HomeMy WebLinkAbout20169599 - Permit@ City 0f Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Elec
Permit Counter. (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
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Permit #:2O169599
Pin #: 37017
Project Address: 2518 W Sixteenth St Unit:
Block: NA
Bldg:
Tract: 8947
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 198-1 34-03 Lot:18
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Henry Tran
2518 W Sixteenth Street
Santa Ana, CA 92706
(7',|4).878-1123
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(s62l. 942-1270
Fee Type
Fee Total
Paid to Date:
Balance Due
Amount Qty Fee
State Lic #: 973756
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 345470
Workers' Compensation lnsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1110112020
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Solar
Solar
CSG Con
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01t21t2020
02t24t2020
Account#
Occupancy:
Constr Type:
Code:
Date:
R-3, U
VB
cEc 2016 Notes: lnstall an additional (26) roof mounted solar panels to
roof with (25) existing. FEES PD ON 101101331
Zuniga, Allissa
Buirdins Permit #: 101101331
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.
$0.00
$0.00
$0.00
lnspector MID#: 2019-154125
t
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS oWNI]R III.]II,DT]R DI.)-CARATION
t hcrcby affirnr under pcnalty of Frjury that I atrl ercnli frunr the (lontractoN License bw for the followilg rcaen (Sec.70ll.5
Buslncss aftl l,rolcssi()n C()dc): Any Cit)'or Cr)uily which rcquircs a l--flnit h construct, altcr. irnprovc. dcmolish or rclair any
structure,pri(trk)irs i\surtre.nlsorequirestheapplicanlforsuchEnlittrfihasigrrcdslulenEnt tlMtheorsheislicensd Iursuant
to lh! pmvisions ol'llr Conlrnclor's l,iccnscd llw (ChaItcr 9. Comrncncing wilh Scclion 7(Xn ol l)ivision .] ol'thc lrusincss and
ProfessionsC(xle)orrhallEorsh!,isereDrPttherelionraildtlEbasistortl)eallegedexenlpttm. Anyviolaliolr)fseclionT0ll.5byany
.pplicxnlforapcrDilsubjcctslhe npplicunltorcivilpeDnltvofnolrnorethanfivehundreddollars($5(X)).
_1. fls o*ncr ol thc. prol^-f,v. or rny crnployccs with wagcs as thcir $tr' compcnsation, will do thc work arx, thc stMlurc is fr{
iilended or offercd for rdlc (Scc.?(M,I. Business and Pmfcssiuls Codc: TIK Contrilcrcr's Liccnsc bw d@s not apply to o owncr of
tlt ptr)Fny wlx) tNrlds or improves llErqn, aril wln d(Es suclr wr)rk himself or lEr*lf or through his or lEr own enrployees,
providcd thal such improvcrmnrs rc ilt intctolcd or olLrcd for $lc. ll, lmwcvcr th. buiHins or imprrvcrrcnt is mkl within onc yctr
ofcoil{rletfun. tlt Owrrcr Buikjer will lnvc ttrc burden olpnrvirrg thl lE or rhe did not boi[.] or imprcvc thc pft)fEny for tlE purposc of
$rh).
_1. $ ()wNr oI the lrlrpcrly, ilm cxclusirely contrurting with licensed contraclors to construcl tlrc prcJect (Sec. 7(X,1. Business
aml l,rollssiur Corle: The Cor[rilctor's l-iccnsc Law d(Es n(il apfly k) an owner ofpropcny who builds or inlproves llcre(ilr.
and who conlmcls lor such prr)i('cls wilh a Contrachr(s) liccn*-d pursuMl h (hh (:()nlrachr's Liccnsc hw).
-l
anr cxcnrpt urder Sectiou-. B. & P.C. l'ur this reason.
I)illt:-
TV('RKI:RS' COI\I PT:NSATION
DECLARATION
I hcrcby aflirm un(lcr pcnnlty of f)crjury (,nc oI lhc li'll()wire dccltrati(rls:
_l have iurJ will nuirilaiD il Ce(ilcatc ofConsent to Selt-lnsure f(rr workers'conrPensation, as pnrvirJcd for bySecti()n 3700 ofthe
lntx)r Codc, for thc pcrformancc oflhc work litr which lhc pcftnit i\ issucd.
Qt*afe ana wltt nruirlallr workem conllENalion irsuratrce. as requred hy Secli([ f700 of lhe tibor Cod., for lhe Frf()rDurNe of
thc work l()r wlrich lhis lrrnrit is issuad. My uorkcrs' conrl*nsation iDsurancc cuier uxl Jxrlicy nunftcr uc:
wa\c
tt/r/?ol1)l icy c
_l ccnify lhat ii thc lrrlir nrancc ()f thc work f()r whiclr thrs Nrnrit is issur'd. I shxll not cnrploy aoy 1*rsor in any nranncr
so as to bccorm subjt'cl u) thc workcrs' con[^-n$atiotr laws olCalilbrnia. aDd agrcc that if I slnuld tEcont subjccl to thc
workers ru4rnsationprorisionsoISection]7il)oftheLaborCbde,lslull,fonhwitltcorrplywilhtho*provisions..
WARNING: l:aihrre lo rccure uorlers'cornlEDsrlion coveruge is unlawful. and shall subjcct nn employcr h crirnin{l fennllies rnd
civil fincsuproorchuildredth(,usatddollirs($100.m0).itaddiliurlolhecoslol'compeNaliur.darlagesasprovidedlbrthc
Scction 3{176 ('l lhc l-ahtr (ixlc. inlcrcsl atrd ['t'ru,,na1!14_a
I)E('I,AITA'I'I( }N
I hcrcby affirnr under |xtrnlly of lErjury thnt I anr licensd under pruvision of Chrpter 9 {cornnrncing with Scction 7000) of Division 3
o[ the Busincss and Pmfessions ('od., ard nrv license is in full forcc rnd ellicl.
l-i(crse *d,,*,, q)?)(G
,"*,2 ^Z -r-i --'t-.4-
W
I hcrcby allirm undcr pcnalty oI pcrjury thnl thcrc is a conslruction lcnding agcrcy lor thc pcrlbflnarcc ofthc work lbr which this pcrmit i\
issucd (Scc. l{)9?. Civ. C.).
l*nder's Nanre:
[andcr's Addrcssl
APPI,ICANT DECI,ARATION
I lmby affrnrundcr Fnalty of pcr.iury onc ol thc firlkrwing dccluations:
Dcnx)lition Pcrmits-Ashr'slos Ndificati()n Fcdcral RcSulalions (Titlc 40. Pm(,
_Rcquircd [.ttcr of Notificntt,n
_l ccnili lhal rhc ltrlcralrcgulations rcgudin8 asbcslos rcrmlal atc nol applicablc to this pr+d.
irnl arxl slrlc thrl llN ah,vc in,i,urali()n is crlrccl I uBrcc to conlply willl all Cily an(l (i)unty
nt cons[r(tion, rnd hcrcby trulhorizc ol this Cily and County to cntcr upon thc
rlxrr'e nrcrtionrd propcrty for
Appli(rnt or Agrtrl
l'cmrilcc neorc lpntrt
purlx)se\.
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / 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)
lt/eter Release
Rouqh
Service lMeter
F!NAL r'7/r/Z ).4*/%/
Notes, Remarks, Etc./Y '.\-/
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