HomeMy WebLinkAbout20172137 - Permitl,
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)-667-2738 lnspector Section: (714)647-5853
Permit #i 20172137
Pin #: 68338
Proiect Address: 1318 N Westwood Ave-a
Unit:
Block: NA
Bldg:
Tract: 1095
Address Range:
Historic: No
Suite Range.
Zoning: R2Assessor's Parcel: 405-293-09 Lot: 20
Owner:
Address:
Ana Wences
1318 N Westwood
Santa Ana, CA 92706
(7141 235-2420
Fee Type
01 116002 5160C Genera! Plan Update
01116002 5777C Microfilm Records
Amount
23.79
405
Qty
000
000
Fee
$0 00
$0.00
Phone:
Tenant Name:
Contractor:
Address.
Phone:
Bright Planet Solar lnc
5 A Street
AUBURN, MA 01501
(888) 997-.1469 %IDState Lic #: 1020761
Lic Type: C-10
Bus. Lic #: 367620
Workers' Compensation ! nsurance.Carrier: State Fund
Policy #: 91GOG94
Expires: 1211812020
ocr 21 n20
Ci ty of San ta
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type.
Code.
R-3, U
VB
cEc 2019 Notes: install solar panels/fee pd on 101 105009
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 101 105009
Date:
Date:
Date:10t21t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 fhe 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
lnspector MtD# 2020-162275
ELECTRICAL-I NSPECTOR RECOR D
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BUILDER DEI,CARATION
I hereby affrnr untler penalty of perjury that I am exempt front the Contractors' License l-aw for the following rcason (Sec.7031.5
Business and Prolbssion Code): Any City or County which rcquircs a pcrmit to construct, altcr. irnprovc. demolish or rcpair any
strucrure, prior to its is.suance. also requires the applicant for such grernrit to file a signed slaterEnl that lr or shc is liccnscd pursuanl
to the provisions of thc Contractor's Licenscd Law (Chaptcr 9, Commencing with Section 7fiX) of Division 3 of thc Business and
Professions Code) or that he or she is exem;rl therefrom and tlrc basis for tlre alleged exenption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to a civil pennlty of not rnorc than five hundred dollars ($500).
_1. as owncr ol'the propcrty. or my crnployces with wages as thcir sole compcnsation, willdo thc work and thc structure is not
interxlcd or offered for sale (Sec'.7044. Business and Profcssions Codc: The Contractor's License Law does not apply to an owner of
the Jxogrerty wlro builds or irngrroves therarrl and wllo dtrs .such worlc himself or lrerself or lhrough his or her own entployees,
provided that such improvenrnts arc rrlt intcnded or olTercd for salc. lf. hcrwcvcr, thc building or funprovcnrcnt is sold within one )tar
of comphtion, the Owrrcr Builder will have the burden of proving that lre or she did not build or improve the propcrry for the purpose of
sale).
I. as owner of the propeny, am exclusively contracting with liccnscd contraclors to conslruct thc project (Scc. 7044, Business
arxl hofession Code: The Contractor's License Law dtxs not apply to an owner of proJrcrty who builds or improves thereon.
and who conuacts for such projccts with a Contractor(s) licenscd pursuant to the Contraclor's License taw).
-IanrexemptunderSectiorr-,B.&P.C.lbrthisreason.
WORKERS' COMPENSATION
DECLARATION
I kreby affirm undcr pcnalty of pcrjury onc of tlre tbllowing dcclarations:
_l have and will nr,aintah a Certilicate of Consent to Self-Insure for workers' comperxation, as provided for by Section 3700 of the
Labor Codc, for thc grcrfonnancc of the work lbr which thc perrnit is issued.
_l have arrd will nraintain workers' conrpensation insurance, as required by Section 3700 of the l-abor Code, for the pcrfornnnce of
thc work for which this 1rcrmit is issued. My workcrs' conrpensation insurancc caricr and gxllicy numbcr arc:
Policy Number: Expires:
_l certify that in thc lrcrfornunce of thc work for which this permit is issucd, I shall not cmploy any pcrson in any manncr
so as to becornc suhjcct to the workcrs' conrpcnsation laws of California. and agrce that if I should becorne subject to the
workers' cornpensation provisions of Section 3700 of thc Labor Cbde, I shall, forthwith c<lnrply with thosc provisions..
WARNING: Failure lo secure workers' compcnsation coverage is unlawful, and shall subject an employer to criminal penaltias and
civil fines up to otrc hundred thousand dollars ($100.m0). in addition to the cost of competsation, damages as provided for the
Scction 3076 of thc l-atnr Codc. intercst and attorncy's l'ccs.
)\
I hercby affirnr under penalty of perjury that I artr pruvision 9 (corrrnrcncing with Section 7000) of Division 3
of the liusiness and l'rcfessiorrs Code. and rny in full force and effect.
License
I hcreby allinn undcr pcnalty ol'pcrjury that thcrc is a construction lcnding agcncy
issued (Sec. 3097. Cir'. C.).
pcrlbrrnancc of thc work ltrr which this pcrmit is
l,cnder's Nanre:
[rnder's Address:
APPI,ICANT DECLARATION
I ffiy affrm under penalty of perjury one of the foUowing declarations:
Denrolition Pernrits-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Required
lrtter of Notification
_l certify that the fcderal regulations rcgarding asbestos rennval are not applicabh to this proirt.
-.-
I certify that I luve rcad this application ud state tlut ttre above infonnation is correct. I agree to conrply with all City and County
ordinanccs and Statc l-aws rclating to construction, and hcrcby authorize rcprcscntatives of this City and County to enter upon thc
above tnentioned properry for
Applicant or Agent
Pcrnritee nonlc
D"t", l/_.zl{,0
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor lt I -
Bonding / Grounding / UFER t4ilN MYat/ta,rt(
Transformers I
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
lVetef Release /l a tlVdL(tr t,ililw tr1v./4 d4fl
Rouqh I
Service N/eter I
F!NAL lzl iltn M'ltttlM nff
Notes, Remarks, Etc I
Rev. 08-07-201 5
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