HomeMy WebLinkAbout20172320 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 20172320
Pin #: 94427
Project Address: 1030 S Corta Dr Unit:
Block: NA
Bldg:
Tract: 2868
Address Range:
Historic: No
Suite Range.
Zoning: RlAssessor's Parcel: 108-374-39 Lot: 26
Owner.
Address:
Margarita Alva
1030 S Corta
Santa Ana, CA 927041914
(858) 805-1 477
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 s777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$57.40
$23.7e
$59.30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Solar Discount Group SDG
4195 Chino Hills Pkway #651
Chino Hills, CA 91709
(9511777-6527
State Lic #: 1039520
Lic Type: C46
Bus. Lic #: 376819
Workers' Compensation Insurance:Carrier: State Compensation lnsurance Fund
Policy #: g2t4410
Expires: 0410912021
Building Use:
Job Type.
Nature of Work
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type.
Code:
R-3, U
VB
cEc 2019 Notes: handout given
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:$"rnandez,Kathy
Date:
Date:
Date.11t19t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
TotalSubject to Field:
BuirdinsPermit# 101 105250 01 1 16002 51600
01 1 1 6002 51 603
01 1 16002 57770
$23.79
$1 16.70
$4.05
Fee Total
Paid to Date:
Balance Due:
$144.54
$0.00
$144.54
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-162849
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNI'R IIU II,I)IiR I)T'I,CARATION
I lrcreby afl-rnr under penalty <lf prjury that I arn exenlpl frorrr the Contraclors' License l-aw f<rr the following reason (Sec'.7031.5
Busincss and Prol'cssion Codc): Any City or County which rcquircs a Jrcrrnit to construct, alter. irnprovc. derrxrlish or rcpair any
slructure, prior to its issuance. also requires the applicant ftrr such pemilt to fih a signed slatemenl lhat lre or she Ls licerrsed pursuarrl
to the provisions of tlr Contractor's l,iccnscd law (Chaptcr 9. Comrncncing with Scction 7000 ol'Division 3 of thc Busincss and
Professions Code) or that lrc or slre is exerqrt tlrcrefronr ard tlre trasis lbr tlre alleged exenlplion. Any violatiou of Seclion T03 l .5 by any
upplictnt for o penrrit suhjects the applicant to a civil penalty of not rnore than five hundred dollars ($5m).
_1. a-s owner ol'thc prot!*rty. or rny ernployccs with wages as thcir sole compcnsation. will do thc work and thc stnrcture is not
interxlctl or offered for sale (Sec.7M4. Business and Professiorrs Cotle: The Contraclor's License Law does not apply to an owner of
the property wlxr builds ur inrproves thereon, and wlxr does such work himself or lrerself or thr<lugh his or her own enrployees,
providc'd that such imprrvcmcnts arc rx)t intcnded or ollercd for sale. Il. however. the building or inprovcment is sold within one ycar
of completion, llre Owner Builder will hare the bunlen of pruving that he or she dirl not build or improve tlre propeny for thc purpose of
salc).
_1. us owner of the property. anr exclusively contracting with licensed conlractors to construct the projcct (Sec. 7(X4. Business
and hulbssiorr Code: The Contractor's License Law does not apply to arr owner of property who builds or inrproves thereott.
and who contracts f<rr such proit'cts with a C()ntract()r(s) liccnscd pursuant lo tr*\^ Grntractor's Liccnsc Law).
_l am exempt under Section_, B. & P.C. lbr this rea.son.
Date: Owner:
WORKERS' COMPENSATION
DECLARATION
I hereby aflirm under grcnalty of pcrjury one of the following declarations:
_l have ard will rrraintah a Certificate of Consent to Self-lnsure for workers' con4rcnsation, as provided for by Scction 3700 of the
labor Code, for the performance of the work lor which the permit is issued.
_l have and will nraintain workers' conrpensation insurarrce, as required by Seclion 3700 of thc hbor Code, for lhe performarrce of
thc work for which this permit is issucd. My workers' compcnsation insurance carrier ard gnlicy number are:
carrier: af trTE C.OF{\ e
poricy *r,uo.r' q 1-1 LtLt \ O - ?-<r Expires:Lr-q -Ll
_l ccrtity that in tlrc prfornrancc of thc work frrr which this pcrnrit is issucd, I shall not cn4rloy any pcrson in any manncr
so as to bccornc sulrjcct to thc workcrs'cornlrcrrsaliorr laws of California. and agrce that if I should bccotnc subjcct to thc
workers' cornlrcnsation provisions of Section 3700 of the Lalror Code, I slurll, forthwith conrply with thosc provisiorts..
WARNING: Failure lo secure workers' cornpensation covemge
civil lirres up to orrc lrurrdred lhou.sand dollars (S100.0001. irt
is unlawful. and rn ernploycr to criminal lrcnahies iurtl
danuges as provided frlr lhe
Scction 3076 of thc Latror (ixlc, intc'rcst and attorncy's
pr,". t(-tQ -ZO
I hereby affinu under pnalty of perjury that I anr licensed under provision of Chapter 9 (corrmrencing with Sectiron
of the Bu.siness and l'rofessions Code. and mv license is in full forcc and el'fect.
of Division 3
Liccnse
4{,
,",u \(-tq.z.)
CONSTRUCTION LENDING AGENCY
I hcrcby al'lirrn undcr p^-nalty of pcrjury that thcrc is a construction lcnding agcncy for thc performancc ol'thc work ltrr which this permit is
issued (Sec. 3097. Civ. C.).
Lender's Naute:
lrnder's Adttress:
APPI,ICANT DECI,ARATION
I lrrcby aftirnr undcr Jrcnalty of pcrjury onc of thc following declarations:
Dcnxrlition Pcrnfts-Ashcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd lrttcrr of Ntlification
_l ccrtily that thc fedcral rcgulations rcgarding asbcstos rcmnl'al arc nol applicable to this project.
_l ccrtily tlral I havc rcad this applicaliou iuxl statc tlral lhc ahrvc inlirrnralion is corcct. I agrcc to conrply witlr all City and County
ordinanccs and Statc [:ws
above rrcnt ioned pn)peny
authorizc reprc'scntativcs of this City and County to cnter uJnn thc
Allplicarrt or Agent
Pcrnritec nanlc
[rrr
truilding
[- t<-Lg
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Flnnr
Bondins hdroundinljr I UFER /2--l{'Ztb ,k-&LrTransforM
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release t24*?b Ol ?D b At)t
Rough
Service N/eter
FINAL /Z-lqt -D lLc lst Jentr<> -2n
Notes, Remarks, Etc.
Bev. 08-07-201 5
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