HomeMy WebLinkAbout20171894 - PermitCity 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 #:2017{894
Pin #: sEO{9
Proiect Address: 928 S Cedar Sta
Unit:
Block: NA
Bldg:
Tract: 3078
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 011 -236-02 Lot: 9
Owner.
Address:
Francisco & Graciela Alfaro
928 S Cedar Street
Santa Ana, CA 92701
(7141 486-1 302
Fee Type
01116002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
000
0.00
Fee
$0 00
$0 00
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Freedom Forever
43445 Business Park Dr, #1
Temecula, CA 92590
(951) 445-s64s PAID
State Lic #: 102964/-
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation Insurance:Carrier: Redwood Fire and Casualty Insurance Company
Policy #: FRWC 113471
Expires: 0110112021
SEP 1 PAIO
of Ana
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019 Notes. lnstall solar panels, fees pd on 101104652.
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Verduzco,
Date:
Date:
Date:09/1 5t2020
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 101104652
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 the sife 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
$0.00
Inspector MtD#' 2020-1 60484
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hocby affm undo panalty of pcrjury thar I m exempt ftom thc Contracto$' Lic6c liw for thc following reaSoo (Sc.7031.5'
Busincs ad hofeion Codc): Any City or County which rcquirs a pqmit to construct, alts, imptovq donolish or rpair uy
structue. prior to its isuucc, also requirc the applicet for such pemit to filc a signcd stalmot that h€ or shc is licoscd pwmt
to thc provisioE of thc Contr4tor's Liccnsed liw (Chapts 9, Commcncing with Setion 7000 of Division 3 of the BEins md
Prcfsions Codc) or that he or shc is crempt thqcfrom od thc b6is for thc allcgcd cxmFion. Any violation of Scrba 7031.5 by aqy
applicantforapemitsubjststhc applicanttoacivilpcnsltyofnotmorcthmlivehundrcddollas($500).
_1. as owner of the property. or my etnployees with wages as their solc compensation. will do the rvork and the structLre is not
intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the propoty who builds or improves thcreon, and who does such work himself or hersclf or through his or her own employccs,
provided that such improvanents are not intended or offerod for sale. I[, however, the building or imp,rovement is sold within one yerr
of complaion. the Orvner Builder will have the hrdcn of proving that he or she did not build or improve the propcrty for the purpose of
sale).
--[, as owner of the properly. am exclusively contracting with licensed contractors to construct thc project (Sec. 7M4, Business
and Profession Code: The Contractor's License Larv does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Licensc Law).
-l
am exempt under Section-. B. & P.C. for this rcason.
Date:
WORKEtrLS' CONTPENSATION
DECLARATION
I hereby allinn under penalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for worketrs' compensation. as provided for by Section 3700 of the
Labor!ode, for the pcrformance of the work for which the perrnit is issued.
fi*"and will maintain workers' comp€nsation insurance, as required by Scction 3700 of the Labor Code, for the performance of
the work for which this permit is issued. My workcrs' compcnsirtion insurance carrier and policy numbr are:L 1a;ofoo Fr rLL?r
Policy e -1 \[-l-z
_l cerri& that in the perforrnance of the work for rvhich this perrnit is issued, I shall not employ any person in any miulner
so as to become subject to the rvorkers'conrporsation laws of California. and agree that if I should becorne subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an cmployer to criminal penalties and
civil fines up to one hundrcd thousand dollars ($100,000), in addition to the cost of compensation, danages as provided for the
Section 3076 of the Labor Codc. interest and attorncy's fces.
Date:,l....1:^^-..
LTCENSED CONTRACTOR
DECT..ARATION
I hereby affrm under penalty of pcrjury that I am licensod under provision of Chapto 9 (comrnencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License
-CtO
Number:to Lq.Qqc(--/f- Z 0 ('onlraclor:
W
I h6cby afhm undq pcmlty of pqjury thst thqc is 8 @nsrructbn kading agocy for thc pefomcc of thc wrk for which this pqmit b
issucd (Se. 3097, Civ. C.).
l-ender's Name:
Lender's Address:
AIETICANIDECIA8AIION
I hatby affim uoda pcnalty of pcjury onc of thc following dclantiom:
Dcmolition P6mit$Asb6tos Notificstion Fcdoal Rcgulations (Titlc 40, Psd6)
-Roquircd
ldtq of Notificdion
_l ccri& that thc fcdqsl rcgulstioB rrtildirg Bb6tos moval m oot @licablc to this prcjcl.
tb csri$, tha I luvc €d this applic8tion dd ststc thd th€ abovc itrfomariotr is cord. I agr to @mply with aU City and Couty
6rtruucc ud Statc l:m rclaing to tuilding coEtnrctioq a[d h@by adhorirc rcp(eilativa of this City md Couty to otq upon thc
above mentioned property for
Applicant or Agcnt
Permitee
purposes.
0^{
d{'26
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm I Dampers
Communications Cable
Buildins
Under SIab / Floor Ir ,t
Bondinq I Groundins / UFER lt tq ?,)ft+,ffi
Transformers I
Torqueincl
Sub-Panels
Air Conditioners ,t ,t
Roof Top Equipment tr n 'l/0
Factory Wired Unit 1
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Roush
Ceilings (T-Bar Rough)I I ,l A
Meter Release (r1 7/))wa 7
, ' I
Rouqh
Service Meter rl .l 1 h
FINAL t('[v )VL{"/
Notes, Remarks, Etc.| '\
Rev. 08-07-2015
Exoircs:t
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