HomeMy WebLinkAbout20170017 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electr
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
ical
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Permit #:2O17OO17
Pin #: 7790,4
Project Address: 1206 S Halladay St
Assessor's Parcel: 014-202-02 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Ramon Lopez
1206 S Halladay St
Santa Ana, CA 927071407
(7141640-1494
Momentum Solar
3096 B Hamilton Blvd.
SOUTH PLAINFIELO, NJ 07(
(7321902-6224
01 1 16002 51603
01 1 16002 51600
0't 1 't 6002 51603
01116002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
55.37
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$55.37
$22.95
$57.20
$3.91
Phone:
State Lic #: 1026366
Lic Type: C-10, C-46
Bus. Lic #: 368879
Workers' Compensation I nsurance:Carrier: Employee Service Group
Policy #: WC1125632
Expires: 0410112020
Botchf :531fi7 ' ll/21/2ltl9 ID: NGAR{:Iri0ffice: CTYH Trcrns*: 35 2 at ?.Acctl: Ref*: 2r:tl7r:llj17
Rcpti:(t2813916 - tl/21/2t-t19 3:Lr4 Fn
Tronsnction Totfll t594.i';
Flomentutr SoInr
)
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Single Family Dwelling
Solar
Solar & Serv Meter
Generol PIan Updste Fee
01 1 16cr(r2- 516000rt0-
Electn i c0I
01 I l6r-102- 5l6Lr3L10r:r-
ALL SOLAR
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cEc 2016
Permit lssued
Subject to Fie
Teri
Building Permit 01102021
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 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.
10t29t2019
11125t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: lnstall
FEES
Fee Total:
Paid to Date:
Balance Due:
pgrade serv
$139.43
$0.00
$139.43
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22.95
$112.57
$3.91
lnspector MID#: 2019-155451
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
La-t{.,b2ABonding / Grounding / UFER )k$l?o\)A)
Transformers ,U I
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment ?/Zlqp',7'W)
Factory Wired Unit u
Walls (Conduit)
Walls (Rough)
_Qc ilings (Hard & Soffit Rough
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service Meter
FINAL qll.ylp',tM /y9/
Notes, Remarks, Etc.a-T
OWNER BUII,DER DELCARATION
I hoeby affirm unde penalty of psjury that I m exempl flrom the Conlaclors' License Larv for the following re6on (Ss.70:.i.5
Businqs md Prof6sion Code): Any Cily or Counly \vhich requirs a ponit k) conslruct. aho. improve. danolish or repair my
stntcture. prior to ils issuance. also requirs the applicant for such pemrit to filc a signed slatment that he or she is licmsed pusumt
lo lhe provisioN of lhc Conlractor's Licensed Larv (Chapts 9, ('ommencing $'ith Sstion 7000 of Division 3 of the Busines lnd
Profe$ionsCodc)orlhatheorshciserempllhqefromandthebdisfortheallegedexemption. AnyviolationofSationTOsl.5br_any
applicantforapemitsubj(tsthe applicanttoacivilpenBhyofnolrnorelhmfivehundreddollils(g500).
l. as o$'ns of the preftry. or my employffi rvilh rvage a their mle cornposation. will do thc work md the slruclrre is not
intsded or offtrcd lor sle (S4.7044, Businas and Prof*ions Code: I he Contractor's l-icerce Law doe not apply to an o*rtr of
thepnrpeny whobuildsorimprovethd@n,dd\vhodo6such$orkhimselforherselforthroughhisorherownemployes.
providedthatsuch improvonmtsilenolintodedoroffqcdforsle.ll.horveve.thebuildingorimprovsnotissoldrvithinoneyw
ofcomplaion. the Ormq Buildq s'ill havc the burdm ofproving that hc or she did not build or funprove the prcpqty for lhe purposeof
sle).
-1.
ro ownq of the propqly. m erclusively conlracling with licmsed contradon to connrud th€ proJect (S(. 7044. Busin6
md PmftssionCode:ThcContraclor'sLicenscLawdoenotapplyloanownsofpropcrlywhobuildsorimproveslhq@n,
and who contracls for such projecls with a Contracto(s) licensed puBumt lo thc Contraclor's Licmse Larv).
__l m exqnpl undq Sstion__ , B. & P.C. for this re6on.
l)A tc:
WORKERS' COMPENSA'TION
DECLARAI'ION
I hocby allirrn uuder penalty ofpojury one oflhe follorving declaations:
- Iha|emduillmaintainaCertificatcofConsmtloSelf-lnsureforworkcs'composation.m providedforbyS(tion3700ofthe
Labor Codq for thc pofomrdce of the sork for u,hich lhc pmnit is isued.
-l
havc and will mainlain workm compmsalion iNurancc, 6 required by Setion 3700 of thc kbor Code. for the psfommcc of
the work for which this p€onit is i$uod. My work6 compeosation iBurmcc cmicr od policy numbcr rc:
Cmim:
Pcrlicy Nurnbo:Expires:
-l
colify lhat irt lhe perfonnance of the work for which this permit is issued. I shall not anploy any person in any rnoner
st c to become subjrct lo the workds' compensal ion laws of Califomia. and agree thal i f I should becomc subjst to the
rvorkos'contpensationprovisionsofSectionlT00oftheLaborCode.lshall.forthwithcomplywiththoseprovisiom..
WARNINC: l"ailure to scure rvorkcs' conltmsalion is unlarvful. and shall subjat a onployo to oiminal petraltis md
civil fines up lo one hundred thousmd dollars ion to the cosl of danages for the
Scclion -1076 oflhc l,atx)r Code. iDter6t aDd
l)alc:/r- zS '?za1
I hoeby allirm under penalty of psjury thal I licensed under provision ofChaplq 9 (cornmencing wilh Sslion 7000)t ol')ir ision 3
of the Businm and Profssions Code. md mv liccnse is in full fbrce md effect
License ('lass:L -qc
-Licemc
Number:
I)8te:t(- L='/1 qt-=+-.rq- S t (c-,':
I hoeby aflirm undo pmalty ofperjury
issued (S*. 3097. Civ. C.).
is a construction loding agocy for the pqfonnmce of the work for which this pfinil is
l-cndcr's Name:
Lcndcr's Addres:
APPLTCANl' DECT.,tRA'TION
I hottry affm unda poahy of pajury onc of thc following dwlaations:
Demolition Psmits-Asbestos Notification Fedtral Regulations (Tille 40. Pan6)
Required kil6of Notificalio.
Perrrilce 'a ctsc o 4c^" +- Vc Z- (1r r e^ert
fl
( )rv ncr:
letz e tA
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