HomeMy WebLinkAbout20170131 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAS27O2 Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:20170131
Pin #: 16764 I
Project Address: 2002 E Kemper Ave
Assessor's Parcel: 390-542-38 Lot: 10
Unit:
Block: NA
Bldg:
Tract: 6530
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Victoria Watson
2002 E Kemper Avenue
Santa Ana, CA 927Os
(s4e) 228-5376
TLP Electric lntegrations db
2460 North Glassell Street, I
Orange, CA 92865
17141 e21-1868
Fee Type
01116002 5160C General Plan Update
01116002 5777C Microfilm Records
Amount
22.95
3.91
Qty
0.00
000
Fee
$0 00
$0.00
State Lic #: 824287
Lic Type: C-10
Bus. Lic #: 343655
Workers' Compensation lnsurance:Carrier: STARNET INSURANCE COMPANY
Policy #: BNUWCoI 31148
Expires. 0710112020
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
Smith, Mark
Hernan dez, Kathy
11tO7 t201 9
11120t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016
Notes. lnstall roof mounted solar panels. FEES PD ON
1 01 102147
Auth on file
Buirdins Permit #: 1 01 1 0 2147
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.
Fee Totat
Paid to Date:
Balance Due:
$0 00
$0 00
$0.00
lnspector MID#: 2019-155681
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION
I haeby affm undo poalty of pcrjury that I m exmpt frem thc Coilraclon' Licw Law for thc following rcon (Se,7031.5
Busins ild Prof6sion Code): Any City or County which requirB a pennit to coNtruct. alto. improvc dcmolish or cpair my
strucluc. Frior to its issuocc, also rcqutB lhc applicmt for such pcmit to filc I siBncd statmot thal hc or shc is lictred pEuet
to thc provisioG of thc Contraclor's Licoscd Law (Chapt6 9, Commocing with S6tion 700O of Division 3 of the Bwins ud
PrcfsionsCodc)orthath€orshcbcxmptthqefromildthcbasisforthcallcgcdcxmption. AnyviolationofsctionT03l.5byany
applicantforapmitsubj(tsthc applicanttoacivilpemltyofnotmorcthilhvchundrcddollas($500).
-
l. as owner of the property. or my employees with wages as their sole compensation. will do the rvorft and the structure is not
intended or offered for sale (Sec.7M4. Business and hofessions Code: The Contractor's License Law does not apply to an ouncr of
the prnffiy who builds or improves theron. and who does such w'ort hirnself or herself or through his or her own employees.
provided that such improvonents are not intendod or offered for sale. lf. horvever. the building or im5novement is sold within one year
of completion, the Orvner Builder will have the burden of proving that he or she did not build or improve the propoty for the purpose of
sale).
-_ I. as o\r'ner of the properly. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7O44. Business
and ttof€ssion Code: The Contractor's License Larv does not apply to an owner of property'*'ho builds or improves thereon.
and who contracts for such p,rojects with a Contracto(s) licensed pursuant to the Contractor's License Law).
_l arn exempt under Section_B. & P,C. for this reason.
0*ner.
WORKERS'COMPEN
DECLARATION
one ofthe following declarations:I hereby affirrn under penalty of perjury
-l
have md will mirtain a Ccatificate of Cotmt lo Self-lreurc for workm' compqsdiou u povidcd for by Selion 3700 of the
labor Codc for thc pcfomilcc of thc wo* for which the psrnit is issued.
fthave ana witt maintain workm' compcreation insurance. c rcquircd by setion 3700 of thc t bor codc. for thc pqfonnucc of
thc work for which thb pemit is i$ued. My worko' ompcnsuion imurucc cuiq md policy numbo re:
I'olicy I:xpires:
_l cerrifu that in the perfonnance of the rvork for rvhich this permit is issued, I shall not employ any person in any manner
so as to become subject to the $,orkers'compensation lau's of California. and agree that if I should become subject to the
rvorketrs' cornpensation provisions of Section 3700 of the Labor Code. I strall. forthrvith comply rvith thosc provisions..
WARNING: Failure to secure workers' cornpersation coverage is unlawful. and shall subject an onployer to crirninal 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 the Labor Code. interest and attorney's
Jo l-l
DECI.ARATION
I hereby affrm under penalty of perjury that I am licensed under provision of Chapto 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my liccnse is in full force and effe<t.
o o-*(Js+l,icense Licenser1
CONSTRUCTION LENDING AGENCY
I hwby alfirm undo penalty of pqjury that th6c is a corutruclion lcnding agocy for the prformcc of the work for which this parnit is
issucd (Sc. .1097. Civ. C.).
kndd's Nmc:
l.cnder's Address:
APPLTCANT DECLARATION
I hereb,y affinn under penalty of pcrjury one of thc following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
_Required Letter of Notification
_l certi& that the fderal rcgulations regarding asbestos removal are not applicable to this project.
_ I ceni& that I havc read this application and state that the above information is correct. I agree to comply rvith all City and County
orclinances and State Larvs relating to City and County to enter upon the
above rnentioned property for
Applicant or Agent
ab
I'ernrilee
and
&c lol
Site-Work
Underground
Pole Bases
Light Standards
Spas, Poo!, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER /-z ? -za KAD
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release / -27*Za /1 C-Z 7
Rough //?-€c 2< ?l I
Service Meter /.2, -La /Zc2n
F!NAL Z-51oe o Rcte,JQ (A> 1n
Notes, Remarks, Etc.
/r /r' r
Contrector'&-
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