HomeMy WebLinkAbout20171909 - 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^171 9O9
Pin #: {5E64
Proiect Address: 2111N Ross Sta
Assessor's Parcel: 002-111-29 Lot: POR 34
Unit
Block: NA
Bldg:
Tract: 788
Address Range:
Historic: No
Suite Range:
Zoning. R1
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address.
Phone:
Annie Burns
2111 N Ross St
Santa Ana, CA 927062507
Aikyum Solar
1220 Roosevelt, Suite 100
lrvine, CA 92620
(94s) 70s-6797
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
000
000
Fee
$0 00
$0 00
State Lic #: 986427
Lic Type: C46
Bus. Lic #: 349817
Workers' Compensation I nsurance:Carrier. State Fund
Policy #: 916732
Expires: 0712012021
Building Use:
iob Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019
Planning Conditions:
Buildins Permit #: 101 1 05005
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after ifs
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.
Planning Approval By. Date:
Plan Checked By: Smith, Mark Date: 0912812020
Permit lssued By: Chavez, Dave , Date: 1Ol2Ol2O2O
subject to Fierd:
chavez'o^V u Date:
Account#
Notes: lnstall solar panels/fee pd on 101105005
Fee Total:
Paid to Date:
Balance Due:
Misc. Receipt:
Misc. Receipt:
Mrsc. Receipt.
Total
$0 00
$0 00
$0.00
lnspector MrD#'.2020-1 61590
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor /, t nl .- a,
Bondins I Groundins I UFER L, l/&/)@4t#€,t6w
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinss (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
[\4eter Felease lt AI ft
Zil{CYPLT 'd/1,ru UrrDOa
Rouoh
Service N/eter t l-tl r1
FINAL l/t^tr/,/4lJ -n0
Notes, Remarks, Etc.
--b>
OWNI',R BUILDER DIILCARATION
I hereby affrnr under penalty of prjury that I anr exenpt frorn the Cbntractom' License law for the following rcason (Sec.7031.5
Busincss and Profcs.sion Codc): Any City or County which requircs a permit to construct, altcr, irnprovc, demolish or rcpair any
structure, prior to its issuance. also requires the applicant for such Srcrnrit to file a signed staterncnt that lre or she is licerrscd pursuant
to thc provisions of thc Contraclor's Licenscd law (Chapter 9, Comrncncing with Section 7fiX) of Division 3 ol'thc Business and
Professions Code) or that he or she is exempt therefronr and tlrc basis for tlrc alleged exenption. Any violation of Section 7031.5 by any
applicant for a 1rcnnit subjects thc applicant to a civil pcnalty of not more than five hundred dollars ($5tttl).
_1. as owncr ol'ttrc propcrt),. or nry crnployccs with wages as thcir solc compensalion, will do thc work and the structure is not
intcrxled or offeretl for sale (Sec.704a. Business anrl Prufessions Codc: The Contractor's Licensc Law does not apply to an owner of
the prcgrerly wlxr builds or improves llrre<rn, and wlto does such work himself or lrerself or tluough his or her own entployees,
providcd that such irnprovernnts arc not intendcd or ollbrcd for sale. Il. howevcr, the buikling or improvcrncnt is sold within one year
of conpletioq the Owrrcr Buikl,er will have thc burdcn of proving ttrat hc or she did not buikl or improve thc proputy for tlre purpose of
salc).
-1,
as owner of the property, am exclusively contracting with licenncd contracloni to conslruct tlrc projcct (Sec. 7(X4, Business
and Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who conlracts for such projects with a Contracto(s) licenscd pursuant to thc Conuactor's Licensc l.aw).
-l
anr exempt under Section-, B. & P.C. tbr this reason.
I 1...,..
WORKIiRS' COM PENSATION
DECLARATION
I hcrcby affirm undcr Jrcnalty of pcrjury one of thc lirlkrwing dcclarations:
_l have arxl will nnintain a Certilicate of Consent to Self-lnsure for workers' conrlrcrusation, as provided for by Section 3700 of the
Labor Codc, for thc perforrnancc of the work lbr which thc pernrit is issucd.
-Ithe
have and will nraintain by Section 3700 of the l-abor Code, for thc performance of
uxt plicy numhcr are:work for which carricr
a T {u^q
Policy a q 2oz-o -\+- )o - Ll
_l ccrrify that in thc lrcrfornuncc o[thc work for which this grcrmit is issucd, I shall not cmploy any pcrson in any menncr
so as lo beconrc subjcct to the workcrs'compen.sation laws of California. and agrce that if I should become subject to thc
workers' conrpensation provisions of Section 37fi) of the Labor Code, I shall, forthwith comply wilh thosc provisiorts..
WARNING: Failure to secure workers'compcnsation coverdge is unlawful, and shall and
civil fines up to one hundred tlrousand dollars ($100.000).
and attorney's [ces.
ilt addition to llte cost ol'for lhe
.Scction 3076 of thc
(,o a,
I hereby affirnr under penalty of perjury that I anr licenscd under 9 (conurpncing with Section 7firc) of Division 3
of the Business and Professions Code. and my license is in full force aml effect.
License o c-lo c- 7a Nurnber: e
,fo
I hcrcby al'lirm undc'r pcnalty of pcrjury that thcrc
issued (Sec. 3097. Cir'. C.).
a construction for thc pcrlbrmancc ol'thc work l'or which this pcrrnit is
l-ender's Nanrc:
Lrnder's Address:
A PPI,ICANT DECI,ARATION
I hrcby affrnr undcr pnalty of pcrjury onc of the folklwing doclarations:
Dcnxrlition Permits-Asbcstos Notification Federal Rcgulations (Title 40, Part6)
_Rcquircd l,cttcr of Notification
_l certily that thc fedcral rcgulation.s rcgarding asbcstos rcmoval are to this projc',ct.
_l ccrtily tlral I havc rcad this application and stalc thal thc is corrcct. I agrcrc to conply with all City antl County
ordinanccs and Statc Laws relating to building of this City and County to cnter upon thc
above rncntioned properly for inspection purposes.
Applicant or Agent
Pcrnrilec
ur".t (a- q -Zo
Rev. 08-07-201
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