HomeMy WebLinkAbout20171633 - Permit-I
City 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 #: 2O17f 633
Pin #: 85383
Proiect Address: 1739 W Park Lna
Assessor's Parcel: 101 -053-19 Lot: 56
Unit:
Block: NA
Bldg
Tract: 2762
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Phone
Tenant Name:
Contractor.
Address.
Phone.
Benjamin & Melanea Gonzalez
1739 W Park Lane
Santa Ana, CA 92706
(7141 310-73s4
Vivint Solar - lrvine
2500 White Rd #A
lrvine, CA 92614
(e51) 496-22s2
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
s9 30
4.05
Qty
100
1 .00
100
1 .00
Fee
$57 40
$23?e
$se 30
$4 05
UOFILC,
cii' 6
OJJ
State Lic #: 973756
Lic Type. B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance:
Carrier. American Zurich
Policy #. WC509601305
Expires'. 1110112020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By.
Plan Checked By:
Single Family Dwelling
Solar
Solar/Service meter
Smith, Mark
Amsden, Julie
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
09t03t2020
09t03t2020
Account#
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2019 Notes: lnstall solar panels, solar fees pd on 101 104279
Service meter handout given.
Permit !ssued
Subject to Field.i,,
Building Permit #.101104279
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 after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23 79
$1 16.70
$4 05
Fee Total:
Paid to Date:
Balance Due:
$144 54
$0 00
$144.54
rEIt t
[r1r:
a --.:ItJL
lnspector MtD# 2020-1 60686
tr
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
60-ndh/ffi |JFER Q .2A ?/)(LCZ 7
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
lVleter Release 1o sn-L)&c 2a 2oo pta/?)
Rouqh
Service lVleter I
FINAL //t 7)'&)/ZC /9 'A)f/o<, otZrT
Notes, Remarks, Etc.
OWNIi,R BUII,DER DIiI,CARATION
I hereby affirnr under penalty of perjury that I anr exempt frum the Contractors' Licerue l-aw for thc following, reason (Sec.7031.5
Busincss and Profcssion Codc): Any City or County which rcquires a pcrmit to construct, altct. itnprove, dcmolish or repair any
structure, prior to its Lssuance. atso requires the applicurt for such pernrit to fib a signed staternent that hc or she is licenscd pursuant
to thc provisions of thc Contractor's [,icenscd law (Chapter 9. Comrnencing with Scction 7000 of Division 3 of the Business and
Professions Code) or that he or she is exempl therefronr and tlre basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
_1. as owncr ol'the property. or my employees with wagcs as thcir sole compensation, willdo the work and the stntcturc is not
intendctl or offcrcd for sale (Sec.7H4. Business and Pnrfcssions Code: The Contractor's License I:w does not apply lo an owner of
the pruperty who builds or improves there<rn, and wlro does such work himself or lrerself or through his or lter own entployees,
providcd that such ilnprovcrncnts arc not intcndcd or ollcrcd for salc. ll. howevcr, tlrc building or improvcrnent is sold within one year
of completioq tlrc Owrrcr Builder will lrave the burden of proving that hc or she did not build or improvc the pnrperry for thc purpose of
sale).
_1, as owner of the propefly, am exclusively contracting with liccnscd contractors to construcl thc project (Scc. 7044. Busincss
aruJ Prrolesskrn Code: The Contractor's License Law does not apply to an owner of proprty who builds or improves thereon.
and who conuacts for such projccts wilh a Contractor(s) liccnscd pursuant to the Conuactor's License l-aw).
_l anr excmpt under Section-, B. & P.C. tbr this reason.
I1... ^'
W()RK I.:RS' COt\T PENSA'TION
DECLAR/rTI0N
I hc'rcby afl'irnr under pcnalty of perjury onc of tltc lolkrwing declarations:
-l
have and will nnintah a Certificate of Consent to Self-lnsure for workers'conryrensation, as provided for by Section 3700 of the
Labor Code, for thc grcrformarrcc of the work for which the pcrndt is issucd.
$H*;and its 3700 of the Labor Code, for lhe Jrcrfomunce of
ZI-)YI
l\ lzoPolicy
$q-, ccnify that in thc prfornuncc of tlrc work for which this pcrmit is issucd, I shall not enrploy any lrcrson in any manncr
so as to become subjcct to the workers' conrpcn.sation laws of California. and agree that if I should beconrc subjcct to thc
workers' conrlrnsation provisions of Section 3700 of the Labor Code, I stull, forthwith conrply with those pnrvisions..
WARNING: Failure to secure workers' compensation covcrage is unlawful, and shall subject an employer to criminal penalties and
civil {ines up lo one hundred thousand dollars in addition to the cost of danrages as provided for lhe
Section 3076 thc intcrcst and attorncy'sb20
I hereby affirrrr under penalty of perjury that I anr licerrsed Chapter 9 (conurrcncing with Section 7m0) of Division 3
of the lJusincss and Professiorrs Code. and rny license is in lull force and effect.
License e\o Number:
q]T Sb
o VI ar
CONSTRUCTION LENDING AGENCY
I hcrcby al'firm under pcnalty of pcrjury that thcrc is a construction lcnding agency for the pcrlbrmancc of thc work l'or which this pc.rmit is
issued (Scc. 3097. Civ. C.).
[.cnder's Name:
Lrndcr's Address:
APPI,ICANT DECI,ARATION
I lxrr:by allirnr undcr pnalty of perjury one of thc fillhrwing dcclarations:
Dcnnlition Permits-Astrcstos Notification Fcrlcral Rcgulations (Title 40, Part6)
-Rcquircd
Lcttcr of Notification
_l ccrtily that thc fcderal regulations rcgarding asbestos rernoval arc nol applicable to this projcct.
ELECTRICAL.INSPECTOR RECORD
-201 5
can'ier alxl policy nunrhcr alc:
\
ccrtily that I luvc rcad this application md statc tlral lhc ahlvc infornution is corrcct. I
State [:ws
above rrcntioncd properry for
Applicarrt or
l'crnritee nunre
construction, and