HomeMy WebLinkAbout20172000 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27\z Electrical
PermitCounter: (7'14)647-5800 lnspection Requests. (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 2O172OOO
Pin #: 41728
Proiect Address: 27 17 S Center Sta
Unit:
Block: NA
Bldg:
Tract: 8343
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 412-255-08 Lot. 3
Owner:
Address:
Ken Nguyen
2717 S. Center Drive
Santa Ana, CA 92704
Fee Type
01 1 16002 51600 General Plan Update
01 116002 57770 Microfilm Records
Amount
23.79
4.05
Qty
0.00
000
Fee
$0 00
$0.00
Phone:
Tenant Name:
Contractor:
Address:
Solartime Electrical Seruice:
1437'l Euclid Street, #2F
Garden Grove, CA 92843
(626) 7s7 -6677Phone:
State Lic #. 1051 487
Lic Type: B, C-10
Bus. Lic #: 374129
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: g2STt33
Expires: 0711912021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019 Notes: lnstallation of roof mounted PV system, fees pd on
1 01 1 04822
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Smith, Mark
Verduzco, Viobr{S
Date:
Date.
Date:
10t07 t2020
11t16t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buitdins Permit #: 1 01104822
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#: 2O2O-1 61706
I
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
btWk:Bondinq I Groundina I UFER ?tur )
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 711 u)Drrtr-fr
t
Rouqh
Service Meter It I ./
FINAL 7'Dtrw o'7
Notes, Remarks, Etc I
I /
OWNIi,R BUII,DER DTiLCARATION
I hereby affrnr unrler penatty of perjury that I anr erempt frunr the Contractons' License l-aw for the following reason (Sec.7031.5 ;
Busincss and Prol'ession Codc): Any City or County which requircs a permit to construct, alter. improvc, demolish or repair any
structure, prior to its issuance. also requires the applicant ftrr such pernrit to file a signed staterEnt that lr or she is licenscd pursuant
to the provisions of thc Contractor's l.iccnscd law (Chapter 9. Commencing with Section 7000 of Division 3 of the Busincss and '
Professions Code) or that he or she is exenrpt therefrom and tlre basis for tlre alleged exenption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to a civil penalty of not nrore than five hundred dollars ($500).
_1. as owncr ol'thc propcrty. or tny crnployees with wagcs as thcir sole compcnsation, willdo the work and the stnrcture is not
interxlcd or offered frrr sale (Sec.7Ua. Business and Profe.ssions Code: The Contractor's Licensc l-aw docs not apply to an owncr of
the property who builds or improves thereorr, and wlro does such work himself or hrself or through his or her own entployees,
provided that such irnprovcrrcnts arc not intendcd or offercd tor sah. Il. howcvcr, Orc building or irprovcment is soH within onc ycar
of completion, the Owrcr Builtler will hnve the burden of proving that hc or she did not build or improve tlrc prcperty for thc puqposc of
sale).
_1. as owner of thc property, um exclusively contracting with licenscd contractoni to construct thc project (Sec. 7044. Business
arxl Protbssion CorJe: The Contractor's License Law does not apply to an owner of property wh<l builds or improves thereon,
and who conuacts for such projccts wilh a Contractor(s) liccnsed pursuant to thc Conuactor's License l-aw).
-IantexemptunderSectiott-,B'&P.C.fbrtlrisreason.
WORKI,RS' COTIT PE,NSATION
DECLARATION
I hercby affirm undcr pcnalty of pcrjury onc of tltc lbllowing dcclarations:
_l have and will nuintafur a Certilicate of Consent to Self-lnsure for workers' conrpensation, as provided for by Scction 3700 of the
Labor Code, for thc pcrforrnarrcc of the work for which thc pcrmit is issucd.
/.' I have and will nraintain workers'cotupemation insuratrce. as by Section 3700 of the labor Code, for lhe Jrcrfornutrce of
thc work tbr which this prnrit is issucd. My workcrs'carricr ruxl plicy nunrbcr arc:
a7/za/z LPolicy
_l ccrrify that in thc;rcrfornuncc of thc work fcrr which this prmit is issued, I shall not cnrploy any pcrson in any manncr
.so as lo bccorne subject to thc workcrs' cotnpensation laws of California. and agrec that if I should becorre subject to lhc
workers' conrpensation provisions of Section 3700 of the Labor Cotle, I shall, forthwith comply wilh those provisions..
WARNTNG: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pcnalties and
civil firrcs up Io one hulrdred thousand dollars ($100.000). in additiorr to tlrc cost of comgrcnsation, danrages as provided for the
Section 3076 of the labor Code, interest and attorncy's [ces.
I hereby affirm under penalty of perjury that
of the Busincss and Professions Code. alxl
LICENSED CONTRACTOR
I)ECI,ARATION
I anr licensed under prcvision of Chapter 9 (conmrcncing with Secti<rn 7000) of Division 3
my license is in full forcc arxl effect.
License Nunrber:
l/
CONSTRUCTTON LENDING AGENCY
I hcrcby aftirm undcr penalty of pcrjury that therc is a construction lcnding agency for thc perl'ormance of thc work lbr which this pcrmit is
issucd (Sec. 3097. Civ. C.).
Lender's Nanre:
APPT,ICANT DECI,ARATION
I hreby affirnr undc'r pcnalty of pcrjury onc of thc following doclarations:
Dcnxrlition Pcrnilts-Ashcstos Notification Fcderal Rcgulations (Titlc 40, Part6)
-Rcquircd
l-cttcr of Notifrcation
_l ccrtily that thc fcdcral rcgulalions rcgarding asbcstos rcmoval arc not applicablc to this projc.cl.
IZ/l "otyrhat I havc rcad this application utd statc tlut with all City and County
and County to cnter upon thc
abovc rncntioned property for inspcction
Applicant or Agent ll IIlcrmilee nanre
^n ir f ,L/zc
ELECTRICAL-INSPECTOR RECORD
'e'I1,1-l
v
A rrrrlir':rnl:\A),
ordinanccs and Statc [,aws rclating to building
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