HomeMy WebLinkAbout20171634 - PermitProiect Address: 201 0 W Chestnut Avea
Assessor's Parcel. 007-342-25 Lot: 25
Unit:
Block: NA
Bldg:
Tract: 2752
Address Range:
Historic. No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2017{634
Pin #: 11603
Owner:
Address:
Phone.
Tenant Name:
Contractor.
Address:
Phone:
Mien Pham
2010 W Chestnut Ave
Santa Ana, CA 927034342
(7141 914-2468
South West Sun Solar, !nc.
13752 Harbor BIvd
Garden Grove, CA 92843
(7141 s82-3s0e
Fee Type
01 1 16002 51600 General Plan Update
01 1 16002 57770 Microfilm Records
Amount
23.79
4.05
Qty
0.00
0.00
Fee
$0.00
$0.00
PAID
State Lic #: 1004667
Lic Type: B, C-10, C-20, C-38, C-39
Bus. Lic #: 350754
Workers' Compensation lnsurance:Carrier: Starnet lnsurance Company
Policy #: BNUWC0l51378
Expires: 06/01 12021
dDf DEC
Electrical for new roof mounted solar PV system on
commerical building. ALL ELECTRICAL SOLAR PV
FEES PAID ON 101 104281
$0.00
$0.00
$0.00
AnaCity
Building Use:
Job Type:
Nature of Work:
lndustrial
Solar
Solar
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
F-1
III B
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By: Smith, Mark I
Permit tssued By: Verduzco, Viofetf/rJ
Subject to Field:
Buirdins Permit #: 1 01104281
12t02t2020
12t08t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Every permit rssued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector MID#: 2020-1 60689
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNT]R BI'II,DER DI'I,CARATION
I hereby affrnr under penalty of perjury that I am excmpt from the Contractoru' License l-aw for the following reason (Sec'.7031.5
Business and Prol'cssion Codc): Any City or County which requircs a pcrmit to construct, altcr, irnprove, demolish or rcpair any
structure, prior to its issuance. also requires the applicant lbr such Jrcrnrit to frh a signed statenrent that lr or she is licenscd pursuanl -
to lhe provisions of thc Contractor's l-icensed l:w (Chaptcr 9. Commencing with Scction 7fi)0 of Division 3 of the Business and
Professions Code) or that hc or slrc is exenrpt therefronr and tlre basis for tlre alleged exenrption. Any violation of Section 7031.5 by any-
applicant fior a pennit subjects the applicant to a civil pennlty of not more than five hundred dollars ($5Otl1.
_1. as owncr ol'thc property. or my etnployccs with wagcs as their sole compensation, will do thc work and the structure is not
intenlcd or offeretl for salc (Sec.7H+. Busincss and Professions Code: Thc Contractor's Licensc Law rloes not apply lo an owncr of
thc property wlxl builds or improves thermnr and who does such work himself or lrcrself or through his or her own enrployees,
provided that such improvemcnts arc not intcndcd or ollered for sale. Il. however, tlrc building or furprovctnent is sold within onc year
of conpletkrru thc Owner Buikler will have thc burtlen of provirrg that he or shc dirl not buikl or inprove tlre propaty for thc purposc of
sale).
_1, as owner of thc ptopefly, am exclusively contracting with licensed conlractors to consttuct thc project (Sec. 7044. Business
arrd hotession Co<le: The Contractor's License Law does not apply to an owner of proSrerty who builds or improves thereon.
and who contracts for such projccts with a Contractor(s) licenscd pursuant to thc Contractor's License hw).
-l
anr exempt under Section-, B. & P.C. lbr tltis reason.
Date:
WORKT' ILS' COM P}:NSATION
DECLAR,ATION
I hereby affirm undcr pcnalty of pcrjury one of the following declarations:
_l have ard will nuintain a Certifrcate of Consent to Self-lnsure for workers'cornpensation, as providcd for by Scction 3700 of the
Labor Code, for the performance of the work for which the pcrmit is issued.
$ n"r. and will maintain workers' compcnsation insurarrce, as required by Section 3700 of thc L:bor Code, for the perfornrurce of
ttre work for which this pcrmit is iszued. My workers' cornpensation insurance carier and policy number are:
c*,x,, S'hr{rnf Pr 5 '
6,-LlPolicylluffrbell l\fvvrvv rrt J/I lixpires:. ?Pu/c" |flT>f
_l ccrtify that in thc pcrfornuncc o[thc work for which this Jrermit is issucd, I shall not cnploy any lrcrson in any manncr
so as to become subjcct to thc workcrs' conrpensation laws of California. and agree that if I should becorre subjcct to the
workers' compensation provisiolu of Section 3700 of the Labor CorJe, I slull, forthwith comply with those provisions..
WARNING: Failure to secure workers'compensation coverage is unlawful,and
civil fines up to one hundred thousand dollars ($100,000). in addition t<r lhe
Section 3076 of thc l-atnr Code, intcrcst and attorncy's
-7)
LICENSED CONTRACTOR
DI'CLARATION
I anr licensctl untler provision of Chapter 9 (comnrncing with Scction 7000) of Division 3
my license is in full forcc und effect.
I hereby affrnr under pnalty of prjury that
of the Business and I'rofessions Code. and
c J lo o16o -License
Date:iL-7-7)
CONSTRUCTION LENDING AGENCY
I hercby allirm undc.r pcnalty of Srcrjury that thcre is a construction hnding agercy for the pcrformancc of the work for which this pcrmil is
issuetl (Sec. 3097. Civ. C.).
lrnder's Name:
[rnder's Address:
APPI,ICANT DECI,ARATION
I trrdry allirnr undcr p-nahy of pcrjury onc of thc firlklrving dcclauations:
Dcnxrlition Pcrnrits-Ashcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
-Rcquired
l-cttcr of N<xification
_l ccaily that thc fcdcral rcgulations rcgarding asbc.stos rcrnoval arc not applicablc to this projc'ct.
_l ccrtily that I havc rcad this upplication iuxl statc that thc ahrvc infix'rnation is corrcct. I agrec to contply with ull City antl Couttty
ordinanccs and Statc [,aws relating to building arxl hereby authorizc reprcscntatives o[ this City and County to enter upon thc
above rrEntioned property for
Applicant or Agent
Pcrnrilec
I)ale:/2-?Zt
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab lJ)oor L-
Bo nd i nq rerou ndinslDJ F E R //-z/'A (L1 -rl
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinos [-Bar Rouoh)
[Vleter Release
Rough
Service N/eter \ln rt r>f,')At -? ,1.< i^?fr1 S
F!NAL /,o vf -vv lc wt 7lv6 tu-/ 6 /
Notes, Remarks, Etc.
Rev. 08-07-201 5
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