HomeMy WebLinkAbout20166696 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
EProject Address: 2410 N Hathaway St
Assessor'sParcel: 396-232-18 Lot: 46
Unat:
Block; NA
Bldg:
Tract 453'i
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Elizabeth Richell
2410 N Hathaway Ln
Santa Ana, CA 92705
(714) s58-0463
Sunrun Solar
205'12 Crescent Bay, #108
Lake Forest, CA 92630
(818) 563-0529
01116002 5160:
011 16002 5160C
011 16002 5160r"
Fee
$53.28
$22.08
$55.04
Fee Type
Serv Meter
General Plan Update
lssuance
Qty
'1.00
1.00
1.00Phone
Tenant Name:
Building Use:
Job Type:
Nalure of Work:
Occupancy:
Constr Type:
Code:
Phone
State Lic #: 750'184
Lic Type: A, C-10, C46
Bus Lic #: 340247
Workers' Compensation lnsurance:
Carrier: Zurich American lng
Policy #: WC013596003
Expires: 1Ol01l2O1A
80tcht:{54{5 - 8/t7 /?0t8 I0! LRoSALESoffice: CTYH Tronsi: ?5 I ot 1AcctS: Refi: 2r:11666?6
Rcptl:02356202 - 8/!7.t2tt[g 1u:04 Atl
Tronsoct ion fotol t13(. {0
Notes: Upgrade. Hand out given.
$130.40
$0.00
$130.40
Genenol Plan Updnte Fee
011r600?- 51600000-
Electr icsl
01116002- 51603000-
ICL Check 1091707
s22.09.
$1ns.3?
t130.40
Single Family Dwelling
Miscellaneous
Servcie Meter
:ffi$i:;.' ,.",.,^,,,"""M;i:, o8,17'201a
Subject to Field: Account#
Buildins Permit #: 101 97408
Every pormit i$ued shall become invalid unless the work on the site
authoized by such permit is commencdd within 180 days aftet its
issuance, or if the wotk authonzed on the site by such permit is suspended
ot abandoned for a poiod of180 days aftet the time lhe wo* is
011 16002 51600
lnspector MtD#. 2018-145479
01'1 '16002 5'1603
$22.08
$108.32
Permit #: 20{66696
Pin #: {lO8{
Amount
22.O8
55 04
Contractor:
Address:
Sunrun Sol or
R-3, U
VB
cEc 2016
Planning Conditions:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total
Paid to Date:
Balance Due:
ELECTHICAL-INSPECTOR RECORD
OWNER BUIT,DER I}ELCARATION
I hcrchy ntfirn' u.d$ Fnahy of pcrjury lh.l I .nr cxcnpl lmrr lhc Conlrrctor' Liccn* l-aw lbr rhc tol]osing rcasn (scc.7oll t
Busincs and Prolcssion Codc) Any Cily or Counry ahth rcquires a rEmrir xr on{ru.r. 8ll.i iq) vc. dcmlhh nr rNn any
{tu.r!.c, prjor ro nr i\ruaft.. dl$ rqrifts rhc appli.anr rd so.h Fnnir to filc , sig.cd $a'.m lh0l ft or shc k liccn{d pureanl
lo rhc rovkions ofrtE Conrrchis Liencd Llu (Chr/cr 9. Commncitr-s wirh Scclioa 7(,00 of Division I olrrk Busin.ss and
Pofe$ions Codc)o,rhlr lEo!sh. i\ crcnut ihcrcfiom and rhe hlst for rhc allcg.d .rcmprion. AnyviohlionolScclion?0:ll.5byun,
applic,nr tb. a p.nnit subj{k rnc 0ppli.nnrlor.ivilp.mhyolnot.uellln6vchundrcddoll.s($5OO)
-1.
N osrcr of Ihc protErrr- or nly cmployas wirh uascs !s lhcir M,b .o'nr.isd i.n. sill d
'rE "trk d llt ntrr@ n mr
imcnk! or oucrcd li,r sk ( Se 70,1,i1. Bxsinc$ rnd Pr,rcsn,nr C.d. Thc Conr{rol s Liccnsc Lnw docs not rylly lo !n owtut of
rhcrmEny who huilds or irpmrcs lhcror ond who des sch Mnt hinNclfor tcrrlfor rhrcush his or hd ownenployccs.
Drovidcd rhar such iq)tuEftnts e fr, ir cftlct or ofiR{ for eh. lt tr)wc$.. rh. ttrildina or irv,roEE.r i\ sU knhin rc ,u
ofsntLriJn. rh. Ownd Buillcr will hnrc rhc honl olpmving thd lEorshcdil mt hildorim0mw thc ImFny fir rhc putrt of
t. N.wncroflhc lt{llldy. ancx.lusivcly.otrtacrnrg wilh li.cnscd.onrmrors ro cotr(ru.llhc pmrccr (Scc.704-{. Bu\irc\i
nndEnri:shnCodclhcContBctoisLiccnscl,a*docsnolopt'lylo!nownc!orprondyshohrildsorimPtovcsrhcrcotr.
rnd who .o.rhch for so.h pmj{rs *nh a A mcro(n [c.ns.d ruBurnr !, rhc Contrudols Liccn\c li*)
I um.rcoti undc, Secrir
lrlla6.I&:J;aufENsd.rll)N
DIiCLABIII9N
I h.rcby nffn undf F.dhy or Frjury otrc of lhc rallowrng dcchnr ions:
I hnvc Jxl willtrrinrrinaCcdifi.ii.ofCr scir n) Sclf l'i\urc L, wdrkcya cotrrDcnsnliflr. r\ pr'vi,lcd lorbyS.dnnr 17(x)olrh.
litxn G'dc.lor rhc F-rforron.c o{rh. {ork frwhirh rhe pcrn,ir n is\td
I hrw,nd eill,n.inlai. workcrs .ompcnsaliotr insurncc. as rcqutcdbyScction3700oflhcLlborCdd..f rhcILYlnnMn col
rhe work rar whi.h rhis pcmit is issucd My*ork.s .omNnsation insurancc qnicr lld policy numbcr ml
c""r", 'Zuri ch Arqer; Lorn lt'rsvrun.e C-o.
-tt'lcotlLlo9 r"pi,*,-JO-I l- ?etA
-l
ccnilyln inlhc lcrhrmNcol rhc *o n, whichlhi\ pcrmir is ismd,I \h,llnor cnrd.yany!.rsotr itr trny'nrnct
e, ,rt,l*o r.uhFrr t, rh. $srkds snqrnsarion l,wsorcdirn r. and oBEc rhir ifl shnub nccom sul,jd b rh.
*6rk.6 comp.isrrion povisn,N ofS..rion 37m dfrhc lrb.r Gltc.I shrll.li,nhqith comtly wilh rhos Imvnions
WARNIN(; l.riluE n, {cur. qo,kcrs'..n,Fnsii,,,rugc i\ unhslll. rnd nrll {rhjc.r rtr cnll'loyrr n, dinimltrn.'lrics rtrJ
.ivil lin.\ u0 k, onc htr rcd rh.uvad r1l .ofrrcnsrion. dua8cs .s p.o!id.d thr rbc
Sccri{ :rl)76 ofihc ljtxtr G c.i' cr.{mddr
-2o19
Dru.lu -MJl
I hcrcbr rlfirn undcr pcndlry of p.rjury rhrt I am li.ctrwl rn&i pmvkion olChtrcr 9lonrnrncina Nilh SNIion 7O0O) ofDivisi{, -l
oi lhc Ausine$ und Profc$ions Cod.- ud nrrliccnrc h in tull f(tre od cfla.r 7'
CIO AC.l' B t8+
,,,,," $-tl'lirS
kndc'\ Addrcs
-
l.rnil,vthdrh.,cdcrrlrrArhrtr)nsrclddir!r\h(no\rc nrrLrft or rtt!uhlc ro ihi\ nn,jccr
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unil
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
lVleter Release /t/Utt tXN-{
Rough
Ltru/rs 5^qs
FINAL z[t4l,t /unlD
Notes, Remarks, Etc
I ccniti rhar I havcrc lhis0pplic.rion0nd{.rcthorth.0horcinrbrnDrionhc.rer lasrero.odplywirhallCny,ndcoutrry
il:r::lk*ilriPJ-ruP-
*'
^ "'
:," g':,; -"ffi "
c.ni:* a"-",p;"',24u@. hAtO e.
qANiIAUCUIINIEDIXG.AGENSX
I hcrcby offtrmundcr lcnlltyofperjurylhot lhqc is a @nstoclion kndins as.ncy lor rhc rdrortunce orthc work fo! which rhis lcrmil k
ssu.d (scc 1097. Civ C.).
lxrdcr'. Nom
-
AT]UIANLI]ECI,ASAIION
I hcrcby rflim undcr pcnalry orp.rjxry.ft orrh. follo*int deleariong:
D€mhion Pcrmits'Astlslos NorifE(io. Fedcrll Rc8uhlions iTnt 40. Pd6l
-Rcquircd
Gttcr olNorifi carion
Service Meter