HomeMy WebLinkAbout20166723 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2lJ166723
Pin #: 75737lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 331 3 S Timber St Unit:
Block: NA
Bldg:
kacl:70O2
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcell 410-161-04 Lot: 17
Owner:
Address
Hoang Nguyen
3313 S Timber St
Santa Ana, CA 9270743'18
17't4l757-3706
Fee Type Amount Qty
Tenant Name:
Contractor
Address;
South West Sun Solar, lnc
13752 Harbor Blvd
Garden Grove, CA 92843
(714) 582-3909
State Lic #: 1004667
Lic Type: B, C-10, C-38, C-39
Bus. Lic #: 350754
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9232358
Expires; 06/0112019
Building Use:
Job Type:
Nature of Worki
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes lnstall roof top pv solar panels. Per Expedited Permit
Process For PV Systems MicroJnverter. Fees paid on
10197438.
Planning Conditions
Planning Approval By Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field
Building Permit #
k
Datel
Date:oat2'll201a
Account#
7438
Every permit issued shall become iovalid unless the work on the site
authoized by such pemit is commenced within 180 days after its
issuance, or if the wotk authodzed on the site by such pemit is suspended
or abandoned fot a period of 180 days aftet the tifie the wo* is
commenced
lnspector MID#: 20'18-145548
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
Phone:
Fee
Phone:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountarns
Si gns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unil
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solfit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh
Service Meter
.^rl ertJ(FINAL q tq,tK'ia ,9)
Notes, Remarks, Etc.U\I
OWNER BUILDER DELCARAIION
I hcrchy aafirm undcr pcnrlry of f*.ju!y rh l m cichpr lnm rhc ConlEck a Lic.nre Las f(tr fi. following r.rson (Se ?031.5
Busii.* and Profcsion Codc): Any Ciry or Ciunr, which rcqlircs a l,.mir l. <onslru.r. alr.r, improw. {r.nDlish or Entrn !try
{tu rm, prid r. irs hruu... ,lqr requn s rh. ,ptlka.{ ror s!.h Frmir ro lilc a sitkd sntm thd nc or shc is liccnsd purslnl
ro rhe lrovirions ol tlE Conrncrols Lkcnsd h{ (Chlprcr 9. Conurcn.in8 *irh Sccrion ?OOO ol Divnion I6f rhc 3u\n'crs rnd
Prorcssion\Co!c)orrhlr hcor\h. is cicnDr rh.relmmand rhchrsis a{r rhc ilLgcd dxc!ryd,r. Atry violnti.trofSccrionT03l.5 hyony
opplicrnr for 0 pc.nir subrcc$ lhc iFpliconl lo ocivilpc.,ltrofnor morclh.n livc hundcddolnus (5500).
l. as o*er of rhc pn!.ny, ui my cmrk)yc.\ wnh wuscs as rhct {rk .\,mp.nsarn r, will do rh. wo* ,ld lh. (ulm is ml
inrcklcd o. orcrcd rr eh (Sd.7O&, Ausircss and Proa.sions Gxlc: Thc Co,rr.dois Li.cnsc Ln* docs nol amlr ro an owncr of
rhc p'.pcny wln l,uilds or im|nolcs rhcftoi.,trd who d{Es such wnl hinNcllor hc clforrhn,uAhhhorhctosncnDloyccs.
orovidcd rhrr such i$prormnk m nor inhqlcd or offcred ior s.lc ll ,rNo.r, rhc huilding or in{rokmm k v,ld *ithir onc )ur
.lconphti.tr, rh. owRr auiLlc. wil huvc lhc hul&n ol tovinS rnd tu or shc dn d, hoitl or iryr('vc rh. pR,p.ny ror th. pu4srol
-l.rsowrcrofrhc|n)r^-ny.anrcrclusntlrcorrrucrinswilhliccnscdcotrkrcr{'Nk'.o(tu.rrh.pftic.r(ss7lq-1,susrnc$r h)fssi'n Codc: lhc Conkactr: l-i..i\c t-asd.c\ noi flntlyb rn.wnrrol pnrp.nywh(, huilds or nnprovcs rherco0.
rnd who codmck f{tr such lmtcd\ wirh 0 Conki.kn( s) liccnscd purmnr ro rhc Conln.r.i{ l,icctrk ljw)
-l
!n cxcnrpr undq Sr-^li0
Dalc: O"ncr-wonriqsiaoMPrNali6-
DECI.Af,AIION
I hereby !firmunds pcmlry ot pcrjury oe oalne fouowinr dNldalions:
l3l h:"c lrd e ill minhm ! Ccn ificotc of Conscd ro Sclr.lnsurc for ertcN ompcBarion, a! ttuvrlcd lor by Selion l70O of lhc
l)60r Codc. lor rhc Fn.rmR orrhc wrk fm qhkh thc psmt n Fsuct.
_l har and will mainrain sort*l conFnsadoo inslrnke. as rcqutcd by Srrion 3700 oflhc tjbor Codc, for lhc p€rtortun.c of
sdrkcn unlnotr\i otr nrd'rn.c c ricr d Fl'.yiunrhcrarc
q 73L15Y €1q
I ccnily ihlr in rhc p.rloiiumc ofrhc work r(, which rhi\ pcnnir n is\urd. I \hnll tror cmfl(!y rny pcnon in 0ny nrMncr
$ sk, tt..m \uhj..r bthc*orkcn onlftrs on hws .r C,linmi!. .nd a8rc hln iiI shoul(l bcconf, suhic(rrorhc
wurk.ri .un!c \ar n f()vnt,ns .f S.rrion l70O of thc bhn Gxlc, I slkll, lo hN irh contly s ilh lhnE pmlhnnr
ll \ubtc.r r. cnrb)$ lo .rnnirml pcniltii and
or.omr.nsdtun. da,mgcs !s provided tur lhc
I h.toby rlliro rodcr p.Mlryorp.rjury rhri I an li.cn{rl xidrr phli\n ofChdrrs 9 (co,nnrNin8 wilh Scclion 70(x)) ofDivkion l
or lhe Busioc$rnd Pror'cssiqr Codc, rBl nry liccn\c h in ri,lllnrcmdcffccr
c
'1,(t
I tcrch, 3lfirnr u.dcr pcmlryolpcrjury
hsu.d (Scc lr)97. Civ C )
rhrto isacondtocri,n kndin8agcncy fn rh. ,rrfornukc of rh( work tu shth lhi! Frmir k
AIIUIANfI]ECI.AEAII!]N
I lr['by ollin undcr pctrolty oi rcrP.y onc ofrhc fouowirE d(ladtuns:
Dcmlil,on P.rnireAsb.{os Norificalion Fcd€r.l R.Bulal ions ITnl. &, P.n6)
Rcquircd l.rtcr of Noifetbn
nrJ,ly *irh ill Clrt rnd C Lnrv
( irr- ind (i)utrry ro.n0 trtrn, rlf,
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