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Home My WebLink About20172801 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical Permit Counter: (714) 647-5800 tnspection Requests: ffM) 667-2738 lnspector Section: (714) 647-5853 Perrnit #: 2O1728Oi Pin #: 26553 -^11a-rProiect Address: 1119 W Fifth Sta Assessor's Parcel: 008-083-15 Lot. POR 4, POR 5 Unit: Block: NA Bldg. Address Range: Tract MCFADDEN & WlLsffiistoric: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Maria Rivas 1119 W sTH ST Santa Ana, CA 927033801 (714l- 953-9357 Clean Energy Solutions 417 W. Allen Ave. Suite 105 San Dimas, CA 91773 (800) 994-1 134 Fee Type 01116002 5160C General Plan Update 01116002 5777C Microfilm Records Amount 23.79 405 Qty 000 000 Fee $0.00 $0 00 Phone: State Lic #. 998787 Lic Type: B, C-10 Bus. Lic #: 349544 Workers' Compensation lnsurance:Carrier: State Fund Policy #: 92921G1 Expires: 02106l,2022 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 Notes: Electrical for new roof mounted solar PV system ALL SOLAR PERMIT FEES PAID ON 101 105899 J Planning Conditions: Planning Approval By: Plan Checked By: Smith, Mark Permit lssued By: Zuniga, Allissa Subject to Field: Buildins Permit #: 101 105899 02t22t2021 07t30t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 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 Total Paid to Date: Balance Due: $0.00 $0.00 $0.00 lnspector MID#: 2021-16431 1 ELECTRICAL-I NSPECTOR R ECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby affinn undcr pcnrlty of perjury thal I m cxempt fpm thc Contnclom' Liccns [:w for thc following rcen (Ss.7031.5 Busincss urd Prcfcssion Codc): Any City or County which rcquircs a lmit to construct, rlter, improvc, &mlish or rcpair any structurc. prior to its issuarce, also rcquires lhc spplicsnt for such [Emit to filc a signcd stalcrcnt thot hc or shc ir liccnsd pursont to thc prcvisions of the Conrrctor's Liccnrcd trw (Chaptcr 9, Comrcing with Sstion 7000 of Division 3 of thc Busincss md Prctbssions Codc) or thst hc or shc is cxctrrpt thscfrom ud thc b&sis for thc allegcd excmption. Any violation of Sstion 7031.5 by my applicant for a pcrmil subj$ts thc applicant to 8 civil pcnalty of trol mrc lhan livc hundrcd dotlus ($500). -1. as owncr of thc propcrty. or my ctnployecs with wages as their rclc compcnsation, will do thc work and the stnrture ls not intended or olTcrcd for salc (Sec.7044. Busincss and hofcssions Codc: Thc Contractor's License Law does not Bpply to an owncr of thc propcrty who builds or improvcs thcrcon. and who dcrcs such work himsclf or hcrsclf or through his or her own cmployccs. providcd that such improvcrnents arc not intcndcd or offercd for sah. If, howcver, thc building or improvcnrcnt is rcld wilhin onc )tar of conpletion. thc Owncr Builder will havc tlre burden of proving that hc or shc did not build or inrprove thc propcny for the purJnsc of sale). -1. a.s owncr of the prolrcrty. am cxclusivcly contracting with liccnscd contractors to construcl thc projcct (Scc. 7W. Business and Profession Codc: Thc Contractor's License Law does not apply to an owncr of propcrty who builds or improvcs thcreon, and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Liccnsc [aw). -l am cxempt under Scction-. B. & P.C. for this reason. hot-. WOIIKERS' COMPENSATION DECLARATION I hcreby affirrn undcr penalty of pcrjury one of the following declarations: -l havc and will maintain a Ccrtificate of Consent to Self-lnsure for workcrs' compensation. as provided for by Sc.ction 3700 of the [-abor Codc, for thc pcrformancc of thc work for which the pcrmit ls issucd. _l havc and Scction 3700 of thc l-abor Codc. for thc pcrformancc of carrier and policy numbcr arc:the work for Policy L -l ccrtify that in thc pcrformancc of thc work for which this pcrmit is issucd, I shall not employ any pcrson in any manncr so as to bccome subjcct to thc workcrs'compensation laws of California. and agrcc that if I should beconrc subject to the workcrs' cornpcnsation provlsions of Scction 3700 of the l-ahrr Codc. I shall. forthwith comply with thosc provisions.. WARNING: Failure to sccure workcrs' comlrcnsation covcragc civil fines up to onc hundrcd thousand dollars ($100.000). in is unlawful. and shall subjcct an cntploycr to crirninal pcnaltics and addition to thc cost of compcnsation, damages as providcd for thc Scction 3076 of thc Labor Codc. intcrcst and attorrcy's fccs.H I hcrcby alllrnr undcr pcnalty of prjury that I am licenscd under 9 (comnrcncing with Section 7000) of Division 3 of the Business and Professions Code, and my licensc is in full force and effect. Liccnsc -(u Nurnbcr:b7, .t o*", Hlu lZt h,-'- W I hcrcby .fftrm undcr pcnalty of pcrjury Ihat Ihm is a ostruaion tcnaing agercy'u the g*Aorlffic of thc work for which lhis pcr;it is issucd (Se. 3097, Civ. C.). lrnder's Name: knder's Address: APPLICANT DT'CLARATION I trcrc'by allirm undcr pnalty of pcrjury onc of thc folkrwing dcclaralions: Dcmolition Permits-Asbestos Notification Federal Rcgulations (Titlc 40. Part6) _Rcqu ircd lrttcr of Notification _l ccrtify that thc federal regulations regarding asbestos rcmoval arc not applicable to this project. -l certify rhat I have read this frplication and state that the above information is correct. I agrc'c to comply with all City and County ordinanccs and Statc laws rclating to constnrction. and hcreby authorize rcprcscnlatives of this City and County to cnlcr ulxrn llrc abovc mcntioncd proprty for purposcs. Applicant or Agent Permitee nanre ,\Zt Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safetv /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor , Bondinq I Groundinq / UFER AIH,L Transformers ll Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls (Conduit) Walls (Roush) Ceilings (Hard & Soffit Rouqh Ceilinqs [-Bar Rouqh)I I Meter Release 4l tr/>,A L{t h\tt Rouqh Service N/eter I FINAL ahqlo,td-tA Remarks Etc. , no on{ tr a I t n