HomeMy WebLinkAbout20173336 - PermitProiect Address: 2622 W Strawberry Ln-a-
Unit.
Block: NA
Bldg:
Tract: 1351
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 101-123-03 Lot: 1 1
@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 20173336
Pin #: 58693Z{/
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Tarsicio Perez
2622 W Strawberry Ln
Santa Ana, CA 92706
(7141 631 -5443
Momentum Solar
539 W Walnut Ave
Orange, CA 92868
(510) 6924261
Fee Type
01 1 16002 5160C General Plan Update
01116002 5777C Microfilm Records
Amount
23.79
4.05
Qty
0.00
0.00
Fee
$0 00
$0 00
PN
tlN 11 t$11
State Lic #: 1026366
Lic Type: C-10, C46
Bus. Lic #: 368879
Workers' Compensation lnsurance:Carrier: American Zurich
Policy #: WCl12563202
Expires: 0410112022
A$a
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 101 106683
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.
lnspector MID#: 2021-1 66 179
05/1712021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: lnstall solar panels
Fee Total
Paid to Date:
Balance Due:
*" pd on lol/oLGb)
$0.00
$0.00
$0.00
ELECTRICAL-INSPECTOR R ECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDUR DELCARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' License Law for the following reason (Sec.7031.5
Business and Profession Code): Any City or County which requires a permit to construct, alter, improve. denrolish or repair any
structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that hc or she is licensed pursuant
to the provisions of the Contractor's Licensed I-:w (Chapter 9, Commencing with Section 70fi) of Division 3 of the Business and
Prcfessions Cotle) or that he or she is exempt therefrom and the basis firr the alleged exemption. Any violation of Section 7031 .5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred tlollars ($5001.
_1. as owner of the pmf,erty. or my employees with wages as their srle compense[bn, willdo the work arxl thc structurc is mrt
interrled or offered for sale (Sec.70t4, Business and hofessions Cule: Thc Contractor's License Law does not apply to an owner of
tlre pmperty wln builds or impnrves therann, arxl wlxr dtres such work himself or trerself or through his or her own employees.
provided that such improvernents are not intended or offercd for sah. lf, hlwever, the building or improvenrnt is sold within one year
of completion. the Owner Buikler will have the burden of proving that he or she di<J not buikl or improve the pnrprty for the purprse of
sale).
_1. as owner of the property. am exclusively contracting with licenscd contractors to construct the pmject (Sec. 7(X4, Business
and hofession Ctxle: The Contractor's License Law does not apply to an owner of proprty who builds or improves thereon.
and who contracts for such pmjects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
amexempt under Section-, B. & P.C. for this reason.
Date: Owner_
WORKERS' COMT'ENSATION
DECLARA'I'ION
I hereby affirm under penalty of perjury one of the following declarations:
_l have antl will maintain a Certifrcate of Consent to Self-lnsure for workers' comp€nsation. as pnrvided for by Section 3700 of the
[-atx:r Code, for the Jrerformance of the work for which the permil is issued.
_lhaveandwill maintainworkers'compensationinsurance,as requiredbySection3Tfi)oftheLaborCode,fortheperftrrmanceof
the work which this permit is issued. My workers' compensation insurance carrier and policy number are:t\lrilz.Policy c 3
_l certify that in the performance of the work for which this permit is issued, I shall not ernploy any person in any manner
so asto becorne subject to the workers'compensation laws of California, and agree that if I should become subject tothe
workers' compensation provisions of Section 3700 of the labor Ctxle, I shall, forthwith comply with thosc pnrvisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall suhject an employer to criminal penalties and
civil fines up to one hundrerl thousand dollars ($lm.Un), in addition to the cost of compensation. damages as provided ftrr the
Section 3076 the Lahrr Code, interest and attorney's fees.
L
DECLARATION
I hereby affirrn under penalty of perjury that I am licensed under provision of Chapter 9 (comrnencing with Section 7m0) of Division 3
of the Business and hofessions Code, and my license is in full force and effect.
License 4b &Nurnber:3QQ
CONS'TRUCTION I I'NIUNG AGtsNCY
I trcreby affirm under penalty of perjury that there ls a construction lending agency for the performance of thc work for which this prmit is
issued (Sec. 3097. Civ. C.).
lrnder's Name:
Lender's Address:
AI'PLICANT DECLARATION
I trreby affirrn under pnalty of prjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Pan6)
-Required
Letter of Notification
_l certify that the federal regulations rcganling asbestos rentrval are not applicable lo this project.
_l certify that I have read this application and state that the atxrve all City and County
onlinances and State Laws relating to enter upln the
atxlve rnentioned property for inspection
Applicant or Agent
l'rnnitee name
imd
z(
Site-Work
Underoround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondins / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Wails (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lVleter Release
Rough
Service Meter t,I
FINAL qh/%-l*r^
Notes Remarks Etc.
I
Rev. 08-07-201 5
D a
is correct. I
representatives