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Home My WebLink About20169945 - PermitProiect Address: 2922 W La Verne Avea Assessor's Parcel: 109-576-09 Lot: 98 Unit: Block. NA Bldg: Tract: 3627 Address Range: Historic: No Suite Range: Zoning: Rl City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7'14)647-5853 Permit #:2o^{69945 pin #: s{E{ifrt Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Elsa Dominguez 2922 W La Verne Ave Santa Ana, CA 927043021 (714l- 338-9610 Vivint Solar Developer 9847 Pioneer Blvd. Santa Fe Springs, CA 90670 (562) s42-1270 Fee Type 01 1 16002 57770 Microfilm Records 00 Botch*:53121 lL/21/?ttLg ID: C(:UELLAF Off i ce: CTYH TrnnEi: ?5 2 of $Acct*: Rel*: 2L1l 6994i Rcpti:02911?25 Ll/21/?ttl9 1?;51 PH Trnnsaction Totol tlr5ug.fJTEric (:urt is Vivint Solar Develsper Amount 391 Fee $3 e1 $3,91 l1 r FLlg .lt7 Qty State Lic #: 973756 Lic Type: B, C-10, C-39, C46 Bus. Lic #: 345470 Workers' Compensation I nsurance:Carrier: American Zurich lns Co Policy #: WCS096013 Expires'. 1110112020 I'l i crof i lrn & Document E t' 1 1 1 6lrtr2- ?:777it00fi - I CL Ch eck 7tt81 Notes: Install roof mounted solar panels. Center fed/plan check req'd. Bttilding Use: Job Type: lNature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Single Family Dwelling Solar Solar Smith, Mark Chavez, Dave -?' Occupancy: Constr Type: Code: Date: Date: Date: R.3, U VB cEc 2016 10t21t2019 11t2'.1t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Buirdins Permit #: 101101 882 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. lnspector MID#: 2019-155219 01116002 57770 $3 e1 Fee Total: Paid to Date: Balance Due: $3 91 $0.00 $3.91 ELECTRICAL.!NSPECTOR RECORD ()^r na n7 ?n,t A APPROVALS DATE ID/S!G,COMMENTS OWNER BUILDER DELCARATION I haeby aflirm undq pcmlty of pgjury lhat I m cxcmpl from lhe ConiractoE' Lic6s Law for thc following rcen (5{.7031.5 Businas and Profeion Code): Any City or County rvhich rcquirG a pcrnit to congruct. allq, improvq dmolish or rcpab my structuq prior to its isumce. also requiB the applicilt for such pcrmit lo file a sigocd stdmal that hc or shc b licilscd plNet to the prcvisions of the Conlmtor's Licosed taw (Chaptq 9. Commencing with S{tion 7000 of Divisiotr 3 of thc Buincs u( PrcfcsionsCode)orthathcorshcisompthocfromildthebasisforthcallegedcxmption. AnyviolatiotrofSedbnT03l.5byany applicantforapqmitsubjntsthe applicanttoacivilpmaltyofnotmorcthmfivchundrcddollas($500). _1. as owner of the properly.or my employees with wages as their sole compensation. rvilldo the rvork and the struclure is not intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Larv does not apply to an orvner of the property u,ho builds or improves thereon. and rvho does such u'o* himself or herself or through his or her own employees. provided that such irnprovanents are not intended or offered for sale. l[, horvcl'er. the building or irnpnovement is sold within one year of cornplaion. the Orvner Builder rvill have the burden of proving thal he or she did not build or improve the properry for the purpose of sale). _1. as owner of the property. am exclusively contracting rvith licersed contractors to construct the project (Sec. 7044. Business and Pnoftssion Code: The Contractor's License Law does not apply to an orvner of property rvho builds or improves thereon. and who contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's l,icense Law). -l am exempt under Section-. B. & P.C. for this reason. l)alc ()u rtcr: WORKERS' COMPENSATION DECLARATION I hereby affrnn under pcnalty of perjury one of the following declarations: -l have and will maintain a Ceitificate of Consent to Self-lnsure for workcrs' compensatio[ as provided for by Section 3700 of the Labor Code. for the performance of the work for which the permit is issued. -l have and will maintain workers' compensation insurance. as required by Section -3700 of the Labor Code. for the pcrformance of the rvork for which this permit is issued. My workers' compcnsation insurance carrier and policy number are: i] hluc ri ca,a, ? v ri c t"Carrier: Policy N..*k-. '\^,c;oquotg Expires:rr> _l cerrify that in the performance of the work for rvhich this perrnit is issued. I shall not employ any person in any manner so as to be<ome subject to the rvorkers' compensation larvs of California. and agreâ‚¬ that if I should become subject to the rvorkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions.. WARNIN(i: Failure to secure workers' compensation coverage is unlarvfiul. and shall subject an onployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section 3076 of Labor o I hereby affrrrn under penalty of perjury -3 of the Business and Profcssions Code. and my license is in full force and effect.I Licensc a C Nurnrrcr: , cl) 5l ta c tt L ('ontraclor:D( \p ormt C t lAt-gcJ W I hrcby aflirrn undo pcnalty of pgjury that thtr b a construction hnding agmcy for thc pgfommce of the work for which this Fmit b issucd (Se. 3097, Civ. C.). Lender's Name: Lender's Address: APPLICANT DECLARATION I hereby affinn under poralty of perjury one of the following declarations: Dernolition Permits-Asbestos Notification Fcderal Regulations (Title 40. Part6) -Required Letter of Notification -l cgtiry that the fcdqal regulatiom rcgading rebstos rqnoval se not applicablc to this prcjâ‚¬t. 'D!{ csriry tUt I havc rod rhis application and statc that thc abovc infomation is coret. I agre to comply rvith all City dd County ordinsncG od State tas relating to building coNtruc,tior\ atrd hreby authorize reF6fftativs of this City md County to ot6 upon tlE above rnentioned property for inspection purposes. L9Applicant or Agent * pernrireenan,c(pri,r): rL D 4 n i C I V Cl(qqt ,^,",- \fzf f q Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltase Fire Alarm lDampers Communications Cable Building Under Slab / Floor R Bonding I Grounding / UFER 12-2o.l"l klwl Transformers \./ Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release ,4\ Rough |a,:/t ,7-fu-['t)rlLVc) Service Meter \A /t\ FINAL {2.-u-ls l*rYWtl Notes, Remarks, Etc.lv _+