HomeMy WebLinkAbout20170266 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA s2702 PM Electrica!
Permit Counter: (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2o^17o.266
Pin #: 65121
Project Address: 2218 S Oak St
Assessor's Parcel: 016-101 -05 Lot: POR 3
Unit:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address.
Phone:
ANDRES TOSCANO
2218 OAK ST
Santa Ana, CA 927072925
(7141 6ss-8e62
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(562) 942-1270
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
22.95
391
Qty
000
000
Fee
$0.00
$0 00
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation lnsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1110112020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked
Permit lssued By:
Single Family Dwelling
Solar
Solar
eri
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
11t25t2019
Account#
Occupancy:
Constr Type
Code.
Date:
Date:
Date:
R-3, U
VB
cEc 2016 Notes: lnstal roof mounted solar.Per Expedited Permit
Process For PV System Standard String System. Solar
fees paid on 101 1 0232.
Subject to Field:
Building Permit 102332
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#:2019-156 102
ELECTRICAL.!NSPECTOR RECORD
f)^'no n7,n-tq
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
Commrrnications Cable
Buildins
Under Slab / Floor I ^l -&.
Bonding I Grounding / UFER l'7w0 tfr<Y) n .ql 6 /
Transformers I il
Torqueing
Sub-Panels
Air Conditioners I
Roof Top Equipment t ulLq Dt\nf.n .b+x7
Factory Wired Unit I
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)I
Meter Release I t h-i hkrn,-#ry %:2)4rl
Rough
Service Meter I
FINAL I ,-flh D|}..rfl,4'#ffi
Notes, Remarks, Etc.,I t'I
OWNER BUILDER DELCARATION
I hachy affum unda pcnalty of perjury thar I m cxcmpt ftom thc ContEctoB' Lictre kw for thc following rcen (Se.7031.5
Businss atrd Profoion Code): Any City or County which rcquiro a pamit to construct, alts. improvq dcmolbh or rcpair ily
structuq prior to its isuucc. also requirG thc applicot for such pcnnit to file a signcd st8t@ot lhat hc or slE b licosd p|Nmt
to thc provisioN of thc Contractor's Licmscd law (Chap6 9, Commocing with Secrion 7000 of Division 3 of thc Busins ad
Pmfcssions Codc) or that hc or shc is cxmpt th6c{rom ud thc b€sis for thc allcgcd crmption. Any violation of Scclion 7031.5 by any
applicant forapcmit subjatsthc applicail to acivilp€naltyofnot morcthe fivchundrcddollas($500).
t
-1.
as owner of the property. or my ernployees rvith rvages as their sole compensation. rvilldo the work and the structure is not
intended or offered for sale (Sec.70t4. Business and Professions Code: 'l'he Contractor's License Law does not apply to an orvner of
the property who builds or ilnproves thermn. and who does such rvort hirnself or herself or through his or her own ernployees.
provided that such irnprovements are not intended or offeted for sale. If. howwer. the building or improvanent is sold rvithin one year ri
of cornplaion. the Owner Builder will have the burden of proving tha he or she did not build or imp,rove the propory for the purpose of
sale).
-1.
as owner of the property. am exclusively contracting with licensed conlractors to construct the project (Sec. 7044. Business
and Pmftssion Code: 'l'he Contractor's License Larv does not apply to an owner of property u,ho builds or improves theretrn.
and who contracts for such projeas with a Contracto(s) licenscd pursuant to the Contractor's License Law).
-larnexemptunderSection-.B.&P.C.forthisreason.
Date:Owner:--
WORKER.S' COI}I PENSATION
DECLARATTON
I hereby affinn under penalty of perjury one of the following declarations:
-l
have and rvill rnaintain a Certifrcate of Consent to Self-lnsure for rvorkers' compensation. as provided for by Section 1700 of the
Labor Code. for the perfonnance of the work for which the pennit is issued.
-_l have and will rnaintain rvorkers' compensation insurance. as required by Section 3700 of the Labor Code. for the perftrnnance of
the rvork for which this pennit is issued. My workers' comp€nsation insurance carrier and policy number are:A I /CL
Policy
-Expires:_l certify that in the performance of the rvork for which this permit is issued. I shall not employ any person in any manner
so as to become subject to the work€rs'compensation lau's of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the labor Code. I shall. forthrvith comply with thosc provisions..
WARNING: Failure to secure workers' compensation is unlawful. and shall subject an onployer to oiminal penalties and
civil frnes up to one hundred thousand dollars addition to the cost of compensation, darnages for the
Section 3076 Labor (--ode. interest fc'es.
I
I hereby affrrm under penalty of perjury that I arn licensed 9 (comrnencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License c'(D Nurntrer:
ct? 37 fQ
I hereby aflinn under penalty of perjury that
issued (Sec. -3097. Civ. C.).
is lcnding agency for the performance of the rvork for rvhich this perrnit is
Lender's Name:-
Lender's Address:
APPLICANT DECLARATION
I her*,y affirm under pcnalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
with all City and County
and County to enter upon the
Permitee f ntcL Vct
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