HomeMy WebLinkAbout20170102 - 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
Permit #:2O17O1O2
Pin #: 2E72O
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Project Address: 2409 W Hood Ave Unit:
Block. NA
Bldg:
Tract: 1347
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parce!: 407 -11 1 -31 Lot: 48
Owner:
Address:
Stehpany Roblada
2409 W HOOD AVE
Santa Ana, CA 927043542
(7141 395-231 1
Fee Type
01116002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
22.95
3.91
Qty
0.00
0.00
Fee
$0.00
$0.00
Phone:
Tenant Name:
Contractor:
Address:
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(562) s42-1270Phone:
State Lic #. 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation Insurance:Carrier: American Zurich Ins Co
Policy #: WC5096013
Expires: 1110112020
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Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2016 Notes: Electrical for solar. All fees paid for on #101102126
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Date:
Date:
Date:11t04t2019
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 fhe sife 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#: 2019-155639
ELECTRICAL-I NSPECTOR RECORD
n9 n'2 1n.t G
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hocby aflirm unda pemlty of pcrjury thar I m cxcmpt from thc Conlracto6' Licq* taw for thc following rwn (Sa.703E5
Businm and Profcssion Code): Any City or County which rcquire a pomit to coctruct. aho. improvc demolish or rqnir uy
structure. prior to its isuece. also requirs the applicilt for such pcmit to file a signcd statmot thar hc or shc is liceNrd pEuant
to the prcvisioN of thc Contractor's Licenscd Law (Chapt6 9. Commocing with Sation 7000 of Division 3 of the Businos md
PrcfcsionsCodc)orthathe orshciscrmptthacfromudthe b6sisforthcallegcdexmption. AnyviolationofScctionT03l.5byan,
applicant for a pcmit subjcts thc applicant to a civil pcnalty of not morc thil livc hun&cd dollds ($500).
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as owner of the property. or my employe€s with rvages as their sole cornpensation. rvill do the work and the struclure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Larv does not apply to an orvner of
the properly rvho builds or improves thcreon. and rvho does such work himself or herself or through his or her own employees.
provided that such improvonents are not intended or offered for sale. l(. horvever. the building or improvement is sold $'ithin one )€ar
of complaion. the Owner Builder will havc the burden of p,roving that he or she did not build or impnove the propo'ty for the purpsc of
sale).
-1.
as owner of the property. am cxclusively contracting with licensed contractors lo construcl the project (Ser. 7044. Business
and Pnofession Code: The Contractor's License Law does not apply to an owner of proper'ly who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License taw).
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an exempt under Section-. B. & P.C. for this reason.
Date: Owner:_
WORKERS' CONTPENSA'I'ION
DECLARATION
I hcreby afTirm undcr penalty of perjury one of the follo*'ing declarations:
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have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
I-ahrr Code. for the performance of the work for rvhich the pcrrnit is issued.
for the performance of
___l certi$ that in the perforrnance of the w'ork for u'hich this perrnit is issued. I shall not employ any person in any manner
so as to become subject to the workers' compensation larvs of California. and agree that if I should becorne subject to the
workets' compensation pmvisions of Section 3700 of the Labor Code. I shall. forrhwith cornply u,ith those provisions..
WARNING: Failure to secure workers' cornpensation co!'erag,e is unlau,ful. and shall subject an anployer to crirninal gmalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of conrpensation. darnages as provided for the
Section 3076 of the interest and attorney's fees.
a
I hereby aflirm under penalty of perjury l
of the Business and Professions Code. and my license is in full force and eflect.
License Class:_o t (o
_License Nurnber:ffi
,,r",' llf 1f l4 conrre*o,.rr- Vtvl-nJ-S'tqr
W
I hrcby affim undo Fnaltyof pcrjury that th@ is a coNtructbn lording agocy for thc pahmcc of thc wtrk for which this pqmil is
issucd (Se. 3097, Civ. C.).
[tnd6's Nms
lrnder's Address:
APPLTCANT DEC LARA'IION
I herety affirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
-_l certifu that the federalregulations regarding asbestos removalare not applicable to this project.
permiree name tprt^.t, * D C4 r1i C I Vq f n Q, S
the
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundins / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Wails (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
/
Rough / L/h 4/1 r/-A,Uat/
Service Meter /
,
FINAL //t ,D-? .l'/LL 4Jr)
Notes, Remarks, Etc. //
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