HomeMy WebLinkAbout20170099 - Permit (4)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permrt Counter (714) 647-5800 lnspectron Requests: (714) 667-2738 lnspector Section (7'14) 647-5853
Electrical Permit #: 2Ot7OO99
Pin #: 9039 \.l
Project Address: 1022 W Twenty-First St
Assessor'sParcel: 00'l-'184-06 Lot.23
Unit
Block. NA
Address Range:
Historic: No
Ownerl
Address
Hazel Harris
1022 W 21St St
Santa Ana, CA 927063528
(480) 993-9369
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90570
15621 942-1270
Feo Type
01116002 51600 General Plan Update
01'116002 57770 Microfllm Records
Amount
22.9s
3.91
Fee
$0.00
$0.00
Qly
0.00
000
Phone
Phone
State Lac #: 973756
Lic Type: B, C-10, C-39, C.{6
Bus Lic #: 315170
Workers' Compensation lnsurance:Carrier. American Zurich lns Co
Policy #: WC5095013
Expires: 11lO1l2O2O
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permlt lssued By:
Subject to Field:
Building Permit #.
Single Family Dwelllng
Solar
Solar
Smith. Mark
Chavez. Dave 9'a'
101',l02123
111Os12019
01t0912020
Account#
lvlisc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Occupancy:
Constr Type
Coder
R-3, U
VB
cEc 2016
Notes lnstall (15) roo, mounted solar panels
Date
Date
Date
$0 00
$0 00
$0.00
Every permil issuec! shall become nvalid unless lhe worr< on lhe srte
aulhonzed by such peftntt $ commenced within 360 days aftor ls
tssuance, ot i lhe v'/ork aulhonzod on the stle by such pennil is suspended
otobandoned lora p6iod ol 360 days after lhe lime the work is
comm6nced
lnspector MID#: 2019-155635
Fee Total:
Paid to Date.
Balance Due
Bldg:
Tract: 2194
Suite Range:
Zoning: Rl
Contractor:
Address:
Tenant Name:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O1l1rEN BUII,DEN DELCARATION
I h6.nt rfim ffiLr Frt, of Fisy thr I d .rdF tun rh. G' *16' Ltc !& h, rh. lolhwirB r6tr {Se.?o] I 5
B!!'n* rd Prordnn Co&): Ar) Cny o, Co{n) {hth Equn6 . Fmi ro 6dr!d. a, inFo\., domlirt ot iq.n &r
rMEq FE to nt iqle.. rto Eqlc rh. elkar for rEh Fmh b 6L r sisrEd riffi thr lE or t& ir li.d!..d F6rd
ro rlE Fori'h ot rlt Conrr*tq! Li6.d tlw (clrp(q 9. Comcins $nh Saion ,000 ol Divnb. ! ol llf, &lirad
PFlrsbB (h&) n rh.r lE or 3hc i aoF rlEcfrom di rlE hin br ilE.lh.d ddrnion. A,y viohion of Sdnn 70ll 5 b) dy
rrpli.o! ror. Fmit $bjei. rh. .p?lkax lo ! Giril Frty of mr mr.lhs lir. huind, dollB (i5m)
l. &r os6 of rh. Fotlny. o, my.nplorc wnh r'ru6 a rhor $l..omFMion. sil! & r,E $st an r& rulE a mr
inrdrLd .. o fid<<j nr et {s< ?o44. ausind sd ttrt63ion. (iJ.: ft. aonlr*1oir Licd. Iiw &6 ml .apl} ro d omn of r
lhc pmrgly *ho hil&or ill4ror6 tlEFn. nl*rh&Eluch$n himsclrorh@lf or thftrush hr or hd o\h drploy6.
l)lorida] rh.r $(h intioyoms @ mt i orLd $ ofidal litr $1. lf. hoN66.lh. hildins.r imrottul t rnd wirhin on. 16
otcodtldion, $. {\ns auiEd *ill h!r. rhc hrd.i .f ro\ins rha h. or ih. did d hrld or inlFov! fi. ImFry for llE purp* ol
l. 6 0*6 of rlE F.pdU. d d.[and, .odr.riU qnh lrnu.d.otu.doE ro otrrrud rlr F.]el (Sa 704.1. BBtrB
dd Eok i. cod. Th. corudoir Lk* lrtr d(E m! qrly ro s orE orFoFr, $ ho boit& or impto\B rh66t.
od rho @nndllr !*h F.i$ $nh.cbMo(rl lta6.d p{Bd rorh.(ont*m r lile l^ |
ld.\.nI und. s(r(,.
o.t. o$d
$onxf a(' ( oltPf tilaT()N
DICIJAAI]AT
I hr.6r.mm undi Fihh, ol Fjury on. or th. aollo$ hr d(h,.'ioB:
I hav. srl sill m.im.in , catific.l. of CoNdt lo s.ll-lEor. ror workc comp6'srion, ei r)vid.d ln by s..rion -u00 of rh.
bhtr t'.Li(, fo, rhc Ffom c.ofrh.M* foruhrhrh.Fhr 6 ntu.d
\,, I h.r. .rl { ,ll rud.i. $ 0116' conFNhn iNurtn(., s Eqlncd by S6li,D :r 700 oflh. llbnr (bd.. tnr rh. pafomft. of
rh. $ort for Rhi.h 'hi Fnn i isr.d My $o116 6mF(hn iNle. ffir lrl rFlicy nuntE e(
,.,,,., ' nvnlvi(IA^ 4&rrOyt
, (!\. r . Wc"Sutl too ta ,.\l,lPll
I cdiS rh.l
'n
fi. Fforffi.of th. trtlt fn shkh rhn IEnn ir s!.d. l snlI tul @phy tuy Fsn in.n, mee
ar .r ro tcoru $t*rl ro rlE *ortd snpdtnn hrr otcdifomi.. !d 'ctt rhi ill Jhuld h<.m rti.d h
'lE$*d' smFerian Fortioc ofSdrio.11700 ofrh.l,h, (ido t CulL aonh*th omdy snh rlDs FlliioB
WARNINC l',ilur. ro sur. sork6 composio, covd*. is utrla*ful. ud shall subid o dpnDs ro diminal Fdli6 ed(nil finc. uD h on. hondr.d thousd doll$ (1100.0(10r. in rddition lo rh. con or coh!.rsxo.,{s.s I pnrlid.d lor rhc
Sdlion 1076 oarh.lrt{r ( ode inls6l ad anom.ri f6
tr",", . I
I lEr6, rnm q.& Fdty oaFj!,y rht I u l.!E d u,& Fn\ ilhi or C1416 9 lNlffii4 r nh Sd ion 7000) ol Dn isiotr !
of rh. t $n6 ,{ Pof<bd cod.. rn mr li@ i! h tull l6G in.r.d
cro
4 | 2t tzo,,,,',,,,,,., y.
wEto
I t vl v t!4+ ao.la.P-
C0llilf,u(llattElDltc_acD!(r
I hftby dlltr undd p.tuhyof ptrl!rythar rha.i!aodndi'n lcndinr astrt for th. FfomM.. of lh.wo.k lor shichlhis Fnn b
isu.! (s( 1097.( ir (')
AIIIII:AEL!&CIJAAIIA!
I ia!n, .r&E undd Frh, or Fjqy oE ol th. 6llo*i.3 d.cl-daa:
Dntulirnn P.rnl^th.nor NorifEinn Fcddrl ReuLrioB (liL 40. Pri6)
R.quind krld of tlo.ifi.inn
I cdif, rh{ rh. fdLol erukrioc rqdins Bhcror r6mml e. nor q,pli..bl. to rhis pmjccl
t#ol iry rhsr I hav. rcsd rht opplicari.tr Ed ar. rhar rh. i&rv. inn'morion is.otr..r I asc ro codply sirh .ll city ud ( ou.ry
odhoncd dd srat.lr\a rcbtiu lo builditrs consrructmr ud hs.hyrurhort.alnBolrhr( y ed ( ounlrb ord uForh.
itx,r. rd(n'n{d Inolfd)_ h nsl).\1i.n
.rppri.m ,. r1.r srs,a,r ;(
r'*-i,,.*-.rp.i,., K Fy'l y'+?\
,'^,.'ll<lznze
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
Bondinq / Groundin s / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Ro h
Service MeterFINAL t /Zl,/l<t>-FIAD.a !
Notes, Ren{/rks, Etc
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