HomeMy WebLinkAbout20171662 - Permit (2)-cify of Santa Ana 20 civic center Plaza (lVl-'19), santa Ana, cA927o2 Electrical
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O171662
Pin #: 44750
Proiect Address: 933 W Brook Sta
Assessor's Parcel: 0'10-261-14 Lot: 14
Unit:
Block: NA
Bldg:
Tract 1734
Address Range:
Historic: No
Suite Range s
Zoning: Rl
Owner:
Address:
Phone
Tena/rt Name:
I
Contractor:
Address:
Phone:
Suzana Prado
933 W Brook St
Santa Ana, CA 92703
(7141200-s289
Empire Solar Group
9 E Exchange Pl, Suite 400
Salt Lake city, UT 84111
(800) 467-4s62
Fee Type
0'1 116002 5160C General Plan Update
01116002 5777C Microfilm Records
Amount
23 79
4.05
Qty
0.00
0.00
Fee
$0.00
$0.00
State Lic #: 1062912
Lic Type: C-10
Bus. Lic #: 375984
Workers' Compensation lnsurance:Carrier: SCF Nat'l lns Co
Policy #: 4000844
Expires: 0612912021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
Date
Date
Date
R-3, U
VB
cEc 2019 Notes: lnstall roof mounted solar panels/fee pd on 101'1 04179
08t14t2020
Account#
lVlisc. Receipt:
lVlisc. Receipt:
lVlisc. Receipt:
Total
Hernandez, Kathy
Subject to Field:
Buirdins Permit #: 101104179
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Fee Total
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
lnspector MID#: 2020-160452
i
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DIIR DT'I,CARATION
I hcrcby affrm undcr penahy of perjury that I iln cxcnpt from thc CbntracloB Liccns llw for (hc followinB rcasn (S1(.?oll.5
Busincss afil Profcssion Codc): Any Cit], or County which rcquircs a pcrmil to construct, alter. improvc. demlish or rcpair ily
slruclurc, pdor to ils issuancc. aLso requiEs lh. applicol fo. such lEmrit to fih a sigrcd slat.mnt lhat lE o. shc is licc[rcd pusilt
to thc pmvisions o[thc Contractor's l-icenscd lrw (Chapter 9. Commcncing with Section 70fi) ol Division 3 ofthe Busincss ild
Professions Code) or that hc or she is exempt therefrotu and tlE balis for tlt alleged exenption. Ary violation ofsection 7031.5 hy any
applicant for a pennil subjecls llt rpplicant to a civil pcnalty of not more than five hundrcd dollars ($500).
_1. as o*ncr ol'the prol*(!,. or my employccs with wages as thcir slc comfEnsdion, willdo Orc work ard the stM@ is mt
intcrxlcd oroffcredforslc(Scc.7(X4,BusincssandPrcfessionsCodc:TheContEclor'sLfucnr[rwd@snolapplytomowrcrof
tlEpmFEdy wlnboildsorhproEstlMsqandwlrcdmsuchsorkhimselforlEr*lforttuoughhisorherownenrployees,
providcd that such impovemnts dc not intcodcd or ol'fercd lor slc. Il. howe v6, thc builditrS o! irpmvcrrcnl is sld wi0in one }t{
ofconrpldinr, lhe owner Buildcr will hdve thc burdcn ofpmviilS llut lE or she did nd build or imprcve lh. pmpeny for lhc purposc of
sle).
_1. ss owncr of (hc prupclly, um cxclusively con(racting with liccnEd con(ractoB (o conslrucl lha prcjcct (Se. 7044, Busircrs
arxl Proltscbn Code: The Conlractor's License Law d@s not apply to an owrer of prolEny who builds or inrproves thereon.
and who contracls for such prejccts with a ConlEcto(s) liccnscd pursuet to thc Conkactor's Liccnse kw).
-lantcxemptundersecli(nl-,B.&P,C.li,rthisreas0l.
lYORK}:RS' C()NI PI'NSATION
DECI-ARATION
I hcrcby alfirnr undcr pcnalty of pcrjury one oflltc li)lh)wing dccldattr)ns:
_lluveMdwill nlaitrlairra(cnilicrteofCoilsentloSell:lnsurelirrworkers'conrpcosation,as providedforhySection3T00ofthe
lntnr Cdlc, for t hc pcrfornuncc o I I hc work lirr u'hich I hc pcrmit i\ L\sucd.
_l havc aild will mintain workc6' con{tflsalion insumnce, as Equircd by Sdlion 3?00 of thc t bor Codc, for lhc Frcrfomure. of
thc work li)r insurancc csicr dl lmlicy numbcr uc:
,L
"LPolicy
-l
ccrily Ihrl in thc lrrlirr nrancc' of tlrc wor k f()r which this pcrnrit is issucd, I shall not cn4rloy any lErson i[ any manncr
soastotrcoDrcsubjccttolhcworkcrs'cotrrpcnsillionlawsofCalilotrria.andagrccthaliflshouldbccortu'subjccttothc
workers' con)lrcDsrtioD provisiotrs of SectioD 1700 of the Labor Cbdc, I shall, fonhwilh coruply with thoc provisious..
WARNING: Failurc to scuc workcrs' @mpcnsation @vcfr8c
civil fincs up to onc hundrcd thousnd dollds ($100.000), in
is unlawful, aM shall subjcct to qiminal p.mhies and
b the cost (,f s providcd for lhc
Section 1076 lhc and dk)rNy's lccs.
DECLARATION
I hcrcby affrm under peoahy of pcrjury tlut I anr liceo*d undcr pruvision ofchaptcr 9 lconnEncin8 with Scction 7000) of Dilision 3
of thc llusincss and Prcfcssions Cod.. arxi my liccnrc is in full fore affl cffccl,
LiccDse
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undcr pcnally ol pcrjury thfl thcrc is a constructi(tn lcnding agency for thc pcrlormance of(hc work lor which this pcrmit is
issucd (Scc. 1097. Civ. C.).
IJnder's NonE.
[.ndcr's Addrcssl
APPI,ICANT DI]CI,ARATION
I luchy aflirnr undcr pcnalty of pcrjury onc of lhc lirllowing dcclualions:
Dcnx,lition Pcrnils-Asbcs(rs Notification Ftdcral RcSulatioos (l'illc 40, Pd6)
_Rcquircd Irttcr of Nolificati(,n
_l ccflily that lhc lcdcral rcgulations rtgudirS asbcstos removal ilc not applicablc to lhis projcct.
-l
c!'nily dul I lBvc read tlii applicalion ilxl stalc lhal lhc is corccl. I agrw to conply with all City and Counry
ordioeccs ild Statc hws rclaling lo building rcprcsnulives ofthis Cily and County to cots upon the
abovc nEntioncd prcpeny for inspcction
Applicatrl or Agcnt
h1l )KI,IL
\L
l'crn)ilcc nnnrc
md
** gl.|ql')ol0
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq i UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Flouqh
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rough
Service Meter I
FINAL 1/t-z^./q^,t') -b h4/ /
Notes, Remarks, Elc. / (((-/
ELECTRICAL.INSPECTOR RECORD --
Rev.08-07-2015