HomeMy WebLinkAbout20172180 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O172{8O
Pin #: 38960
Proiect Address: 1414 S Rosewood Avea
Unit:
Block: NA
Bldg:
Tract: 1415
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 013-052-21 Lot: 16
Owner:
Address:
SAUL CASTILLO
1414 S ROSEWOOD AVE
Santa Ana, CA 927071026
(7141 479-7355
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
000
0.00
Fee
$0.00
$0.00
Phone:
Tenant Name:
Contractor:
Address:
Vivint Solar - lruine
2500 White Rd #A
lrvine, CA 92614
(gsl ) 496-22s2Phone
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance:Carrier: American Zurich
Policy #: WC509G01305
Expires: 1110112020
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2019 Notes: lnstall solar panels. Fees pd on 101 105068.
Planning Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Julie 10127 t2020
Account#J
Buildins Permit #: 101 105068
Every permitissued 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 the site by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0 00
$0.00
lnspector MID#: 2020-162414
ELECTRICAL.! NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas. Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm I Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq I Groundinq / 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)
Meter Release
Rough
Service Meter I .\
/Z/,b/zaFINAL ,t/ /
Notes, Rernarks, Etc./a
OWNER BUILDER DEI,CARATION
I hscby alfm undo pmalty of pcrjury that I m exmpt ftom thc Contmclon' Licme Law for rhc following Itmn (Sc.7031.5
Buines and Profsion Code): Any City or County which rcquirs a pomh to construcl, alto, improvc, dmolish or rcpair my
strucluq prior to its isumcc, also rcquirc thc applicilt for such pcnnit to filc I signcd stslmmt that he or sltc is licoscd plllsmt
to thc provisioru of thc Contractor's Licqscd ttw (Chapt6 9. Comacing with Sction 7000 of Division 3 of thc Buins ild
Prcfsions Codc) or that hc or shc is umpt thscfrom ed thc basis for thc allcgcd qmBion. Any violation of Setion 7031.5 by my
applicet for a pcrmit subjcts thc applicant to a civil pcmlty ofnot morc tha five hundrcd dollm ($500).
_1, s om6 of the pIopsty. or my cmployG with wag6 6 their mlc compemation, will do thc work ad thc stnrctw is rot
intodcd or oflqcd for ele (56.7(x4, Buitre ud Profsiom Code Thc Cootractor's Licffi tlw do6 not apply to u omo of
thepropqty whotuildsorimpovctluoo.ddwhodo6swhwd(himsclforhmlforthrcughhisuh6omcmploycc,
providcd that such imptomts rc rct intodcd or offsod for slc. lf. how6. thc buiHing or imprcmt is $H within onc )E
of mmplction, ttr Owns Buiklr will harc thc btrda of proving thd lrc or shc did mt tuild or impovc rhc popcty for thc ptrpo* of
sle).
_1. as owner of the property. arn exclusively contracting with licensed contraclors to construct the project (Sec. 7M4. Business
and hofcssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License l,aw).
-larnexcmptunderSection-'B.&P'C.forthisreason.
Date:
WO RKER.S' COMPEN SATION
DF'CLARATION
I hercby affrm under penalty of pojury one of thc following declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workcrs' compensation. as provided for by Section 3700 of the
I-abor Code for the performance of the work for which the pcrrnit b issued.
have and will maintain workers' compensation insurancc, as required by Section 3700 of the Labor Code, for the performance of
the work fq which this pennit is issued.
rwYvlt(An
My workers'insurance carrier and policy number are:?v luPolicy\\I \
Lf ."rti5, that in the performance of the work for which this permit is issued. I shall not emptoy any person in any manner
so as to become subject to the workers' cornpensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall, forthwith comply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an to criminal penalties and
civil fines up to one hundred thousand dollars in addition to the cost of as provided for the
Section 307Q of the Labor Code. interest
o 121 ILO
and
t
I hereby affirm under penalty of perjury that I arn licensed provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and rny license is in full force and effect.
License
C\D
Nurnber:1b151z
oate' \D V ar
W
I h6cby amm und6 pcnalty of pcrjury thrr thqc is 8 @Ntruction landing agocy for thc pqfomucc of thc mrk for which this pqmil b
issued (S€. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLTCANT DECLARATION
I hereb,, affinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40. Pan6)
-Requ
ired Later of Notification
cotify that the federal regulations regarding asbestos rernoval are not applicable to this project.
certify that I have read this and state that the above information is correcl. I agrec to comply with all City and County
ordinances and State laws relating to representatives of this City and
above rnentioned property for
Applicant or Agent
Permitee name
construction. and
^-.^.
\t
County to eptcr upon thc
ir:. lzu
Rev. 08-07-2015
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