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Home My WebLink About20170732 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Electrical Permit #:2tc17o^732 Pin #: 57048A? PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection. (714)647-5853 Proiect Address: 2205 S Rousselle Sta Unit: Block: J Bldg: Tract: 668 Address Range: Historic. No Suite Range: Zoning. R1Assessor's Parcel: 016-1 01-14 Lot. POR 1 Owner: Address: Concepcion Bravo 2205 Rousselle Street Santa Ana, CA 92707 (7141 317 4715 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 92614 (s62) s42-1270Phone State Lic #: 973756 a.Lic Type: B, C-10, C-39, C46 Bus. Lic #: 345470 Workers' Compensation I nsurance:Carrier: American Zurich Policy #: WC50960130S Expires'. 1110112020 Building Use: Job Type: Nature of Work: Single Family Dwelling Solar Solar Occupancy: Constr Type Code: R.3, U VB cEc 2019 Notes: lnstallation of roof mounted PV system. Worksheet attached to plans. All fees paid on #10110302 Planning Conditions: Planning Approval By: Plan Checked By. Permit lssued By: Chavez, Dave Subject to Field: Buirdins Permit #: 1 01 1 030 32 Date: Date: Date:02t04t2020 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 MID#'. 2020-1 57550 ELECTRICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hceby affm undo poalty of pcrjury that I an qmpt fiom the ContretoB' Licffi [rw for the following l@n (Se.7031.5 Busines and Profsion Code): Any City or County which rcquire a pomit to @nstruct, alt6, improvq &molish or npair uy structue, prior to its isumcc, also rcquirc thc applicnt for such pcmit to filc a signcd stat@flt that hc or strc is licqEcd puMt to the Fovisioru of thc Contretor's Licascd t:w (Chapt6 9, Comocing wilh Setion 7000 of Division 3 of thc Buine ud Prcfsions Code) or thal hc or she is cxmpt thqefrom od thc bssis for the allcged cxanption. Any violalion of Setion 7031.5 by any applicantforapmitsubjctsthc applicanttoacivilpenaltyofnotmorcthmlivchundrcddollus($500). _1. as owner of the property, or my employecs with wages as their sole cornpensation. will do the work and the structure is not intendod or offered for sale (Sec.7M4. Business and Professions Code: The Contractor's License Law does not apply to an owner of the propaly who builds or improves thereon. and who does such work himself or herself or through his or her own employees. provided that such irnproveinents are not intended or offsed for sale. If. howwer. the building or improvement is sold within one )ear of completion, the Or,vner Builder will have the burden of proving tha hc or she did not build or improve the property for the purpose of sale). _1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professbn Codc: The Contractor's License Law does not apply to an orvner of property who builds or improves thereon. and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law). -l am exempt under Section-, B. & P.C. for this reason. f )o to' WORKEITS' COMPENSATION DECLARATTON I hereby affrnn under penalty of pe'jury one of the following declarations: -l have and will rnaintain a Cerrificate of Consent to Self-lnsure for workcrs' compensation, as provided for by Se<tion 3700 of the Labor Code. for the performance of the work for which the perrnit is issued. -l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. My workers' compensation insurance calricr and policy numh are: ftnl ( ico, 14 ?Vr tC h I cL-Policy _l certify that in the perforrnance of the work for which this perrnit is issued. I shall not employ any person in any manner so as to becornc subject to the workers'compensation laws of California, and agree that if I should become subject to the . workers' compensation provisions of Section -1700 of thc Labor Code. I shall. forthwilh comply with those provisions.. WARNTNG: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to thc cost of compensation, damagcs as provided for thc Section 3076 of the Labor Code. interest and attorney's fees. LICT'NSED CONTRACTOR DECI.,ARATION I hereby affirm under penalty of pcrjury that I am licensed under provision of Chapto 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. lo Numbcr:a) t7 ia Dete: L-14-7aCO \/?Vin+ Sot CI l- W I hwby alfim unda pcnalty of pqjury that thft is a @mtruclion landing agocy for thc pofommcc of thc work 6r wfiich this psmit b issucd (Se. 3097. Civ. C.). [ender's Name: I-cnder's Address: APPLICANT DECLAIIATION I hodry affirm under penalty of perjury onc of thc following dcrlarations: Demolition Perrnits-Asbcstos Notification Federal Regulations (Title 40, Par16) -Rcqu ired Lettcr of Notification -l cqtiry that the fcdgal rcBulatioE rcgeding sbetos moval rc mt applicsblc to this prcj@t. [!1t cqriry tur t twc ud this applicalion ad statc thar thc 8bovc information is con61. I agre to omply with atl Chy md Couty ordimc md Statc lrws rclathg to building coEtructioG ald hreby suthorie rcprMtsriv6 of this City ud Couly to at6 upon thc il-":ffil.T on" z-4- ? e>?o l'ermitee nrme (print):lDanin ItQrzd ) Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltase Fire Alarm lDampers Communications Cable Building Under SIab / Floor IT ,l - -/, Bonding I Groundins / UFER 91q20 (w6Y Transformers ,,t0- Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilings (Hard & Soffit Rough Ceilinqs ff-Bar Rouqh)\-/) -t Meter Release .4%ltD LY6- I I I I Rouqh Service Meter tt -a FINAL 1c117t)Dlt\fY CI Etc. Rev. 08-07-2015 I License Class:. v{tfl- /Tr - I 'l