HomeMy WebLinkAbout20158350 - Permita
City of Santa Ana 20 Civic Center Plaza (M-19), Sarrta Arta, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O{5835O
Pin #: 23560
l,u,
Proiect Address: 2206 S Oak Sta
Assessor's Parcel: 016-101-03 Lot: POR 1
Unit:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Policy #:
Expires:
Building Use.
Job Type:
Nature of Work.
German Velasco
2206 S Oak St
Santa Ana, CA 927072925
(7141 749-6621
South West Sun Solar, lnc.
587 1 Westminster Blvd. Ste.
Westminster, CA 92683
(7141 582-3e0e
91 33883
06/01 t2016
Single Family Dwelling
Solar
Solar
Fee Type Amount Qty Fee
State Lic #: 1004667
Lic Type: C-10
Bus. Lic #: 350754
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
PAID
U
NO\/ 1 0 2015
Santa Ana
Notes: lnstall solar panels/pd fees on 10187149
Fee Total:
Paid to Date:
Balance Due:
Type:
3
Planning Conditions:
Planning Approval By:
Plan Checked By:
| / tr/
Permit lssued By: fzUHernandez, Kathy
Subject to Field:
Buildins Permit #: 1 0187149
Date:
Date:
Date:11t10t2015
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 180 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 180 days after the time the work is
commenced.
$0 00
$0.00
$0.00
VB
lnspector MID#: 2015-124917
ELECTR!CAL.INSPEGTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Poo!, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire AIarm I Dampers
Communications Cable
Building ,/
Under SIab / Floor
Bonding I Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment /)d?N . ulmh6
Factory Wired Unit t \./ I
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)\\t
Meter Release \\\
Rough
Service Meter
FINAL \
Notes, Remarks, Etc.
Owner-Builder
IherebvalfirmunderpenaltyofperjurythalIamexemptfornrtheContr.ctors l,icenseLswforthefollowingrason(ss.70l1.5Busincss
.nd Prof6sion Codc): Any City or Coun(y which rcquirB s pcrmit to constnrcl, sltcr. improve. dcmolish or rcpair any structurc. priDr to its
issuancc. also rcquircs thc applicant for such psmit to filc r signcd statcmcnt that hc or shc is liccNcd pumuant to thc provisions ofthc
Contr.clor's Licenscd tiw (Chaptcr 9. Conrnrencin8 with Setion 7000 ofDivision I ofthc Busincs and ProfessioN Codc) or thst hc or
shc is cxcmpl thcrcfton and thc basis for thc sllcgcd crcmption .Any violalion of s(rion 703 1.5 by iny rpplicanr for I pcnnit subjccts thc
applicant to a civil penelty ofnot morc thrn fivc hundrcd dollan ($500).
1.6 owncroflhcprcpcny,ormycmploycwilhwagcsasthcirsolccompcnsation.willdothesorkandlhcstructurcisnotintcndcd
or offcred for sale ( 5@.7044, Business .nd Professions Codei 'l he Contraclor's Liccnse Law does not spply to sn owne. ofthe prop.ny
who builds or improvo thcrcon. and who docs such work himrclfor hmclfor through his or hcr own cmployca. providcd thst such
improvcmcnls arc not intcndcd or offcrcd for sslc. If. howcvcr. thc building or improvcmcnt is sold within onc ycsr ofcomplelion. lhc
Owncr-Builds will havc thc burdcn ofprcving that hc or shc not build or improvc for thc purposc ofsalc).
contracting with licensed contractors lo conslruct the prqject ( Sec. 7044, tsusiness and'fhe Contractor's Law does nol apply to an owner of property who huilds or inrproves thereon. and who
conlracts such proiects with a licensed pursuant to tlre Contractor's l.rcense l^aw.).
under Section _.R. & P.C. for this reason.
Date: _
I hereby affirrn of perjury one
Certificate of_l have and will to Self-lnsure for workers' compensation. as provided for by Section -1700 of the
I-abor Code. for the of the which the pernrit is issued.
.l have and will nraintain insurance. as required by Seclron -3700 of the l,ahor Code, for the performance of the
rnsurance carrier and policy nunrber are:
CL
Policy Number:-g
-Exp
ires, C
('l'his section need not for C)ne hundred dollars {$100} or less)
__l certify that
becanre subject r
ln of the rvork for rvhich this perrnit is issued. I shall not employ any person in any manner so a.s to
to workers' compensation laws of California. and agree that if I should beconre subject to the workers'
of Section 1700 of the l-abor Code. I
/o t{_Applicant
Failure to secure workers' conrpensation criminal penalties and civil
fines to one hundred thousand dollars ($100,000).in addition lo the cosl o[compensalion. darnages as provided for the Section 3076 of
Code. interest and attornev's [ees.
I hereby affrrm under penalty of perjury
the Business and Professions Code. and
LICENSED CON'TRACTORS DE(: LARATION
that I am licensed under provision of Chapter 9 (comnrencing rvith Section 7000) of l)ivision -1 of
rny license is in full frrr6s..a effect.
License class:--C--L q -
,,,", ll Jaq#_f
Number -LAC'kee 7
I hereby affirm under penalty of perjury that there
issued (Sec. 3097. Civ. C.).
l-ender's Name:
agency the performance of the rvork for rvhich this permit is
l.ender's Address
APPLICANT'S DECLARAI'ION
l)ernolition Permits-Asbestos Notification Federal Regulations (Title 40. Part 6)
_ Required Irtterof Notification
I certify that the federal regulations regarding asbestos rernoval are not applicable to this proiect
that I have read this application and state that the above inforrnation is correct. I agree to cornply rvith all City and County
ordinanc6 and Slrtc tiws rclating to building comlruclion. and hrcby suthoriTc rcprGcntatirrs ofthir City and County to otcr upon thc
above mentioned property for
Applicant or agcrrt sig.:
Perrnittee narne ( print ):
purposes.
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