HomeMy WebLinkAbout20170350 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O17O35O
Pin #: 35220
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:
Emerita Velasco
2206 Oak St.
Santa Ana, CA 927072925
(7141 s2e-0211
Vivint Solar Developer
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(s62) s42-1270
Fee Type
01116002 5160C General Plan Update
01116002 5777C Microfilm Records
Amount
22.95
391
Qty
000
0.00
Fee
$0.00
$0 00
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance:Carrier: American Zurich lns Co
Policy #: WC5096013
Expires'. 1110112020
Building Use.
Job Type:
Nature of Work:
Planning Conditions:
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 SOLAR
FEES PAID ON 101 102461
Zuniga,AIrrY 12t09t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 1 01 1 0 2461
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 fhe sife 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#: 2019-156365
OWNER BUILDER DELC'ARATION
I hceby alfum unds pcrulty of pcrjury thar I m cxempt from thc Contractos' Licw Law for thc follorving rcon (5{.7031.5
Businss and Profsion Codc): Any City or County rvhich rcquire a pemit to @Nlruct. altc, improvc. dmolish or repai: a:v
structua prior to its isumcc, also rcquira thc applicat for such pernit to filc a signed statmot tha hc or shc b licmcd pusmt
to thc provisioN of the Contractor's Liccnscd trw (Chapto 9. Commcncing u'ith Sction 7000 of Division 3 of the ltusine md
Prcfesions Code) or that he or she is cxempt thqefrom ild thc basis for thc allegcd cxmption. Any violation of Sstion 70-l L5 by any
applicetforapcnnitsubjetsthc applicanttoacivilpmaltyofnotmorcthafivchundrcddollus($500).
_1. as owner of the proprerty. or my employees with rvages as their sole compensation. willdo the work and the structure is not
intended or offered for sale (Sec.7M4. Business and Professions Code: The Contractor's License Larv does not apply to an owncr of
the property who builds or improves theron, and who does such work himself or herself or through his or her own employees.
provided that such improvonents are not intended or oflered for sah. I[, horvet/€r. the building or improvement is sold within one year
of complaion. the Orvner Builder will have the burden of proving that he or shc did not build or improve the propoly for the purpose of
sale).
_1. as owner of the propcrty. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7044. Business
and Profession Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon.
and who contracts for such projects rvith a Contractor(s) licensed pursuant to the Contractor's Liccnse taw).
-l
am exempt under Section-. B. & P.C. for this reason.
Date:_
I hereby alTirm under penalty of perjury one of the following declarations:
-t
have and will rnaintain a Certificate of Consent to Self-lnsure for rvorkers' compensation, as povided for by Section 3700 of the
Labor Code. for the perfonnance of the work for which the pennit is issued.
--l have and will maintain workets' compensation insurance. as required by Section 3700 of the labor Code. for the perfonnance of
the work for which this permil is issued. My rvorkers' compensation insurance carrier and plicy number are:
c*| ,, fi(wLv\ [hn alvlcl^
Poricy Nr,rb*,' W(-qMlJC O b t\
-Expires:
I
q
I r lt-o
_l certify that in the perfonnance of the work for rvhich this permit is issued. I shall not employ any person in any mantlcr
so astobecomesuhje,cttothervorkeis'cornpensationlarvsofCalifornia.andagreethatiflshouldbecomesubjecttothe
rvorkcrs' compensation provisions of Section 3700 of the l-abor Code. I shall. forrhrvith cornply rvith those provisions..
WARNTNG: Failure to secure norkers' compensation co!'erage is unlan'lul. and shall subject an to criminal perulties and
civil fines up to one hundred thousand dollars in addition to the of as provided for the
Section -1076 of the Labor Code. interest and
4
I hereby affrrm under penalty of perjury that I zun licensed 9 (commencing with Section 7000) of Division -3
of the Business an{ Professions Code, and my license is in full force and effcct.
( :-4
License
Date:
L-'License Number:
\-Ll4 I tq aon,*\A%:
W
I h6eby affim unds pcnalty of pojury tha thoc is a coBtruction ldding agmcy for thc perfomecc of thc sork fot which this pqmit is
issued (Sec. 3097. Civ. C.).
[.ender's Name:
Lentler's Address:
APPLICANT DECLARATION
I hereby allirm under panalty of perjury onc of the follorving declarations:
Demolition Permits-Asbcstos Notification Fcderal Regulations (Title 40. Part6)
-Required
Letter of Notification
_-_l cerrifu that the fbderalregulations regarding asbestos removalare not applicable to this projecl.
certify that I have read this application and state that the above I agree to comply with all City and County
and State Larvs relating to building and of this City and County lo enter upon the
above mentioned property for
Applicnnt or Agent ilnt",zl qltq
l'crnritee nAnle (print):__
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter I
7/zZ/"//,F!NAL 'D /r#Qt)
Notes, Remarks, Et6. /
I
>A A
()^'
ELECTRICAL.! NSPECTOR RECORD
\-7 )n -r,
--
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