HomeMy WebLinkAbout20165827 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa AJra, CA 92702 Electrical
l nspection Req uests: (7 1 41 667 -27 38 l n spector Section: (7 1 41 647 -5853
Permit #: 2(J165827
Pin #: 12574
Proiect Address: 520 314 S Harbor Blvd
Assessor'sParcel: 188-071-05 Lot: NA
unit: METO1
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SP2
er
Owner:
Address:
Contractor
Address:
KB HOME Coastal lnc.
36310lnland Valley Dr
Wildomar, CA 92595
KB Home Coastal, lnc.
10990 Wilshire Blvd. Ste. 70
Los Angeles, CA 90024
(310) 2314000
Fec Type
01116002 51603 Serv lvleter
01116002 51600 General Plan Update
011 16002 51603 lssuancePhone
Tenant Name
Itch+:43664 - 1/9/2t7lg Ioi JGU'lice! (:TYH Trons+: :i8 t:r:Li: Refi: 2ttt 6 iill
:pti:02260535 - 3/9/?trlg ?139 l'llPhone
F,!
frl
ii,
Ir qn6flct ion Totnl
r'F Ho,ie CB(iBIol r Inr
Auth+r 64
iienenol Flon Updote Fee
r.!tl 16(r(12- 5160000tr-
Electr icol
r11116(102- 51603(r(r:r-
ilflsiec Cond
{:(:+ : **}**rrrrrir(t1 53
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Other
Miscellaneous
Pedestal Meter
N/A
N/A
cEc 2016
Occupancy:
Constr Type
Code:Notes: Pedestal meter lor irrigation.
Chavez, Dave-7..'05/09/2018
Account#
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unlessthe wo* on tho sito
authotized by such permit is commenced within 180 days aftet its
issuance, ot ilthe wotk authotized on the sile by such permit is suspended
ot abandoned fot a peiod of 180 days after the tine the wotk is
commenced,
MID#: 2018-143263
$21.25
$104.27
Fee Total:
Paid to Date:
Balance Oue:
$125.52
$0.00
$125.52
Amount
5't.29
21 .25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$51 .29
$21.25
$52.98
State Lic #: 630879
Lic Type: B
Bus. Lic #: 362804
Wofkers' Compensation lnsurance:Carrier: Star lndsmnity & Liability Company
Policy #: 1000001836
Expires: 08/31/2018
Date:
Date:
Date:
01 1 16002 51600
01116002 51603
lnspector
ELECTRICAL.INSPECTOB RECOHD
APPROVALS DATE ID/SIG.COMIIIENTS OWNER BUILDER DELCARATION
I h.rchy ailrm uiJcr p.nalry of Frjury rhal I am cxcmpl from th. Conlmctor' Li.c.sc tis lnr dc follouin8 rca$n lscc 70ll 5
ausituqs and Prorcs\ion Codc): Any Cily or Counly which rcquircs ! F.nir b .on(d.r. ahcr. inpmvc- &mlhh or qEt dy
srfl.turc, prior ro ils t.uotrcc. !l$ rcquncs rhe rrtlicdl aor suchFmirt) lilc, si8ncd (utemnt
'halhcor
\h. k lkcnen onBu{nr
ro rhc rhvisioG ot rh. Conractors Liccnsd tjw (Ch!!lcr 9. Cornmncing wnh s.crion xx)o of Division.] olrh. Bnsin * nnd
Pmrcasions Cadc) or rtul lEorshc iscrcmllthcrclromand lhc hr\i\ rorrh.alkE.dcxcmplion AnyviollrionofscclhnT0.ll5byrny
applicrtrr lor a p.rn t subjcch rhc amli.a.r k,a.ivilr.nahy.rno! nmrcrhan rivc hundrd dollor ($5m).
I. as ovmrorrh. l,olErly. or nry cnl,lo]es uilh *ases as rh€ir s,h co'nFns,'nnr willdo itr sork ard rlE dBrm n ior
intctucd or oFcrcd for \rk (SE 7(,'14, Brsincs and Pr.rcsion\ Cod. Th. Cotrtrrclot s Liccns li* doN tror ,pply lo an ow cr o,
rhe Imrcny wtu bxild\ or in{,r.ves th.mn..nd *ho dcs such wir iinNlf or hcr*lfor rhiouah his or hcr osn enrPln)ccs,
F)vidcd rlDr ru.h iuDmBmtrh rc
'xn
inrcndcil .r .ficrn li)r $lc. Il ln*c!.( rlE trildin8 or imfloknEnr is $ld wirhin . . ytdr
of conplcion. thc Owncr |tuits will hsw rhc burdei orF,ins rr,n hc or shc dtu nor huild or nnpow rhc It6Fny ror lhc NlTnsc ol
-l.rso*ner.frhcpopdny,rr.x.hNivclr.otrtr.lirBwilhliccnsedcodrrcr{xnr.oinr.rrhtrolc.r(Sccr04r-Bu!trcl!rnl Arfcsi.n Codc lhcConlri(nn s Ltcnsc I-r* docs nor trml!n) o! rcr ol Droli.ny *ho bl ild\ or in9tuv.s lhrrcotr.
$J $ho c.nrrckror su.h tnoj.ch Nirh 0 Cotrlrrdo(\r liccnscd !ur{ nr t,rhc Gnnrdcktr s Liccnsc tj*)
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u'ncrchpr undc, Sc.riotr
n-o8KE&::roruENJ rl)!
DEEIA&III9Ii
I hc.ehy allirn]undc. |Enrllyolpcriuryomof rhc n)lbtrinJr dc.lrr ri(N:
I h.vc arilwillrmint.i,raCcnificBrcolConscnt b SclalnsuEn, worldr' cotrrFns.linn. ns pmvided tor bySftridn:1700orrh.
l$or Codc. for rhc FrtordDn.c orlhc wor* for ehich lhc p.irn insucd.
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h0vc and will mainlain workcn cotrycnsdn nNur,ic.. a\ r.quircdbrScclion3700orrhcLalxJ,Codc,rorlhcpcrlornnnccor
rhc wolk iorwnichlhh ncn.il is issrcd. Mywo.kcn conrpcnsdnn nsurun.c c.tricr u lrolicy iu rhr m:
.944{. a^d,.^^',+l + Lr4b.l:1, (.
\OoOOt" \\3L i\' ac+ ->4\g
l..nifyrharirrhcpcrlorntrRTofrhcworklor*hichlhnpcrmir t NUrd. I \hnll mr cflr oy!tryPcronn,i yn1rnrcr
$ slo tEcoiE suhtccr ro
'hc
virrcr co'npcnsarn,n hss orCalirornia. inlnsEc rhrr ir I\l'!rold trtom b.jcd ro lhc
wolkLr(.onrFnsnrtotrrirovtion\ofSr.rn,nlTlDofrh.LihJrC.dc.ldmll.li)nhwilhconrPlywirhrho{nmvisions
i{ARNING: Failun ro ccurc worlcB sn.Fnslrion olcBsc is unlawrul. alxt shrll suhjct m er.plortr rb Ltmiral F* ix !trd
civil 6ncs up lo otrc hundrcd rhousand dollan (Sl(x).O(x)), in tddirion ro rhc.osl of omPcnsdrion. danag.s as [ovidcd lor th.
s..rbn 1076ofd. Lnbor Codc, inlcrc lndlnotuyifes
q -/^q\ - Zt,\L appn*tt.-t (?e. l' l 2,
LI$ASEDJOIiISAT.&B
DICIABAI&N
I hcrchy rinm undcr pcmhr.lpdrjury rhnr I trm li.cnsdl undcr flovhion ofChlprcr 9lmnn]kncine wirh scclion 70(()) oI Dirisnnr:l
of rhc Busi.cs md Pofc$ion\ Codc. and rny licd\c i\ in full f.(c dnd.lllcl
B Glo *-tc
9.1" . L,t -pa,, - Zi. t<!
IaNEIAIIJ](III.TdDIIGAGENCI
Lrre$y umrm undfi Fnally of r.qury lhol lhnc C o mnstruclion Lnding actfty ror lhc Frfomarc oa rlE wrk ror whf,h lhis JEmir k
irsucd (Scc.109?. Civ C.).
ATTUCANIDLCLAS TN
I hcrc$y anim u ndcr lcnally olrcrjury om orrh. rolh)win8 d..tffdn rs
Dc'toririon P*nirs Ashcios Noriiicrrion F-Lncml Rqrlarions ('l-ir l. 40. I'M6)
Rcquncd t.trcr ol' Notifi cdion
-l
cenifyrhal rh. fcdc..l og! hr ions Egfdiog Ntr os rcmval sc nor applic lc h rhli poii1
@l ccnify rhd I hak @d rhie {dk{rhn &rl $arc rhar rhc ahore inforroibn h corel.I aSre locornplyvith iI ciryoftl counlv
6rda.'m. ard Sra(e bws El ing lo buildins conndclio.. ud hercly aurrhti* t Ft*ntalircs oa rhis Cny,nd Counly lo cntcr upon lh€
dnv€ rntioftd lloFny tor insF3ion purposs.
Appriont or Aaenr siaNtu*: L:Ela J't>o,n' 1-A!l
l'e.n ree nsn,s(pnno: )'- C.''' L -()-
'z 5
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Sbh./Eloot-
Bondin6(QroundiddV UFE R ,z(-tq KczT
Iranstormers
Torqueing
Sub Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Sollit Rouqh
Ceilinqs (T-Bar Rouoh)
I\4eter Release
Rouqh
Service Meter 94-/1 Ecz2 /-\
FINAL 7zt-t3 Pcr/4 zn5@, )
Notes, Remarks, Etc
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