HomeMy WebLinkAbout20172091 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O172O9{
Pin #: 86948
Proiect Address: 412 W Santa Clara Avea
Assessor's Parcel. 002-111-02 Lot: 12
Unit:
Block: NA
Bldg.
Tract: NA
Address Range:
Historic: Yes
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Michael Penilla
412 W Santa Clara Avenue
Santa Ana, CA 92706
(7141 666-1545
Solarmax Renewable Energ'
3080 12th st
Riverside, CA 92507
(s51) 300-0788
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
0.00
000
Fee
$0.00
$0.00
Phone:
State Lic #: 972048
Lic Type: C-10, C46
Bus. Lic #: 346803
Workers' Compensation lnsurance:Carrier: Ace American
Policy #: CG6830615
Expires: 10/01 l2O2O
PAID
ocr m20
City Santa Anaof
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
Solar
Verduzco, ViobilP
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
10t14t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: lnstall solar panels, fees pd on 101 104938.
Fee Total:
Paid to Date:
Balance Due:
Buirdins Permit #: 1 01104938
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2020-162142
ELECTRICAL-INSPECTOR R ECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq I Groundino I UFER
Transformers
Toroueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
JVleter Release
Rough
Service [/eter
FINAL
Notes, Remarks, Etc.
OWNER BUILDER DIII,CARATTON
I hereby affrnt under penalty of perjury that I arn exenlpt frorn the Contractors' License law for the following reason (Sec.7031.5
Busincss and Prol'cssion Codc): Any City or County which requircs a pcrmit to construct, alter, irnprove, demolish or repair any
structure, prior to its issuance. also requires the applicant for such pemrit to file a signed statemenl that lrc or she is licensed pursuant
to the provisions of thc Contractor's l-iccnsed law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and
Professions Code) or that lrc or slrc is exempt therefiom and the basis for tlre alleged exentption. Any violation of Section 7031.5 by any
applicant for a perrnit subjects the applicant to a civil penalty of not more lhan five hundred dollars ($5001.
_1, as owner ol'tlre property. or my ernployecs with wages as their sole compcnsation, will do the work and the stnrcture is not
intendetl or offeretl for sale (Sec.70+a. Business and Professiorts Code: The Contractor's License Law docs not apply to an owner of
tlre propelty who builds or improves thereon, and wlxr does such w<lrk himself or lrerself or through his or her own entployees,
provided that such improvcnrcnts arc not intcnded or ollercd for sale. Il, howcver, the building or improvcment is sold within one year
of conrpletion, ltre Owrrcr Buikler will have the burden of provfurg thx he or she did not build or improve the property for the purpose of
sale).
_1, as owner of the property, am exclusively contracting with licensed contraclors to construct the project (Sec. 7044. Business
and hotbssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contractor(s) licenscd pursuant to thc Contraclor's License Law).
-l
anr excnlpt uttder B. & P.C. tbr this reason.
WORKIIIIS' COMPENSATTON
DECLARATION
I hercby affirm under pcnalty of perjury one of tl'tc lbllowing declarations:
_l lmve and will nnintah a Certilicate of Consent to Self-lnsure for workers' compelxation, as provided for by Section 3700 of the
Labor Code, for thc pcrformancc of the work lbr which the permit is issued.
_I have and will maintain workers' conrpensation insurance, as required by Section 3700 of the Labor Code, for the perfonnarrce of
thc work for this pgrmit is issued. My workcrs'comlrcnsation insurance can'icr and prulicy number are:
a
t)
Policy
_l ccrtity that in tlrc lrrfornnncc of thc work for which this pcrnrit is issucd, I shall not cnrploy any lrcrson in any manner
so as lo become subject to the workers'compcnsation laws of California. and agree that if I should becorrc subject to the
workers' corulrnsation provisiorx of Section 3700 of the Labor Code, I shall, forthwith comply with those provisiotts..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and
civil fines up to thousand dollars ($100,000). in addition to tlte cost of danuges as provided for lhe
Section 3076 intcrcst and attorncy's lbes.
I hereby affirnr under pnalty of perjury that I arn licensed under provision of Chapter 9 (cortrnrencing with Section 7000) of Division 3
of the Business and Code. and my license is in full force and effect.
License Number:
/
C0NSTRUCTION LENI)ING AGENCY
I hcrcby aflirrn undcr pcnalty of perjury that thcre is a construction lending aSency for the pcrlbrrnance of the work lbr which this permit is
issuetl (Sec. 3097, Civ. C.).
lrnder's Name:
APPI,ICANT DECI,ARATION
I trcrcby aftirnr undcr pcnalty of perjury one of thc following declarations:
Demolition Permits-Ashcstos Notification Federal Regulations (Titlc 40, Part6)
-Required
Lcttcr of Notification
_l ccrtity that the fcdcral rcgulations rcgarding asbcstos rernoval arc nol applicable to this project.
ard state tlrat thc ahovc inlbrnration is correct. I agrcc to conrply witlr all City and County
above rnentioned property for
Applicant or Agent
I'crnritcc
and hercby authorize rcpresentativcs of
4
08-07-2015
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