HomeMy WebLinkAbout20165622 - Permitt 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 #:20{65622
Pin #: 72969
a
Project Address: 519 E Pine St
Assessor's Parcel: 404-081-09 Lot: 12
Unit:
Block: B
Bldg: Address Range:
Tract: P S & BLEE ADD Historic: No
Suite Range:
Zoning. R3
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Maria Valenzuela
519 E. Pine St.
Santa Ana, CA 927016027
(7141 326-8485
Star Sun Solar LLC
12966 Euclid Street, #550
Garden Grove, CA 92840
(7141 530-8777
Fee Type
Fee Total
Paid to Date:
Balance Due:
Amount Qty Fee
State Lic #: 1008302
Lic Type: C-10
Bus. Lic #: 363540
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9169581
Expires: 1112112018
Building Use:
Job Type:
Nature of Work:
Planning Gonditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016
Notes. lnstall new roof mounted solar PV system. ALL FEES
PA|D ON 101961 18
r'rr,.ri r''
Zuniga,AllirrrV 04t1212018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Duilding Permit #: 101961 18
Every prmitissued shall become invalid unless the work on the site
authorizeli by such permit is commenced within 180 days after its
issuance, or if the work authorized on the sife by such permitis suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2018-142657
$0 00
$0 00
$0.00
APPROVALS DATE ID/S!G.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bonding I Grounding IUFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wa!!s (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Rough)
N/eter Release
Rough iYarr-
Service Meter r! .rf E U
FINAL lt ll i,.
Remarks Etc.
I hcrchy uffirm under pcnrhy of pcrjury that I um erempt frcm lhc Contracton' Liccnre ljw for the following rcaon (Se.7031.5
Busincss md Profession C.tic): Any City or Counly which rcquitcs a Jumit to construct. ahcr. improvc. dcmlish or rcpdr any
structure. prior lo its issuancc. also requircs the applicant for such pcrmit to filc a signcd statcrrcnt that hc or she is lien*d pursumt
lo lhc pmvisions of lhc Contracto,'s Liccn*{l law (Chaptcr 9. Commcrcing with Scction 7000 of Division 3 of thc Busincss ond
PrcfcssionsCodc)orthBlhcorshciscrctrrptthcrcfromondthcbasisforlhcallcgcdcxcmption. AnyviolationofsstionTO3l.5bysny
applicanl for a pcrmit subjcrts thc applicant to e civil pcnalty of nol mrc lhan five hundrcd doll[s (S500).
-1.
as owncr of the property. or my ctnployees with wages as their solc conrpensation. will do thc work and thc stnrcturc is n<tt
inlcrrdcd or ollcrcd for salc (Scc.7()ll4. Business and hofessions Codc: Thc Contractor's License [.aw docs not apply lo an <lwner of
the propcrty who builds or improves thcrcon. ard who dcrcs such work himsclf or hcrsclf or through his or hcr own cmployccs.
provided that such intprovenrcnts are not intendcd oroffcrcd for sah. If. howcver. thc building or improvcrnent is sold within onc ycar
of cornplction. thc Owncr Builder will havc thc burdcn of proving that hc or shc did not build or improvc the propcrty for the purprscof
salc).
-1.
as owncr of thc propcrly. arncxclusively contracting with liccnsed contractors to construct thc pr<rjcct 1Scc. 7044. Business
and Pmfcssion Code: Thc Contractor's Licensc [,aw does not apply t(! an owner of propcrty who huilds or inrproves thcrcon.
and who conlracls for such projccts with a Corrtractor(s) liccnscd pursuanl to thc Contractor's l-iccnsc Law).
-l
anr cxcnrpl undcr Scction_. B. & P.C. for this reason.
Dale:_
WO RKERS' CO[}I PENSATION
lhcrebyatfirmundcrpcnattyofperjuryoneofthcftlllowi,*ffi
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have and will maintain a Certificate of Conscnt to Self-lnsure for workers' comJrcnsation. as provided for by Seclion .j700 of the
Labor Code. lbr the pcrfornunce of thc work for which thc pcrrnit is issucd.
;!l trave and will maintain workcrs'compensation insurancc. as rcquirc<l by Section 3700 of the l^abor Codc. for the performance o[
ih'e work for which this Jrcrmit is issucd. My workers' comlrcnsation insurancc carrier and plicy number arc:
coni",, Sfa*t, fiLAA h' €L/(t-$cdrnnA
it I v-leovg
,r,,",4Tt2( 2..r*
Policy
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ccrtity that in thc pcrlbrrnancc of thc work lbr which this pcrrnit is issucd. I shall not employ any pcrson in any manncr
so as to bccorrrc subject to thc workers' compensalion laws of California. and agrcc that if I should bcconrc subject to thc
workcrs' contJrcnsation provisions of .Scction -3700 of thc l-atnr Codc. I shall. forthwith conrply with thosc provisions..
WARNING: Failurc to sccurc workcrs' compcnsation covcragc is unlawl'ul. and shall subjcct arr cnrploycr to crinrinal prraltics and
civil fines up lo onc hundrcd thousand dollars (S1ffi.fiX)1. in addition to the cost of compcnsalion. darnagcs as providcd for thc
Scclion 3076 of thc Lahrr Codc. intcrcst and
( )s rrer.
[rnder's Addrcss:
I hcrcby affirrn under pnalty of perjury that I am licenscd undcr provision of Chapn 9 (commencing with Sectbn 7000) of Division 3
of thc Busincss and Profcssions Codc, and my license is in full force and cffect./.
[-iccrrsc Nulnbc'r:lo? gbo?-
Date:_
CONSTRTJCTION LENDING AGENCY
I hcrcby aflirrn undcr lrcnalty of lErjury lhat therc is s construction lcnding agcncy for thc pcrformncc ofthc work for which this lErmit is
issucd (Sa. 3097. Civ. C.).
[rndcr's Nantc:
APPLICANT DECLAITATION
I hcrcby aftirm undcr penalty of perjury onc of thc l'ollowing dcclarations:
Dcmolition Pcrmits-Asbcstos Notificalion Fcdcral Rcgulations (Title 40. Part6)
-Rcquircd
lrttcr of Notification
-l
certify that thc fcdcral rcgulations rcgarding asbcstos rcnrcvalarc not applicable to this projcct.
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certify that I have rcad this application and statc that thc atrrvc information is correct. I agrcc to cornply
rlrclinances and State Laws rclating conslruclion. and hcrcby authorizc reprcscnlatives of'this City and County to cnlcr upon thc
atxlvc rrrcntioncd propcny for
t
lD
with all City arxl County
Applicant or Agenl ,,,",411t1 t%tg
Permitee name QnnO, ?-'
n'7 nn
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