HomeMy WebLinkAbout20168979 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAS27O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:20168979
Pin #: sozea;r/
Proiect Addressi 502 E Buffalo Ave
Assessor'sParcel: 003-131-29 Lol.24
Unit:
Block: NA
Bldg:
Tract: 3043
Address Range:
Historic: No
Suite Range:
Zoning: R2
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Lourdes Cervantes
502 E Buffalo Ave
Santa Ana, CA 927062941
1775)224-8311
Bright Planet Solar lnc
5 A Street
AUBURN, MA 01501
(888) 9974469
Fee Type
01 1 16002 51603 Serv Meter
01 116002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
53.28
22.O8
55.04
Qty
1.00
1.00
'1.00
Fee
$53.28
$22.08
$55.04
o^I.-hr.qflT??
Notes: handout given
Fee Total
Paid to Date:
Balance Due:
L 111 l'7til O Tn. I C'nr:Al EC
State Lic #: 1020761
Lic Type: C-10
Bus. Lic #: 367620
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9166694
Expires: 1211812019
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Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Medical Gas Systems
Service Meter
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Hernandez, Kathy Date: 0611712019
Subject to Field: Account#
Buirdins Permit#: 101100447
Every permit issued shall become invalid unless lhe 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 permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600 $22.08
$108.32
$130.40
$0.00
$130.40
lnspector MID#: 2019-152241
01116002 5't603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BT]II-I)ER DEI,CARATmN
I hcrchy allirnr undcr l^-trxlty of pcrjury lhal I rm ercnril lr)nl thc Conlmck)r' Liccnsc I.iw lbr thc lblltwirg rcxson'lScc.7t)-l1.5
Bu\i,lcss ud Prol'csri()n Crxlc): Any City or C(trrnly which rcqililcs a lrnnit lo cr)nslnr(l. allcr. inrprovc. dcnrrlish or ll])air anv
slnrclurc.fri()rk)ils issuancc.al\orcquircslhcrfplicanlkilsuchlL-nnilk)lilca\igncd\trlcn*nl lhxtlrcorsht'islicenscrJ purruard
applieilDtli)ral--rmitsuhjcetsthe applicnnlk)rcivilp(-nnllyolnollx)rclhinlivchundrcdtkrllarr($500).
_1. as owncr ol'the prolrcfl y. or my cmpk)yccs with wagcs rs thcir sr)lc crmllrcnsali()n. will do llrc work an(l thc slnrcluc is nol
intcn(lcd orolltrcdli)rsnlc(Scc.7044.8!sircssandProli's\urnsCodc:'Ihc(iulraclor'sl,iuctrscLawd()csndapplytrdnowncro[
thcpt\)Fny whohuildsorimp(rvcsthcB)n.mlwhod(rssuchworthinr\cll'orhersellorthroughhisorhcrowncnrployccs.
providc(lthatsuch irrprovcrmntsmnotintcndcdorolltrcdli)rsalc.ll.lx)wcvcr,lhchuiLlingorimprrverrrcilliss)hlwithin(nrcycar
ol complcli)n, thc Owner Buildcr wil fuvc tlrc hurden ol p.oving llrat hc rrr shc rlid n(il build or improve thc pff)ffry for lhc purF)sol'
$alc).
_1. r\ r)wncr ol'thc plopcny. anr c\alusivclv c(,ntraclllg wilh liccn\cd coDtrrctoB kr (1rn\lnrrl tlr pfi)j('cl (Scc. 7044. Uusirrr'sr
and lhrlirs\ktrlCodc:TheContra(k)r'sl,iccrlscLnwrlocsD()tnpplyloro()wn.'rol'pri)1^*rtywhobuildsorirnfr)vcslhcrc()n.
!nd whr) eonlmcls li)r such projccts wilh r Cor)trackrr(s) liccnscd fursiliDl k) thc (inilrack)r'\ [-iccnse l-aw).
-IanlcxcmptundcrSccl()n-'B,&P,C,li)rlhislcas(,l,l)aler-
EQ8&EBL!9UfjNSAT!!IN
DECLARATION
l hcrchy allirnl urdcr t^-ully ot pcrjury onc ol'lhc lirlk)win8 dcelaralionsl
lilx)r (lodc, lbr lh(. pcrli)rnrancc ol thc wl,rk lor whieh lhc Nrnril is i\sucd.
thc w(,rk li)r whle h lhis l^-rmil is issued. My workers c()nrl)cnsalirnr insuranrc canicr rurl la)licy nuNhcr iuc:
Poliey Nurrbcr:
_l ecnil-v lhal in lhc pcrli)finnncc ol lhc work lor which lhi( I-_rnrit i\ iqrusl. I shall n(il .tr)Ikrv aDv Frsr)t in rny nrnuncr
sr) as lo hceonr suhjcct k) thc w()rkcrs' ci)nlpcn\{li()tr liws ()l ('rlitbrnir, and agrcc lhal il'l sho[ld lEConE suhj(,ct k) thc
workcrs'crnnpcnsalir)npR)vi\i(nrs()lS!'ctin.l7(X)i)lthclrlx)r(ixlc.lshxll.l'(rlhwrlhcoil)plywiththoscptovi{i(ms..
IVARNINO: I'ailurc to t'curt- work('rs (onrFDsrt()n covtlrrt- is u rn(l \hrll \lrli('(t xrr .nll)l()vcr lo crinri,rrl lrrnltic\ aBl
civil llncs np tr onc hundr.d thous{nd dollars (Sl{X).(xX)). !r tr) lhc co\t {)l !iltrIl}ctrsntion. danrrpr.s as pr()!'trlc(l li)r thc
Sccti()n Lahl (ixlc. trtcrcst rnd itk)nrcy \ li-cs.
I hcrchy allirn undcr F-nillly ol |trjury lhat I
DI]CI,ARA'I'ION
uD(lcr provisiril r)l Chaptcr 9 (ronlnf,n(in8 with Scct(rr 7fi)0) ol l)i!isirr .l
()l lhc Ilusillcs\ nnrl Pr1)l!'\sx)n\ (ixlc. u(l i\ in lull lor(c rnil clle(l
l-icr'nst'Chss:No
I
I hcrchy alllrrrl undcr l^-nrlty of rcrjury lhrt llNrc is n conslrcl([ hndrng apency li]r lhc pcrlirrnancc of thc work lor which this pcrnril is
issued (Scc. -1097, Civ. C.).
kndcr's Name:
lrrxlcr's Addrcss:
APPI,ICANT DECLARATION
I hcrchy allimr undcr penrlty ol pcrjury onc of lhc li)lk)wing dcchril( i0ns:
Dcnx)liti()n Pcrmits-Ashcstr)s Noliiicalion ltcdcrdl Rcgnhlions ( l itlc 41,. Pili6)
_Rcquircd lrllcr ot N({iticxlion
_l ccrl rly thrt thc l(dcrrl regulxlir)ns ('giriiir! r\tf,'\los r cr!!vrl i[(' rn{ xpltlirrhlc k) lhr\ proir( I
ahrrc nrcntrrncrl pl,rpcrly 1,tr trr(l)c(tirln
Applicarl or Agrnl
Itcrtrrilee Dilnrc I
u^r",1 t7?
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinos (T-Bar Rouqh)
Meter Release
Rouqh
Service [Meter I
FINAL Lold tC 1 1,1 A).LA.A'w)
Remarks Etc