HomeMy WebLinkAbout20170818 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Electrical Permit #:2(J170818
Pin #: 93{\PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Project Address: 722 S Birch St
Assessor's Parcel: 010-211-15 Lot: 12
Unit:
Block: J
Bldg: Address Range:
Tract HENINGER'S SECO]'listoric: No
Suite Range:
Zoning:SD40
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Lisa Thuy Pham
722 S Birch
Santa Ana, CA 92701
(7141260-5822
South West Sun Solar, lnc.
13752 Harbor Blvd
Garden Grove, CA 92843
(714) 582-3909
01 I 16002 51603
01 1 16002 5160C
01 1 16002 51603
o1116002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
55.37
22.95
57.20
3.91
Qty
't.00
1.00
1.00
1.00
Fee
$55.37
$22.95
$57.20
$3.91
Phone:
State Lic #: 1004667
Lic Type: B, C-10, C-38, C-39
Bus. Lic #: 350754
Workers' Compensation lnsurance:Carrier: Starnet lnsurance Company
Policy #: BNUWC0147932
Expires: OOl01l202O
RULLl,r..-r++Lr[
0i i ice: {:TYH
HLLLT.
Rcp i * :0?,tiI8
Tr'eirrsnct ic,rr
b{.rL,Lfi He5L JU
ueBer'(( l
0111o0rri
EIect r i i
l-'Iorr UPd(it
- :l6LrtrUtrU
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: lnstall solar paneUsolar portion pd on 101103155
service meter handout given
\lk ,"rn"ndez, Kathv ozt14t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirding Permit #: 101103156
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 the site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22.95
$112.57
$3.91
Fee Total
Paid to Date:
Balance Due:
$139.43
$0.00
$139.43
lnspector MID#: 2020-157811
.J1
r_-rt
ELECTRICAL.INSPECTOR RECORD
Hev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS OWNI:,R BUll,l)llR l)I.),CARA'IIoN
I hereby affirnr under peDalty of perjury that I anr exempt fiun) the Contraclos' License Law for the followilg reason (Sec.7031.5
Busincss and Prolcssion Code): Any City or County which rcquircs a pcrtnit t) construct, altcr. irnprovc. dcmolish or rcpair any
structurc, prior k) its issrance. also requires the applicaut lbr such pertrit b file a sigiled statemeilt llut he or she is Iicensed pursuatt
to thc p.ovisions of thc Conractor's Liccnscd lrw (Chaptcr 9, Comrncncing wilh Scction 7(yJ0 ol Division J ol thc Busincss and
ProflssioD$Code)orthatltorsltisexemlntlEretronraildthebasisfartheallegedexen4niotr. AnyviolatiolofSeclionT03l.5byany
npplictrDtforupernitsubjectrthe.pplicanttoacivilper)altyofnotnmrethunfivehund,cddollars($500).
_1. as owncr ol-th!. proJr(y. or ilry crnployccs with wagcs as thck solc comlcnsali(n, will do thc work and thc {ructurc is mt
irlenrled oroffcrerl for sab fsec.7()'l4. Busirress and Prcfessi<rrs Code: The CoDImclor's License Law does not apply tr an owner of
theffi)pc(y wlrcl)uildsorirrprovcslherdnr,aildwhodoessuchworkhimselforherselfortltroughhisorherowilenlployees,
providcd that such inrp()vclrcnts arc nd intcndcd or ollcrcd for salc. Il, howcvct thc tuildinS or irnprovcrrcnl is sold within onc ycaa
ofconlretion, the Owrrer ltuiltler will have the burden otproving tlut he or she did not build or improve tlre pm[Efly for the purF)se of
sale).
_1. as owner ofthe prcpefly, ilm exclusi\el) cotrlrnclin8 with licensed conn aclo s to consl uct lhe prcject (Sec. 7(N4. Business
and [\utessidlCode:'l'hcContruct()r'sLicerseLawdoesnotapl)lytoanownerofpropefrywhobuildsorimproveslhcreon.
and wh() conu'acts lirr such pK,jccts wilh r Contrackrr(s) liccnscd pursuanl to thc Contmclor's Liccnsc Law).
I anrcxcnrpt uDder Secli(,D-, B. & P.C. lin this rea\(nl-
I)atc:-
WORKIiRS' COM I'I]NSATION
DECLARATION
I hcrcby affirDr undcr pcilalty ofpcrjury onc oIthc li,lhwing dccluations:
_lluve andwill nuintaira(leililicateofConsenttoSelf:lNureforworkets'corrpensation,as providedforbySection3T00ofthe
lnhor Codc, for thc pcrlbrnmnce ol thc work lor which tlrc permit is issucd.
\/ have anr.l will nraintxiD workers (olrfensali(n irrsurance, as required by Section 3700 ofthe Labor Code, for the perforDunce of
llic work lbr wlich lhis l,crnrit is i\sucd. My workcrs' comlEilsation insumncc cfricr aod f[ticy trumhcr del
<z\-h{,'I- }r>(.
Policy o\Gt-v
_l ccnify that in thc pcrtilrrancc of thc work lix which this pcrnit is issucd, I shall not cn{roy aDy l)crson i[ ary manncr
so as to bccolrc suhjcct to thc workcrs' conrpcilsalion hws of Culi lbrnia. aDd agrce th{t iI I should becoDr subjcct to thc
uorkers'col4rensationprolisionsofSection3T00oftheLaborCode,lshall,fonhwithcorrplywithlhosprovisions..
WARNING: Failure to secure wokers'conrpensalion coverage is unlawful, and shall subject an crnploycr to crirninal penallies nnd
civil fiues up to ure hrndred th(,usilnd dollars ($100.m0). ir additiul lo cosl of conrpensaliur, danrages as provided lbr lhe
Scction 3076 of lhc Lnlxrr Codc, intercst and attorncy s
,r,"' ?- lV-f,
I hereby affirrl unrler 1)eDahl,of pedury thal , un, ,,."n..d u*#ffi##Chapter 9 {coDunencinS with section ?000) of Division 3
of the Business and l'mfesNions Code. ard rny license is in Iull lbrce and elTect.
LiccDre CA.>NrrrJ,OoY Lto'?
D,ru,-----l-i-l-9-a J
CONSTRUCTION LENDING AGENCY
I hcrcby al linn undc'r Jf,nally ol rcrjury thil thcrc is a co[slruclion lcnding ag('ncy lor thc pcrlbilnancc ol lhc work l'or which this pcflnil is
issued (Sec. 3097, Civ. C.).
Lender's Nrnre:
knder's Addres.:
APPLICANT DECLAR/tTlON
I hcrcby afftrm undcr lrcnalty of pcrjury onc of thc lbllowing dcclarati(,ns:
Denulition Pern)its-Asbcsk)s Notificati()n lrcdcral RcSulations (Titlc 40, Pa(6)
_Rcquircd Lcttcr of Ndilic{tion
_l ccilily that thc I'cdcral rcgulalirnis retading astrcsbs rcrnovalarc nol applicablc to lhjs projcct.
shtc t|al lhc nh)vc inlbrtrhli(nr is corcct. I rgrcc k) con)ply wilh all City aDd Counly
nnd hcrcby nuth(rizc rcprcscntativcs ofthis Cilv and County kr cntcr ulnn tlrc
ilboYe nreilti(nred pfi)ltflv ftn'
Alrplicant or Agcnt
llcrilrilcc ilxnr(
D^t"' '74V'7)'
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinos (T-Bar Rouqh)
ft/eter Release
Rouqh
Service lt/eter I
FINAL '5/l/ /7n /485!1r,
Notes, Remarks, Etc.I