HomeMy WebLinkAbout20167500 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{67500
Pin #: 51743lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Project Address: 1429 W Tolliver St Unit:
Block: NA
Bldg:
Tract 2325
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 109-342-02
Jose Gutierrez
'1429 W Tolliver St
Santa Ana, CA 92703
(909) 815-1626
Fee Type Amount Qty Fee
Tenant Name:
Contractor:
Address:
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90570
15621942-1270
State Lic #: 973755
Lic Type: C-'10, C.46
Bus. Lic #: 345470
Workers' Compensation lnsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1110112019
Building Use:
Job Type:
Nalure of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2015 Notes: lnstall solar panels/fees pd on 10198496
Planning Conditions:
Date
Date
Date 11t27t2018
Account#
Misc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
Every pemit issued shsll become invalid unlass tho wo* on the site
authorized by such peinit is commenced 1/,/ithin 180 days after its
issuance, or if the wot* authorized on the site by such pemit is suspended
ot abandoned for a period of 180 days aftet the time the work is
commehced.
$0.00
$0 00
$0.00
lnspector MID#: 2018-147957
Fee Total
Paid to Date:
Balance Due:
Lotr 90
Owner:
Address:
Phone:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
S serr"noe., x"tny
Phone:
ELECTRICAL.INSPECTOR RECORD
rD/srGAPPROVALSDATE
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh
Service ltrleter
\\ ro \\1 L4ltnEFINAL
Notes, Remarks, Etc.
OWNER BUILDER DET,CARAT ION
I hd.by arm md.r Fnany ol psjury thot I m crcmpl fror! lh. (ontrlclon Liccr* l,aw lor lh. follosiinS r.e. (Sl" 70315
Busin6s a.d Prof6ion Codc) Any Cn, or couniy wnich r.qut6 a
'lsmit
lo snsrtucr. .h6. inProve dmoltsb or r.?an ey
srrucluc, prior ro ns isuec., atso r.quir6lhc spplic l for such Fnn lo 6L a sisncd staloal lhal h. or sh. b lic.B.d puB@l
ro rhc prvisions olrhc Contacto.s Lic€trs.d Lrw (Chaptd q. Cos'ndcing wi$ Sdlion ?000 olDivision I ofrhc Busin$s and
lrct sions Cod.) oi $al h. or ih. is dmB rnBcfron ed ltc bass for lh. allcg.d .xmPlion. Any violaion of S.clion ?01 I t bv anv
applicer for a Fmn s bj6a rfi. applicafll to a civil pcMlty ol nol noe rne fiv. hund.n doud (5500)
l. 6 ownq ofrh€ p.ordly, or ny .mployc wnh sa86 6 ih.ir sl. comDsElio.. {ill do lh. \'dt ed lh. strucl@ i not
inrsd.n or ofln d lor el. (sd.704,1, BNi6 6d Prcfsio6 codc Tlt controclols Licce Llw do6 not tpplv to m o*ns ol
th.plp.ny rho bu & or inplov6 th@!. ad vho do6 such mrt hims€lf or hcself or rhoulh his or hd om dploy6,
previd.d lhal such iEprcvdd6 ft mr i 6d.d or ofiftn 6r ek ,l ho*ss, 6€ boininS or impmlool is sld vilhin on. )6
ofompldion. tnc Omq Ruldd will ha( lh. hrd6 oaprovina lhd he or shc did ml hoild or nnpro,. lhe pmpdy fo, thc IrrD(e ot
-1.
s o*rd ofrn. p6pdy, m .xclNiv.ty conlr.cliog wirh li.6al .omr.ctou to osrrud thc ptoj.ci (Sd 7044. BumN
&d Pmlt$hn Codc Th€ Co.radoas Liccnsc Law do6 nor lpplyto M ownd of tropdy who builds or inprcvd lh6o..
&d *ho codhdsfor su.h Foj.ft wnh a Conr6.ro(.) li.6.n pnBuf,r b lhccontaclors Lic@ k$).
I'merdd undds(r.. -B &PC. fo,lhisrc&n
l4!SSESElqMfEllArO!
DECIAEAII.O!
t hdeby am.n undd Fnalry oaFjury on. olth. follo\ciq dd alio6:
-l
havc dd will &inrain a cdificalc ot ao6€nl to S.lf-l.sur. lor qdrk.G onDenstion, 6 Doidcd aor by S*lion 1700 of lhc
L:bor Code lor Ihc psfo.r@cc o a{lt. wott fot $nich $c psmit is Lrsu€d.
-lhav.ands,illnainlainwork.rs'cor.p..salioni6uranc€,asr.qun.dbtSetionlT00oflhcbhorcod.,forthep(fon.a.ccofrhc vork ior yhi.h $i. Fnn is isu.d. My workdt c.arp<salion iEu&c. cmid ed p.licy nudbd e:
folrcy Nurnb6:-ErPt€s
I cdify thal in thc pdfom&cc ofrh.trotk for whi.h this r6mil is issucd l shau nor dnploy any pcMn in 8ny ndM
s 6 lo becotu subjst lo rh. *ork6' comp€osalion laws olcalifomq, dd t!r.. fial it I should b..on subjd ro lfic
wo*6' @npa&rio. prcvisioN oascdion 3?00 of lhe hb.r Cod., I sttrll. forl hvnt ondy wirh rhoe prcvisioN .
WARNINC: Failu!€ Io $u! wotk6' coDp.nelion covense is u.la$iul. d shall bj€d unplotd lo mnin.l pdahiG d
civil lin6 up to onc hundidl lhouad dollm ($100.00\)
serrcn 1076 otrhetibor Code nr6d dd onorne) s 16
l. in addirion t() rh. .on otco ion, danasd a provided for lh.
I hE$y amm lndd pd0llyofpBjurylhal I d li..ns.d uodo lmlision ofChspts 0 (.inrMci.s wnh
ol rhc BNin6 dd Pml6sbs Code, and mr lico* ir in lull forc. ed cffal
o 17 1-Tglo
".,.\\/2? /(h!t-*-..--...
I h*by afim rndd poally of pdjury lh,l lh6. i! a .onnrudhr Lndins aefty fo. the FtontPmc of th. sork aor whict lhis I'6f,n is
isued (sd 309?, civ. c.)
APPLICANT DECI ARATION
I lE&,afllff und6 !€nslry ofp.rjury on oalh.lollosinSd.cl&ations:
Dcnolirion PdniB-Asbdros Nor ificar ion Fcdral R.sulariom (Tnb 40. Pan6)
R€quned Ldl( olNorifi cahn
-l
cnl iry lha! lh€ fedral rcgulalio6 E8,rdnr8 NtEslos rcmoval ee nor alpli..ble ro thb proi(l
-l
c6litlrhal I halcred this applicalio0 md slalethallheahr!. inroiinario. Gconecl t asrE ro colnpl, wirh all Cnv and Countv
ord&nc6 .nd slarc Ilws rching n6 ofrhis Cnr dd Cotrntyro 016 uI[. rh.
abo!€ nrol ioDd pmpeny lor
ADDlic,trt or ,\lcnr S,xnrrtr.r
r ! vI-v^v1_
2'1
COMMENTS
Pole Bases
Communications Cable
Under Slab / Floor
D,t", l\/Ll 1(b
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