HomeMy WebLinkAbout20166450 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2O166450
Pin #: 78574lnspection Requests: (714\ 667-2738 lnspector Sectionr (714\ 647-5853
Project Address: 5326 W Rhonda Ave LJnit:
Block: NA
Bldg:
Tract 3665
Address Range;
Historic: No
Suite Range:
Zoning: R1
E
Assessor'sParcel: 099-203-11 Loi: ll
Julio Gerardo
5326 W Rhonda Ave
Santa Ana, CA 927032452
Fee Type Qty Fee
Phone
Tenant Name:
Conlractor:
Address:
Complete Solar Solution of I
1850 Gateway Dr
San Mateo, CA 94404
(650) 241-1481Phone
State Lic #: 961988
Lic Type: C-10, C-46
Bus. Lic #: 352614
Workers' Compensalion lnsurance:Carrier: American Home lnsurance
Policy #: WC047018042
Expires: 0710112019
PAID
JUL 1B 2O1S
City ofS ant a Ana
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 20'16
Notes: lnstall solar panels/fees pd on '10197049
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
\,h ernandez, Kathy
Date
Date
Date 07118t2018
Account#
Misc. Receipt:
Misc. Receipt.
Misc. Receipl:
Total
10197049 $0.00
$0.00
$0.00
Every pemit issued sha become invalid unless the work on the sito
authorized by such pemil is commenced within 180 days after its
issuance. ot it the wo* authorized on the site by such petmit is suspended
or abandoned fot a peiod of180 days after the tine the work is
comfienced.
lnspector MtD#. 2018-144728
Fee Total
Paid to Date:
Balance Due:
Owner:
Address:
Amount
ELECTRICAL.INSPECTOR RECORD
ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Rough
Service Meter
FINAL to ll lty -{-{/ 7 (/'y
Notes, Remarks, Etc
OWNER AUILDER DELCNRATION
I hcicby aftirr u d.r ncn,lry or !.rjury Ihal Ln .x.npr ro'n rhc conttrctoF Liccn$ Ljw lbr rhc followin8 rca$t (Scc 7011.5.
Itusincss and Prolcsion Codc): Any Cily or County wfith rcquncs ! pcrnril lo conntud. ahcr, inlrolc, dcnnich or tlah Mt
nocn,c- ,rin r{, irs issunce. rho ,equircs rhc lpplica tor slch I.ml t, fi|. a \i8ncd sd!.,mnr rhd h. or snc i( liccnsln puN,nr
to thc pmvnions of riE Conlrsclors Liccnsd lj* (Chaptcr 9, Connmrcins wilh Scction 7000 of Divhbn I or rh. Busincs rnd
PrclcssionsCldc) orrhal h.orshc iscxcarfl lncrcfromnndtu bash for lhc sllcscd cxcnDlion. Anr!t ari.n of Sdion T0l l 5 br&t
!mlic..l lor r rcrmil subjals rhc lprrliclnr to u civil pemlryofnol nrxc rhan filc hu.drcd dolhs ($500)
-l-
os osn , oi rhe pmpcny. .r my cnDlolcc\ wirh wr8es .{ rhct nn. coDt^-osu' ion. Bill do rh. worli ri rh. iturm i. frn
n cr cd oroiTcrcd f{r elc (Sm 7O1:l. Bu\inc$ rnd Profcssions C{xlc 'Ihe G)nh.n, s Licdi* La* des nor nly ro a.ouNr ol
rhcI[Fny wlt) hlild\ or ituravc! rhcRr rri who d,xs \kh work hnnscllor hcr*lf.r rhnu8h hh or hcr o$tr cmployccs.
provnldl rh \rch im|,ownEnls orc nor inrcndcn or oflarrd fn slc. ll ho$crcr. rh. tuiilin3 or irym(..nr h btl wirhin om )rr
olcon crion- rhc Owncr DuikLr will hlr rhc hr ci oi I,rolins rhlr hc or shc dil nor build o! imptuvc ihc ldFiy f.r $c NqxM ol
-1.
asosncrofrhc prorcny, !ndch\iklyconrecrins wirh licenscd connackx ro c.n{tu.t rh. pnrlc.r {sd. 101.4. Busmcs
ond &nfssbn Codc: Thc C.nk t*t Li.cnsr Law docs nor stply b n. .wncr ol prct^..ny qno builds or i.rprorcs lncrcon.
ind *ho conuocB for slch pmirls *irh a Co m.to(,liccnscd ruBuonr to rhc Contrsr(tr's Li.Tn\e ljN)
-l
amcrc,n/ undcr Scctiotr- B. & P C for this rceso.
0rner:
!IaB$;B sUt[X$LION
IIECLAIAIII}!
I hcrcny if,tnrunder pcnnlryof pcrjurrnnc.f rhc iolbsn'E dcclamlion\
l ha\r dil will mrinrJn d Ccnntui(c ol Consctrr tu Sclf.lNrrc rrtrB.rkcrs coDEnsnriotr. as rruvidcd lorhyS.crn,n:17ff)ofrhc
ljtxtr Codc. ror rhe pcrforronccofrhc trork for*hichrhc pcrmir n n\!cd
I h,vcrnd will mridrin wortc.i comp€nsatio insurrncc. as rcquted hySccrion3?Orroflhc l,'bor Codc. rd rhc ncrronnnmc of
rhc uork forsnichlhn pcnnir is tso.i Mysorkcc .ompcnslrb. iosumrccc@., d polky nxnib.r *.:
-Errt
r
I c.rifyrhrr nr rhc r.rf.nn.n coflh. sork li,r qhi.hihis p.rnn is isucd.l shull nor cmtloyrnyp.6on in anynrntur
$ d lo lEonr subjcd ro rhe wortcr empens ion luws.fclliaorni!. aod rarr rhd irI \lk td hc.oft rubj.\t lo ltr
workcn clmlcnsation [ori\ions of Sccrion 37mof rhc l-anor Ane I ihall. fonhwirhdnnply wirh rtxr* n$visbns..
WARNIN(;: f ilu.: t, *-ti. *o&crl.o rtr snri()n ovctugc i\ unlxwlul. d {hrll \uhi..r rr cmfk)ycr lo.ri'nnallr.nrlri.\ a
cnil [nc\ uf k,otu hundrcd rhou\lnd dollr\ (Slu)(xl)r. i'i rddir nt, rhL co{ ol compcr\rrion. dr.u'8.s rs prt,lidcd n th.
Sdti.n loTaolrh.l rt ra.dc inr.rcnanda.rmv\
,.,", 1--\A-l% ^,,,*,,@+ek-st
DECI4BAII(A
I hcrcby!fimuods pcnalry of r.rjury rhat I aor li€cn*d lnder ftuvhio, otch{pro 9(.om@ncing wilh Scction 7Ol)0) olDilision l
oa lh. Bnsims md Pmfc$ion! Codc. ard my lkcns ir in tull foe s,n dld.
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I herchy rl.lnm undcr $n.llyolpcrjulyrhJl rhcr i\ a consrr.rt,n lcnlios xcdi.y tr rhc Nn.xrun c olrhc worl li,r which rhis rannir h
is{rcd (Scc 1097. Civ C ).
AIIU!:!-NI:!EUI-ts\[A!
Irxarl,y li'nr rld l,rfr rI.r nrr]lry.n. !lr[d n,][r\ i"g d..ltrri(n,\
I).rtr.hr(r |r'nrir\ A\lr(o\ Nor'1'rdii, ' lc .rrj l{c!ulri|tr\ Il 1..11).l'( ar
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ordirtrn..\ Md Srrr. lnwr rclrrirA nr co.(rucrn,n. Md hcrcby rurho.Tc {nr ivcs oirht Ciry rnd Cornry t(). icrutx rhc
rhrc nrnri.ncJ pmptn, for
Arllicrnt o. AB.nl Signolur'
S cw-(\^ ?(A
APPROVALS DATE
Meter Release
I rtul.''. \ lJ'rs
\8
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