HomeMy WebLinkAbout20173513 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (7141647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)-647-5853
Permit #:2o^1735{3
Pin #: 79{OO
Proiect Address: 809 S Aztec Cira
Assessor's Parcel: 109-732-20 Lot: 194
Unit:
Block: NA
Bldg
Tract: 4025
Address Range:
Historic: No
Suite Range.
Zoning: Rl
d
Owner:
Address:
Phone:
Tenant Name:
LLOYD E CABLE
809 S AZTEC CIR
Santa Ana, CA 927041507
(7141 s72-2s57
Clean Energy Solutions
417 W. Allen Ave. Suite 105
San Dimas, CA 91773
(800) 9e4-1 134
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Serv Meter
General Plan Update
I ssuance
Microfilm Records
Amount
57.40
23.79
59 30
405
Qty
100
1 .00
100
100
Fee
$57 40
$23 79
$se 30
$4 05
Contractor:
Address:
Phone:
State Lic #: 998787
Lic Type: B, C-10
Bus. Lic #: 349544
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9292161
Expires: 0210612022
Batch*:5?838 7 /gi?AZI ID: HPINEDA
Uf f i ce: CTYH Tr'on s# : 14 2 cf 'i
Acct*: ftef*: 211173515
ftcpti: u33+63rr2 7 / g/ 21t21 9: 31 AH'[ron soct i on Tot o I t661 . 34
(:l enn Ener's s So l ut r on E
Generol Plqn Update Fee
Ltl I 16rrtt2- 51ot-tt t[t[t[t-
Electr icql
u1 I 161102- 51o03[t[ttt-
11 icrof ilr & DocumentE
Lr 1 1 l61102- 177 7uttt"t0-
I (:L (:h ecl: tl[l[l[l[102 I ? I
$23
$ 116
t1
$661
/t
/lr
. t-lI
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar/Service Meter
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2019
Notes: ADD TO EXISTING - roof mounted solar panels, solar
fees paid on 101106973. Service meter handout given.
Planning Conditions:
Planning Approval By:
Plan Checked By: Smith, Mark
Permit lssued By: Chavez, Dave
06t28t2021
07 t08t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
TotalSubject to Field:
Buildins Permrt #: 1 01 106973
7?
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 fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
$23 79
$116 70
$4 05
Fee Total:
Paid to Date.
Balance Due:
$144.54
$0 00
$144.54
Inspector MID#'. 2021-166804
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirrn undcr pen{lty of pcrjury that I m exempt fDm thc Contrcto$' Liccnsc kw for thc following rcarn (Scc.7031.5,
Busincss and Profcssion Codc): Any City or County which rcquircs r fqmit to construcl, aher, improvc. dcmlish or rcpair any
slructure, prior to ils issumc, ds rcquircs thc spplic{nl for such pcrmit to filc a signcd stalcmnt that hc or she is liccnsd pursuant
to Ihc Fovisions of thc Contracror's Licenrcd taw (Chaptcr 9. Commrcing with Sation 7fi)0 of Division 3 of the Busircss snd
PrclbssionsCode)orthatheorshciscxcmptthcrcfrcmondthcbasisforthcallcgcdcxcmption. AnyviolationofsslionT03l.5bysny
applicant for a permit subjsts ihc applicant lo a civil penalty of not mrc than fivc hundrcd dollus ($50O),
_1. as owner of thc propcrty, or my employccs with wagcs as thcir solc compcnsation. will do thc work and thc structurc is not
interrdcd or offcred for sah (Sec.7O44, Business and Profcssions Codc: Thc Contraclor's Licensc law docs not apply to an owncr of
thc pnrpcrty who builds or improvcs thcrcnn, and who docs such work himsclf or hcrsclf or through his or her own employces.
providcd that such improvcnrnts arc not intcndcd or offed for s:rlc. If. howevcr. thc buihing or improvcnrnt is sold within onc )ear
of comphtion, the Owner Buildcr will havc thc burdcn of proving thal he or she dkl not build or improve thc proprty for the purposc of
sale).
_1. as owncr of thc propcrty. am cxclusivcly contracting with liccnsed contraclors to construct thc projcct (Scc. 7W. Busincss
and Profcsskrn Codc: Thc Contractor's License Law docs not apply to an owner of proF,crty who builds or improves thercon.
and who contracts for such projccts with a Contractor(s) liccnsed pursuant to thc Contractor's Licensc taw).
_l anr excmpt undcr B. & P.C. for this rcason.
Owner:
WORKTRS' COMPENSATION
DECLARATTON
I hereby affirnr under pcnalty of prjury one of thc following declarations:
_l have and will maintain a Certifrcatc of Consent to Sclf-lnsurc for workers' compensation. as provided for by Section 3700 of the
[:bor Codc, for thc pcrformance of thc work for which thc grermit is issucd.
_l havc and will maintain workers' comlrcnsation insurance, as requircd by Scction 3700 of thc L:bor Code. for the performance of
the work for which this permit is iszued. My workers' compcnsation insurance carrier and policy numbcr are:
C.,f n Ia
Policy e e-l)
_l ccrtifythat in lhc pcrformancc of thc work for which this permit is issued. I shall not cmploysnypcrson in any lllsnncr
so as to bccomc subjcct to the workcrs' compensation laws of California. and agrce thal if I should become subject to thc
workers' compcnsation provisions of Section 3700 of the Latnr Codc, I shall, forthwith comply with those provisions..
WARNING: Failurc to wurc workcrs'compcnmtion svcrogc is unlowful. and shall subjcct an cmplolcr lo qiminrl Fmltics 8nd
civil lines up to orc hundrcd thoussnd dollus (Sl0o,mo). in addilion to thc cos of comJrcn$tion, dmgcs &s providcd for thc
Scction 3076 of thc l;rbor Codc, intcrcst and attorncy's fccs.
l^/^,00 o,
I hcrcby affrm under pcnalty of pcrjury that I am licensed under provision of Chapter 9 (comnrcncing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
Liccnseclurr, . C - I O LicenscNumbcr: - q ? 6) g a
o"rc, e ?- €-)l conrracror,* B{rt,oov 40.fr/l
W
t hcrcby afftrm undcr pcnalty of JE jury that thcrc is a onstruction lending ogcmy for the ]fTformncc of thc eork for which lhis lrrmit is
issucd (Scc. 3097, Civ. C.).
[.cndcr's Narnc:
[.endcr's Addrcss:
ASELICANLDEC|IAEAIION
I Hy afm undr penalty of perjury ore of thc following dslsrations:
Dcmlilion Pcrmits-Asbqtos Notification Fctcnl Rcgulstiotrs (Title 40. Pafi6)
-Rc4uLed
[rner of Notifrcarbn
-l
ccrlify that thc fedml rcgulations rcguding sbestos rcmval e mt applicsblc lo this prcj61.
W-&*rrr r^l h8w rc8d this rpplicatbn lrd statc thal tlE aborc infornution is comt. I sgrc ro omply vith rll City and Counry
odirares .rd State [{ws rchting to buiHing onstruciion, ard h@by authoriz rcprcsntatives of this City 8rd County to ents upon thc
above rncntioncd propcrty for inspection 00 -g-r l
Applicnnt or Agent
Pernritee nanre rorinr):D(. WrLL OtOonwe tr
h^.^. .1
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Sl ab I Floor
Bondinq I Groundinq / UFER 8--?s-vl lcn<f r{ z
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
lMeter Release 8-?x -?t DZ?(t',h-
:^tt> (**eh
Rouqh B-?-{- 2l D.t--t r.L
Service N/eter Lt t-rV1 n .--..ll rb-
FINAL I -?-{-? ^t rvG.n6* o*L
Notes, Remarks, Etc.
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