HomeMy WebLinkAbout20169855 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2 Electrical Permit #:20{69855
Pin #: 9O166Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 4
Proiect Address: 2221 S Rene Dra
Unit:
Block: NA
Bldg:
Tract: 2207
Address Range:
Historic: No
Suite Range:
Zoning. R1Assessor's Parcel: 408-465-09 Lot: 10
Owner:
Address:
Gustavo Valencia Lopez
2221 S Rene Drive
Santa Ana, CA 92704
(7141 3s6-8s61
Fee Type
01 1 16002 51603 Subpanel
01116002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
55.37
22.95
57.20
Qty
1 .00
1 .00
1 .00
Fee
$55 37
$22 95
$57 20Phone
Tenant Name:
Cgntractor:
Address:
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(562) 942-1270Phone:
Botch*:5236S ltt/7/?t1ly
0ff ice: (:TYH Trnnsi: S5Accbi: Rel*:
Rcpti: 8t2772113 Llt/7 /?ltL'
Tronsoct i on TobqI
Er ic (:urt ig;Uivint Solor 0eveloper
State Lic #: 973756
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 345470
Workers' Compensation I nsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires'. 1110112019
6enerol PInn Updnte
01 1 16LnJ2- 516ttCIttt-t0-
E Iectr i co1
01 I t6Cr02- 516rJ3tl0t-t-
I CL Check 7Lr4I
l- eE
Building Use.
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Subpanel
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2016 Notes: New subpanel
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Zuniga
Date.
Date:
Date:10107 t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 101 100935
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenged.
01 1 16002 51600
01116002 51603
$22.95
$112 57
Fee Total
Paid to Date:
Balance Due:
$1 35 s2
$0 00
$135 .52
lnspector MID#: 2019-153303
ELECTRICAL.INSPECTOR RECORD
)n
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby rftlrm undcr Fnalry of Frjury that I m excmpt fR m the Contraclos' Liccn$ Law for thc following rcamn (Scc.70l 1.5
Busincss anl Protbssk n Cqlc): Any City or County which rcquircs a Jrrnit to @nsruct. altcr. inprovc, dcflolirh'iir Epair anyr
structurc. lrior lo its Lssurrec. aL$ rcquircs the applicanl for such Fmit lo frk a si8rcd stalcmnt lhat hc or shc is liccnsd punuant
to rhc pruvisions of thc Conlraotor's Liccnsd trw (Chapter 9. Commcncing with Setion 7U)O of Division J of the Busincss anrl'
PrulcssionsCille)orlhathcorsheiscrcmprthcrclrumedthcbasislirrthcalhgcdcxempion. AnyviolationofScctionT03l 5byany
applicant for a Frmit subjels the applicanl k, a civil pcnalty of not m,rc than fivc hurxlrcd do[ds ($500).
_1. as owncr of lhc pmlEny. or my cmployccs with wagcs as thcir $le comJrcnstion. sill do ttr wuk arxl lhc stnxtE it not
intcnlcd or ollcrcd for salc (S@.?(X4, Busincss mrl Pnrfcssions Cqlc: Thc Gtntractor's Lkrnse Law does not apply lo m owncr of
thc pn)Frty who builds or impn ws thcBrn. arl wl$ d(*s smh wlrt himsclf or her$clf or th^tugh his or hcr own employecs,
pnrvidcd that such imlmrcmtrts e mt intcnlql or()lfcrcd for slc. ll. howerci the buihling or impnrrcmnt is sll within orc )c{
ofuurpletion, thc Owner Buildcr will harc thc burdo ofpR,ving that hc or shc did nol buill or improrc thc In lsly for th€ puryrrs of
sh).
_1. as owncr of thc prupcdy, amcxclusively contracting wilh lienscd conlracktF kt qrnstruct thc lrrjst (Se. 7O44, Busincss
anl PDf6sbn Codc: The Contnctor's Liccnsc Law d(rcs not apply lo & owncr of prolEny who builds or improrcs lhcrcon,
and who c$trtBcts for such lroFcts with . Crntmctor(s) liccn*d Pursuant to lhc Conlraclo.'s Liccn* [lw).
_l ant cxcnlpl undcr B. & P.C. litr lhis rcason.
Owner:rvonxnffilon
DECLARATTON
I hercby alTirm undcr penalty of perjury one of the fillklwing dcclaratitlns:
_l havc arxl will maintain a Certiticate of Consent to Self'-lnsurc fbr workers' comlrcnsation, as provided tilr hy Section 3700 of thc
Latxrr C<xJe, tbr thc pcrlbrmance of thc work tbr which the Jrcrmit is Lssued.
_l havc alrtl will as rcquircd hy Scction 17fi) of thc l-ahor Codc, tbr thc Jrcrtirrmancc of
anl prlicy numhcr arc:thc work lirr lllsuranL:c catTrcr
I unc 14C
-c) I - IPolicy
_l certily that in thc pcrlilrrnancc ol'thc work tirr which this prmit is issued, I shall not enrpkry any frcrson in any manncr
s6 as to bccomc suhjc.ct to the workcrs' conrpcnsation laws ol'Calitilrnia, antl agrcc lhat if l slxruld bccome subjcct to the
w6rkcrs' conrJrcnsation pnlvisions ol'scctiolr J700 of the Lahrr Ctxlc, I shall, lirrthwith comply with ttrlsc prtlvisitlns..
WARNING: Failure to sccurc wrlrkers'comJrcnsation covcragc is unlawtirl. and shall subjcct an cmpltlycr to criminal pcnaltics anrl
civil l-rncs up to onc hundrcd thousand dollars (SlU),Uru), in addition ttr damagcs as providcd firr tlte
Seclion -1076 o[ thc htcrcst antl attorrrcy's t'ecs.
o
I)},('LARATI0N
I hcrcby allirrn unrlcr penalty ot'pc{ury that I arn liccnsed untlcr provision ol'Chaptcr 9 (commcncing with Scction 7U)0) ol'Division .l
ol' thc Busincss and Prot'cssions Codc, arxl my liccnsc is in t'ull torcc imd el'l'cct.
C(o -,q1 31 s6Licc-nsc
/a
CONSTRUCTION LENDTNG AGENCY
I hcrchy allirm undcr Fnally of lErjury that lhcrc is a construct ion bnding aScncy lbr lhe lrcriomancc of lhc work for which this Frmil is
issucd (Scc. 3097, Civ. C.).
[rntlcr's Nantc:
lrndcr's Address:
APPLTCANT DECLARATION
I trcrcby allirnr undcr pcnalty of perjury one of the tollowing dcclaratiotts:
Dcnr1llition Pcrmits-Asbcstos Notil'ication Fedcral Rcgulations (Tillc 40, Part6)
-Requ
ircd [*t tcr ttf Notifrcatitln
_l certil'y that thc t'cdcral rcgulations rcgarding ashcslos rcnrovalarc nol applicablc to this pnrjcct.
-l
ccrtily that I have read this application arxl statc that thc ahlve iltlirrmatiort is con'cct. I agrce to ctlmply with all City and County
orrlinanccs and Statc laws relaling trl
atxlve nrcntiorrcrl propcrty tirr insJrccl
arxl herchy authrlriz.c rcprcscntativcs of this City and County to cntcr uJxrn thc
Applicant or Agenl
Penrritee nanre
o k
Site-Work
Underoround
Pole Bases
Liqht Standards
Spas. Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueing t -* nr/
Sub-Panels tl \rz 1l)rI\Ylt \/W61
Air Conditioners II v \ur
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
Nleter Release
Rough
Service lVleter I J -O'l
FINAL ,{ hq 1t)PfYt Y) o L +Yo I
TTT lrNotes, Remarks, Etc.