HomeMy WebLinkAbout20154299 - 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 #:2O154299
Pin #: 3{4O8
byProject Address: 714 S Gates St
Assessor'sParcel: 108415-03 Lot: 9l
Unit:
Block:NA
Bldg:
Tract: 3656
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Tenant Name:
Contractor:
Address:
Phone:
Lydia Jackson
714 S Gates Street
Santa Ana, CA 92704
(949) 929-9443
Vivint Solar Developer
1529 E McFadden, Suite A
Santa Ana, CA 92705
(6s7) 600-8252
01 1 16002 51603
01 1 16002 53601
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type Amount
Over'1-10 HP, KW or K\ 20.53
PIC - 650/0 0.65
Fee Exempt -101.85
General Plan Update 19.46
lssuance 48.52
Qty
1.00
20.53
1.00
1.00
1.00
Fee
$20.53
$13.34
$-101.85
$19.46
$48.52
State Lic #: 973756
Lic Type: C-10, C46
Bus. Lic #: 345470
Workers Compensation lnsurance:
Carrier: New Hampshire lns Co
Policy #: WC029342335
Expires: 1110112014
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Solar
Solar
, Teri
07t03t2014
07to712014
10t1312014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2013
Notes: lnstall (13) roof mounted pv solar panels & (13)
micro-inverters. FEE EXEMPT PER CITY
RESOLUTION.
Buildins Permit #: 10181849
Every permit issued shall become invalid unless the work
on the site authorized by such permit is commenced within
180 days after its lssuance, or if the work authoized on the
site by such permit is suspended or abandoned for a peiod
d 180 days after the time the wotu is commenced.
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
Inspector MID#: 2014-115358
Phone:
ELECTRICAL.INSPECTOR 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
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough EXPIF tED
Service Meter
FINAL MAR IU 207
Notes, Remarks, Etc.
Owocr-BuildqDcclar&tion rr7 -
I hereby affirm under pemlty of perjury that I am exempl form the Coilmdors' License Law for the following rson (sff.7Ol L5 BNin6s
and Profession Code): Any City or County which rcquirc a pemit to comtruct. alter. improvc. dcmolish or rcpair any structue. prior to ils
issuance. also rcquircs thc applicant for such pcrmit to file a signcd statcmcnt that h€ or shc is liccnscd pursuant to thc provisions ofthc
Contractor's [,icensed Law (Chapter 9. Commencing with Section 7000 of Division 3 ofthe Business and Profesions Code) o, that he or
shc is cxempt thcrcfrom and lhc bsis for thc alleged cxemption .Any violation of Section 7031.5 by my applicant for a pmil subjects thc
applicant to a civil penalty ofnot morc thm fivc hundred dollars ($500).
_1. s owncr of thc propcny. or my cmployets with wages as thcir sole compcnsation, will do thc work and thc structuc is not inlmded
or offcred for slc ( Sec.7044. Busines rnd Professions Codc: Th€ Contraclor's Liccre Law dos not apply to an owncr ofthe prcpcny
who builds or imp.o\'6 Ih6con. and who dos such work himsclfor h6clfor through his or hr own cmploycd. providcd lhal such
improvcmcnts arc not intcndcd or offcrcd for salc. If. howcvcr, thc building or improvcmcnt is sold within one ycs of complction. thc
Owncr-Buildcr will havc lhc burdcn ofproving that hc or she nol build or improvc for thc purposc ofsalc).
_1. 8s own( of the propdy. am cxclusivcly conlracting wilh liccNed conlracloB to constnlcl thc prcjcct ( 56. 7044. B6in6s and
Profession Codc: The ContrSclor's License law docs not apply to an owner ofpropedy who builds or improves thereon , and who
conlracts for slch projocts with a Conlractor(s) licensed pursuant lo the Contractor's License Law.).
_l m cxcmpt utrds S€tion
Datc:
& P.C. for this rcason.
Owner:
WORKERS COMPENSATION DECLARATION
I hocby affim under penalty ofpcrjury onc ofthc following dcclarstioB:
_l have and will maintain s Certificatc of CoNcnl to Sclf-lnsure for workers' compenetion, as provtded for by Section 37oO of the
lrbor Codc, for thc pcrfomancc of thc work for which the pmit is issucd.
ll|ave and will maintain workers' compensation insurance, as rcquired by Section 3700 of the [abor Code, for th€ performncc of the
work for which this pemit is issued. My workers' compensation insurance orrier and policy number are
Caricr:
Policy
('Ihis scction nced irot complcted if thc pemit is for One hundred dollaG l$lo0l or lcss)
)4 "".tlry
rrut
became sub.lect
in lhe pcrformance ofthe work is issucd. I shall nol cmploy any pcrson in eny manner so as to
to the workers' compensalion and agree that ifl should become subJEt to the workers'
compcnsation pro!isions ofS(tion 3700 ofthc I fonhwilh cornply rvilh
,^r,, lO- 13.
x":T1i:,li*:J ;"#;fi 'ffi:compensatron is unlawful. and shall cubj.ct an employer to oiminal pcnallics and civil
($10o.000).in addition to thc cost ofcompcnsation. &mgcs u providcd for thc Sstion j076 of
thc Lrbor Codc. intcrot md anorney's fe6.
LICENSED CONTRACTORS DECLARATION
I hcrcby aflim undr pcmlty ofprjury that I m liccNcd undo prcvision ofChapto 9 (commcncing wilh Scction 7000) ofDivision 3 of
lhc Bsincss and Profssiom Codc. md my liccmc is in full forcc and cffft1.
t-icensectass' CIO Number _
""", /O- A- H
I hcrcby affim undcr pcMhy ofperjury that
issucd (S(. 3097. Civ. C.).
Lender's Nsme:
tsa ion lcnding agcncy lhc pcrfomancc of lhc work for which this pemit is
l-ender's Address
APPLICANT'S DECLARATION
Dcmolition P.rnrits-Asbestos Notification Federal ReSulations (Title 40. Pan 6)
Rcquircd lrlter of Nolifi cation
I fedcral rcgulations rcgarding asbcstos removal arc not applicsble to this project
I I have rcad this application and slalc lhat the above infomalion is corcct. I agree to comply wilh all City and Counry
Slatc ltws rclating to building construction. and hocby authorizc rcprccntatives ofthis City and County to cntcr u[pn thc
(
abovc
of
prop€(y inspection
03.31 .06
I