.r rhc pL{b{ or
-1.
6s osnc. ol rhc troocny. am cxclu\ivcly c.nlmclin8 wiih liNn\cd ontrucktrs ro con( rucl rtc pnjccl lse.^ 7(!4- Bu\incs
nnd Piofcssi Codc ThcConh.ttr s Lic..sc Law dki n.r iptly i(, r. owncr of pn)lxdy who buildsor nnprovcsrhcrc.n.
and *ho conrrNls lor slchproF.-'r wirn s C.nrrudo(n li.cnscn nuFunr x, rh. Ornrracrois Liccns hw)
I rmclcnrpr uDd.rSccrion_
Da(e Orner
]rcf,TE8II]SIMPINSAIOX
IIEILAAAIION
I h.db, arfirn undcr pc.alry or p.rjory.ft of rhc follo*iry dcchorions:
-\I har ud $ill tuinhin a Ccrr ificarc o, ConE n, Sclt lnsurc io. Forkes conrf,n{rion. as pFvidcd for by sL{ion 17fl) or rh.
Libor Oxlc. aor rh. pcrf(llmrcc oi rhc aort for which rh. Frnril is hsucn
h[p.1n L1F.u.d M,wo't.'. . mFn\J! i,,n in(umfr'. ..'n n Jdl$l'!ynumh.r m
?T(z-
"^or*,^*,,-@h:-( 1- tL{.6 e,pr* 6-lk'
I cdify rhri in rhc prrlornbtud ofrh. work fff *hich rhis Jr.iinir h i\sucd. I \hrll nor c'npk)y rny pc^on in rtry mrtrrcr
so !sh b.(nrc subjcct to thc Mrkcrs, con[cns,iion kws olcllironri( rnd Uc rh|l if I {urb bccom shjcd k,llrc
wolkcr .oolc.sation lmvhi.ns of Sc.riotr 1700 of rhc tihtr C.dc. I shnll. loiihwirh colnply pith lho{ pmvhions
\1ARNIN(; Frilrr k) *.ure $orlcr\ conl^-n\rrn,,
.nil linr\ r| r, o.c hundr.d rho!\rfil dollu^ tSl(X)
Sc.ri(n:1076ofrhc l-rhtrGxlc. dcrc{ n dnnorncv \
rh,r: \ - / /-l {nuor,-.,.
corcr8c i\ dnlnuful, nnd \hJl suhj..r nn cnplo!$ lo rimiml pcDhas Dnd
add'riols'h. 6{ or mmp.n$r'on. d.nE8.s r\ rD\idcd rn, rh.Hr--
DECI,ASAIIOX
I h.Eby rrtrm undcr pculty of pcrjury lhar I am lianed undq prcvision ofChoplcr 9 (ommrcins with Ssri,.7ux)) orDivision ]
o{ th. gusirc$ ond t\ofcssions cidc. ond my ltcns n in tull lb.a ad cfid.
c-(o oY$4 7tya-r-"-,\
C(INSTRUCTI(}N LFNDI:\(; A(iFNCI
I hcrcby ofirm undcr FnaltyofFrjuryrhur rhcrc is a coD{rucrbn lendirs aacn.y f(r ihc Frfornrn.. orrh. w.rk ror shhh rhh lEnnil is
hsucd (Sc. 1097. Civ C.)
AIPIJSAALDEIIASA.IION
I h@t'y ifm lndcr p.tr.hy ol qcriury onc olrhc followine dcclaralionr:
D.molirirn P(. k sh.sos Norin.nrion Fcdcrrl Rcgubrion! Onl.40, Pan6)
Rcquircd ldlc.orNoificrrion
-l
cenily lhat thc rederal rc8ulariotrs rcEudin8 &rbcslos ictrxtrul are rer trpplicol,lc lo lhi\ nrJj.{r
-t
errify rhor I h€lc rcld lhis applicrtion !d slarc thor tlE rtnrc informrion h corer. I acr ro Nn ly wnh,ll Cily.nd Counry
ndmamc\ and Stlrc tjwi rcbrhs r. buildins mns!!EiaL!$ h.rchy luthor iu c rFesnrxrn.\ nl rhn Cny rnd counry'. cn'n ullon rlEffi,-^ffi":"'ryff De,? r*LZ-v
P.mirc n,ne rprrnr,: {al: k-
Underground
Pole Bases
Lighl Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
To rquerng
Sub-Panels
Roof To p Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
I\4eter Release
Rough
Service Meter
FINAL 6nfl 7/ .21 +14r-)
Notes, Bemarks, Etc. t I
APPROVALS
Site-Work
Transformers
Air Conditioners
[ --r-----
I
I