HomeMy WebLinkAbout20170729 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Pt(f
Permit #:2o^17o-729
Pin #: 4538E
Proj ect Address: 1127 W Fifth St Unit
Block: NA
Bldg: Address Range:
Tract: MCFADDEN & WlLStlistoric: No
Suite Range.
Zoning: R1Assessor's Parcel: 008-083-1 3 Lot: 3
Owner.
Address.
Shakan Keith
1127 W. Fifth Street
Santa Ana, CA 92703
714785798
Fee Type
011 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
22.95
3.91
Qty
000
0.00
Fee
$0 00
$0 00
Phone:
Tenant Name:
Contractor
Address:
Vivint Solar - lrvine
1500 White Rd
lrvine, CA 92514
(s62) 942-1270Phone:
State Lic #: 973756
' Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation lnsurance.
. Carrier: Americ an Zurich
Policy #: WC509601305
Expires'. 1110112020
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2019 Notes: lnstallation of roof mounted PV system. Worksheet
attached. All fees paid on #101103029
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: 1 011030 29
n?'
Date:
Date:
Date:02t04t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Every permitissued 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 MID#: 2020-157547
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I heeby affrm unda penalty of perjury that I m cxmpt 6om the Contriltots' Licere Law for thc followitg wn (56.7031.5
Businos ad Prcfesion Codc): Any City or County which rcquira a pornit to sngruct. alta, improvq danolish or rcfnir uy
structue. prbr to its isswce. also rcquirs thc applicmt for such pcmit to filc I signcd stalflat that hc or slrc b licosed plNst
to thc prcvbioN of the Contmctor's Licensed [:w (Chapt6 9. Comocing with Setion 7000 of Divigion ] of the Busine md
Prcfesions Code) or that hc or shc is excmpt thrcfrom md the basis for thc allcged exmption. Any violation of Scrion 7031.5 by uy
spplicot for I pcrmit subjets the applicant to I civil p@[ty of not morc thm fivc hundrcd dollm ($500).
_1. as owner of the propcrty, or my employees with wages as their sole compensation, willdo the rvork and the struclure is not
intended or offcred for sale (Sec.7044. Business and hofessions Code: The Contractor's LiceIEe Law does not apply to an owner of
the property who builds or improves thereoru and who docs such wort himself or herself or through his or her own employees.
providd that such improvcrnents are not intended or offered for sah. If. howevcr. the building or improvement is sold within one )€ar
of complaion, the Orvner Builder will have the hrden of proving tha hc or she did not build or improve the property for the purposcof
sale).
_1. as owner of the prop€rty. am exclusivcly contracting with licensed contractors to construct the project (Sec. 7O14. Business
and Proftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves ther@n,
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
arn exempt under Scction-, B. & P.C. for this reason.
O*ner.
WORKERS' COMPENSATIM
DECLARATION
I hereby affrm under penalty of perjury one of thc following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as providcd for by Section 3700 of thc
Labor Codc for the performance of the work for which the perrnit is issued.
_l have and will maintain worketrs' compensation insurance. as rcquired by Section 3700 of the L^abor Code, for the performance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
r Ahert1en Tttrtcu
tl / r/zcaiPoricyNubo,' \./C;OqbolS Expires:-
_l certi$, that in the performance of the work for which this perrnit is issued. I shall not ernploy any person in any manner
so as to becornc subject to the workers' compensation laws of California. and agrec that if I should becorne subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forrhwilh cornply with thosc provisions.
WARNING: Failure to secure workers' compensation coverag,e is unlawful. and shall subject an onployer to criminal penaltics and
civil fines up to one hundred thousand dollars ($100.000). in addition to thc cost of compensation. damages as provided for the
Section 3076 of the Labor Code. interest and attorncy's fees.
,r,u, . l^ 2 -41 -?o/o ^--,r^^-..y'Y) a,n I e(Inq rcc 5
LTCENSED CONTRACTOR
DECI.AITATION
t hereby affrm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Codc, and my liccnse is in full force and effect.
License6,urr', C(O LicenseNumbcr:a qf 37 r+
oarc, t 7 -7- 2 o? cs Contrector:* VfVrrrl. I So@r
W
I hmby affm undo pcoalty of pcrjury thst th6c is s con$ruction loding agocy for thc pqfomcc of thc work for which this pqmit is
isucd (Sc. 3097, Civ. C.).
knds's Nmc:
kndcr's Address:
I\ I'Pt,ICAN'I' I) EC L'\RA'I'ION
I hffiby affinn under panalty of perjury one of the following declarations:
Dcmolition Pcrmits-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Required
[rtter of Notification
_l certify that the federal regulations regarding asbcstos removal are not applicable to this project.
Ilt cqtitythat I have read this application and state that the above information is conecl. I
ordinances and State Laws relating to building construction. and lhe
above mentioned properly for inspection purposes.
Applicant or Agent
Pernritee nflme
'-2cs? -
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire AIarm I Dampers
Communications Cable
Buildins
Under Slab / Floor tr lr I
Bondinq I Groundinq / UFER {
Transformers ll
Torqueing
Sub-Panels
Air Conditioners I \t t\t t AI
Roof Top EquipmenlU\fty Y(YLULU U,}\\H,k-rro
Factory Wired Unit I
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rough
Service Meter I\\A
FINAL W\l?tY7{
Notes, Remarks, Etc.I Y
-)
Rev. 08-07-2015
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