HomeMy WebLinkAbout20161669 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20161669
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 Pin#: 48830 ,
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Project Address: 2151 E First St Unit: Bldg: C Address Range: Suite Range :
Assessor's Parcel: 400-091-17 Lot: POR 14 Block: NA Tract: MAYBURY Historic: No Zoning: C1
Owner:
Address:
Phone :
Tenant Name:
Contractor:
Address:
Phone :
State Lie#:
Lie Type :
Bus . Lie#:
Guest House LP/Belinda Lee
3416 Via Oporto Ste 301
Newport Beach, CA 92663
(530) 207-9893
Sullivan Solar Power
8949 Kenamar Dr #101
San Diego, CA 92121
(858) 271-7758
839077
C-10
340845
Workers' Compensation Insurance:
Carrier: TRI-STATE INSURANCE COMPANY OF MINNESOTA
Policy#: RWC8036284
Expires : 12/01/2017
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Solar Constr Type :
R-2.1
VA
Nature of Work: Solar Code: CEC 2013
Planning Conditions:
Planning Approval By: Date:
Plan Checked By : CSG Consul~; Date: 12/08/2016
Permit Issued By: Zunig a, Alliss Date: 12/19/2016
Subject to Field:
Building Permit#: 10190939
Every permit issued shall become invalid unless the 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.
Inspector MID#: 2016-131200
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Type Amount Qty
Notes: Install (130) roof mounted solar panels. ALL FEES
PAID ON 10190939
Fee Total:
Paid to Date:
Balance Due:
$0.0 0
$0.0 0
$0.00
Fee
APPROVALS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool , Fountains
Sign s (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transform e rs
Torqueing
Sub-Pa ne ls
Air Conditioners
Ro of Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceiling s (Hard & Soffit Rough
Ce iling s (T-Bar Rough)
Meter Re lease
Rough
Service Mete r
FINAL
Notes , Remarks, Etc. ( '/
DATE ID/SIG.
n ~
ELECTRICAL-INSPECTOR RECORD
COMMENTS O W NEll llU I U)EI! U ELCA llATION
I hereby a rfirm under penalt y or perjury tha1 I am exempt from the Contrn ctors· License Law for the folllming n::;1su11 (Scc.703 1.5
Business a nd Profession Code): Any City or Coun ty which requin:s a pcnnit to constm cl, alter. impro\'c, demolish or repair any
structure. prior to it s issu ance. a lso requ ires th e npplicant for s uch pcnnil to fi le a s igned stalcm ent that he or she i<; licensed purs~<lllt
to the provis ions of the Contractor's Licensed Law (Chap1er 9. Commencing with Section 7000 o f Division 3 of tht: Business and
Professions C'od c} or that he or she is exi:mpt therefrom and the basis for the alk gctl exem p tion . A ny viulat iu 11 of Sect ion 70 3 1.5 by any
applicant for a pcnnit subjects the applicant to a c ivil penalty of not more than five hundred doll ar·s ($500).
_I. as own er o f the pn,pcr1y. or m y employees with wa ges as t heir sole co mpensation. will do the work and the strucllu-e lS not
intended o r olTered for sale (Scc.7044, Business and Professions Code: The C'ontractor·s License Law does not .ipply to ;m tl\rner of
th e prnpe11y who builds or improvt'S thereon. and who docs such \\'Ork him self or Ju:rs clf or through his or h er own cmp!O)ces.
provided th at su ch improvem ents arc not inten ded or offcn .. 'tl for sale. If. howc\'cr. the building or im pro\'ement is sold with in one year
o f complclion. the Owner Builder will h:we the burder1 of proving 1hn1 he or she did not build or impro\'e the propei1y for the purpose of
s.1le).
_I. nsowncr nf1he propet1y. am exclusively cont racti ng with licensed co nlrnclors In conslmct the project (Sec. 70-M. Business
a nd Profession Code: The Contractor·s L icense Law does nol apply to an owner of pro perty who builds or impro\·es thereon.
and who contracts for such proj ects with a Conlrnctor(s) licensed pu rsuant to the Contractor·s License Law ).
_I am exempt under Section, ________ , 0 . & P.C. for th is reason.
Date: __________ Owncr:-c==-======-==,-------------
WO l!K El!S ' COMP ENSA T IO N
D EC LARA TIO N
I hereby anirm under penalty of pc1j ury o ne of the following declaratio ns:
_I have and will mai111 ain a Ce11 ificate of Consent 10 Self-Insure for workers· compe nsat ion. as pro vill ed for by Seel ion 3700 o f the
Labor Co de. fo r the perform ance of t he work for which the pc1111it is issued.
_I h ave and will 111ain1ai n workers· co mpensation insurance. as req uired by Section 3700 of the Labor Catie. fur t he p.;,.•rfornwncc of
th e work for whic h th is pcnnit is issued. My wo rh·rs· compensation insurance carTier nnd policy number a rc:
Ca,,-ier:_-_T,_~r_._·_-_$_-f--_~_+-< _____________ _
Policy Number:/ g v,J ~ @. 0 3 b < e </ ExpirCs: --'~2--_ _,/~•_,_(~· -7~--
_I cc11 ify that in the performance of the wo rk for wh ich th is perm it is issued, I sha ll not employ any person in any manner
so ns to become suqjcct to the workers' compensation laws of Cali forn ia . nml agree tlmt if I should become s ul~iect to the
workers' compensation provisio ns of Secti on 3700 o f the Labor Code, I s hall. fo rthwith comply with those provisions ..
WARN ING: Failure to secu re worke rs' com pensa tion coverage is u n la wful. hnd s hall su bject an employer to e1iminal pcnahtcS a nd
c ivil fines up to o ne hundred thousand doll ars ($1 00,000 ). in add itio n to 1hc cosl o f com pensal ion. dmnng.es ns provided for 1he
Section 307~ ofth~f abor Co<y, interest and nttomcy·s fees. ../"1 -4""
Untc: ) '2-. { I q f I k, App li c-1/ // , ----/ • "-»
l 7tic~;N"".U CONT RACTOR l -.__
1>EC LAllATIO N
I hereby affirm under penaltyofpe1j ury th at I am licensed under proYisio n of Chapter 9 (commencing with Section 7000) of Division 3
of the Business .ind Professions Code. and m y li cense is in full force mid efT~c t.
License Class:_,.·/ ...----,1.-0 _______ . -,4.lj ccusc mbcr : ~ '3 9' I) 7 7
Unl c :_.,__{ /J-"=-l{l-'l'--j} t lo Con1rn~-~ ~=::::'.:-4::::::::_~_sC..,_'_;c~,,__ __
I I /r:
CONSTl!UCTIO N LENDING AGENCY
I hereby anirm untlcr penalty o f pcrjur)' that there is a construction lend ing agency fo r the pt.,·fonna11ce oftht;: work for which this permit is
issued (Sec . 3097. Civ. C.).
Lender's Name: _________________________ _
Lendcr·s 1\ddress: _________________________ _
APPLICANT DE C LARATION
I hcn: .. -by affi11 11 under penalty o f perjury o ne of t he fo llowing dcclarat ions:
Dcmo li1ion Pcrmits•Asbestos Notification Federal Regulations (T itle 40. Part6 )
_Requi.-cd Let1crofNotiricn1K)11
_I certify th at the federn l regulat ions regarding asbestos rem o\·a l a re no t npplicable to this projec L
_I cc11ify !hat I have read t his applic ation and slate thnt th e above inform .it ion is correct. I .igrcc to comply \\'ith all City nnd Cou nty
ordmance!; ;md SI ale Lm1,s 1ek1tmg t~n:bu1ld11 nst ru ct10n. and he 1eby authorize representatives ofth1s C1tv and C mml )' to enter upon the
abov~ 111ent1011cd prop~1ty for ''."F''°" ,rpo cs ~ ---~ / / • f'
A p pllcan l or Ag cn t S ,g n nllu .f ~ /4.. Un tc ( 2..~( 'j ~
Pc r111 itcc11a 111e (pri11t): ~} /""",e_.. $~ L::ct: