HomeMy WebLinkAbout20165779 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana C492702 Electrical Permit #: 2lJ165779
Pin #: tl78slnspection Requests: 1714) 667-2738 lnspector Section: (714) 647-5853
ProjectAddress: 211 E Memory Ln Unit:
Block: NA
Bldg:
Tract: NA
w
Assessor'sParcel: O4'l-212-O4 Lot: NA
Christopher Goffredo
211 E Memory Lane
Santa Ana, CA 92705
(949) 4394982
Fee Type
01'116002 51600 General Plan Update
Amount
22.O8
Qty
0.00
Fee
$0.00
Phone
Tenant Name
Contractor
Address:
Semper Solaris
1805 John Towers Avenue
El Cajon, CA 92020
(619) 71540s4Phone
State Lic #: 978'152
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 365759
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9029275
Expires: 1011012019
Building Use:
Job Type:
Nature of Work
Mixed-Use
Solar
Solar
Notes lnstall(10) roof mounted solar panels. FEES PD ON
't 0196331
Planning Conditions:
Date
Date
Date
10129t201A
111O6t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$0.00
$0.00
$0.00
Every perml lssued shall become invalid unless the wo* on the sile
aulhoized by such permtt ts cammenced wtthin180 days atter its
tssuance, ot ifthe wo* authorized on the site by such permit is suspended
or abandoned for a period of180 days aftet the time lhe work is
commenced
lnspector ItIID#: 2018-'143140
Fee Total:
Paid to Date:
Balance Due
Address Range: 2761-gOO1N Suite Rangei
Maidl01-199
Historic: No Zoning: SD59
Owner:
Address:
Occupancy:
Constr Type:
Code:
R-3, U, B
V B, SPK
cEc 2016
Planning Approval By:
Plan Checked By 7.-\ Smrth. Nrark
Permrt lssued By: / \ftf,-soen,.tuliet/)
Subject lo Field. U ( )
Burtdrns Perm #: 1 6196331
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE rD/srG COMMENTS OWNDR BUILDER DELCARATION
I hdeby 3rtrD undd Ftr.lty of pdjury llBl I m .xcmpr 6on th. ftnlEdoB L(cns l-3w lor lhc lollowing Bei (Sc 701 L5
Itusin6s ad Profsion Codc) Any Cily or Counry which rerluir6 a p6nit ro codttucr, aho, improv., &molish or r?an ey
srtudu., prior ro ns isudce. abo equn6 rh. applicsr aorsuch p-n ro fil.e n8n.n srdmor rhd h.orih. ts licNd psusl
lo rh. Fovisions of rh. Conra.rofs LiceNd Liw (Chaprs s, Cohmcnci.s $ih Sdrion 7000 of Divi.ion I oath. BBin.s ed
ProaBions Cod{) or rhal hc or shc i! .rcofl rh(.&on ed rh. b6i a6r $c alLg.d ddnplion. A.y viol.lionotsdlion 7031.5 by any
spplicani aor a pmn subrds thc opplicst lo . cilil p.nalty of nor nore th fivc hund'cddollrs (1500)
-1,
s o{n.r ofrhc !ror.ny, or dy .Eplo}6 rilh sau6 6 rh.ir $1. .onp@rion. will rh th. wort 6rd thc slruclu€ is nol
in'6d.d or olI6.d for sl. (Sc.70,r4, Busins &d Prcfsio6 Code lhc contadof3 Lica* La* do6 not dpply lo o o*n.r or
rh. Pllpdj wbo buildr or nnFo!6 rhaon. dd who d6 such slrl hins€lf or h€Gclror ihrotrlh his or hd own mployc.
prcvid.d rtat suct UDpNvdors e nor im@d€d orofiiqi forsL.ll hos66, $. tuilding or ihpmvmol is sB wilhi! on. )@
ofcomplclion. th. ownE Buikld will h,v. th. bido oaprcvinS fid h. or sh. did rct boild o! imp,oir lh€ I,opory lor lbl pu'po* of
l. dorvnqofrhe prcpsry. acl6iv.ly conrBcrin-s $irh licss.d olnrado6 ro .omtud ll'. pmled (Sc. 704.4. Uusins
dd I'roisio. Codc: Th. Cdnlractor's Lic.n. L,s do6 not applyro e osnd ofprop€ny sho builds or inrprcv6 rhd.on,
and Nho conkacrs fo. sch proj.ds $ nn a Conlnclo(s) licdscd pu6mt to lhe c ont..lor's l-i.o* La*)
I &ncxcmpt uoda Sdio
.gaatsE8!:cauEEllallar
DICIdB6IIQN
I hn.by amfr: undr pmllyofFjuryon.oathc follo*in8 delaralios:
Ihav. d will mintai" a Catificate of Congr lo S€la- l6ur. for *!r[.6 6nrp€.s.iio., 4 provid.d for b, Sclion ]700 oflh.
L!b6r Cod.,lor$. pdfomec. ofthc wlt lor which th.Fs n ileol.
-:l ha!. md u ill maorr m wortcn' comp.NatroD B(mc., s rcquir.d by Sdion 3?00 ollhc Labor Codc, lot rhc tsfon@c. of
rhc Nort for Nhich nris ponii is isu.d My rvorkc( co.fmsrio.
+Co 9.(q
t(,*,ry lhar rn rh€ p€rfonnance orthcsork fr rvhich rht p{!nr is iesucd.l sh.ll nor mployanypmn ifl anymun6
and reE lfi.l il I should b..o!nc subj..l to rh.
sh.ll, fodhNnt omDly pithlhoseprcvisioN
so aro tdoii. strbjdt
'o
rh. sdd'campmarion lass oacaliaomi..
work6' .om!.malio. prolisioNof Section 1700ollh. llbor Cod( I
\IARNTNC: raih.e ro ffiuc *ork€6 co'nlsal$h core'ale D unla*lul. and sh,ll srbj(t m cnploro
c'vLl fif€s up r{. on. hundr.d rhouslnd dolli^ (5ll)0,000). ,n addirnr n, rhc cosr olc.nrp.Dsil
Labo! Cod€. inrer6t and ar(on'ey s
c
D1](.lrlll,llIlt
I hd.ny smrm undd p6ahy of pojury rhal I dn lic€nscd undd Fovision oi Chaplg 9 (conmocins wilh Sc(io. 7000) of Divkion l
ol Oc ausinstud Pol6sio6 Codc. d myliceaisin fnll for. ud cfsr
(lo c7q c 2-
IQIiIBUCUqU.LIIDAC.AGTNCI
I he.by lJlrn undd pdahy ol p6jui, that lhe. i! a codtu.rion Lndin8 rgocy aor the pdlomoce ollhe work ior {bi.h rhG Fdnt b
isucd (Str.1097, Civ. C.)
ATIII(AAUIDCI.AAAIIQ!
I hd.b,dlmundd poakyofpdjury on of$. aollowirB dek lio.s
Drnolitioi Pmits-Asb6tG Nolificdion F.dqal R.gularions {TnL 40, Prn6)
-Rcqun€d
LerEr ot Notifrc,fion
,ll r}[r rlrr fud.nl , qllhrid,s
'
cgdding irnst,s
'
rnn x xrc nol npt)l .nb c k, 1his r,r olt{r
/-,irylhnr, haveEad rhis applicaiion ad sral.rhal rhc atove inromdion is corecl. I ro onllyrirh all Citl a.d (outrr,
ordin c6 and Statc tiws rchiru ro blildin-! co6tn.tion. and hdcby .uthonzc ofrhis Cny ed Coumy ro €.16 upo.lhe
abovc rhmrtuncd pelEdy aor
ap0li.rnl or Agc r Sitn,
0l/"1
-,.1(/619
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Frre Alarm / Dam pers
Communications Cable
Building
Bondin g/Grounding/UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ce ilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL 7l(Lltaj zut rrq
Notes, Remarks, Etc
Under Slab / Floor
,"r", I I
L.ndo'3 Ad&*.
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