HomeMy WebLinkAbout20165870 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Electrical Permit #: 2O165870
Pin #: 92927
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 2536 N Valencia St
Assessor'sParcel: 396421-05 Lot: 54
Unit:
Block: NA
Bldg:
Tract: 705
Address Range:
Historic: No
Suite Range:
Zoning: Ri
E
Owner:
Address
Contractor
Address:
Dale Helvig
2536 Valencia St
Santa Ana, CA 927061733
(949) 525-8477
Petersen & Dean lnc dba Pe
39300 Civic Center Dr
Fremont, CA 94538
(714) 80s-3903
Fee Type Amount Qty
PAID
l,lAY 1 5 201ij
Notes: lnstall solar panels/fee pd on 10196433
Fee
Phone
Tenant Name:
Phone
Stale 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: 04/30/2018
R-3, U
VB
cEc 2016
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 101 96433
Every peffnit issued shall become invalid unless the work o, lhe slle
authorized by such pennit is commenced within 180 days after its
issuance, ot if the wotk authorized on tha site by such pemit is suspended
ot abandonecl fot a peiod of 180 days after tho time the wotk is
commenced.
[(n",n"no"r, ^u,n,
Date:
Date:
Date:05/15/2018
Account#
$0.00
$0.00
$0.00
lnspector MID#: 2018-143358
Fee Total:
Paid to Date:
Balance Due
$_--
City of Santa Ana
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcr.b] rmrn untLr p.n.lly ol Frjury lhal I n crc!ryl from rnc Co rnctun Ltcn* Llv tor rhe foUo*ii8 rcn$n (Sd.7or L5
Busincss a Prcfc$ion Codc): Any Cily or Counry which rcquirc\ ! Frnir k, snnrud. d6, imProvc. dcmolist or EPlt lny
nflcrurc. pri,b irs k!u.ncc. 8ko rcqu ircs lhc ptlta.r ror such pcmn to filc a si3ned (alcmnl rhlr h€o. sh. n riftnsd pu(umr
t, lhe pmvnions or rlrc C. E.rofs Li.cn*d ljw {Chaprd 9. commcncing wilh Scction ?000 oi Divnion I ofrh. Bu\in.s Dnd
Prorcssbns Codc).rrhar h.orshc Ls cxcmpt lh.rcfnm alnl rhc b,sr forihcnllcScd cicnrrlbn. Arylt,ldri.norSNlion70ll5 hyrnl
applictrnl tbr I p.nnil subiccls thc appiiconlto0civilpcnrllyofnolmrclhanlivcnhdrcddollm($5(10)
-1,
$ owncr olrhc pn)lErty. or mycmplorcs wilh *0Ecs ns lhcn sob smneosuridn. willdd lhc wdk 0nd lh. slutuE h ml
inr.'dcd or olttrcd &r slc (Se.7{)44. Busi,rc* rnd tt{,t san'na C.d. Thc Conhhr's l-iccnE ljw des nol,0llr ro oo*ncr of
lh€ poFny sho tnild\ or in{mEi rtF@.. sri qho des sxh *ort himsclf or h(tlf or rhrouAh hh or h.r own crploycc\.
0rcvidcd thol such iDpmrcmnh m mr inlcnd.i or olrs.d f.tr slc. l( hosvs, rli huilding or irqmKftnt is s*l wilhin orc ytu
of smnlcibn, rlE O*ncr Buih.r will haE llE burd.n of pnving rhar h. or shc dt mr buiH or nr{mE lhc tmFly tor r,r purl[r of
L is ow.cr uf rhd Frlxdy. r.r .xchsnrly coftn.r ir8 wfh l,ccns.n conrrrrors lo con(rucl rlE no]ccr (Scc 7(}t4. Bunncs
and ltolssion Codc:'l hc Conlruclor's l,iccnsc Lsw docs nor applylo mowns or prorcny aho l,uilds or in{rovcs rhercon.
,nd *ho cr,nhd.h aor iuch polccls wirh r C.trltu.l${s) liccnscd lunu$r to lhc O'nrrxcxtr \ l-i*n$ tjw)
I ancx.nrpr undcr Sc.itrnr , A & PC hrlhis rcrnn,
D.t.: Orrcr:
IIAXX,EBS:I:OMIINSAIIIJN
I}EI;IIISAIION
I hcrciy rfi rmund.! ncnalryoipcrinryonc.arhc lolh*n'[ ncclararions:
_l hevc annwill EinrDinaCcnificrreorCon(nrrosclrln\rrcrorworldacompctrsition.0s prcvAed for l,yS(.'in,n:1700 orinc
L,norCodc. forlnc pcrformotraof thc qork lo!whichlhc pelmil n nsucd.
I havcri will mri' ai'r worlcri conrFcn\di i,n nsurr cr. rs oquircd by Sc.r idr lTlX) ol lh. tihor Cd.. li,r rhc |,rrom-nt hr
rhc work for *hich rhi\rcnnir is *\ucd Myworkc^ .o rFn\dion innrnncccrmcr d Flicynumberuc
-l
ccnify lhnt ir lhc n rhrfluncc ollhc work lirr whicn lhn pcrmir is isrkd. t \hallnor.nplD! an, pcson in ony mlnncr
$.sroh.6m hj(r t, rhc workn\ ontctr\diotr l ws urciliromia, lnd aBrcc rh(t iil snouE hcconE \ttjl{r k,rhc
wod(r.onlxnsarn,nF)visionsofs..rionlTfi)olrh.tihna'odc.ldull.fonh*ihcomplywirhihoeprcli\n,ns
WARNINC li'ilurr, krurd sork.ra..n,t^-n\xri(n,.ov.rrg. i\ ! hsllrl. x dnrll {rhl..r rrr cml,loycr k, .riDinxl n nrk r\ rid
".H#sl
Codc. inrcrsr and r orfty s le\.ls
DESIAAA.IIQ!
I hcEby omrmundcr I'.Mlly of pedury ihal I dn liccnvn lndd polision ofchdpr$ 9 (commftin8 vilh Scclion 7$0) ofOivision l
of rho Burircsrand Porcssbns Codc, {n my liccnsc is in fllllbra and cficcl.
Li.enreClass:-t
'".-sJ l
CONIiISIJqI]ON.LINDINC.ACDIII
I hcr.by afllnn und& Frrlly oi pcrjury lhal lh.rc C , constdclio. lcndins asctrcy for rhc Frfomftc of rh. *otk for whth this ll.r h
hsucd (Scc 3097.Ci!. C ).
IP]UCANIDECI,ASAIIIIN
I hstyotrnnullcs Fnally olFjury orc oflhc lollosins dchr ions:
o.mlnion Pcrnrns Asbcaros Nori6cr'ion Fcdcnl R.3ubrions (Tillc40. Pan()
Rcqutcd lxtr.r of Notiaslion
I ccnityrhar lhc ltdcrrlrc3ulalions rc8nnlirE !sh(nos rcmoval{c nor apllic{blc t, rlri\ porc.t
-l
ccrrilyrhd I lnvc rclnr[i\ lpr!ori{r nl{dcrhrrrh.xh)!c innn ]rri(ri i(.oft.i IrsrccroconrdywilhrllCiryxndCouiiy
adinrnccs rndSr.tc l-n$sahringbbuildingcon{tu.tn,n- md h.r.hy rurhori2c rcprc{trrdtl!$ r)frhisCity.ndCounryt,q,i.r
'x)nrhc$nrr mnrioncd pm,t.ny ntr iNp..lio
Appli.{nl or \t€n( Si!rllure
(.)
sl ,*
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release
Rouoh
Service lvleter vFINAL 9/h
'-De
ll,oN+<l
Notes, Remarks, Etc
Policy Nrmb.. Expncs:
tJnJ.,' . AJJrs
r a L S
:
I