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HomeMy WebLinkAbout20168978 - Permit) City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAS27O2 Electrical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:2O168978 Pin #: 5e8{ i! Proiect Addressi 502 E Buffalo Avea - Unit: Block: NA Bldg: Tract: 3043 Address Range: Historic: No Suite Range: Zoning: R2Assessor'sParcel: 003-131-29 Lot'24 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Lourdes Cervantes 502 E Buffalo Ave Santa Ana, CA 927062941 (7751224-8311 Bright Planet Solar lnc 5 A Street AUBURN, MA 01501 (888) 9974469 Fee Type Amount Qty Notes: lnstall solar panels/fee pd on 101100447 Fee Total Paid to Date: Balance Due: Fee State Lic #: 1020761 Lic Type: C-10 Bus. Lic #: 367620 Workers' Compensation I nsurance:Carrier: State Fund Policy #: 9166694 Expires: 1211812019 Building Use: Job Type: Nature of Work Single Family Dwelling Solar Solar Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cEc 2016 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Hernandez, Kathy Subject to Field: Buirdins Permit #: 101100447 06t17t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within360 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. $0.00 $0.00 $0.00 lnspector MID#: 2019-152241 ELECTRICAL.INSPECTOR RECOR D APPROVALS DATE IDiSIG COMMENTS OIVN!]R BU II,I)ER DT]I,('A RATION I hcrchy allirm unicr l--nally ol pcriury thxt I anr cxcnrpl lionr lhc (irirrcl()rs Lrccnsc l-aw li)r lhc li)ll()wing rctson iScc.70.ri5 Busiilr'ss an(l I'rolissii)n Crxlc): Any Cily or Counly which rcquircs r fEflnrl lo conslRrcl. allcr, impr(lve. dcn()lsh or rl)iir nny srnrclure.pr!)rloils issrrtrcc.rlsr)rcquircslhcappli(antlbrsnch[rnnitkrlilcrsisncJslrlcnEnl lhrtlE()rshcisliccnsol pursral to lhc pruvisi(m\ ol'lllc Contraclor's Liccnscd Law (Chrplcr 9. (i)rnnlcncins wilh Sceli(n ?(XX) i)l Division -l ol thc Busincsiand apl)licrnlli)rrfcrnritsubjcclsth!'npplicanlt)rcivillcnrllyoln(ilnx{'clhanlivchuD(trcd&)llrr\(S5U)). _1. ns owncr ol thc pR)Ndv. or ny cnlpl()yccs wilh walcs rs lhcir solc (otrlFnsrliorr. willilo lhc work a,d lhc slnrclurc ir not trilcflcd orolltrcrlli)rsnlc(Se.7044.Busincssanrll'roli'\si(tlsC()dc:'lhcConhacl()r'sl-iccnscLawdocsnot{pplyk)anowncrol' thc pn)FErly wlN build\ rrr inlprovcs llrrqln. dil who rl(ts sueh wort hitrls.lf(n'hcrsclfor thrNgh his or hcr own cnlp[)yccs. sah). _1. as r)wilcr ol lhc proltny. {nr c\chr\ivcly conlrrclrng wilh liccnrd eo,ilra!lr)rs h) .onslrlrcl lhc pr)jccl (S!'c. 7044. I}ilsurcs\ rnd wh() eonlrilct\ Ii)r su(h p()iccts wilh n Corilra(tnIs) licctr\c(l pulsrxnl lo lhc CoDlracl()r's I-iecn\c l,rw). _l rtrr c\ctrrln und.r S(.ctir)n_. B. & l'.( . Ii, lhr\ rcason. Irale:- lVORKEI{S' ('ONtPENSA-l tON t)EcLAli/\TtoN l hcr chy a l l inn rrxlc'r l{ilxltv r)l pciilr y rrRr ol t ht' litlIrwrng rlc'clarat ioni _l hrvc and will mxintain il Ccnil-icatc ot Conscnl lo Scll:ln\urc litr'workt-rs conrpcnrati(rn. as providcd li)r hy Sccti(u -l7U) r)l thc l-atxrr C(xIc. li)r lhc pcrlirrnHncc ol'thc work li)r whi(h lhc pcrnril i\ is\!e(I. lhc work li)r whieh lhis pcrnril is is\ucd. My workcrs c()nll)cn\rli(nr insurrn(c crn'rcr and F)licy ruillher ilc: rani^r. Policv Numhcr: Exnires: _l c!.dilv that itr thr'l^-rlirrn[nec ol thc w()rk li)r which lhis lcrilil is issuctl, I shrll not cnr|Irv rny pcrson i[ rly ilxnicr so as k) lrconrc (uhjccl lr) lhc workcr\'comfcn\rli()n hw( ol ('ill()rnrr. iln(l {prcc lhll il I \hould lte{}nK suhjcct k} thc IVARNIN(I: Faihrc t(, sceurc w()rkcrs' compcnsi(ion (ovcrigc is unlawlul. rnd shxll suhjcct nn cmdo.vcr t() crinrinAl lEnilli.s ind civil lin!'s !I t) onc h(n(lrcd thou(rnd dollars (l$lu).{xx)). in k) lhc cost of compcnsation. d{nugcs as pro\'tdcd lirr Sccl irtrl l,atxlr (ixlc. iilcrcsl i[d xtlrrncy s ti'c\. I hcrchv nllir nr uDrlcr pctrnlty ol ff,'rjur y thilt I nnr provision ol Chiptcr r.) (crnnmcncinS wilh Scclion 70(X)) r)l t)ivi\ion l ol thc [iil\rlc\\ and Ptr)ltss()ns Crxlc. rnd nry in lull torcc ilil cll(-cl. I-icensc C x"*" Nu (irDlrilctrr: ,,rrnr***K^ar'-;- i\suc(l (Scc. -1(x)?. Civ. C.). Ian(lcr's Namc: _ lrndcr's Addrcss: _ APPLICANT DECLARATION I lrrchy allirrn undcr pcualty of Nrjrry onc of thc lirlLrwurg dcclarat ions: l)cnx)lition Pcrmils-Ashustos Nrnilicrti{trr Fedcrrl Rctulntii{ls ('l itlc 40. Prn6) _Rcqutcrl lf, tlcr ()l Nolilicati(rl _l ccnrly thdl th!'lc(lcrrlre!uli(ions rcgiudinS ashcsi)s r('nx)\'ilir. iliil al)plicxhlc lo lllis fr(l.icct. _l ccrlily thilt I hnvc ren(l lhis rppl i(rl!)n ind {lilc thrt llk- xli)\c inl)ril)irl!inr i\ (orrc(1. I r!rcc lr) coilrllv with rll ( ily rnrl (i)urrtv ivr-s "l lhis ( ilv nDd (i)unlv lo cn(d lrnr lh('or(lindnecs nnd Statr'Law\ relntirg k) brilding rnd hcrchv xut atx)v(- R.ntioned pr)[rcily li)r Applicnnl or Agetrt Signill Itertrrilee nrilrc (print Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor ln I n Bondino / Groundinq / UFER vlulrlu tur&4 D Transformers t, Torqueinq Sub-Panels Air Conditioners l,lt Ir 6) Roof Top Equipment lHIf w/r*{/ab/a^v*y Factory Wired Unit /,l Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinqs (T-Bar Rough) Meter Release Rouqh Service N/eter tt It ^bFINALTTT0|ya fiMWUI WD Notes, Remarks, Etc t,