HomeMy WebLinkAbout20173301 - PermitProiect Address: 801 S Susan Sta
Assessor's Parcel: 144-522-0T 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, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: Q1a) 667-2738 lnspector Section: (714) 647-5853
Permit #i 2O1733Oi
Pin #: 11827
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address:
ROSE GRIGGS
801 S SUSAN ST
Santa Ana, CA 927042314
(7141 839-1 223
Vivint Solar - lruine
2500 White Rd #A
lrvine, CA 92614
(e51) 4s6-22s2
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5360'
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
Subpanel 57.40
Other Dist. Systems 57.40
Over 1-10 HP, KW or K\ 25.09
Ptc - 6s% 0.65
General Plan Update 23.T9
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
139 89
1.00
1.00
1.00
Fee
$57.40
$57.40
$2s 09
$e0.93
$23 79
$s9.30
$4 0s
Phone:
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation lnsurance:Carrier: Liberty
Poficy #: WATG4O4/ISSZ?:O1O
Expires: 10/01 12021
Batchi : 5?415 6/3/ ?t-t2t I D0flice: (:TYH Trnns*: 3Acct*: F:el*: 2
Rcpti:u33114tr7 6/3/2Lr?1 S:
Trsnsocbion Totnl tl
Kns Io Hortn
Uivinb SoI0r Irvine
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EL I ZABE I
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7331r1
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Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Solar
Solar w/battery backup
Smith, Mark
Zuniga, Allissa
05t20t2021
06t03t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2019
berier'ol F'lnn LJpdote F'.:ei Ji -,ji ..'
r_ri 1 1,5r_rri?-- 1,16r-r[rur]r:t -
l"l i:r'olilrn & Dct,:ur,lent:i ;;, . i.ii
t_tl1l,5r:rr-t?- :-;/-li i_tr-rr-t[r-
+ { ,i,. ;Ele,:.tr'icnl r.r.i;,.
t-r 1 1 1,5t:u:r2 - l; 1,5ttJr_rr_tt_r-t'ii'. E1eC.tr' i,: l : t..: . .:lnstall$ig[dtfrl"of mgtmtfrf,rPV to roof with existing
systerfinf[kt Bgf,tqiy and backed-up loads pa!ffil,Wtth. i.ii
microgiltlonfirtllqr*rlr*6 i3+ Aulh+ : t-tt-t,i,-.:::l
Buirdins Permit #: 1 01 1 06 652
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 51600
01 1 16002 51603
01 1 16002 53601
01 1 16002 57770
$23 7e
$1 99.1 9
$e0.93
$4.0s
$317.96
$0 00
$3t 7.96
v
ELECTRICAL-I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq I UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rough
Service lVleter
FINAL ilt/u J6/ Z
Notes, Remarks, Etc.//V
OWNT]R IIUI LDER DELCA RATION
I hereby affirm untler pnalty of prjury that I amexempt from the Contractors' License law for thc fotlowing tJ"*n (Sec.7031.5
Business and Profession Code): Any City or County which requires a permit to construct, alter, improve, demolish or repailrny
structure. prior to its issuance, also requires the applicant for such permit to file a signed staternent that he or she is licensed pursuant
to the pnrvisions of the Contractor's Licensed Law (Chapter 9, Commencing with Section 70fi) of Division 3 of the Business and
Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any
applicant fur a permit subjects the applicant to a civil penalty of not rxrre than five hundred dollars ($500).
_1, as owner of the pn)frertyt or my employees with wages as their srle compensation, will do thc work and the structurc is not
intendetl or offered for sale (Sec.7044, Business and hofessions Code: The Grntractor's License Law docs not apply to an owner of
the proSrrty wtxr truiltls or impmves thererrn. arxl wlm docs such work himself or herself or through his or her own employees,
provided that such improvernents are not intended or ofhred for sale. If, however, the building or inprovenrnt is sold within one year
of completion, the Owner BuiHer will have the burden of proving ttut lre or she did not buiU or impnrve the property for the purynse of
sale).
_1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7(X4, Business
and Pnrfqssbn Code: The Contractor's License Law does not apply to an owner of property whr builds or improves thereon.
and who contracts for such projects with a Contractor(s) Iicensed pursuant to the Contractor's License Law).
-IamexemptunderSectirrn-.B'&P.C.ftlrthisreastln.
Date:
WORKERS' COMPENSATTON
Ill'CLAILA,'rlON
I hereby affirm under penalty of perjury one of the following declarations:
_lhaveandwill maintainaCertilicateofConsenttoSelf-lnsurefrlrworkers'compensation,as providedforbySection3T00ofthe
Labor Code. for the performance of the work ftrr which the permil is issued.
?$rt and will maintain workers' compensation insurance, as requiretl by Section 3700 of the Lahor Code, for the perfrlrmance of
t his is My workers' compensation insurance carrier antl plicy number are:
Policy ID, I,L
-l
certify that in the performance of the work frlr which this permit is issuetl. I shall not empk)y any person in any manner
so astobeconrc subject totheworkers'compensation lawsof California. andagreethat if I slnukl becorne subject tothe +,workers' compensation provisions of Section 3700 of the l-atxrr Code, I frrrthwith comply with those pnrvisions..
WARNING: Failure to secure workers'compensation ts and shall subject an employer to criminal Jrenalties and
civil fines thousand dtlllars to the cost of damages as provitied for the
Section interest and (_
I hereby affirm under penalty of perjury that I arn of Chapter 9 (commencing with Section 7m0) of Division 3
of the Business and Professions Code, and rny license and effect.
[-icense
CONSTRUC'I'IPN LENDING AGENCY
I herchy affirm under penalty of prjury that there is a construction lending agency for the performance of the work for which this Jrermit is
issued (Sec. 3S)7, Civ. C.).
Lender's Name:
Lender's Address:
AI'PLICANT DE,CLARAI'I ON
I trreby affnm under penalty of perjury one of the following declarations:
Dennlition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Letter of Notification
-l
certify that the federalregulations asbestos rernrvalare not applicable to this project.
that I have reatl this that the ahlve infrlrmation is correct. I to comply with all City antl County
upon thc
mentioned property for
Applicant or Agent
l'ernrilrc nnnle
antl hereby authorizc
(
0B-07-2015
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