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Home My WebLink About20173370 - Permitll a 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 #:20173370 Pin #: {5639 t2N Proiect Address: 704 S Ross Sta Assessor's Parcel: 010-204-09 Lot: 1, POR 2 Unit: Block: O Bldg: Address Range: Tract HENINGER'S FOURf,listoric: No Suite Range: Zoning: SD40 Owner: Address: Phone: Tenant Name: Contractor: Address: Juan Tapia 704 S Ross St Santa Ana, CA 92701 (7141 7e54304 Freedom Forever 43445 Business Park Dr, #1 ' Temecula, CA 92590 (9s1) 445-564s 01 1 16002 51603 01 1 16002 5160C 01 1 1 6002 51 60.2 01 1 16002 5777C Fee Type Serv Meter General Plan Update lssuance Microfilm Records Amount 57.40 23.79 59 30 4.05 Qty 100 1.00 1 .00 1 .00 Fee $57.40 $23.79 $s9.30 $4.05 Phone. State Lic #: 102964/- Lic Type: B, C-10, C-39, C46 Bus. Lic #: 370076 Workers' Compensation I nsurance: Carrier: Redwood Fire and Casualty lnsurance Company Policy #: FRWC2lS8G8 Expires. 0110112022 Botchi:60315 8/12/2fi21 ID: LR0SAI-ES0ffice: (:TYH Trgnsi:31 2 of 2Acct*: Reti: 20173:170 Rcpti : tr3377 4?2 8/ I2/2tt2I I I : 38 AI1 Trsnsoct ion Totol t697 .7?Jose L. inores Freedor Foreven I ...i i: . : . .i I': t .l ;it .i .;.ii..r:. lnstall roof'mounted solar panels. Solar f6es paid on 101106743. Service meter handout given. Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Single Family Dwelling Solar Solar/Service Meter Smith, Mark ,. t{ Verduzco, Violet \ Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cEc 2019 08/1 2t2021 08/1 2t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Fee Total Paid to Date: Balance Due: Subject to Field: Buirdins Permit #: 1 01 1 067 43 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 afterthe time the work is commenced. 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $23.79 $t t6 70 $4.05 $144 54 $0 00 $144.54 lnspector MtD#'. 2021-166294 ELECTRICAL.I NSPECTOR RECOR D APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby allirm under pcnalty of Jrcrjury thal I m excmpt frcm Ihc ContmctoB' Liensc bw for the following rcssn (Sec.'r0315 BusincsB srd Profcssion Codc): Any City or Counly which requircs a tmit to @nsaruct, altct improre, demlish or rcpair any structre, prkr to its issusrce. also rcquircs thc applicant for such pcmit to file a signcd stalcmnt thar h. or drc is liccnsd pursant lo thc pmvisions of thc Contrcror's Liccnsd Lrw (Ch8pter 9, Comrcrcing uith Setion 7000 of Division 3 of lhe Busims md PmfcssionsCode)orthothcorsheiiexcmptthcrefrcmandthcbasisforthcallegcdcxcmption. AnyviolationofSetionT0Sl,5.byany applicant for 8 pcrmit subj@ts the spplicsnl to 8 civil pcnally of nol mrc than fivc hundrcd dollss ($500). _1. as owner of thc propcrty. or my cmployccs with wagcs as thcir solc compcnsalion. willdo thc work and thc stnrcturc Ls not intcnded or offcred for salc (Sc,c.7044. Business and Professions Codc: Thc Contraclor's Liccnsc [:w does not apply lo an owner of thc propcrty who builds or improvcs thcreon, and who does such work hirrrsclf or hcrsclf or through his or her own cmployecs. providcd that such improvcnrcnts are not intcndcd or offcrcd for sah. If. howevcr, thc building or improverrcnt is sold within onc year of complction. thc Owncr Buildcr will have thc burdcn of proving thal hc or she dirJ not build or improvc the propcrty for thc purtrnsc of salc). -1. as owncr of thc propcrty, am cxclusivcly contracting with liccnscd conlraclors lo conslruct lhc projcct (Scc. 7W, Busincss and Profcssion Codc: Thc Contractor's Licensc Law docs not apply to an owner of properly who builds or improvcs lhercon, and who contracts frlr such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Licensc [aw). -IamcxemptundcrScction-,B.&P,C'forthisreason.Date: Owner: IYABIEEESQMEENSAIION DEGIdSAION I hcrcby 8ffirm under pendty of perjury ore of thc following dahntions: -l have and will mintain I Ccrtilic8tc of Conrcnt 1o Self-lnsurc for workm' compenmtion, as pmvidcd for by Sstion 37m of the kbor Codc, for the pcrforc of thc mrt for which thc Imit is issucd. d l"v" "na witt mintain workcrs' compensation insurece. &s rcquircd by Setion 3700 of thc Lrbor Codc, for the pcrfmc of thc work which this pcrmit is issucd. My workers' comlrcnsation insurancc carricr and policy numbcr are: rLs L o,^l I'olicy C t _l ccrtify that in thc pcrformance of thc work tbr which this prcrnrit is issued, I shall not ctnploy any pcrson in any manncr so asto bccomc subjcct to thc workcrs'compcnsation lawsof California, and agrcc that if I should bcconrc subjcct tothc workcrs' conrpcnsation provisions of Scction 3700 of thc l-abor Codc, I shall. forthwith comply with those provisions.. WARNING: Failurc to siccure workcrs' compensation covcrage is unlawful, and shall subject an cmploycr to criminal pcnalties and civil fincs up to onc hundrcd thousand dollars ($100.0001. in addition to thc cost of compcnsation. damagcs as providcd for the Scction 3076 of thc Labor Code, intcrest and attorney's fccs. Date: LICENSED CONTRACTOR DFCI ^ RATION I hercby affirm under penalty of pcrjury that I am liccnsed under provision of Chaptcr 9 (commencing with Section 7000) of Division 3 of the Business and Profcssions Code, and my liccnse is in full forcc and effect. License cl^rr, G I l) License Numbcr:,oL1 C d o*", ?fz/*r (lonlraclor:/r**,tryl Forctcr W I hcrcby amrm undcr lrcnalty of Frjury thBt thcrc is a @nstruction bnding agency for thc lErfornlmc of thc work for which this ;rrmil is issucd (56. 3097. Civ. C.). lrndcr's Name: lrndcr's Address: APPI ICANT NT'CI AITATION I My affirm under pcnalty of perjury one of the following dcclarations: Dcnrolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6) -Required l*ttcr of Notification I certifv that the J*"^nrtr,ot t tur" fedcral regulations rcgarding asbcstos rcrnoval arc not applicable lo this project. rcatl this statc that thc atnvc inforrnation is corrcct. I agrcre to comply with all City and County ordinanccs and Statc Laws rclating to and hcrcby authorizc reprcscntatives of this City and abovc nrcntioncd proprty for Applicant or Pernritee nanre ColF Lr* to cntcr uJxln thc Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor tl .4, Bondinq I Groundins I UFER '1 /ru/zt iLLi,SU Transformers I \-./ Torqueinct Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls (Conduit) Wails (Rouqh) Ceilings (Hard & Soffit Rouqh Ceilinqs [-Bar Rouqh)t/ N/eter Release nln/tr (u(2t I 7t - Rouqh //.A Service Meter 1 4hu/r'tt 7^u qn L7 a)/ FINAL Notes Elrr.na n7 .)n{ tr -/E Applicant: tsIoq) rr\s.=o=. 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