HomeMy WebLinkAbout20170120 - 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 #:2O17O12O
Project Address: 1106 N Lyon St
Assessor's Parcel. 400-285-16 Lot: 76
Unit:
Block: NA
Bldg:
Tract: 2648
Address Range:
Historic: No
Pin #: 1
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Jose Becerra
1 106 N. Lyon Street
Santa Ana, CA 92701
(949) 27s-8227
Grid Alternatives
1338 S Flower St
Los Angeles, CA 90015
(213) 725-5120
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
22.95
391
Qty
000
1.00
Fee
$0 00
$3 e1
r? at.TtJI, .l
fi497. ??
BnLch*:52869 II/1/2IJ19 ID: l'lfiAl;li:It:r
0ftice:CTYH Trnns*''.74 ? cil 1
Acct*: Ref*: ?lll7t-t l?tt
Rcpt*:LrzgLrI?42 II/1/?t'19 12:3S Fj!'l
Trnnsgct ion Totctl *4?7 .92
Gr id AIt,ernnt ives
State Lic #. 867533
Lic Type: C-10, C46
Bus. Lic #: 340610
Workers' Compensation I nsurance:Carrier: Zurich American Ins Co
Policy #: WC5746771106
Expires: 0410112020
Il i cr of i Im & Document E
tr 1 1 1 61t02- ?t777 f-n-t[tt-t-
I (:t Ch ecll ttt tt-t7S3
Building Use:I Job rype:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes: lnstallation of roof mounted PV system. AII fees paid
on #101102134.
Planning Conditions:
Planning Approval By: Date:
Plan Checked By. Date:
Permit lssued By: Chavez, Dave Date: 1110512019
Subject to Fietd: ?t' Account#
Buirdins Permit #: 1 01102134
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
$3 91
$0 00
$3.91
lnspector MtD#. 2019-155658
01 1 16002 57770 $3 e1
ELECTRICAL.I NSPECTOR RECORD
nQ (\7 ?n1q,
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hsctry affrm und6 pcnalty of perjury that I m ctcmpt fiom thc Contraclos' Licosc [rw for thc following ren (54,7031.5
Busines and Prcfsion Codc): Any City or County which require a pcmit to conslruct. alto, improvg dmolish or rcpair my
structue. prior to its isumce, also rcquirc thc applicut for such pcmit lo file a siSncd sldmqt tha hc or shc is licoscd pmuanl
to the provisions of tlE Contmctor's Licmsed Law (Chapt6 9. Commencing wilh Sction 7000 of Division 3 of lhc Businm md
PrcfsionsCodc)orthathcorsheisqwptthqcfromandthcbssisforthcallegcdcxemption. AnyviolationofscctionT03l.5byay
applicantforapomitsubjststhe applicanttoacivilpcnaltyofnotmorclhfffivchundrcddollm($500).
-1,
as ou/ner of the property. or my employees with wages as their sole cornpensation. willdo the rvork and the structure is not
intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's l,icense Law does not apply to an owner of
the property rvho builds or improves thereon. and rvho does such $'ork himself or herself or through his or her own employees.
provided that such improvonents are not intended or offered for sale. If. horvever. the building or imp,rovement is sold within one )€ar
of cornplaion. the Orvner Builder will have the hrden of proving tha he or she did not build or improve the property for ttrc purposc of
sale).
_1, as owner of the properly. am exclusively contracting with licensed conlractom lo construct the project (Sec. 7M4. Business
and hoftssion Code: 'fhe Contractor's License Larv does not apply to an owner of property rvho builds or improves thcrc'on.
and who conlracts for such projects with a Contractor(s) licensed pursuant to the Contractor's License Larv).
-l
am exernpt under Section-. B. & P.C. for this reason.
Date:_Owner:_
-w()RKERS'
DECLARATION
I hereby affrrm under poralty of po'jury one of the following declarations:
_l have and rvill maintain a Certificate of Consent to Self-lnsure for workers' compensation. &s provided for by Section 3700 of the
Labor Code. for the performance of the work for which the permit is issued.
_l have and will maintain rvorkers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of
the work for which this pcrmit is issued. My rvorkers' compensation insurance carrier and policy number are:
o
**,- . ,tf ,f rca
Policy Number:_t^ rC. (D4 L'7r7 tq
_l certi$ that in the perforrnance of the rvork for rvhich this perrnit is issued. I shall not etnploy any person in any manner
so as to become subject to the workers' compensation larvs of California. and agree that if I should become subject to the
workers' compensation provisions of Sertion 3700 of the Labor Code. I shall. forrhrvith comply with those provisions..
WARNING: Failure to secure workers' cornpensation 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 the cost of compensation. damages as provided;[br the
Section 3076 of the Labor Code. interest and attorney's fees.
Dere: " I /s1n K CWIt
DECLARATION r
I hereby affrnn under penalty of perjury that I am licenscd under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Profcssions Code. and my license is in full florce and effect.
D Y6 License Number:
o
License Class:_a 8(753)
a conrracro''K (rrid A/fentrafi vgj
W
I hercby allim undc pcnalty of pcrjury that th6e b I coslruction lcnding agmcy for the pcfol]mcc of thc work for u'hich this pcmh b
issued (Se. 3(x)7, Civ. C.).
Lender's Name: _
Lender's Address:
APPLI(:ANT DECLARATION
I hseby afiim undcr p6alty ofperjury onc ofthe following dalaations:
Detnolition Pqmits-Asb€tos Notification Fedsal Regulations (-l ille 40. Paa6)
Required l-ctter of Notifi cation
-_-t cenify that thc federal rcgulatiore regr<Iing asbcstos removal ae not applicable to this preject.
X ccniry rtar I havc rcad this application ild state that the akrve infomalion is coftsl. I agrs to comply with all Cily and County
ordinancG and State larvs relating to building construction. ild hseby authoriz.e refreglativ6 of this City ild County to mte upon the
above mentioned property for inspection
Applicant or Agent x
l'ernritee name (print): K b((tn5
_ Date ,- t t/gf H
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm lDampers
Communications Cable
Building
Under Slab / Floor I I .)
Bondinq I Groundinq / UFER I bt rq{)WVVl '4Xd
Transformers I
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Re]ease tl r)ffirN .01*10_! tul 3t r00 (#N
Rough I
Service Meter II \Or
FINAL 1t 'Jcilt1 DY lZ.{lE'
Notes, Remarks, Etc.
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