HomeMy WebLinkAbout20172744 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2o^172744
Pin #: 9EE33fu//
Proiect Address: 1806 N Westwood Ave-a- -
Unit:
Block: NA
Bldg:
Tract: 1134
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 399-072-11 Lot: 5
Owner:
Address:
Teresa Liao
1806 N Westwood Avenue
Santa Ana, CA 92706
(626) 31944s5
Fee Type
01 116002 51600 General Plan Update
01116002 57770 Microfilm Records
Amount
23.79
4.05
Qty
000
0.00
Fee
$0 00
$0 00
Phone
Tenant Name:
Contractor:
Address:
Tesla Energy Operations
2102 Alton Parkway
lrvine, CA 92605
(7141 4e6-0688Phone
State Lic #: 888104
Lic Type: B, A, C-10, C-20, C-46
Bus. Lic #: 324801
Workers' Compensation I nsurance:Carrier'. Zurich American
Policy #: WC107458303
Expires: 10/31 12021
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code.
R-3, U
VB
cEc 2019
Notes: lnstall roof mounted solar panels. Fees paid on
101105860."** REVISION TO 20172744 - CHANGE lN
INVERTER D.C. 9-1 3-21***
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie
1 01 1 05860
Date:
Date:
Date:03t22t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
TotalPr.
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 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 MtD# 2021-1641 86
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq / UFER (l6l?L bkr*g
Transformers
Torqueing
Sub-Panels
Air Conditioners I
Roof Top Equipment (,1 ' l€ l"L DW*r
Factory Wired Unit T
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)I
N/eter Release ItSl zr AKYY 7
v I
Rouqh
Service Meter l/
FINAL 7 (5tu T#>
Notes, Remarks, Etc.l
-+
OWNER BUILDER DELCANATION
I hercby aflirm undcr penalty of perjury that I m cxempt frcm thc Contracto6' Liccns kw for the following reen (Ss.7031,5
Business ard Profcssion Codc): Any City or County which rcquircs a prmit to construct, altr, improrc, dcmlish or rcpair any
structurc, prior to its issure, also rcquircs thc applicant for such lEmit to lile a sigrcd statcmnt that hc or slE is licensd pusuet
to thc prcvisions of thc Contrsctor's Liccnsd [:w (Chaptcr 9, Comrcrcing wilh Scction 7000 of Division 3 of lhc Busiress 8nd
PmfcssionsCodc)orlhalhcorshciscxcmptthcrcfrcmildthcbasisforthcallcgcdcxcmption. AnyviolslionofSEli,nT03l.5byany
applicant for a lErmit subjccts the applicant to I civil pcmlty of not mrc the fivc hundrcd dollrs ($500).
-1,
as owner of the propcrty, or my cmployees with wagcs as thcir soh compcnsation. will do thc work and the structurc is not
intendcd or offcrcd for sale (Scr.7044, Business and hofcssions Codc: Thc Contractor's Liccnse l.aw does not apply to an owner of
thc pmpcrty who builds or improves thcrcon. and who does such work himself or hcrself or through his or hcr own cmployees,
providcd that such improvcnrnts arc not intendcd or offcrcd for salc. lf, howcvcr. thc building or improvcnrnt is sold within onc )aBr
of complction, thc Owner Buildcr will have the burden of proving that he or she did not build or inqrrovc the proprty for the purynse of
salc).
_1. as owncr of the prolrcrty, am exclusivcly contracting with liccnsed contractors to construct thc projcct (Scc. 7W. Busincss
and Profession Codc: Thc Contractor's License Law docs not apply to an owncr of propcrty who builds or improves thereon.
and who contracts for such projects with a Contractor(s) liccnsed pursuant to thc Contraclor's Licensc taw).
-IamcxemptundcrScction-.B.&P.C.forthi.srcason.I)tte:
\V()RK ERS' COt\,I PENSA I'ION
DrCLARATION
I hcrcby affirrn under pcnalty of prjury onc of thc following dcclarations:
-l
havc and will maintain a Ccrtificatc of Conscnt to Sclf-lnsurc for workcrs' compensation. as providcd for by Sc.ction 3700 of thc
I-abor Codc. for the Jrcrformancc of thc work for which thc pcrmit is issucd.
_l havc and will maintain workcrs'comJrcnsation as rcquircd by Scction 3700 of thc [:bor Codc, for thc pcrforrnance of
thc work for this pcrrrrit insurancc carricr and policy numbcr are:
Policy a
_l ccrtify that in thc grcrformancc of thc work for which this pcrmit is issucd, I shall not employ any pcrson in any nranncr
so asto bccomc subjcct to thc workcrs'compcnsation lawsof California, and agrce that if I should bccome subject tothc
workers' compcnsation provisions of Section 3700 of thc l-abor Code, I shall, forthwith cornply with thosc provisions..
WARNING: Failurc lo sccurc workcrs' comlrcnsation coveragc
civil lincs up lo one hundrcd thousand dollars ($100,0ffi). in
is unlawful, and shall subjcct an employcr to criminal pcnaltics and
addition lhc cost of compcnsation, damages as provided for thc
Scction 3076 of Lrtnr intcrcst and attorrrcy's fccs.
Applicant: X
I hcrcby affirm under pcnalty of perjury that I am liccnscd undcr provision of Chapter 9 (comnrcncing with Scction 7000) of Division 3
of the Business and Professions Code, and my license is in full forcc and cffect.
Liccnsc
b
W
I hcrcby aflirm undcr lEnalty of lErjury that thcrc is a construction bnding agcncy for thc Frfomncc of lhc uork for which lhis Frmit is
issucd (56. 3097, Civ. C.).
lrndcr's Name:
L,ender's Address:
APPLICANT DECLARATION
I ffiy affrrm under pnalty of pcrjury onc of thc following dcclarations:
Dcmolition Pcrmits-Asbestos Notification Fedcral Rcgulations (Titlc 40, Part6)
_Rc<luircd lrtter of Notifrcation
lffi,::fcdcralrcgulations rcgarding asbcstos removal&re not applicablc to this project.
rcad this application that thc atxrve inlbrnration i.s correct. I agrcrc to comply with all City and County
ordinanccs and State laws rclating to rcprcscntativcs of this City and County
I abovc mcntioncd propcrty for
Applicanl or
Pernritee nanre (
and
I
q thc
r ACI n-7 rrnl tr
I
,
Owner:_
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