HomeMy WebLinkAbout20173946 - PermitProject Address: 801 S Susan St
Assessor's Parcel: 1M-522-OT Lot: 37
Unit:
Block: NA
Bldg:
Tract: 9535
Address Range:
Historic: No
Suite Range.
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 20{73946
Pin #: 74614
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
ROSE GRIGGS
801 S SUSAN ST
Santa Ana, CA 927042314
(7141 83e-1 223
Vivint Solar - lrvine
2500 White Rd #A
lrvine, CA 92614
(951) 4e6-22s2
Fee Type
01116002 53601 PIC - Revision
01116002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
239.34
23.79
4.05
Qty
1 .00
000
1 .00
Fee
$239 34
$0 00
$4 05
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance:Carrier: Liberty
Policy #: WA764O445522020
Expires: 10/01 12021
Building Use:
Job Type.
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling OccuPancy:
Revision Constr Type:
Revision-Solar w/battery 531Code:
R-3, U
VB
cEc 2019
Notes: Revision to 20173301 - module layout changed, AC
disconnect & backup interface relocated, backup loads
changed.
Smith, Mark
Chavez, Dave
Date:
Date:
Date:
08/1 2t2021
08/1 3t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 101 106652
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-166085
01 1 16002 s3601
01116002 57770
$239 34
$4 05
Fee Total:
Paid to Date:
Balance Due:
$243.39
$0.00
$243.39
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundi nq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
[/eter Release
Rough
Service N/eter I
FINAL t/tq lz,L^s:.'%
Notes, Remarks, Etc.I
I
I
I hcrcby afftrm unds pcmlly of pcrjury that I m excmpt from the Contmctom' Liccns kw for thc following rcasn (Ss.7031.5
Busincss and Prcfcssion Codc): Any City or County which rcquircs a pcrmit to conslrucl. altcl improvc. demlish or rc,pair uy
struclre, prk r lo ils issuare. also requircs the applhill for such JEmil to 6le a sigrcd slatemnt lhat he or shc is liccnsd puEuilt
lo lhc prcvisions of thc Contraclor's Lbcnsd [3w (Chapter 9, Commercing with Seclion 7000 of Division 3 of thc Busircss and
PmfcssionsCodc)orthathcorshciscxcmplthercfromondthcbosisforthcallegedcxcmption. AnyviolstionofsNtionT03l.5byany
rpplicant for a Jrcrmit subj(ts lhe applicant to a civil pcmlty of not mre tho fivc hundrcd dollus ($500).
-1.
as owncr of thc propcrly, or my employccs with wages as thcir solc comgrcnsation. willdo thc work and thc stnrturc is not
intcndcd or ofl'ercd for sale (Sc'c.7044, Busincss and Professions Codc: The Contraclor's Liccnsc Law docs not apply to an owner of
thc propcrty who builds or inrprovcs thercon. and who dclcs such work himsclf or hersclf or through his or hcr own cmployccs.
provided that such improvenrcnts arc not intcndcd or ofIcrcd for salc. If, howcvcr. thc building or improvcnrcnt is sold wilhin one ),cil
of cornphtion. thc Owner Builder will havc the burdcn of proving that he or shc did not buikl or improve thc propnty for thc purJnse of
sah).
_1. as owncr of the propcrty. am cxclusivcly contracting with liccnscd contractors to construct the projcct (Scc. 7W, Busincss
and Profcssion Codc: Thc Contraclor's Licensc Law docs not apply lo an owner of proyrcrty who builds or improves thereon,
and who conlracts for such projects with a Contractor(s) licensed pursuant to thc Conractor's Liccnsc Law).
_l amcxcmpt under Scclion_, B. & P.C. for this rcason.
\YORKI,RS' CONT PFNSATION
Dt..CLARA'tION
I hcrcby altlrrn undcr pcnalty of pcrjury one of thc following dcclarations:
-l
havc and will maintain a Ccrtificate of Conscnt to Self-lnsurc for workcrs' compcnsation, as providcd for by Section 3700 of the
Lrbor Codc. for thc perfornunce of thc work for which thc Jrcrmit is issucd.
have and will maintain workcrs' compcnsation insurancc, as requircd by Scction 3700 of the Labor Code, for thc pcrformancc of
thc work for My workers' compcnsalion insurancc carrier and gllicy numbcr arc:
Policy
(o tr lzl
h ccrtify that in the pcrforrnance of thc work for which this grcrmit is issucd. I shall not cmploy any pcrson in any manncr
so as to bccomc subjcct to the workers' compcnsation laws of California. and agree that if I should bccourc subjcct to the
workers' cornpcnsation provisions of Section 3700 of the [:bor Code, I shall. forthwith comply with thosc provisions..
WARNING: Failurc lo sccurc workcrs'
civil fincs up to one hundrcd thousand
is urrlawl'u!. and shall suhjcct an cmJrloycr to criminal penaltics and
to thc cost of damages as provided for lhc
Scction 3076 of the
^...^.8 ltz I+bor Crxlc.lzl inlerest and attorrrcy's
O<ti
I hercby affirrn undcr penalty of pcrjury that I am licensed undcr provision of Chapter 9 (cornnrencing with Section 7000) of Division 3
of thc Busincss and Professions Code, and my liccnsc is in full forcc and effcct.
Liccnse C C Nunrbcr:3"1 5b
ZI \,/'t\/l
CONSTR.UCTION LENDING AGENCY
I hcrcby aflrrn undcr Fn.lty of pcrjury thal rherc is a construction hnding agcncy for lhc pcrformc of thc work fo, which this pcrmit is
issuc{ (Scc. 3097. Civ. C.).
lrndcr's Numc:
l-cndcr's Addrcss:
APPLICANT DECI ARATION
I hcrcby affirm undcr pcnalty of pcrjury onc of the following dcclarations:
Dcrnolition Permits-Asbestos Notification Fcdcral Regulations (Title 40. Part6)
-Requircd
l-cttcr of Notilication
-l
certify that thc fedcralrcgulations rcgarding asbestos rcrnovalarc nol applicablc to this projcct.
NB ccrtify that havc read this application ard state that thc abovc
rlrdinanccs and .Statc [.aws rclaling construction.and
atxlvc mcntioncd propcrty
Applicant or Agent
Pernritee name
for
t()
4=gJ.,+r\
thc
[Jr.rr nA n7 Ont tr
Owner:_