HomeMy WebLinkAbout20172255 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section. (714)647-5853
Permit #:2o^172255
Proiect Address: 410 W Bell Avea
Assessor's Parcel. 410-182-02 Lot: 2
Unit:
Block: NA
Bldg:
Tract: 7058
Address Range:
Historic: No
Pin #: 1
Suite Range.
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
James Dinh
410 W Bell Ave
Santa Ana, CA 92707
(7141 837 -9s74
Tesla Energy Operations
2102 Alton Parkway
!rvine, CA 92606
(7021 78s-2es8
Fee Type
01116002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
000
000
Fee
$0 00
$0 00
State Lic #. 888104
Lic Type: B, A, C-10, C-20, C46
Bus. Lic #: 324801
Workers' Compensation I nsurance:Carrier: American Zurich
Policy #: WC107458503
Expires . 10/31 12021
TERMTTCANCELLED:X co\$rcrc_\C
DATE:\o--\2_2
1
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy.
Constr Type
Code:
Date:
Date:
Date
R-3, U
VB
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By
Permit lssued Amsden, Julie
Subject to Field:
Building Permit #.101105153
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 slte by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
11106t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Notes: lnstall solar panels. Fees pd on 101 105153.
Fee Total:
Paid to Date:
Balance Due:
$0 00
$0 00
$0.00
lnspector MrD#'. 2020-1 62630
a
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino I Groundinq I UFER
LTransformers
Torqueing L
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Roush)
Meter Release
Rouqh
Service N/eter
FINAL
N Etc.
I hereby affirnr under penalty of perjury that I am exenlpt from the Cbntracton$' License Law f<rr the following reason (Sec.7031.5
liusincss and Prol'cssion Codc): Any City or County which requires a pcrmit to construct, altcr. irnprove. demolish or repair any
structure, prior to its issuance. also requires the applicant for such Jrenrrit t<l file a signed statement that lre or she is licensed pursuanl
to thc pmvisions of thc Contractor's Liccnscd law (Chapter 9. Commencing with Scction 7fi)0 ol' Division 3 of thc Busincss and
Professions Code) or that lrc or she i.s exempt therefronr and tlre basis for tlre alleged exemption. Any violation of Section 7031.5 by any
applicant for a pcnnit subjects the applicant to a civil penalty oI not more than five hundred dollars ($5tlO;.
_1, a.s owner ol'thc propcrty. or tny crnployce.s with wages as their sole compcnsation, will do the work and the stnrcture is not
intendcd or offered for sale (Sec.7M+. Business and Pnrfcssions Code: The Contractor's Licensc Law does not apply to an owner of
the pruprty wlxl builds or inrproves thereorl and wlro does such work himself or lrerself or through his or her own enployees,
providcd that such improvcnrcnts arc not intendcd or olTercd for sale. If, howevcr, the building or inprovenrcnt is sold within onc ycar
of completioru the Owrrcr Buikhr will have the burden of proving ttrat he or she did not build or improvc tlr propoty for thc purpose of
sale).
_1, as owner of the prolrctly, am exclusively contracting with licensed contractors to conslrucl the project (Sec. 7(X4, Business
arrd Prolbsskrn Cotle: The Contractor's License Law rJtrs not apply to an owner of property who builds or improves thereon.
and who contract.s for such prr{ects with a Contractor(s) licenscd pursuant to thc Conuactor's License l-aw).
-IanrexemptunderSectiort-,B.&P.C.forthisreason.
WORKERS' COM I'ENSATION
DECLARATION
I hcrcby aflirm undcr penalty of perjury onc of tltc tbllowing declarations:
_l have arxl will nnintah a Certilicate of Consent to Self-lnsure for workers' comgrnsation, as provided for by Section 3700 of the
Code, for thc Jrerlorrnancc of thc work lbr which the grcrmit is issued.
have and will nraintain workers'conpensation insurance, as required by Section 3700 of the l-abor Code, for the Srerfornrance of
lbr whiclr this is issrrcd. My workcrs' compcnsation insurance carricr and policy numbcr are:
U/n
Policy ZA2)
_l ccrtity tlrat in thc lxrfornuncc of tlrc work for which this pcrmit is issued, I shall not cnrploy any pcrson in any manner
so as to bccomc subjcct to the workers' compcnsation laws of California, and agrce that if I stnuld beconrc subject to the
workers' con4rcnsation provisions of Section 3700 of the Labor Cqle, I strall, forthwith comply wilh thosc provisions..
WARNING: Failure to secure workers'compensation coverage
dollars ($100.000). in ,
is unlawful, and shall subject an employer to criminal penahics and
civil fines up to otrc hurrdred thousand addition to tlrc danrages as provided for lhc
Scction of Labor Code, intcrcst and attorney's
DECI,ARATION
I hereby affirnr under penalty of pcrjury tlut I anr licensctl under provision of Chapter
of the Busincss and Profes.sions Code. and my license is in full forcc arxl effect.
with Section 700O) of Division 3
Cr{o I dl
Liccnse Number:
I hercby aflirrn under penalty of perjury that therc is a construction lending agency
issued (Sec. 3097. Civ. C.).
perlbrmance of the work lbr which this pcrmit is
[.cnder's Name:
[rnder's Addrcss:
APPI,ICANT DECLARATION
I hxcby aflirm undcr pnalty of pcrjury onc of the following dcclarations:
Demolition Pcrnrits-Asbcstos Notification Fedcral Regulations (Title 40, Pan6)
_Rc<luircd l.cttcr of Notification
ccrtily that the fcdcral rcgulations rcgarding ashstos removal are not applicable to this project.
tlrat I havc rcad this application antl statc tlut thc abovc inltrrmation is correct. I agrcc to comply
I represcntatives o[ this City
with all City and County
and Statc laws rclating and to entcr upon thc
above rrrcntioned \tAllplicant or
Pernritec nonlc
propcrty fitrr
to building construction,authorizc
v 2-Ozt
Flev. 08-07-2015