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Home My WebLink About20170234 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:2O170234 Pin #:86e41 J t Project Address: 409 W Columbine Ave Assessor's Parcel: 410-271-37 Lot: 34 Unit: Block. NA Bldg: Tract:7163 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: RobertJ & Marie Lipot 409 W Columbine Ave Santa Ana, CA 927073907 Vivint Solar Developer 9847 Pioneer Blvd. Santa Fe Springs, CA 90670 {5621 942-1270 Fee Type 01116002 5160C General Plan Update 011'16002 5777C Microfilm Records Amount 22.95 3.9'l Qty 0.00 0.00 Fee $0.00 $0.00 State Lic #: 973756 Lic Type: B, C-10, C-39, C46 Bus. Lic #: 345470 Workers' Compensation lnsurance:Carrier: American Zurich lns Co Policy #: WC5096013 Expires: 1110112020 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Solar Solar Occupancy: Constr Type: Code: Date Date Date R-3, U VB cEc 2016 Notes: lnstallation of roof mounted PV system. 15 additional panels added to existing solar PV system. All fees paid on #101'102282 \tN Smith, Mark Hernandez, Kathy 11t2012019 02t0612020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Buirdins Permit #: 101102282 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its ,ssuance, 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 $0 00 s0.00 lnspector MID#: 2019-155990 ELECTRICAL.I NSPECTOR RECORD Rev.08-07-2015 APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcreby aflinn undu pcnalty of pcrjury lhat I m erempt ,iom the Contracto6' Licse Law for thc following re6on (Sâ‚¬.?03 1.5 Businws md Profesion Code): Any City or County which requirs a permit to coNtruct, allq, improvc, dmolish or rcpair my strudue. prior to its issuilcc. also requirG thc applicel for such lmit to filc a signed stalmmt lhat he or she is licmed punumt to thc prcvisions of the Contractor's Liccnsed Law (Chapts 9, Comencing with S@tion 7000 of Division I of the Busine$ md Profsions Code) or lhat hc or she is exempt lhqefrom md lhe b6is for the allegcd cxmption. Any violation of Sstion 703 I .5 J)y any applicantforapmnitsubj(tsthe applicanttoacivilpenaltyofnotmorelhefivehundreddollas($500). _1, 6 ownq of the propeny. or my cmployeG with wag6 6 their $le compecation, will do Oc work md the structuc is not inroded or offscd for sale (Se.7044. Buins md Prof*iom Code: The Contractor's Licmsc [rw do6 f,ol apply to u ownr of thâ‚¬ propeny who builds or improve thtron, md who do6 such work himself or hmelf or thrcugh his or ha om employes, provided lhat such iffprovmmts de not intmdql or offqed for sle. lf, howqs, the building or improvmmt is sld within one )@ ofcomplaior thc Oumq Buildq will have the hrdm ofproving tha hc or she did not build or improvc the prcpety for the purIrcs of sle). _1, o owner of the prop6ty, m exclusively contracting wilh licffied contracloB to conslruct the prcjsl (S@. 7044. Buins md ftofsionCode:TheContraclor'sLicenseLawdosnotapplylodownerofpropâ‚¬rtywhobuildsorimproveslhfi@n. and who contracts for such prcjects with a Contracto(s) licmscd pursumt to the Contractor's Licmse Law). I an cxernDt undtr Strtion-. B. & P.C. for this reoon. Owner: Y-AEXEBSTCAMIENSAII9N DECI"ARATION I haeby a{fim undo pmalty of pojury one of thc following drclaatiom: _l have od will maintain a Certificate of Coruat to Self-lmure for workos' compercation. 6 prcvided for by Sslion 3700 of the tabor Code for the pofomece of the wort for which the pmil is i$ued. Vv1uu" the work and o rcquircd by Setion 3700 of the labor Code, for the perfommce of imurmce cmio md policy oumber tre: IPolicyL o I cenify that in the psformance of the work for which this pqmit is issued, I shall not mploy any person in any mmno m rtobccornesubjecttothcworkqs'compenstionlawsofCalifomia,odagrethatiftshouldbecomesubjsttotho workm'compmationprcvisiomofSection3T00oflheLaborCode, Ishall.forthwithcomplywiththosprovisions.. WARNINC: Failure to secure workm'compcnsation covwge is unlawful, and shall subjct m mploya to qiminal pemltiG md civil fines up to one hundred thousd dollm ($100.000), in addition to the cost of comperoation, damages c providcd for thc atomey's fm. s DECLARATION I hoeby affm undo penalty ofptrjury that I m licosed undo provisioo ofChapta 9 (commscing with Se.tion 7000) of Division 3 of the Businw md Prcfesioro Code, md my licmse is in full forcc ud cffet. Liccnse t ltt -Liceroe Numbs:A)?)fQ a CONSTRUCTION LENDING AGENCY I hseby amm undq penahy of pojury that th6c is a comtruction loding agmcy for thc pdfommce of the work for which this pcrmit is issued (Se. 3097, Civ. C.). t-md6 s Addr6s: APPLICANT DECT,ARATION I hotbyaffm unda penalty ofpajury one ofthe following daloations: Dcmolition Psmits-Asbestos Notification Federal Regulations (Titlc 40, Pd6) -Requfed Idrtr of Notification I cftiry that the fedqal rcgulatiore regading 6b6tos rqnoval tre nol applicable to this prcjel. is cor(t. I agrâ‚¬ to comply with all City and County reprsmtativ6 of this City ed County to enta upon the abovc mdtioned prcpeny for 2-- b 4-o? oApplicsnt or Agent Pcrmile nrnre a Site-Work Underground Pole Bases Lisht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildins Under Slab / Floor Bonding / Grounding / UFER '?.124,/-o D knrl c Transformers I il' Torqueing Sub-Panels Air Conditioners ,l Roof Top Equipment aJ z,t 20 Dknrta Factory Wired Unit I rt Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilinqs (T-Bar Rough) Meter Release ?)'?-rt ?d DKN,dl-fr bn, I rl Rough Service Meter lr I FINAL Al'?.t+1r'bh nh, Notes Remarks Etc. n*r r.rt'[:],isuo Cofrlr,tclon kndq's Nmc: