HomeMy WebLinkAbout20172784 - Permit,
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAS27O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #i 20172784
Pin #: 28,872
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Project Address: 322 S Cooper St
Assessor's Parcel: 108431-08 Lol. 27
Unit:
Block: NA
Bldg.
Tract 3775
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Sang Lam
322 S Cooper St
Santa Ana, CA 92703
(7141 474-9998
Fee Type
01116002 5160C Genera! Plan Update
01116002 5777C Microfilm Records
Amount
23.79
4.05
Qty
000
0.00
Fee
$0.00
$0 00
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Tesla Energy Operations
2102 Alton Parkway
lrvine, CA 92606
(71414s6-0688
State Lic #: 888104
Lic Type: B, A, C-10, C-20, C46
Bus. Lic #: 324801
Workers' Compensation lnsurance.Carrier: Zurich American
Policy #: WC1074S8303
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
1 01 1 05859.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
1 01 1 05859
Date:
Date:04t26t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
Every permit ic.sued 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
!nspector MID#: 2021-16427 1
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundi ns I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
N/eter Release
Rouqh
Service lVleter \r A
FINAL 0 ,WYA 5yff yl
Notes, Remarks, Etc.,
I hereby affirm unrler penalty of perjury that I am exempt frcm the Contractors' License Law ftrr the following reason (SecI03l.5
Business arxl Profession Code): Any City or County which requires a permit to construct. alter, improve, dennlish or repair any
structure, prkrr to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant
to the provisions of the Contractor's Licensetl Law (Chapter 9, Commencing with Section 70OO of Division 3 of the Business and
Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not nxrre than five hundrerl dollars ($5OOl.
_1. as owner of the property, or my empkryees with wages 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 [:w does not apply to an owner of
the pmperty who builds or impmves thereon, anl wtxr does such work himself or herself or through his or her own empkryees,
provided that such improvenrcnts are not intended or ofbred fur sale. I[, hlwever. the building or inTlruvenrnt is sold wilhin one y€ar
of completion, the Owner Buikler will have the burden of proving thrt he or she did not buikl or improve the pmperty for the purynse of
sale).
_1. as owner of the pr()perty, am exclusively contracting with licensetl contractors lo construct the pnlject (Sec. 7M4, Business
and Pnrfession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contractorls) licensed pursuant to the Contractor's License Law).
-l
amexempt under Section-. B. & P.C. for this reason.
WORKE,RS' COMI'ENSAI'ION
DE,CI ARATION
I hereby affirm under penalty of perjury one of the following declarations:
-l
have arxl will maintain a Certifrcate of Conscnt to Self-lnsure for workers' compensation, as provided for by Section 37fi) of the
Labor Code, for the lrcrforrnance of the work for which the permil is issued.
_l have and
the work for
will maintain workers' comgrcnsati<ln by Section 3700 of the L-ab<lr Code. for the lrcrformance of
and grlicy number are:perrnit is issued.workers'
Policy n
-l
certify that in the performance of the work for which this Srermit is issuetl. I shall not employ any person in any manner
so as (o become subject to the workers' compensation laws of California, and agrce that if I should become subject to ttre
workers' comgrcnsation provisions of Section 3700 of the Labor Crxle, I shall, frlrthwith comply with those pnrvisions..
WARNING: Failure to srcure workers'compensation coverage is unlawful,subject an employer to criminal penalties and
civil fines up to one hundred thousand dollars ($addition of <Iamages as provided for the
I hereby affirm under penalty of perjury that I arn licensed with Section 7UX)) of Division 3
of the Business Code. aml my license is in full force and effect.
License Nurnher:r
I hereby
CONSTRUCI'ION LENIUNG AGENCY
there is a construction lending agency for the perfrrrmance of the work for which this permit is
issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLICAN'I' DECLARA'I'ION
I trrcby affirm under pnalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Requiretl
lrtter of Notifrcation
t
certify tnar*{deralregulations rcganling asbestos rennvalare not applicable to this project.
I have read this application and state that the ahrve infurmation is correct. I agree to comply with all City and County
Laws relating to building
property for inspect ion
Applicant or Agcnt
Permitee nanle
and of this City and County to
ELECTRICAL-INSPECTOR RECORD
D
Rev. 08-07-2015
Date:
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