HomeMy WebLinkAbout20174009 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #= 2O174OO9
Pin #: 89{95fuu
Proiect Address: 2312 N Rosewood Avea
Unit:
Block: NA
Bldg:
Tract: 1740
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 001 -173-18 Lot: 22 & POR 21
Owner:
Address:
Chad Bair
2312 N Rosewood Ave
Santa Ana, CA 927061957
(s4s) 2s2-7866
Fee Type
01 116002 5160C General Plan Update
01 1 16002 5777C Microfilm Records
Amount
23.79
4.05
Qty
0.00
000
Fee
$0 00
$0 00
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Orange County Solar Contra
2745 E Chapman Ave
Orange, CA 92869
(7141 514-1517
PAID
AU6 18 2021
State Lic #: 1023627
Lic Type: B, C-10
Bus. Lic #: 367055
Workers' Compensation lnsurance:Carrier: Starnet
Policy # BNUWCOlS3ZG0
Expires: 0410812022
City of Santa Ana
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019 Notes: lnstall solar panels to sfd/fee pd on 101 107581lauth on
file
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
dernandez Kathy
Date.
Date:
Date:08/1 8t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 1 01107 581
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
$0.00
lnspector MID#: 2021-168245
ELECTRICAL-INSPECTOR RECORD
Qnr no n7 r,nl tr
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby afftrm undcr lEnally of pcrjury thot I m excmpt ftom thc Contracto6' Licensc lrw for Ihe following rcasgn (Se.7031.5
Busincss ard Profc$sion Cqlc): Any City or Couily whkh rcquircs { pcmit to construct. allq. imprcvc. &mlish or rcpair any
structurc. prk r to its issuane, also rcquircs thc applicanl for such Jxrmil to filc a signcd statcmnt that hc or shc is liccnsd pttalant
to thc prcvisions of thc Contrelor's Liccnsd llw (Chaptcr 9. Commcncing wilh Setion 7000 of Division 3 of thc Busincss and
PrclbssionsCodc)orlhsthcorshcisexempllhqcfrcmandthebasisforlhcallcgcdcxcmplion. AnyviolnlionofSetionT0.ll.5byony
applicanr for a pcnnit subjccts thc opplicant to u civil pcnally ofnot nmrc lhan livc hundrcd dollus (5500).
_1. as owncr of thc propcrty. or my cmployecs with wagcs as their solc conrpensation. will do thc work and lhe structure is not
intcndcd or offcrcd lbr sale (Sc.c.70l4, Busincss and hofessions Codc: Thc Contraclor's Licensc [:w docs not apply to an owncr of
thc pnr;rcrty who builds or impnlvcs thercon. and who dcrcs such work hirnsclf or hcrsclf or through his or hcr own cmployecs.
providcd that such inrprovcnrcnls arc not intcndcd or offercd for sale. If. howcvcr, thc building or improvenrnt is sold within onc ycar
of conrplction, thc Owncr Buildcr will havc thc burdcn of proving that hc or shc did not build or improvc the propcrry for thc purynsc of
salc).
_1. as owner of thc property. arn cxclusivcly contracting with liccnscd contractors to construct thc projcct (Sec. 7W, Busittcss
aM Profcssbn Codc: The Contractor's Licensc Law docs not apply lo an owner of proJrcrty who builds or improves lhcrcon.
and who contracts for such pr<rjccts with a Contractor(s) licensed pursuant to thc Contractor's Liccnse Law).
_l am cxempt undcr Section_, B. & P.C. for this rcason.
Date: Owner:
WORKF'RS' COMPT'NSATION
DF'CLARATION
I hcrcby affirm undcr penalty of prjury onc of the following declarations:
-l
have and will maintain a Ccrtificatc of Conscnt to Self-lnsure for workcrs' compensation, as provided for by Section 3700 of the
[:bor Codc, for thc pcrformancc of thc work for which thc pcrmit is issucd.
\r/nur"and will maintain workcrs'compcnsation insurancc. as rcquircd by Secrion 3700 of thc l-abor Codc, for thc Srcrformancc of
the work for which this permit is issued. My workers' compensation insurance carricr and plicy number are:
poticy Nu^*r, bNVVC- o 15776 o Expires:04/a/zL
_l ccrtily that in the performancc of the work for which this permit is issucd. I shall not employ any person in any manncr
so as to bccomc subjcct to thc workcrs' compcnsation laws of California, and agrcc lhat if I should beconp subjcct to the
workcrs' comlrcnsation provisions of Section 3700 of thc L^abor Code. I shall. forthwith comply wilh thosc provisions..
WARNING: Failurc to securc workers'conrpcnsation covcrage is unlawful. and shall subjcct an crnploycr lo crirninal pcnaltics and
civil t'incs up to onc hundred thousand dollars (S100.0ffi1. in addition to thc cost of comlrcnsation. danugcs as providcd for thc
Scction 3076 of thc labor Codc. intcrest and attorncy's l'ccs.
Dare:og/)t/zt
I hercby afTirm undcr pcnalty of pcrjury that I arn licenscd under provision of Chaptcr 9 (comnrencing with Section 7000) of Division 3
of thc Business and Professions Code, and nry license is in full forcc and effect.
Liccnsc I Nunrbcr: loZSbLT
Dil",o8/t?1Ll &t'r
W
I hcrcby aflirm under lrcnalty of pcrjury th.t thcrc is a construction bnding agcrcy for rhc pcrformcc of thc work for which lhis JEmit is
issucd (Ss. 3097. Civ. C.).
lrndcr's Namc:
[-cnder's Address:
APPLICANT DECLARATION
I lrrcby afl-urn undcr pnalty of pcrjury onc of thc following declarations:
Demolition Pcrmits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Part6)
_Rcqu ired lrttcr of Notification
_l ccrtify that thc fcdcral rcgulations rcgarding asbcstos rcmovalare not applicablc to this projcct.
_l ccrtify that I havc rc8d this application ard slatc that thc atnvc infomtion is coret. I age lo comply with rll City and County
ordinrrccs and Statc kws rclating to buiHing consrudion. rnd hcrcby autluirc rc[trcscntotives of this City and County to cnlcr upon lhc
abovc rrrcntioncd propcrty for
Applicant or Agent
I'ernritee nanre
Dare: P7/ tg/ Z t
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor t,
Bonding I Grounding I UFER ?/rrr/",JAEI
Transformers rl /v
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
N/eter Release
Rouqh
Service N/eter I ,I
FINAL q/t-hr ll z-:
Remarks Etc.
t
Applicant:_
Sol*rr