HomeMy WebLinkAbout20170281 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 l.Vl Electrical Permit #: 2O17O28{
Pin #: 37O9OPermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 2004 E Wellington Avea
Unit:
Block: NA
Bldg:
Tract. 8954
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor's Parcel: 400-153-03 Lot: 63
Owner.
Address:
Nadia Faheem
2004 E Wellington
Santa Ana, CA 92701
(7141 4s8-e538
Fee Type
01 116002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
22.95
391
Qty
000
0.00
Fee
$0 00
$0 00
Phone:
Tenant Name:
Contractor
Address:
Senga Energy LLC
2201 Francisco Drive
El Dorado Hills, CA 95762
Phone:
State Lic #. 1033247
Lic Type: C-10
Bus. Lic #: 374481
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9256549-19
Expires. 0612812020
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code.
R.3, U
VB
cEc 2016
Notes:lnstall roof mounted solar panels. Per Expedited
Permit Process For PV Systems Standard String
System. Solar fees paid on 101 102361.
Planning Conditions:
Planning Approval By Date:
Date:
Date:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:Teri 11t27 t2019
Account#Subject to Field:
Building Permit 1102361 Fee Total.
Paid to Date:
Balance Due:
$0.00
$0 00
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 201 9-156188
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION
I hqeby affirm undcr penalty of pgjury that I m cxempt from the Contracto6" Licme Law'for the following rcmn (Sff.7031.5
Buincs md Profsion Codc): Any City or County which rcquirs a pcrmit to comtruct, ahc. improvc, donolish or rcpair my
struclurq prior to its isumcc. slso rcquirs th€ applicat for such pennit to file a signed stalmfft that he or shc b licq&d pmumt
lo thc prcvisio$ of thc Contraclor's Liccnscd tarv (Ctapls 9. Commcncing \rith Sction 7000 of Division 3 of thc Busins md
Prcfesions Code) or that hc or she is cxmpt threftom ad the basis for the alleged cxcmpion. Any violstion of Scction 7031 .5 by any
applicant for a pcnnit subjcts thc applicant to a civil pflalty ofnot morc thm five hundred dollrs ($500).
-1.
as owner of the property. or my employees with wages as their sole compensation. willdo the rvork and the.structure is not
intended or offered for sale (Sec.7M4. Business and Professions Code: l'he Contraclor's License Law does not apply to an owner of
the proper-ty rvho builds or inrproves thereon. and u,ho does such w'ort hirnself or herself or through his or her own employees.
provided that such irnprovanents are not intended or offered for sale. I[, hos'ever. the building or improvement is sold within one ]tzr
of completion. the Orvner Builder will have the burden of proving tha he or she did not build or improve the propoty for the purposc of
sale).
-1.
as owner of the propcrty. am exclusively contracting rvith licensed contractors to construct the projecl (Sec. 7044. Business
and hoftssion Code: The Contractor's License Law does not apply to an owner of property rvho builds or irnproves thcreon.
and u'ho contracts for such projects u'ith a Contracto(s) licersed pursuant to the Contractor's License Larv).
_l am exempt under Section_. B. & P.C. for this reason.
Date: Owner:_
WORKERS' COI\T PENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the follorving declarations:
-l
have and will nraintain a Certilicate of Consent to Self-lnsure for rvorkers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of the rvork for which the perrnit is issued.
-l
have and u,ill rnaintain rvorkers' cornpensation insurance. as required by Sc',ction .i700 of the l.abor Code. for the performance of
the work for rvhich this permit is issued. My workers' compensation insurance can'ier and policy nurnber are:
( 'irt t it'r
Policy Number:_[:xpires:
_l certiS that in the performance of the rvork for rvhich this perrrrit is issued. I shall not employ any pemon in any nranner
so as to beconre subject to the rvorkers'compensation larvs of California. and agree that if I should become subject to the
u'orkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthw'ith cornply rvith those provisions..
WARNING: Failure lo secure u'orkers' compensation coverage is unlarvful. and shall subject an anployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. darnages as provided for the
Section 3076 of the Labor Code. interest and attorney's
D,r", I t/ 2t / lq I
DECI.ARATION
I hereby affrrrn under penalty of perjury that I arn licensed under provision of Chapter 9 (comrnencing with Section 7000) of Division -3
of the Business and Professions Code. and rny license is in full force and effect.t0
License Cl^rr, C {6
License Number:
3s- vt?
i Contractor:_,
CONSTRUCTION LENI'ING ACENCY
I hwby allirm undr penahy of pcrjury that thrc is a consruction lcnding 886cy for the pqformcc of thc work for which this pqrnil b
issued (Se. 3097. Civ. C.).
kndo's Namc:
Lender's Address:
APPLICANT DECLARATION
I hereb'y aftinn under penalty of po'jury one of the following declarations:
Demolition Permits-Asbestos Notilication Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
-_J cqtify lhal lhc fedqal rcgulalioB rcgading 6b6tos rqnoval tre not applicablc to thb prcjcr{.
j- t cotifo that I havc rcad this application sd statethat the above infomation is corcct. I agre to comply with all City and County
ordinancs md Statc Laws rclating to building coBtructiotr md hqeby authorirc reprentativG of this City od County to mt6 upon thc
Permiree name (prinu: lIyL- -Iy!-
I)ora.tl/z 1/q
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire AIarm I Dampers
Communications Cable
Building
Under SIab / Floor
Bonding I Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meten ,l -aaFINAL lT lrl),lq rrJiLl {,1
Notes, Remdrks, Etc.
nCI n7 ?n,l G