HomeMy WebLinkAbout20172221 - PermitProject Address: 13881 N Deodar St
Assessor's Parcel: 396-313-09 Lot:
Unit:
Block: NA
Bldg
Tract. NA
Address Range:
Historic: No
Suite Range:
Zoning:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2o^172221
Pin #: 41728
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Robert Walton
13881 N Deodar St
Santa Ana, CA 92705
(7141 348-0349
Semper Solaris
1805 John Towers Avenue
EI Cajon, CA 92020
(619) 71540s4
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Serv Meter
Subpanel
General Plan Update
lssuance
Microfilm Records
Qty
100
1 .00
1.00
1.00
1.00
Bobch* :571155 LL/?/2020 ID: EL I ZABETT
0rfice: Ciii trgns+: 3q ? t:f ?
Acct*: "'|r Ref*: 2t't17222i
Rcpti:1131t14132 : LI/2/2tt2tt 11 :46 An
Trsnsoct irn
-Titot t8o3 ' 2s
Semper Solnr i s
Amount
57.40
57.40
23.79
59.30
405
Fee
$57.40
$57.40
$23.79
$5e.30
$4.05
t
a
State Lic #: 978152
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 365759
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 90292Ts
Expires: 10110l,2020
Genernl F lnn Uq{gle Fee
I i i l6r-u.r2- 5 I 6tJtJt-t[t[t-
EIectr i cnl
[i t t6lro2- 51603t-tort-
Il icrof i lrn & Docutrtents
tit t t60rJZ- 1777r:rtlr]0-
IlsEt er Car d
i:(:* : ********* x*x[t962
s23 .7?
_ $1?4.1[t
$4. [l5
$gLt3 " ?&
Auth* : tl36t-t57
$201 .94
$0.00
$201 .94
J
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
Service Meter
\,t Hernan dez, Kathy
Occupancy.
Constr Type:
Code.
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Notes: auth on file
Fee Totat
Paid to Date:
Balance Due:
R-3, U
VB
cEc 2019
11t0212020
Account#
Buildins Permit #: 1 01104331
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-1 60873
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 7e
$1 74.10
$4.05
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueing
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 -'4,
/)hr7 /q,rzF!NAL D n.&114 )('Notes, Remarks, Et6.I
I hereby affirnr under penalty of perjury that I an exenrpt from the Cbntractors'License l-aw for the following reason (Sec.7031.5
Busincss and Profcssion Codc): Any City or County which rcquires a pcrrnit to construct, aher. improvc, dcmolish or repair any
structure, prior to its issuance. also requires tlre applicant for such Jrernrit to file a signed statcment that ltc or .she is liccnscd pursuanl
to thc provisions of thc Contractor's l.iccnscd law (Chaptcr 9. Commencing with Section 7fi)0 of Division 3 of thc Busincss and
Professiorrs Code) or that lrc or she is exen4rt therefrom and tlre basis for tlrc alleged exenption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to a civilpenaltyof not more than five hundred dollars ($5{ltt1.
_1. as owncr ol'thc propcrly. or my cmployecs with wages as their solc compcnsation, willdo the work and the structure is not
irrterxlctl or offeretl for sale (Sec.7M4. Business antl Professions Code: The Corrtraclor's Liccnse Law docs not apply to an owner of
the property wlxr builds or improves therurn, und who does such work hinrself or herself or lhrough his or her own enrployees,
provided that such irnprovcmcnts arc not intended or ollercd tor sale. lf, however, thc building or inprorrrrrcnt is sold within one )rar
of compbtion, thc Owner Buiklcr will have thc burtlcn of proving tlrr lre or she did mt buikl or inrpmvc 0rc propctty for thc purposc of
sdle).
_1. as owner of the propertyt am exclusively contracting with liccnsed contractors to construct thc project (Sec. 7044, Business
and hol'ession Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves thereon.
and who contracts for such projects with a Contractor(s) liccnscd pursuant to thc Contraclor's Liccnsc l-aw).
-l
anr exempt under Sectiorr_, B. & P.C. lbr tlris reason.
WORKIERS' CONIPENSATION
DECLARATION
I hcrcby affirm undcr pcnalty of pcrjury onc o[ thc tbllowing dcclarations:
-l
have and will nraintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Saction 3700 of the
Lahor Codc, for thc grcrforrnance of thc work lbr which the grcrrnit is issued.
arrd will nraintain workers' conrpensalion insurance, as required by Seclion 3700 of the [:bor Code, for the perfomrarrce of
My w<lrkcrs' comJrcnsation insuiancc carrier arxl grclicy nunrbcr are:
l'>olicy o c
t
l,
_l ccrlify that in lrcrtirrnuncc of tlrc work for which this pcrmit is issucd, I shall not cmploy any pcrson in any nnnncr
so as to bccorrrc subjcct to thc workcrs' compensation laws of California. and agrce that if I stnuld becorr subjcct to the
workers' conrlrnsation provisiom of Section 3700 of the Labor Code, I shall, forthwith conply with those provisions..
WARNING: Failure lo secure workers'compensation coverage is unlawful. and an employer to criminal penaltics and
civil tines up to one hundred tlpusand dollars ($100.0001. in to tlrc cost danuges frrr the
Scction 3076 of thc Lahor Codc. intcrcst and attorncy's l'ccs,
I hercby affirnr untler penalty of perjury that I arrr licensed with Section 7000) of Division 3
of the Business and Pnrfiessions Code. arrd my is in lull force and e[[ect.
e C Nunrber:
I hercby allirrn undcr pcnalty of pcrjury that thcrc
issued (Sec. 3097. Civ. C.).
Lrnder's Name:
agcncy for thc pcrlbrmancc of thc work lbr which this perrnit is
Lrnder's Address:
APPI,ICANT DECI,ARATION
I lr:rcby ullirnr undcr pnalty of pc{ury onc of thc lirlkrwing dccl;u'ations:
Dcnxrlition Pcrnrits-Asht'stos Notification Fcdcral Rcgulations ('[itlc 40, Part6)
lrttcr of Notification
ccrtily that thc fcderal rcgulations rcgartling asbcstos rcmoval arc not applicablc to this projcct.
ccrtily tlrat havc rcad this applicalion anrl stalc that thc abovc with all City and County
and County to enter upon thcandStatclawsrclatingtobuilding
above rnentioned property for inspcction r/Aplllicant or Agcnt
Pcrnrilec
construction.arxl
inlbrnulion
o
Rev. 08-07-201 5
t
is corrcct.agrc"c to