HomeMy WebLinkAbout20172374 - Permitcity of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2o^172374
Pin #: 4112fi
Proiect Address: 1201 N Mar-Les Dr-a-
Assessor's Parcel: 198-151 -06 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Thuy Ahn Do
1201 N Mar-Les Drive
Santa Ana, CA 92706
(206) 8224341
Ecosolar USA Electrical, LLt
13962 Seaboard Cir.
Garden Grove, CA 92843
(7141 26s-9077
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
000
0.00
Fee
$0 00
$0 00
t
State Lic #: 1045300
Lic Type: C-10, C46
Bus. Lic #: 37'1866
Workers' Compensation lnsurance:
Carrier: Employers Preferred lnsurance Company
Policy #: E1G4563916
Expires: 0610212021
$E9
Ft$a
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
Verduzco,vioretl$
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
R-3
VB
cEc 2019
ot
Notes. lnstall solar panels, fees pd on 101 105326.
Fee Total:
Paid to Date:
Balance Due:
12t01t2020
Account#
Buirdins Permit #: 1 011053 26
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 site by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
$0.00
$0 00
$0.00
Inspector MID#: 2020-1 63002
ELECTRICAL.I NSPECTOR RECORD
Rev. 08-07-20
APPROVALS DATE ID/SIG.COMMENTS OWN I,R II I., T I,I)IiR DTiI,CA RA'I.ION
I lrereby afhrnr under penalty of prjury tlut I arn exenlpl fmnr the Cbntractoni' License l-aw for the following, reason (Sec.7031.5
Busincss and Prol'cssion Crxlc): Any City or County which rcquircs a pcnnit Lo construct, alter. irnprovc. dcrnolish or rcpair any
structurc. prior to its issuarrce. also requires tlrc applicant frrr such pernrit to frle a signed slaternenl that lr or she is licenscd pursuanl
to thc prrrvisions of thc Conlractor's l,iccnscd Iaw (Chaptcr 9. Commcncing with Scction 7fiX) ol' Division 3 of thc Bu.sincss and
Professions Code ) or that lrc or slrc is exenrpt tlrerefronr and tlre basis lbr the alleged exenrption. Any violatiort of Section 703I .-5 by any
applicant for a pennit subjects the applicant to il civil penalty of not more than llve hundred dollars ($5m).
_1. as owncr ol'thc' propcrty. or rny crnplovccs with wages as thcir vrlc' com;rcnsation, will do thc work ard thc stnrclure is mt
interxled or offered firrr sale (Ser'.7(]$4. Business and Pnrfessions Ctxle: The Contractor's Licensc Law does not apply to an owner of
the proprly wlrl builds or inqrroves tlrreon. und wlxr dtrs such wort hinself or lrcrself or ttuough his or her owrr enrployees,
providcd that such irnprovt'rncnts arc not intcrxlcd or olfcrcd for sah. Il. howcvcr. tlrc building or fur4rrovcrncnl is mld within onc yr'ar
of conrpletkln, tlrc Owrrer Builder will have tlrc burtlen of pruvirrg that lrc or she did not build or inrprove thc prcpcrry for the puqxrse of
sile).
_1. as owner of the property, anr exclusively colrtracting witlr licensed conlraclors to construct tlre project (Sec. 70,14. Business
ard hutbssiou Code: The Contractor's License l.uw drcs rxrt apply t() an owner of prurperty wlro buikJs or inrprlves lhereon.
anrl who conllacts for such pro.iccts with a C()ntracl(]r(s) licenscrl pursuant to thc Contractor's Liccnsc Law).
-IantexenrptunderSectitrlt-,B.&P'C.tbrtlrisreastltt.I 1.. r...
W0 R K l',' ILS' COM PIiNSATI ON
DECLARTTTION
I hcrcby affirnr undcr pcnalty of pcrjury onc of thc lirllowing dcclaration.s:
_l have and will nninlain a Certilicate of Consent to Sell'-lrrure for workers' cornpensation. as provided for by Section 3T0O of the
#d;
for thc Jrcrlornrancc of thc work lirr which tl^-* pcrrnit is lssucd.
by Section 3700 of the l-abor Code, firr lhe Jrcrfornurrce of
carier and pLicy numbt'r arc:
Policy
(r 7O O 3r ZI
_l ccrlity that in thc lrrtirrnuncc ol'lhc wolk frrr whiclr tlris pcrrnit is issucd, I shall not cnryloy any llcrson itt arty nlanncr
so astobccorncsuhjccttothcworkcrs'conrpensatiorrlawsol'California.andagrccthatiflshouldbecorncsubjccttothc
workers' corrr;rnsation provisiorrs of Section 1700 of the Lah.rr Cotle, I slrall, forrhwith conply with thosc provisiotts..
WARNING: Failure to secure workers' cornpensalir)n coverage is unlawful, and shall subject an ernployer to crirninal penaltie.s tnd
civil lines up lo one hundred llruusand rlollars ($100.W0t. in addition to tlrc cost of compensatiott, danmges as provided lirr lhe
Sc'ction 3076 of Codc, inlc'rcst and atkrrncy's l'ct's.
L I 2c
l.l('liNSI'.1 ) ('( )N1'R;\("1'( )R
DT'CLARATION
I lrercby affirrn under pnalty of perjury tlrat I anr licensed under pruvision of Chapter 9 (conurrncing with Section 7000) of Division 3
of the Business and Professions Code. anl rnv license is in full force arxl effect.
License 93ca
I hcrcby allirrn undcr pcnalty of pcrjury that thcrc
issucd (Sec. 3097. Civ. C.).
a8crrcy pcrlbrmance of thc work lirr which this Srcrrnit is
["ender's Nanrc:
lrnder's Addrcss:
A PPI,ICA NT DECI,ARATION
I hcrchy aftirnr undc'r pcnalty of pc{ury onc of thc lirlkrwing tlcclarations:
Dcrxrlition Pernrits-Asbcstos Notification l:cdcral Rcgulntions (Titlc 40, Pafl(,
_Rcquircd Lcttcr of Notification
_l ccrtily that thc fcdcral rcgulations rcgarding
_l ccrrify that I havc rcad this applicalion
ordinanccs and Statc Laws rclating to
above rrcntioned pruperty for
Applicant or Agenl
l'ermilcc namc (
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueincr
Sub-Panels \
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Roush
Ceilinss (T-Bar Rouqh)
N/eter Release
Rouqh
Service N/eter t^FINAL /z/oqho?.O ^/,.w-t?t4 ^/
Notes, Remarks, Etc.r
it\
Jrcrmit is
tlrc ahrvc infornution is corrcct. I agrce to City and County
and
(
arxl hcrcby authoriizc reprcsentatives of this
o?
upon thc