HomeMy WebLinkAbout20172094 - 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 #: 2o^1720,94
Pin #: 96594
Proiect Address: 1233 W St Anne Pl-a
Assessor's Parcel: 015-215-08 Lot: 23
Unit:
Block: NA
Bldg:
Tract: 1383
Address Range:
Historic: No
Suite Range:
Zoning: R2
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Building Use.
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Erasmo Torres
1233 W St Anne Place
Santa Ana, CA 92707
(7141 4834844
Vivint Solar - lrvine
2500 White Rd #A
lrvine, CA 92614
(e51) 496-22s2
01 1 16002 51603
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
s9.30
4.05
Qty
100
1.00
1.00
100
Fee
$57 40
$23.7e
$59 30
$4 0s
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #. 345470
Workers' Compensation I nsurance:
Carrier: American Zurich
Policy #. WCS09601305
Expires'. 1110112020
. PERTTT CA}ICELLED
\X Co;+-otq-{rcc-
DATE:q-2c ?l
INITIAL:
Single Family Dwelling
Solar
Solar/service meter
Occupancy:
Constr Type:
Code: "
Date:
Date:
Date:
R-3, U
VB
cEc 2019 Notes. lnstall roof mounted solar panels. Solar fees pd on
101 104941 . Service meter handout given.
10t14t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Buiuins Permit #: 1 01104941
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.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$1 16 70
$4 05
Fee Total:
Paid to Date:
Balance Due:
$144 54
$0 00
$144.54
lnspector MID#: 2020-162146
/
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / FIoor
Bonding lGrounding I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Roush)
N/eter Release
Rouqh
Service Meter \\
FINAL \\\/
Notes, Remarks, Etc.
\
OWNIiR BUILDER DEI,CARATION
I hereby affrnr under penalty of perjury that I anr exempt from the Contractors' Licensc [:w for the following rcason (Scc.7031.5
Busincss and Profcssion Codc): Any City or County which requires a pcrrnit to construct, alter. irnprove, demolish or repair any
slructure, prior to its issuance. al.so requires the applicant for such prernrit to file a signed slaternenl that lrc or she is licensed pursuanl
to thc provisions ol'thc Contractor's l,iccnscd law (Chaptcr 9. Commcncing with Section 7fi)0 of Division 3 of the Busincss and
Professions Code) or that he or she is exempt therefronr and tlre basis for tlre alleged exenption. Any violation of Section 7031.5 by any
applicant for a lrnnit subjects the applicant to a civil penalty of not more than five hundred dollars ($5Otl1.
_1. as owncr ol'the propcrty. or my employccs with wagcs as their solc compensation, will do thc work and thc structurc is not
interxled or offered for sale (Ser.7B4, Business antl Pnrfcssions Co<Jc: Thc Contractor's License Law docs not apply to an owncr of
the progrerty wln builds or inrproves thcreon, arxl wlxl does such wort hinrself or herself or through his or her own enrployees,
provided that such improvenrcnts arc not intendcd orollcrcd for salc. ll. howevcr, thc building or improvcnrcnt is sold within one ycar
of conrpletion, tlre Owner Builder will have thc burtlen of proving that he or she rlid ntx build or improve tlrc properry for thc purpose of
sale).
-1.
as owner of the property, am exclusivcly contracting with licens,etl conlractoni to conslruct thc projcct (Sec. 7(Xa. Business
anl Prutbssion Code: The Contractor's License Law dcrcs not apply to an owner of property who builds or improves thereon.
and who conuacts for such projccts with a Contractor(s) liccnsed pursuant to the Conuactor's Liccnse [:w).
-l
am exempt unrJer Section_, B. & P.C. tbr this reason.
f 1...^.
WORKIqR.S' COM Ptr]NSATION
DECLARATION
I hercby aflirm undcr penalty of pcrjury onc of thc following dcclarations:
_l have and will nninlah a Certilicale of Con.sent to Self-lnsure for workers' compensation, as pmvided for by Scction 3700 of the
is issucd.
by Section 3700 of the l-abor Code, for lhc perfornurrce of
carricr ard policy numbcr are:
Policy 1\' \' 2-O
NE,ccrtifythat inthc 1^*rlirrnrance'of tlrc work fcrrwlriclrtlrispcrnrit is issucd, I slrall not cnrployanylrcrsoninanymanner
so as to bccornc suhjcct to thc workcrs' conrpcnsation laws of California. and agrcc that if I should becorne subjcct to the
workers' conrlxnsation provisiorl o{Secligr 3700 of the Labor Code, I slull, forthwith conrply with thosc provisions..
t :i,
WARNING: Failure to secure workers'comlrcnsation covcrirgc is unlawful, and shall subject an employer to criminal penalties mtl
addition to the cost of danuges a.s provided for the
Scction 3076of the l.abor Codc.
,,,", \o tt.+ [ZC
inlcrcst anrl
I hereby affrnr under ;rnalty of perjury that I anr 9 (cornmencing with Section 7m0) of Division 3
o[ the Business and Professions Code. and my license is in fu]l force arxl effect.
License C\C Nunrbcr:
q1 5
\o V\CAT
CONSTRUCTION LENDING AGENCY
I hcreby al'lirrn under penalty of pcrjury that thcrc is a construction lending agency for the pcrlbrmance of thc work ltlr which this pcrmit is
issued (Scc. 3097. Civ. C.).
[.cnder's Nanre:
Lrnder's Addre.ss:
A PPI,ICANT DECI,ARATION
I hrchy affrnr undcr penalty of pcrjury onc of thc foll<lwing dcclarations:
Dcnxrlition Pcrnrits-Asbcstos Notification Fcdcral Regulations (Titlc 40, Part6)
_Rcquircd lrttcr of Notifrcation
_l ccrtify that thc fcdcral rcgulations rcgarding a.sbcsto.s rcmoval arc not applicablc to this project.
state tlrat thc atxlvc infornulion is corrcct. I with all City and County
and county to enter upon thc
D lr*\zcabovc mentioned property for
Applicant or Agcnt
Pcrntitee namc
construction. and hereby of this
Flev. 08-07 15
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I
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I.ulxrr (iurlc, lirr tltc
and n'ill nraintairr workers'insuralrce,as
tlrc which this is issucd.
l-
I havc rcarl this
and State l:ws rclating