HomeMy WebLinkAbout20166934 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20166934
Pin #: 78056lnspection Requests: 1714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 3002 S Harbor Blvd Unit:
Block: NA
Bldg:
Tract 1025
Address Range:
Historici No
Suite Range:
Zoning: M1
E
Assessor'sParcel: 415-021-'l.6 Lot: POR I
Owner:
Address
Marriot
3002 S. Harbor Blvd.
Santa Ana, CA 92704
Fee Type Amount Fee
Tenant Name:
Contractor
Address:
EVGo Services LLC
11390 West Olympic Blvd Si
Los Angeles, CA 90064
(3r0) 954-2903Phone
Stale Lic #: 983479
Lic Type; C-10
Bus. Lic #: 370582
Workers' Compensation lnsurance:Carrier: Employe Service Group
Policy #: WC928278496944
Expires: 0011712019
Commercial OccuPancY:
Tenant lmprovement Constr TYPe
*.CHANGE tN CONTRACTOCode:
U
N/A
cEc 2016 Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Date:
Date:
Date: 09/18/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
BuildingPermit#: 10,,|.97727
Evary permit issued shall become invalid unloss the work on the site
authoized by such permit is conmenced within 180 days after its
issuance or if the wotk authoized on the site by such permit is susponded
or abandoned for a period o1180 days aftet the tifie the wo* is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2018-145460
Fee Total
Paid to Date:
Balance Due:
Phone:
Qty
*-CHANGE IN CONTRACTOR -LETTER ON FILE
(REPLACES 20155745)---lnsta llation of (2) EV chargang
stations located at parking area of existing hotel. (l)
accessible parking stall to be relocated.
Building Use:
Job Type:
Nature of Work:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI]R BUILDER DELCARATION
I hcrcby dronr un'lcr pcnilly of pcrjury th l am cxcmol fritrn tl{ Conlr(xF Licc.sc lrw aor rhc rolliJwin8 rca$n (Ss 70ll 5
Busincsr lnd Pftrfc$ion Cdc)r Any Ciry or C.uily which lcitttc\ r Fnir ro con{dcr, .lrcr. inwov.. &rmlnn or EPan an,
ntudurc. prtu ro iis i\\uanc.. dl$ rcqut$ ihr nrplic,m ror such pcrnrir ro fllc. si8ned st(lcmnt lhal ltor shc i! li.cnsd puhulrr
to lhc [ovisio.s oftlE Conrraclols l-iccnscd L1w lchlllcr 9. CommncinE *irh sc.rio. 7000 .f oirision 3 of lhc Businc$ lnd
PmlcssnrnsCode)orrh he orshc n cxemfl rhc,cfr,6 ed rh. hlsis ror rhc alklcd cxcmprion AnyvidllionoaSccrion?0.1l5byany
aplitic,trrtordp.rmirsubiccarhc.mli..nrroacivilp.nakyolnotnDrcrh!fllivchundrcddolh (S5ml
-1.
as oBmr ol rhc ,,,olrnr. or my .n,tl.)e\ $ilh {rsc5 a! rhcn v,h .omt trs'ion. $ ill do th. }dk lnd rhe srturm i\ en
inr.odcd or o flcr.d lor srlc ( S(.7()4?, Bu sincss . nd Pftna$ ion\ C.dc Thc Co racrois l,iccnsc l,rk docr nol +ply tu rn osmr.i
lhc pm,iciy wh) buitds or ir{,re\$ rlmn. ard oho dc qch wIt hinsclf or hcklror tftugh hn or hcr own ctr9loy.cs-
pn,lidcd rhar \uch inlrn*$rnh d *, idcMcd orofic l fDr{h.ll ln,sdrr. ihc ttrildinE or inlt)DwnEnr i\qnd sirhioi. }tr
of.onpldi.n. ih. Oe.cr auilld will htrvc rhc burdcn of foving rhd hc or shc dil nol ttrild or inDmi! rie pmli.ny for rtr puqxM of
_1. xso*ncr.lrhcpn,ncnr. dmu.loriv.ltc.trtd.rin8 wnh li.cnscd.onrrro6lo cotrnrud rhe nmJ..r lS( ?()1,1. Bu{ncs
.M Plolissin C.dc:1hc Conrrocroi\ t,iccnsc l-o* docs nol alplyb rnowmrolpn,!c ywho huildsor nnDrovcs rhctcotr.
and who contn.rs for such pi.F:F sirh a Q)nrncto(n L.ciscd tur$0nr k) r he Conrrrct{ r Lhn\c Li{ )
I xn,crr rjn , n,lcr S..ri,n
thle: ()!ner:
woRKFes;-rntPrr\saltoN
DECLAIA.UAN
I hc,cby rfitnrundcr |rclolly of F.rjrr, oic.rrlt rolk)si.! dc.rarDrionsl
-l
hovclnd willmrinrBi"!CcnifictrrcotConsenr bsclalnsrrt ftn so*cs' .lnrp.trsrtiotr. ir providcd t)rl,yseri,r:lT0oofrhc
Utxr Codc,lor rhc Frlbrrotrc otthc sori tn shich rhc pcrn,ir i\ nsx.d
_lh!!c and willmainrah *orrcu-c.mptns nrn insur,rcc. is r.nuncd b, SL{lion.um oirh.ltrtxx Cod.. tnr rhc P.,{ormrncc oi
rh. *o nranichrhis Fmir is h$cd Myworkc^ .ompcnc ion inntrarcccmicr and policy nlmh.r @:
can,r, AD? To+al So1a"<e
3;.:-o,11o3az1q cA 11u I tf
-lccni$rllllirrhc,)erlornHtr.rolrhc*orkturwhi.hrhi\pcrrnir'\,\{rcd.lshilltrorcmployrnyPcroninmt'nMrrw) r\n, h.onr {rhrc.r t, rlc sorkcn comtctr$rim ln\\ olcrlilirtrin. nnd larec ihJi if I rlnrold b.co,m suhjc.r to rhc
s.rk.^ conr.ns rn !(,visn,trs.fsccri()n:lT0Oolrhcl-.tsrConc.l\h L lnnh*irh.om r sirh rlbr !tuvisi,rns
civil lnrs np lo onc hundrcd lhou\rnd dnlhrs ($lt xrlxx)).l, r,lii,n r, rhc ofcoN{nsrtion. daDnFcs as pn,vnhd nn rhc
s&li(,n 1{r76.1rhc l,,Lr Cdl. inrcrcn,ftlrrt
7 lo l1c
I hcrhy rrlt'n trnJcr pcnnlry of Frjrry r hur I rn lien*l u df ln,vt i of Ch.plcr 9 (.omnrnc in8 wirh Sccri,. 7000) .l Divi\ion .1
ol thc Ausim$ 0nd Pmlcssions Codc. ord n,y licc!* is i. fullrrncc dkrcrr..r
c/o
,,r,. ?/rs/ ta
CONSIBT]CUONIEBIJING.AAENqI
I hcmby.fl_'rnund.r Fn,hyolp.luryrl lltrlc isDoNlrucliotr lcndiry&EcM] ir r hc pcrtortutuc of !h. work iorwhich rhhocrnr n
hsucd(Scc. lO97-Civ. C.)
lrndcis Addrcss:
-
ATILIqNLIIECI.AM.IPN
I tmhy lltian undcr rrcnlhyolpeliuryonc oarhe t,lk si',g J(hrartun\:
Dc bli' io. Pcrmns Asbcqos Nori,icat i{m ,jcdcr0l RcEubtins l l irlc tx). l']rd6r
-Rcquncd
krrcr ol Nolilkrli{n,
_l .crrily fiar th€ fcdcEl Egtrlariom rcgadine {sb.{os ru'mval nc nol trpt'li.o$h ro rht pojd
/ l !.nrI thar I hIc rc irhtr0rDlicot'o rln $arcthrr th.0hvc infolnEtn,n is cotur. I lse ro smrly wirh rll Ciry end Coutrly
ordi inccs rrd Srsr.tiw\ rcl|trnB h huiklii8 yNthr.iTc rcprc{ rrirc orrhi\Ciry d Coutrly lo cnlcr urnr lh.
rhrr trf,nri{,nul lrrt)n.ny rnr
ADplionl or ,\rtnt Siqnntu
Ltl*O ll+n fi ue*eu
?/p lt'
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER t4,1 t9..t.Jq7O
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)
l\4eter Release t4F .B (147
Bough IL I t9 ,u({D
Service lvleter
FINAL ,<'ta.drD
Notes, Remarks, Etc.
WARNINC l;iilurc lo scur. Norkcr conrpctr*,ri,)n.o!crxAr i\ trnhwrul, itrd \hrrl subjc.l nn cnrploycr ro qinri'd l!:trihirs rtrd
--T_------
:
ttliili;n 1
=