HomeMy WebLinkAbout20170246 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #:20170.24fi
Pin #: 94275
Proiect Address: 2246 N Lvon St
Assessor's Parcel: 396-052-14 Lot:
Unit:
Block: A
Bldg: Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Felicia Germany
2246 N. Lyon Street
Santa Ana, CA 92705
(7141 747 -3725
Momentum Solar
3096 B Hamilton Blvd.
SOUTH PLAINFIELD, NJ 07(
(7321 s02-6224
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
22.95
391
Qty
0.00
1.00
Fee
$0.00
$3 e1
$3. 91
$459, S?
Phone:
State Lic #: 1026366
Lic Type: C-10, C46
Bus. Lic #: 368879
Workers' Compensation lnsurance:Carrier: Employee Service Group
Policy #: WC 1125632
lExpires: O4lO1l2O2O
Bgtch*:53123 LT/?L/?fiL9 ID: NGARCIA
0f f ice: CTYH Transi: 43 ? ol 'J.
Acct*: Ref*: 2tJ171t246
Rcpti:02811160 II/21/2trl9 tLz27 Arl
Trnnsact i on Totol S458.82
llornen t un So I nr
11 icrof ilm & Documents
Ltl t 160r.12- 5777lttt0lt-
I t:L Check 0l 0428
,3uilding Use.
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes: lnstallation of roof mounted PV system. Worksheet
attached to plans. All fees paid on #101 102302.
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Chavez, Dave Date: 1112112019
Subject to Field: >C
Account#
Buildins Permit #: 1 01102302
Every permitissued 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.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
$3.e1
$0.00
$3.91
lnspector MtD#'. 201 9-156050
01 1 16002 57770 $3 e1
ELECTRICAL.I NSPECTOR RECORD
()^t no n7 ?^"t,t
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby aflim undo poalty of perjury that I m cxcmpt from thc ('ontmclo6' Liccrc law for thc following remn (Src.7031.5
Busines and Profeion Code): Any City or County which rcquira a pcmh to coEtruct. alt6. improvq dcmolish or rcpair my
strucluc, prior to its issuucc. also rcquira the applicant for such pcnnit to filc a signcd stamot thar hc or shc b licmscd pmgert
to thc provisiore of thc Contractor's Licqscd taw (Chapts 9. Commencing with Sction 7000 of Division 3 of the Busins ild
PrcfosionsCode)orthatheorsheiscxcmptthscfromildthcbasisfortheallcgcdcxoption. AnyviolationofSetionT03l.5byany
applicant for a pemit subj(ts thc applicant to a civil pcnalty ofnot morethil fivc hundred dollus ($500).
_1. as owner of the property. or my employec with \,r'ages as their sole compensation. $'il|do the work and the structure is not
intended or offerd for sale (Sec.7M4. Business and hofessions Code: The Contractor's License Law does not apply to an orvner of
the properly rvho builds or improves thereon. and who does such work himself or herself or through his or her own employees,
provided that such irnprovonents are not intended or offerd for sale. lf. however. the building or irnprovement is sold within one year
of cornpletion. the Orvner Builder will have the burden of proving tha he or she did not build or improve the propo'ty for the purposc of
sale).
_1, as owner of the property, am exclusively contracting rvith licensed contractors to construcl the project (Sec. 7M4, Business
and Profession Code: 'l'he (-'ontractor's License Law does not apply to an owner of property rvho builds or improves thereon.
and n'ho contracts for such projects rvith a Contracto(s) licensed pursuant to the Contraclor's License Larv).
-l
arn exempt under Section--. B. & P.C. for this reason.
Date' Owner:_
WORKERS' CONT PENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workers' cornpensation, as p,rovided for by Section 3700 of the
Labor Code. for the performance of the work for which the perrnit is issued.
_l have and will rnaintain workers' compensation insurance. as required by Section 3700 of the labor Code. for the performance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
.*-. r /tv'tc riqnrn ?1lt,i lt
Policy Number: ? tdf- (lal G7Z Expires: tl (lZ O
_l cerlify that in the perforrnance of the rvork for rvhich this perrnit is issued. I shall not ernploy any person in any manner
so as to become subject to the rvorkers' cotnpensation larvs of California. and agree that if I should bccome subject to the
rvorkers' cornpensation provisions of Seoion 3700 of the Labor Code. I shall. forths'ith cornply rvith those provisions..
WARNING: Failure to secure workers' cornpensation coverage is unlawful. and shall subject an onployer to crimina! penalties and
civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as prfvided for the
Section 3076 of the labor Code. interest and attorney's fees.
a L
t
I hereby affinn under pcnalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
Licensecl^"r,) {-1o I L-t4,
-LicenseNumber: ' ICWZC Utor tr>>Dnte:r Lt['tlI'?-o(4 ('ontrnctor:rt
W
I hwby affm und6 pclalty of perjury tha th@ is 8 consruction lcnding ag6cy for thc pafomcc of thc wort for which this pqmil b
issued (Sc. 3097. Civ. C.).
lgd6's Nme:
Lender's Atldress:
APPLICANT DECLARATION
I hoeby aflirm under penalty of perjury one of the following declarations:
Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pan6)
_Required Later of Notification
-l
cgtify thar the H@l rcgulatioG rcgading 6b6los moval {c not applicablc to this prcjet.
j-lcqtify tha I havc r€d this application ed statc rhd the abovc infomation is conql. I agre to comply with all City aod County
ordinancB and Statc Las rclating to building construction. ad h6cby authorizc rcprffitativG of this City ud County to otq upon thc
above mentioned property for
,^,"t h{ cr/t,tq
A-
Applicant or Agent
t)ernrilee nflmc (print): }(W-h rrvt
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Buildinq
Under Slab / Floor I I I
/a ,l
Bonding I Grounding / UFER 1,wo D tu1 6 t
Transformers I I
Torqueing
Sub-Panels
Air Conditioners I lt \t t I I
Roof Top Eq uipmen tlffitat l,Obo I
Factory Wired Unit l"r
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release
Rough I \n T ,l
Service Meter I L ''afu) \ffr,,w -
FINAL 7-t 46u I 19C^
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