HomeMy WebLinkAbout20169315 - Permit\a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20^{693{5
Pin #: 94949PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection. (714)647-5853 a
Proiect Address: 2221 S Rene Dra
Unit:
Block: NA
Bldg:
Tract: 22Ol
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 408-465-09 Lot: 10
Owner:
Address:
Gustavo Valencia Lopez
2221 S Rene Drive
Santa Ana, CA 92704
17141 3e6-8561
Fee Type Amount Qty Fee
Phone:
Tenant Name:
Contractor.
Address:
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(s62) s42-1270Phone:
State Lrc #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensatton I nsurance:
Carrier: American Zurich lns Co
Policy #. WC5096013
Expires . 1110112019
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016
Notes: lnstall (14) roof mounted solar panels. FEES PD ON
1 01 1 00935
Planning Conditions:
Planning Approval By
Plan Checked By:
Permrt lssued By: Amsden, Julie
Subject to Field:
Building Permit #: 101 100935
Date:
Date.
Date:07 t31t2019
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 within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Fee Total:
Paid to Date:
Balance Due:
$0 00
$0 00
$0.00
lnspector MtD#'. 2019-153303
ELECTRICAL-I NSPECTOR RECORD
r.1 ,.,, i'i(J 11"/..}fi.1 ,i
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Building
Under SIab / Floor I rl /)
Bonding I Grounding / UFER t l"\w hlLnnr:.il4-l
Transformers I I I
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Roush
1Qgalrngs (T-Bar Rough)I 1 /
Meter Release Dfhn0u .v51
\\\I
Rough
Service Meter rt .l -.ril
F!NAL DIh,nt AzXU '
Notes, Remarks, Etc.'1 -\tlT
)
\
,/
I hoeby affirm undr poalty of pcrjury that I atr crempt frorn the ContractoF' Licf,s law for thc follorving rcrrn (5(.7031.5
Businqs md Profcssion Code): Any City or County Nhich rcquire a;rmit to omtrucl. ah6. improvq dmolilf, or rcpoir doy
structurc. prior to its i$uocc. also rcquirB the applicot for such pef,nit to filc a signed starmqt that hc or shc b licosed puyarr
to the provisioN of thc Contractor's Liccnsed Larv (Chapts 9. Commqcing with Setion 7000 of Division 3 of rhe Businm and
PrcfcssionsCode)orthatheorsheisexemptthqefromandthebsisfortheallcgederonpion. AnyviolationofSstionTO-ll.5byany
applicantforapmitsubjctsthe applicanttoacivilp€naltyofnotmorethanlivehundrcddolltrs($500).
--1. as o\\'ner of the proFrrty. or my employees rvith s'ages as their sole compensation. lvilldo the u,ork and the structu'e is not
intended or offered for salc (Sec.7044. Business and Professions ('ode: The Contractor's l-icense Larv does not apply to an orvner of
the propory who builds or improves thereon. and rvho does such u'ork hirnself or herself or through his or her ow'n employees.
provided that such improvonents are not intended or offered for sale. lf. hos'ever. the building or irnprol'ement is sold rvithin one )tzr
of complaion. the Olvner Builder u'ill have the burden of proving that he or she did not build or improve the fnoperty for the purposc of
sale).
-1.
as owner of the propoty. aln exclusively conlracting u'ith licensed contractors to constntct the pro.ject 1Sec. 7044. Business
and Profcssion Code: 'I'he Contraclor's License Las' does not apply to an o$'ner of proper-ty rvho builds or improves thereon.
and s'ho contracts for such projects rvith a Contracto4s) licensed pursuant to the Contractor's License Las').
I alrr crcrnllt urrclcr Scctiorr
l)ntc:
_. B. & l'.('. for this reason.
Orr ner:
WORKERS' (:ONT PENSAI'ION
DECLARATION
I hereby affirrn under penalty of pojury one of the follorving declarations:
-l
have and s'ill mainlain a Cerrificate of Consenl to Self-lnsure for s'orkers' compensation. as provided for by Section 3700 of the
Labor Code. for the perfonnance of the rvork for rvhich the perrnit is issued.
I have and
the work for
rvill maintain rvorkers' compensation insurance. as required by Section .1700 of the l-abor Code. for the perfonnance of
u'hich this permit is issued. My u'orkers' compensation insurance carrier and policy number are:
nrnLvWnn ZWLU^x-;t\ lr ltqPolicyru,rr,,tr"r'WL I qo quotb
---l cerrify that in the performance of the rvork for rvhich this pennit is issued. I shall not ernploy any person in any manner
so as lo beconte sub.iect to the rvorkers'cornpensation lau,s of California, and agree that if I should become subject to the
\\'orkers' cotnpensation provisions oISection 3700 of the Labor Code. I shall. forrhrvith comply u'ith those provisions..
WARNING: Failure to secure rvorkers' compensation coveragc is unlas'firl. and shall subject an to ancl
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost the
Section 1076 of the l,atnr Code. interest and attorney's
??\4
I hereby alTirm under penalty of perjury that I arn licensed 'hapter 9 (cornmencing rvith Section 7000) of Division.l
- Conrrac,(
LicenseNu,,k ,lrnzaSb
7\
V tvtutt 3o\'zr?
CONSTRUCTION LENDING AGENCY
I hcrcby alfim undc pcnalty of pcrjury thar thqe is a consruction klding agocy for thc pcrfomacc of thc work for which this p6mit b
issucd (SB. 3097, Civ. C.).
Lods's Namc: _
Lender's Address: _
APPLICANT DECLARATION
I hoeby affinn under penalty of perjury one of the follorving declarations:
Demolition Permits-Asbestos Notification Federal Regulations ('title 40. Parr6)
-Required
Letter of Notification
cerlify that the federal regulations regarding astrstos rernovalare not applicable to this project.
colify that I have read this application and state that the above infcrrmation is correct. I agree to cornply rvith all City and County
antl State ,it \\'s relating representatives of this (-ity ancl County c'nler ur)n
tnenlioncd properly [or
or Agent Signature:l)above
nRnre (print):
building
A kro v^-Ao"t.,-\[7
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e1
tlre
of the Business and Professions Code. and my liccnse is in full force and effect.
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