HomeMy WebLinkAbout20172009 - Permit\/Pc-,t Corc
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 #:2O172OO9
Pin #: 85753
Proiect Address: 2121 S Forest Ave-a-
Unit:
Block: NA
Bldg:
Tract 4606
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 408448-08 Lot: 51
Owner:
Address:
Sa Mai
2121 S. Forest Ave.
Santa Ana, CA 92704
(7141 622-8221
Fee Type
01116002 5160C Genera! Plan Update
01116002 5777C Microfilm Records
Amount
23.79
405
Qty
000
0.00
Fee
$0.00
$0 00
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Solartime Electrical Service:
14371 Euclid Street, #2F
Garden Grove, CA 92843
(626) 7s7-6677
State Lic #: 1051 487
Lic Type: B, C-10
Bus. Lic #: 374129
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 92STT33
Expires: 0711912021
Building Use:
Job Type:
Nature of Work.
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019 Notes: Electrical for solar installation. Worksheet attached to
plans. All fees paid on #101104840
Planning Conditions:
Planning Approva! By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
101104840
Date:
Date:
Date:10t05t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit rssued 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 MID#: 2020-1 61708
ELECTRICAL-INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor tl
Bonding I Grounding I UFER tzt lo Dfftrz 7
Transf ormers I
Torqueinq
Sub-Panels
Air Conditioners Iolk)Roof Top Equipment t7l UTVT 7
Factorv Wired Unit I
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)lt
Meter Release 'D|Y,E-2 7
Rouqh
Service Meter ,l
FINAL lz-t lol-1.,') bll^*ry
Notes, Remarks, Etc.t /
OWNE,R B UII,DIiR DI,LCA RATION
I hereby affnnr under penalty of perjury that I arn exempt fronr the Contractors' Licensc law for the following reason (Sec.7031.5
lJusincss and Prolbssion Code): Any City or County which rcquircs a pcrmit to construct, alter. irnprove, dcmolish or rcpair any
structure, prior to its issuance. also requires the applicant for such grernrit to fih a signed staterncnt that he or she ls licenscd pursuanl
to thc provisions of the Contraclor's l,icenscd Law (Chapter 9. Commcncing with Section 7UD of Division 3 of the Busincss and
Prot'essions Code) or that he or she is exenrpt therefrom and tlre basis for tlre alleged exemption. Any violation of Section 7031.5 by any
applicant for a pnnit subjects the applicant to a civil penalty of not more than five hundred dollars ($5tttt).
_1. as owncr ol'thc. propcrty, or tny crnployccs with wagcs as their sole comlrcnsation, wil! do the work and the structure is not
interxlcd or offeretl for sale (Sec.7B+. Business anrl Profcssions Corlc: The Contractor's License l-aw does not apply to an owner of
the property wlrc builds or improves tlrcrerrn, aurd wlxr does such work himself or lrerself or tluouglr his or her own employees,
provided that such irnpnrvcnrcnts are rmt intendcd or olTerc{ for salc. If. howcver. thc building or inprovenrcnt is sold within onc }car
of completion, thc Owner Buikler will have the bunlcn of pruving that hc or she did not buikl or improve thc propaty for thc purpose of
sale).
_1. as owner of the propeny, anr exclusively contracting with liccnscd contractom to construcl thc project (Sec. 7044. Business
and h,ofession Code: The Contractor's Licerrse Law does not apply to an owner of pro5rcrty who buil<ls or improves lhereon.
and who contracts for such prcrjccts with a Contractor(s) liccnscd pursuant to thc Contractor's Licensc law).
-l
anr exempt under Section-, B. & P.C. lbr tltis reason.
WO RK I.]ITS' COI}T PIiNSATION
DECLARATION
I hcrcby aflirnr undcr pcnalty of pcrjury one of tl'tc tbllowing declarations:
_l have alxl will nraintain a Certilicate of Consent to Self-lnsure for workers' conrgrcnsation, as pnrvided f<lr by Section 3700 of the
lahor Code, for thc Jrcrfonrurrcc of thc work for wNch thc perrnit is issucd.
_l have alrd will nraintain workers' conrpensation insurarrce, as required by Seclion 3T00 of the l-:bor Code, for lhe performance of
thc work tbr which tlris prnrit is issucd. My workcrs' conrJrcn.sation insurancc carricr urd prlicy nurnbcr arc:
Policy Number: lixpires:
_l ccrrify that in tlrc ;rcrfornuncc of thc work for which this pcrmit is issucd, I shall not cmploy any pcrson in any manncr
so as lo bccornc subjcct to thc workers'cotnpensation laws of California. and agree that if I should becorrc subject to the
workers' conr;rnsation provisions of Section 37fi) of the Labor Code, I shall, forthwith conrply with tlxrse provisions..
WARNTNG: Failure lo secure workers' colnpensation coverag,e is unlawful. and shall subject an employer to criminal penalties and
civil fines up to one hundred tlxrusand dollars ($100.0001. in arldition to tlrc cost of comgrcnsalion, dannges as provided for the
Scction 3076 of the Labor Codc, intercst and attorncy's I'ecs.
LICENSED CONTRACTOR
I)T]CI,ARA'I'I()N
I hercby affrnr under pnalty of pcrjury that I anr licensctl under provision of Chapter 9 (conrnrncing with Section 7000) of Division 3
of the llusiness and Professions Code. and my license is in full force and effect.
License Class: License Number:
CONSTRUCTTON LENDING AGENCY
I hcreby aflirrn undcr pcnalty of pcrjury that thcrc is a conslruction hnding agency for the perfiormance of the work for which this pcrmit is
issuetl (Sec. 3097. Civ. C.).
[,ender's Name:
[rnder's Addrcss:
A PPI,ICANT DECI,ARATION
I hctcty allimr under pcnalty of pcrjury onc of thc following dcclalations:
Dcnrolition Pcrnrits-Asbestos Notification Fcdcral Rcgulations (Titlc 40, Part6)
Rcquircd lrttcr of Notification
_l ccrtify that thc fedcral rcgulations regarding asbcstos rcmoval arc not applicablc to this projcct.
_l certify tlrat I luvc rcad this application and statc tlrat thc atxrvc information is correct. I agre,c to comply with all City antl County
ordinances and State [.aws rclating to building construction, and hcreby auttnrizc represcntativcs of this Cily and County to cnter upon thc
above rrrcntioncd propeny for inspection purposes.
Applicant or Agent l\^r,..
Permitcr namc (print):
08-07-201 5
t2) talu