HomeMy WebLinkAbout20172141 - 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 #: 2o^172141
Pin #: 40,452
Project Address: 2857 N Augusta Way Unit.
Block: NA
Bldg:
Tract: 15648
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parce!. 232-101-26 Lot. 52
Owner:
Address:
Peter Nguyen
2857 N Augusta Way
Santa Ana, CA 92706
(619) 56s-4482
Fee Type
01116002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
405
Qty
0.00
000
Fee
$0 00
$0.00
Phone
Tenant Name:
Contractor:
Address:
Tesla Energy Operations
2102 Alton Parkway
lrvine, CA 92606
1702l- 785-2ss8Phone:
{0State Lic #: 888104
Lic Type: B, A, C-10, C-20, C46
Bus. Lic #: 324801
Workers' Compensation I nsurance:Carrier: American Zurich
Policy #: WC 107458302
Expires: 10/31 l,2020
Building Use:
Job Type:
Nature of Work.
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2019 Notes: lnstall roof mounted solar panels. Fees pd on
1 01 1 0501 4.
Planning Conditions:
Planning Approval By:Date:
Date:
Date.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked
Permit lssued Julie 10123t2020
Account#Subject to F
Building Permit #:1011050 14 Fee Total:
Paid to Date:
Balance Due:
$0 00
$0 00
$0.00
Every permitissued 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.
lnspector MID#: 2020-162280
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SlabAOr
Bondins lGroNiis / UFER /z'/-2d l/Lcb u)
Transformers
Torqueing \
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Roush)
N/eter Release
Rough
Service N/eter \l*t\/) .?a t4 4an
F!NAL ,//q e -os lL utt)rvzftA> ?1 '/
Notes, Remarks, Etc.
o
I hereby atfrnr under penalty of perjury that I anr exenlpt frorn the Contractors' License [:w for the following reason (Sec.7031.5
Business and Prol'cssion Code): Any City or County which rcquircs a permit to construct, altcr, irnprove, dcmolish or repair any
structure, prior to its issuance. also requires the applicart for such Jrernrit to file a signed slatement that lte or she is licenscd pursuant
to thc provisions of thc Contractor's Liccnscd l:w (Chapter 9. Commcncing with Section 7000 of Division 3 of the Business and
Professions Code) or that he or she is exempt therefronr arxl the basis for tlre alleged exemption. fuiy violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to o civil penalty of not more than five hundred dollars ($500).
_1. a.s owncr ol'thc propcrty. or my crnployecs with wages as thcir solc compcnsation, willdo thc work and the struclure is not
interrletl or offered for sale (Scc.7@4. Business and Profcssions Code: The Contractor's Liccnsc [^aw does not apply to an owner of
the prcgrcrty wlro builds or inproves thereon, and wlp does such work himself or herself or through his or her own enrployees,
provided that such improverncnts are not intended oroffercd for salc. If. hcrwevcr, thc hilding or inprovenrcnt is soH within one )rar
of conpletion, thc Owncr Buil&r will have the burden of proving tha he or shc did not buikl or irprove thc propaty for thc purposc of
sale).
-1.
as owner of the property, am exclusively contracting with liccnscd conlractors to conslruct thc projcct (Sec. 7044. Busincss
arxl Prolbssion Code: The Contractor's License Law does not apply to an owner of property wtro builds or improves thereoru
and who conracts for such projccts with a Contractor(s) licensed pursuant to thc Contractor's License l-aw).
-IamexemptunderSectiolt-,B.&P.C.forthisreason.
WORK T',I(S' CONT PENSA'TION
DECLARATION
I hcrcby aflirm undcr pcnalty of pcrjury onc of the following dcclarations:
_l have and will nraintain a Certificate of Consent to Self-ln.surc for workers' conrJrcnsation, as provided for by Scction 3700 of the
Labor Code, for the lrcrfonnancc of the work for which thc pcrmit is issued.
and will lnaintairr 3700 of the I-:bor Code,for tlrc perfonrunce of
wlrich euxl gxrlicy nu lrrtrt'r arc:
Policy Z3o
_l ccrtity that in thc pcrlbrnrancc of thc work firr which this prnrit is issucd, I shall not cnrploy any pcrson in any manncr
so as lo bcconre subjcct to thc workers' compcnsation laws of California. and agree that if I should becomc subject to thc
workers' conrlrcnsation provisiorrs of Section 3700 of the Labor C'ode, I shall, forthwith conrply with thosc provisions..
WARNING: Failure to secure workers' compensation coverdge is unlawful, and shall subject an employer to crirninal penahies and
civil fines up to one hurrdred thousand dollars ($100.000). in addition to tlrc danuges as provided for thc
Scction 3076 thc labor Code. intercst and attorncy's
I hercby affirnr under pnalty of perjury that ,
of the Busincss and Professions Code. and
LICENSED CONTRACTOR
DIiCI,ARATION
I anr licensed under pruvision of Chapter
rny license is in full forcc and effect.
9 (corrunencing with Section 7000) of Division 3
r 0+
License
I hercby affirm under penalty of pcrjury that thcre
issucd (Scc. 3097. Civ. C.).
knder's Name:
a8ercy performance of thc work lbr which this permit is
lrnder's Address:
APPI,ICANT DECI,ARATION
I trcrcby affrnr undcr pcnalty of perjury onc of the following doclarati<lns:
Dcnxrlition Pcrnrits-Asbcstos Notification Federal Rcgulations (Title 40, Part6)
_Requircd l-ctter of Notification
ccrtily that the fedcral rcgulations rcgarding asbcstos rcmoval arc not applicablc to this projcct.
tlrat luvc rcad this application aurd stalc that thc ahlvc
irnd Statc Laws rclating tlx:
ahrve property lor
Aplllicant or Agent
Pcrmitcc
(tl building construction.and
infbrnration
Rev. 08-07-201 5
a
as by Section
CAITrcT
).-l - )
and Counly cntcr upon