HomeMy WebLinkAbout20169761 - Permit (3)City nf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O169761
Pin #: t"orl.trJ
Project Address: 2121 N Poinsettia St Unit:
Block: NA
Bldg:
Tract: 1335
Address Range:
Historicr No
Suite Range:
Zoning: RiAssessor'sParcel: 003-133-23 Lot 66
Owner.
Address
Glenda C Newcomer
2121 N Poinsettia St
Santa Ana, CA 927062923
(714l.342-7548
Fee Type
01116002 51600 General Plan Update
Amount Qty
0.00
Fee
$0.00
Phone
Conlractor
Address:
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(5621 942-1270Phone
State Lic #: 973756
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 345470
Workers' Compensation lnsurance:
Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 11lO1l2O2O
Building Use:
Job Type:
Nature ot Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016 Notes: lnstalllS.Sskw roof mounted PV system in addition to
existing system. 18 panels, 1 inverter. All fees paid on
'10't 101580
Planning conditions:
Planninq Approval By Date
Date
Date
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
CSG Consultants 10t0712019
01t't7t2020
Account#
Amsden, Julie
101 10't 580 $0 00
$0.00
$0.00
lnspector MID#: 2019-154633
Tenant Name:
Every permil issued shall become invalid unless the work on the site
authonzec! by such permit ts commenced within360 days after ls
issuance, ot il tho wotk authorized on the stte by such pemit is suspended
ot abandoned for a period of 360 days aker the time the wotu is
commenced
Fee Tolal:
Paid to Date.
Balance Due;
ELECTRICAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER DELCARAArcN
I hdcby afrrm undd paalty oa pdjury lhal I m cx.mpt fion $c Clmra.tou Li.ft. La{ ior thc follopins r.&n (56.701 I 5
Businss and Profsion Codcj: Any Cily or Coufly which rcqut6 a p.fln lo cons:lrucl, al6, inprolc, d@o[.n or RTan dy
srru.ruc rrio. ro its issuMc€. also r.qukB rh. arplic r for su.h Frmn o 6L . signcd stdmdt th3l hc or slt b li...s.d pcual
to th. prcvisions ot lh. Conlraclois Liccnsed taw (ChaPrd 9, Com,ncncins wilh Sdlio. 7000 of Dirisio. I of thc Busin* ed
Prcf*iotu Cod.) or rlrar ,E or sh. ie dmfl thq.fion ed th. bsis ror lhc allcsal .xmplion. Any violalionofSe.lhn 7031.5 by any
applicanl lorapmn subi€tsrhe arnlicaorio.cililpenallyol.olmorcth fivc hundr.d dolld ($500).
l. 6 omq olrhe popcdy. or ny cdplolrd wnh raB6 6 th€i sle onpqsation. eill do rhe wo* md ihc ('uctw is aot
i.led.d or o ff6c{t aor sl. (s-.?o44, Brsi66 Md &of6iod Code Thc Conrdor's LicN Law do6 nol apply lo d oMd oa
th. pmpsly vho boilds 6r imFo6 thd6n, and who do6 sch Nrt hiN.lf or hmlf or rlmuBh his or hs oq dployc6,
provid.d rh such inrproEmls e ml inlqdcd or oll6.d rot st I( howd6. thc h]ildins or impmv@nl b $ld wirhin on )a
ofcomplciion. rhc O"rs Aui[:!E vill har $. hndo ofFovin8 ti, hc or shc did ml h{ild or iapolc lhc pNFry aor th. purpoE oa
I, s ow,s ofrhcprcp€ny, m er.lusiltlycontfri.S wilh licded conlElo6 to @nslrucl lhc Projar (S( 70,14. B6ins
ed Foa6sion Cod€: Thc Contrador's Li.c6. ttw do6 nol lpply lo d ownd olprcpdy sho boilds or inprovd lhdon,
a.d sho conracrs rm such prcjcds wnh a conrE.lo(, Iictu.d p6@r ro fi. co.rEcrors Licc@ kw).
-l
@.x.mpt uhdd S.dion-, B. & P.C. for rhis l.Mn
Ornd:__
WORKERS' COIIIPENSATION
D[Ctd8AIlOd
I nd.by ailrm undq p.nflhyolp6juryonc ollhc follosing dddalio6:
I hav. and will mimain 0 C€nific.lc of Consnr ro Sellldlc lor work6 @,npNlion. s pDvided ior by Sdion 3700 of rh.
Lrbor Cod., for rfic p6lomMc. ollh. wort for {hi.h lhc pdnl n ias!.d.
ft r,.'" -a *irr oaine i, *ort6 .o6p.Ntio. isu'mcc. s r.qun.d by s<rio.37Oo orrhe L.bor codc, ior rhc psrolr@cc ot
lhe sork tuwhEh tnB Fnnil is issucd MysoAcs .onpms.lion in!!arcccuE dd !.li.y numbc dc:
,,,,,,., AWJ"V I cotn ?o(| (-.v1wLsol uor3 ozo
I cdify thar in inc psaommc. olrhc rork for whi.h lhis pdnir is issued. I nrllnol mployeyD6on in y mmn6
$ s lo b.comc subjed to rh. work6 compmalion laws ol Califomia. das@lhar ill should h.comc slbjtrt loth€
woi(s @npds io. pmvisioB of Scclion lT00 otlhc titrr Codc l shall. aonhwnh comPly silh lhos ptovbions
WARNINC: Failu.. ro suc *0116 conp4ation .ovdrs. is unlawful. ad shrrl subjd m mPlortr lo oiminal pqEhi6 d
cnll fincs up t, onc hundtu{ rh.used
lnl^.\ftaffiR \croi f Iv-
I hercb, aflinn ndcr pqahyo|prju.ylh.l I an licaEcl Md.r Fovisior olchapld 9 (ehndci.8 wiln s.{ion 7000) ofDivision 3
of lhc Busin6s od Pmi*ioN Codc, ad oy Ii.@ is in tull forc. ed €fI61
Cl'e qA47<1q"
tlt?lt,Yt-o c..,.,"'"', Vtv\Nf SoLa(z
caNilaucuoN.trlpllc_acllcl
I hscby rmrm und6 ,.naly o f psjury thal $dc i! a @dtu.liod Lndins lsdcy lor lhc Frollmc. of rh. wotk for Ehicn $is pdlDit G
isslcd (SL\ 1097. Civ. ( ).
I cdif, rhd rh. Ld6al r.gulalioN r.Bardins db6ros r@oval d. tur applicablc ro this poj€1.
U.{rd ify that t havc @d rhis applicarion dd sl!l. rhar $. at ve infonnalioo is cordr.I.stdio complyPnh.U Cilyand Counly
.rdnmnc* md Statc liws relariry ro buildinr ofthis Cnyond Connlyro 6t6 upon lhc
abouc flrmrioned propely lor
ppli.{Dl or AEetrl Signdur.
+-r\
1lr+luta
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Bu ilding
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter t J /
FINAL //.</> ),C rHeb,t'
Notes, Remarks,'Etcl
Rev.08-07-2015
DATE
s<rion :1076 olrbc bbor Codc- inls6l ed auomy s 16.
*,", t Il]lzPza
ATIIICANLDESASAIIAN
I h6tby a]Im undq pdally olp€.juy o.. of rhc followi.S dele.tions:
Doiolirio. P@ns^sb€tos Norificrtior F.dml Rcsularions (Tirl. 40. Pan6)
-R.quircd
t,lr6 olNolifi calion
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