HomeMy WebLinkAbout20170352 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrica!Permit #:2lJ17o,352
Pin #: 13244q
Project Address: 1616 E Fourth St
Assessor's Parcel: 398411-02 Lot: 8, POR 6, POR 1(
Unit:
Block: B
Bldg: Address Range:
Tract: GARDNER VILLA Historic: No
Suite Range:
Zoning: P
Owner:
Address:
Phone:
Tenant Name
Contractor:
Address:
Phone:
Jason La
1616 E Fourth St
Santa Ana, CA 92701
(7141s89-7672
South West Sun Solar, lnc
13752 Harbor Blvd
Garden Grove, CA 92843
(714) 582-3909
Fee Type Amount
011'16002 51603 Over 10-50 HP, KW or I 48.02
01116002 51600 GeneralPlan Update 22.95
01 1 16002 57770 Microfilm Records 3.91
Qty
000
0.00
0.00
Fee
$0.00
$0.00
$0.00
State Lic #: 1004567
Lic Type: B, C-10, C-38, C-39
Bus. Lic #: 350754
Workers' Compensation lnsurance:Carrier: Starnet lnsurance Company
Policy #: BNUWC0147932
Expires: 0610112020
Building Use: Commercial
Job Type: Solar
Nature of Work: Solar
Sm , Mark
Planning Conditions: No exposed conduit or wires
Planning Approval By
Plan Checked By:
Graham, Jeffery
Permit lssued , Teri
Subject to
Building Permit 01 1 02466
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cEc 2016
12t09t2019
12t'.t012019
02t27t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes
Fee Total:
Paid to Date:
Balance Due:
lnstall(90) roof mounted solar panels. FEES PD ON
1 01 1 02466
$0.00
$0.00
$0.00
lnspector MID#: 2019-156367
ELECTRICAL.!NSPECTOR RECORD
Rev.08-07-2015
DATE ID/SIG COMMENTSAPPROVALS
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
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
ft/eter Release
Rough
//Service [Vleter 7//FINAL 4//t /?1 / "1&. t,.Notes, Remarks, Etc// ' '/
OWNF]R BUII,DER TTLCARATION
I hecby affrnl undcr pcnaly of Friury thal I er cxenrpl frum th€ ContractoB Liccnsc llw for thc following rcapn (Sqc.70ll.5
Busincss and Profcssion Cixlc): Any City or County which rcquires a pcrmit lo construct, altq, irnprovc, dcmlish or rclair ily
structurc, prior b its issuancc. also rcquircs the applicanl for such pcmit b filc I signed slalamnl lhal ha or shc is licctrsd pusmt
to thc pmvisions of thc Contractor's l.iccnscd l,aw (Chapter 9. Comrncncing with Scction 7000 of Division 3 of thc Busincss and
Professionr Code) or that lt or she is exempt thnefionr and llE bsis for tlE alle8ed exenption. fuiy violatioo ofsection 7031.5 by any
applicant for u pcnnit subjecls the rpplicxnt to a civil pcnalty of not mrc than llv. hundrcd dollars ($500).
_1, as ouncr ol'the profr(y. or my cmplolccs with wagcs as thcir $lc com;rcnsaion, willdo the work and thc stMuc is mt
iilenlcd or offered for salc (Sec.7Ol4. Busirrcss nnd Prcfcssions Code: Thc Conlmclor's Liccnsc law docs nol apply lo m ownar of
the prcpeny wlx, builds or irnprows therdnl dd wlD dGs such work hinrself or lrcrself or through his or her own enployees,
providcd thal such improvcrrils trc fln intcndcd or ol'crcd for sh. If, howcvel $c buihinS o, itrprovcmil is sH within onc ycd
of conrplclbn. the Owrcr Buil.ler will lurvc ttr burdcn of previn8 thal h€ or shc dirl mt boil.l or improyc the pDpqty for the plrF)rc of
$le).
_1, as owner ofthe propcrty, am cxclusively coilractinS with licenwd contractors to constlcl tlrc prcject (Scc, 7044. Busincrs
and hotlssinCode:TheContractor'sLicetrseLawdoesnotapplytoanownerofpropertywhobuildsorimproveslhereoo.
and who conlracls for such projccts wilh a Cootraclor(s) liccnrcd pursuml to thc Contactor's Liccnse llw).
-l
d erdmpt urxler Scctiotr , B. & P.C. for this reason.
l)a1e:-
woRKt:Rs' c0Nfl'ENsA'l toN
DECLARATION
I hercby allirm undcr ofpcrjury onc ol thc tollowif,S dcclsatio6:
-l
havc n[inlrilaCe(ificateofC{nNenthSell:l[sureforworkers'crrrnpensatiul,as providedforbySection3T00ofthe
Latpr lErforiluncc ofthe work lbr which th! perntit is issued.
arxl will mainrain workcs' con{ELration insurancc, as rcquircd by Seclion 3700 ofthr tibor Codc, for lhc pcrfomar. of
work for which this lErnrit is issued- My workcrs' con[rcnsdion imurmcc cmicr uxl grlicy numbcr uc:
Policy t/ Dco '71rL C-z.c
_l ccf,ily that in thc |trfolnBNc of tlE work for which this pcrmit is issucd, I shall not cnrploy oy lErson in any manncr
so as to bcconr subjccl to thc workcrs' colipcnsation laws ofcalifonlia, and agrce thal if I sfnuu becorc suhjcct lo thc
workers' conrpensation provisions of Section l?U) of the Lubor Code, t shall, fonhwith corDply with tho* pruvirioN..
WARNING: Failure to scure workers'compcnsation covcrugc is unlawful, md shall subFct an cmploycr lo Fiminal pcmhics fid
civil fircs up to onc huillrcd tk)usmd
Section l{)76 ot the trhor Codc, interest
Drre: )-L1 -^15
dollars lhc cost of con{ENtio[ dmugcs s provided for lhc
I hereby ifltrnr under tretrrhy of perjury that I anl
LICENSED CONTRAC'TOR
I)DCI,ARATION
licen$d uilcr prcvision ofChuplcr 9 (conmEncing with Scction 70OO) ofDivbion 3
of the lJusincss and Prcltssi()ns Coda. ail nry license is in lull force and elfcct.
Licensc loo L b,))alo
z - ?1. '1)
I hercby allirrn undcr pcnalty ofpcrjury that thcre is a construction lcnding agcrcy for thc pcrfonMrcc ofthc work lbr which this pcrmit is
issued (S.c. 1097. Ci!. C.).
knder's Nanre :
kiler's Ad,lres.:
I hercby tfl-mlundcr pcoahy of pcrjury
APPI,ICAN'T DT]CT,ARA'I]()N
tho li)llowing dccluations:
Dc nx) lit i()n I'cr ilrits- As hLsl os Irc(ierrl Rcguhlx)os ( l illc 40, I'a'16)
_Rcquircd b(cr
-I
thc Iedcral rcgulations rcgdding &sbcstos rcrmval ilc not applicablc to lhis projcct.
tlrar I rcad this applicatiur uxl stlle that with all City and Coutrty
ild Counly to entcr upon the
2-1 7 --2}abo!e
Applican(
I'cmri(cc nonrc
ftn'
lo buildinB