HomeMy WebLinkAbout20165181 - PermitCify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrica Permit #: 2lJ16518{
Pin #: 99659
Project Address: 1845 S Forest Ave
Assessor's Parcel: 408-352-01 Lot: 33
Unit:
Block: NA
Bldg:
Tracl:4402
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Alfred & Monica Marquez
1845 S Forest Ave
Santa Ana, CA 927044208
(7141267-3163
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(657) 600-82s2
Single Family Dwelling
Solar
Solar
Fee Type Amount Qty Fee
State Lic #: 973756
Lic Type: C-10, C.46
Bus. Lic #: 345470
Workers' Compensation lnsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1110112018
PP*!n
FEB 1 5 2018
$__
CitY r:f
tt.llTlAL:
$r"rn"noez, Kathy
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016
02t't5t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: lnstall solar panels/fee pd on 10195582
Fee Total:
Paid to Date:
Balance Due:
Buildins Permit #: 10195582
Every permit issued shall become invalid unless fhe work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2018-141499
%
ELECTRICAL-!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER BUILDER DELCARATION
I hcrchy aflirn undcr pcnalty ol pcrjury thal I Mr excmpl lionr lhc Conlrack)rs' l-iccnsc ljw tbr the folk)wing rcason (Scc.7oll.5
Busincss and Proltssion Codc): Any City or County which rcquircs a Jrcrmil to construcl. ahcr. improvc, dcmlish or rcpair any
structurc. pri()r to its issuancc. also rcquires lhc applicant for such lErmil lo lilc a signcd statcmnl thal hc or shc is liccnscd pursuant
t) thc provisions of thc Contrrctor's Liccnscd l-aw (Chaptcr 9. Cornmcncing wilh Scclion 7(XD of tjivision :l of thc Business rnd
ProlcssionsCodc)orlhathcorshciscxemJ,tthcrclromandlhcblsislbrthcallcgcdexcmption. AnyviolationofScclionT0Sl.5byaDy
applicantlbrapcrmitsubjcclslhc applicanlnlacivilpcnahyolDolmorclhanfivchundrcddollflrs(S5U)).
-1.
as owncr of thc pmlrcny. or my employccs with wages as lhcir solc compcnsat ion. will do thc work and lhc stmlm is not
intcndcd orol-hrcdforsalc(Ss.T044,BusincssandProttssionsC-odc:ThcConlractor'sLiccnscLlwdocsnolapplytoanowncrof
lhcpropcily whobuildsorhnprovcsthermn.mdwhodoessuchworkhimsclforhcrselforthroughhisorhcrowncnrployccs.
providcd that such imprevcnEnts arc ml inlcfrlcd or offcul lirr ulc. lf. howcvcr. lhc buikling or improvctrEnl is s)ld within onc yce
ofconrplction. lhc Owncr Buiklcr will havc IEL burdcn of proving lhat hc or shc did not build or inprow lhc pmfEny tbr lhc purlx)r of
ulc).
I. ils owncr ol lhc prol)cny. ilnr cxclusivcly conlrrcl ing wilh liccnscd co[trrclors k) conslrucl lhc projccl (Scc. 7(]14. Busincss
ilnd l)E)ll'\siolCodci'l'hcConlrrclor'sLiccnst'l-awdocsnrnapplyloanouncrofpropcrlywhohuildsoritrrprovcsthcrcotr.
anrl who conlracls lbr such frr()jccls with a Corilracto(\) Iiccn\cd pursurnl lo lhc Conlrrcl()r's Liccnsc l-nw).
-lrmexclnDtundcrsccti()n-.B.&P'C'rorlhisreason.
I )illr
-
O*ner:
IVoRKI.]RS' CoNIPtrNSA'I]oN
DFCI,ARATI()N
I hcrchy allirnr undcr lcnalty ol pcrjury onc ofthc l(,llowiDg dcchrrlions:
_l hdve and will nlainlain il C'cflilicalc ol Conscnl b Scl[lnsrrc lbr workcrs' corrpcnsalioD. as provided li)r hy Scclion -i7(X) of lhe
litDr Codc. lbr lhc pcrtbrmancc ofthc work for which thc pcrnril is issucd.
_l havc and will nrilinlain workcrs' conrpcnsali()D insurancc. us rcquircd hy Scction 3TU) olthc Labor Codc, lor thc pcrlbrnuncc of
thc work for which this pcrmit is issucd. My workcrs' comfcnsali([ insurrncc caricr and policy numbcr trc:
(
Policv Numbcr: Exotcs
_l ccnify that iD thc pcrli)rillilncc ol lhc work li,r which lhis pcrmil is issucd. I shall lol co]pby any pcrson in any illilnncr
so ils lo hcconr suhjcct lo thc workers'conlFn\ali(n laws olCalilbrnia. and ugrcc lhal if I ihould hccorE suh.icct lo lhc
workcrs'coilrpcDsati(nprovisionsofScctionST{X)ofthctihrrCodc.lshall.li)flhwilhconrply*ilhtho$prcvi\hns..
WARNINC: Frihrc lo sccurc workcrs'coillpcnsnti()n covcrilgc is unldwlul. and shall suhjcct an cnrphrycr lo (Tinlirlrl 1tmltics and
civil lincs up lo onc hundrcd lhousand dollars (Sl(n.0(X)). in addition lo lhc cosl ofconrpcnsalion. datrugcs as providcd lhr thc
ItcsScction 3076 of r CA-L-
I hcrchy ufllrm undcr pcnalty of pcriury thflt I ant liccnrd undcr provision ofChaplcr 9 (connrrncing with Scclim 70tD) of Division 3
ol thc Businc\s and Profcssions Codc. ard nty liccnsc is in lull Ii)rcc nnd clltcl.
l,iccnsc Class:
Drtei t c_(irnlrac(or:
C(INSTRUCTT(IN LENI'IN(] A(;ENCY
I hcrcby affirm undcr frenalty of pcrjury thal lherc is a conslruction lcnding agency frrr thc pcrli)rnuncc of lhc work for which lhis fErmil is
issucd (Sm. 3(xr7. Civ. C.).
Lcndcr's Nanrc:
I c'xlcr'\ A(hlrc\\:
APPLICANT DECLARATION
I lmrtysfiimundc. pcnalty of pcrjury onc of lhc following dcclarulions:
Dcnx)lilion Permits-Asbeslos Notillcation Fcdcrtrl Rcgulations (Title 40. Pail6)
-Rcquircd
lxtlcr of Notilicnlt)n
_l ccnili lhal lhc fcdcral regulatioDs rcguding dsbcslos rcrnoval arc nol rpplicrhlc lo lhis prcjccl.
-l
ccrtify th0l I havc read lhis applicalion and stxlc lhal agrcc k)comply with all City and County
his City and Counly to cnlcr llhn thcordinanccs and Statc Lrws relating to building
flbovc nrcntioncd propcrty for
Appliront or AgeDt Signature:
f'ernrilec nanre (pritr O, L 4-r.y
ivcs ol l
Da,e: 2lta*
-_|-7-
Site-Work
Underoround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinos (T-Bar Rouqh)
l\Ieter Release
Rough
Service Meter
FINAL
Notes, Remarks, Etc.
4O\l)alr: