HomeMy WebLinkAbout20166878 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2O166878
Pin #: 4E45$l
Proiect Address i 2019 W Harvard St Unit:
Block: NA
Bldg:
Tract:4433
Address Range:
Historic: No
Suite Range:
Zoning: R'lAssessor's Parcel: 408-371-17 Lot: 28
Owner:
Address:
Gilberto & Ana Mendoza
2019 W Harvard St
Santa Ana, CA 927044624
(7141925-7767
Fee Type Amount Qty Fee
Phone:
Tenant Name:
Contractor:
Address:
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(5621 942-1270Phone:
State Lic #: 973756
Lic Type: C-10, C.46
Bus. Lic #: 345470
Workers' Compensation lnsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1110112018
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes: lnstall PV solar panels. Per Expedited Permit Process
For PV Systems Standard String System. Fees paid on
10197667.
Planning Conditions:
Planning Approval By:Date:Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:09t1'U2018
Account#
7667 Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2018-146016
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
JVleter Release
Rouoh
Service Meter It t
FINAL 3 / rt /c,o .zlN)-t '.ft )
Notes Remarks
OWNI:R Bt]ILDER DEI,CA RATION
I hcrcby affirnr under pcnrlly ol pcrjury lhal I am excmpl lk)nr lhc Contrach$' Liccnsc lrw for lhc folk)wing rcasn (Scc.70-]1.5
Busincss tnd Profcssk)n Code): Any Cily or County which rcquircs a pcrrnit lo conslruct. altcr. improvc. dcnrolish or rcpair any
slruclurc. prior lo its issuancc. also requircs lhc applicnnt li)r such pcrnril lo tilc d signcd slatcnrcnl thal hc or shc is liccnscd pursurnt
b lhc provisioDs of thc Conlractor's Liccnscd Law (Chaplcr 9. Commcncing with Sccti([ 7(XX) ot Divisi(,n 3 of thc Busincss and
ProttssiotrsCodc)orlhillhcorshciscxcnrpllhcrcl'rcmandlhcbilsislorthcallcgcdcxcmption. AnyviohlionofScctionT0.ll.5b!any
applicrnllbr:rpermilsuhjcctsthc apf,licrntt)acivilpcnilltyofnotmorclhanllvchundrcddollars($5(X)).
-1.
as owncr of lhc prolrf,y. or nly cmpk)yccs with wagcs as lhcir sole conrpcilsation. willdo thc work and lhc slMlurc is nol
inlcndcd oroll'crcdlorsalc(Se.TOl4.BusincssandProfcssionsCodc:ThcContrilcloasLiccilscLawdocsnolapplytoimowncrof
thc pn)frny who huilds or improvcs lhcrdrn. ilnd who d(rcs such work hintsclfor hcrscll ()r lhrough his or hcr own cnrpkryecs.
providcdlhrtsuch itrl)rovcnEnlstrctrotiilcndcdorollcrcdli)rsule.llhowcvcr.thcbuiklingorinprovcnrntis$klwilhin(,nc)rir
ol cotrrplelion. lhc Owncr Builder will hilvc lhc hurdcil ol proving lhnt hc or shc did n(n build or inlrovc thc pmlrny li)r lhc purfbsc ol'
\illc).
-1.
ns owtrer of lhc p()peny. aill exclusively conlrilclintl wilh liccDsc(l conlrcclors () conslrucl thc pr(iccl (Scc. 7{).14. Busirc\s
uml ltoli:ssion Codc: 'l_hc C()ntrilclor's [-iccnsc Law docs n(x al)ply t(, an os'ncr ol propcrly who huil(ls or itr]provcs lhcrc()n.
and who c()nh'ncls lirr such pr)jccls wilh a Corilracl(,r(s) liccn\cd purNuanl k) Ihc CoDlrtrclor's l-iccnsc ltw).
-lamcIeDlplundcrscclion-.B.&P.C.forthisressonlhlrOwncr:
\VORKIIRS' CoNIPI,:NSAI'I()N
DECI,ARATI()N
I hcrchy alllrnl undcr pcnahy of pcrjury onc of thc following dcclarations:
_l hilvc and will illaintain il Ccnificrte ofConsent to Sclf-lnsurc for workers cornpensatirrn. as providcd for by Scction 3700 ol thc
tibor Codc. for lhc pcrformancc oflhc work for which thc pcrilrit is isslcd.
-l
hrvc and will nrilintrin workcrs' compcnsalion insurancc. as requirc(l hy Scclt)n .i7(D ol lhc L{hor Codc. for thc pcrfortrrilncc of
thc ur)rk for which lhis Jrcriltit is issucrl. My workcrs' conrpcnsnti(rr insurilncc caricr aml Jxrlicy nunrhcr arc:
(
P(,licy Nunrbcr Exl)ircs:
-l
ccaili thnl ii lhc ncrli)riluncc of lhc work li)r which lhis pcrnrit is issued, I shlll not cmploy rny Jrcrson in sny imnncr
so as kr trcontc subiccl lo thc workers' coiltpcnsatt)n hws ofCaliforlin. and rgrce lhfll if I should hecr)mc rubjcct lo thc
workcrs'conrpcnsalionprovisionsofSccttrnlT00ofthcLakrrCodc.lshrll.li)rthwirhcoilrplyrviththoscprovisions..
(ivil llrx\ lrlJ t{) (,ilc hundrcd lhou\ilnd (l(,lhr\in ilddition lo ol cornlcn\nli()n. tlarnagcs as provi(lcd li)r lhc
Scclion -1076 ol lhc Lalx)r C{xlc. inlcrcsl ilnd
,,,", '\ / (, AL
l)ltcl.,\tt,\t l()N
I hcrchy illirtrr undcr pcnalty of pcr.jury rilt p()visi()n ot ('hrl)tcr 9 (c()rlrncn(ing $ilh Scclion ol I)ivision.l
of thc Busirrcss nnd Profcssions Codc, and my liccnsc is i[ tirll lbre ilrl cffcct.
al}Tq\al.icensc Chss ,iccnse Nunlhcr:
o",",2\l LLf -L D \A^*;\
I hcrcby aftirm undcr Ftnalty ofpcrjury
issucd (Scc. 3097. Civ. C.).
IJndcr's Namc:
is x colstruction lcnding agency li:r thc perlbrtrtancc of lhc work tor which this |rfinit is
[rcndcr's Addrcss:
APPLICAN'I DECLARATION
I lrcrohy allirm undcr pcnally of pcriury o[c of lhc lbllowing dcclarations:
Dcmolition Pcrnrils-Asbcstos N(ilificntion Fcdcral Rcg!htions (l itlc 40, Part6)
-Rcquircd
If, tlcr of Notilication
I ccflify thill thc rcguhlions rcSrrdin! :l\h!\los rcrn()!'rl arc n({ tpplicahlc t() thi\ p()icct
-I
rhar I rcrd this rpplication and slnlc lhrl lhc rlx)vc inlirnnilti(il ir corrccl. I agrcc nr cr)[tply wilh illl ('ity nld ('ourty
rrrd tnws relaling to building construclion. uxl hercby autlxrrizc rcprcrcnlalivcs of lhis City and Counly k) cntcr uF)n thc
alrove purposc\.
Applirant
Pemitee na\
Iropcrty for
rc\.-tq ** a./t\/ r D