HomeMy WebLinkAbout20174156 - PermitCity 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 #: 2o^174156
Pin #: 6,2432
Project Address: 907 E Glemensen Ave
Assessor's Parcel: 39641 1-24 Lot: 19
Unit:
Block: NA
Bldg:
Tract: 4226
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Jeffrey Collins
907 CLEMENSEN AVE
Santa Ana, CA 927056714
(949) 682-6718
Nerd Power CA
13614 Carolina Hill Ct
Draper, UT 84020
(602) 715-0407
Fee Type
01116002 5160C General Plan Update
01116002 5777C Microfilm Records
Amount
23.79
405
Qty
000
000
Fee
$0 00
$0 00
State Lic #: 1019100
Lic Type: C-10
Bus. Lic #: 377230
Workers' Compensation lnsurance:Carrier: WCF tUlutual lns Co
Policy #: 3468038
Expires: 0612112022
Building Use:
Job Type.
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type.
Code:
Date.
Date.
Date:
R-3, U
VB
cEc 2019
Notes. Electrica! for new roof mounted solar PV system. ALL
SOLAR ELECTRICAL FEES PAID ON 101 107756
Zuniga,AI[,,V 08t24t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 1O 1107756
Every permitissded 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.
lnspector MID#: 2021-1 68350
Fee Total
Paid to Date:
Balance Due:
$0.00
$0 00
$0.00
ELECTRICAL.I NSPECTOR R ECOR D
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hercby aflirm undcr pcnalty of pcrjury that I m cxcmpt from lhc Contractors' Licen$ kw for thc following rcasn (SN.7031.5 t
Busincss Brd Profcssion Codc): Atry City or County which rcquircs a lrcrmit to @nstruct. altcr. improrc, demlish or rcpair any
slructrc. Fior to its issuarcc. also rcquircs thc applicanl for such lrcrmit to lilc tr signed slatcmnt lhal lE or slrc is liccnsd pusuant
lo the pmvisions of thc Contrsctor's Liccnrcd lau (Chaptcr 9. Comrcncing wilh Sstion 7000 of Division 3 of thc Busincss md
PrufcssionsCodc)orthathcorshciscxcmptthscfmmmdthcbrsisforthcalhgcdcxcmption. AnyviolationofsectionT03l.5byony
opplicant for a lrcrmit subj$rs the applicsnt to a civil pcnalty of not mrc than fivc hundrcd dollds ($50o).
_1. as owncr of thc propcrty, or my cmployces with wagcs as thcir solc compcnsation. willdo thc work and thc stritcture is not
intcndcd or ofl'cred tbr salc (Sec.7044. Business and Prot'essions Codc: Thc Contractor's Licensc law docs not apply to an owncr of
lhc propcrty who builds or inrproves thcrcon. and who does such work himself or hcrsclf or through his or hcr own cmployccs.
providcd that such improvcnrcnts arc not interded or olTcrcd for sah. lf. howcvcr. thc building or inrprovcrrnt is sold within onc )rcar
of comphtion. the Owncr Builder will havc thc burdcn of proving that hc or she did not build or inprove thc propclty for the purposc of
salc).
_1. as owncr of thc propcrty. am exclusively contracting with liccnscd conlraclors lo construct thc projcct (Scc. 7W. Busincss
aml hrcfession Code: The Contractor's Liccnse Law does not apply to an owncr of prolrcrty who builds or improves thcreon,
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Licensc l-aw).
-IamcxcmptundcrSection-.B.&P.C.forthisreason.
f lol n.
WORKERS' COMPENSATI(IN
DECLARATION
I hereby affirrn under pcnalty of pcrjury onc of thc following declaralions:
_l havc and will maintain a Certificatc of Conscnt to Sclf-lnsurc for workers' compcnsation. as providcd for by Scction 37fi) of thc
Labor Codc. ftrr the pcrfornmnce of thc work for which the pcrmit is issucd.
-l
havc and will rnaintain workcrs' comlrcnsation insurarrce. as rcquired by Scction 3700 of thc l-abor Codc, for the lxrfornrancc of
which this prmit is iszued. My workers' compensation insurancc carricr and plicy numbcr arc:-,Cf ir<, (w\L< 1)-
thc work for
Carricr:
poricy *"^*, - 3l{(eEo3 ( Expires: CC/Z ( f zo^ c-
-l
certify that in the pcrformancc of thc work for which this permit is issucd, I shall not cmploy any pcrson in any manncr
so as to bccomc subject to thc workcrs'compensation laws of California. and agrce that if I should bccome subjcct to the
workers' compcnsation provisions of Scction 3700 of the l-abor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to riccurc workcrs' compcnsation covcragc is unlawful. and shall suhjcct an entploycr to criminal pcnalties and
civil fincs up to one hundrcd thousand dollars ($100.000). in addition to thc cost of compcnsation. danugcs a.s providcd for thc
Scction 3076 of thc Labor Codc. intcrest and attorrrcy's
Z\han <r-t'
DECLARATION
I hcrcby affirrn undcr pcnalty of perjury lhat I am licenscd undcr provision of Chapter 9 (comnrcncing with Scction 7000) of Division 3
of the Busincss and Profcssions Codc, and my liccnsc is in full force and effccl.
Liccnse
(--ld
Nurnbcr:O6
'{o'L C/-
W
I hcrcby sffirm under pcnalty of lErjury that thsc is a @nstruclk n lcnding .gcrcy for the pcrfomce of Ihe work for which this lrmil ir
issucd (Ss. 309?. Civ. C.).
[.cnder's Name:
hndcr's Addrcss:
APPI ICANT nr.Ct ARATTON
I hcrcby allirm under pcnalty of pcrjury one of thc following dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Federal Rcgulations (Titlc 40, Part6)
_Rcqu ircd l,ctter of Notification
t
_l ccrtify that the fcdcral regulations rcgarding asbcstosqgmovalarc not applicable to this pr<rjcct.
_l certify thal I have rcad this application and state that thc abovc information is corrcct. I agrcrc to comply with all City and County
ortlinanccs :rntl Statc Laws of this City and County to cntcr uJxln thc
abovc mentioncd property for
Applicant or Agent
I)cmritee natne
building and hcrcby authorizc
d Lq )
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltase
Fire Alarm / Dampers
Communications Cable
Building
Under Sl ab I Floor I
Bonding I Groundins I UFER loY&1dr >tru>/
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Wails (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
N/eter Release tvl-uq,9Wyy
Rouqh
Service N/eter I I
FINAL IBI ?UA fiftry2 /
Notes, Remarks, Etc.I I
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