HomeMy WebLinkAbout20170211 - PermitPermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Unit:
Block: NA
Bldg.
Tract: 5653
Address Range:
Historic: No
Pin #:
Suite Range:
Zoning: Rl
Project Address: 2825 S Pacific Ave
Assessor's Parcel: 140-241-15 Lot: 52
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #:2o^170.211
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Vu Huynh
2825 S Pacific Ave
Santa Ana, CA 927046235
(7141 742-5s32
Solarmax Renewable Energ'
3080 12th St
Riverside, CA 92507
(951) 300-0788
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
I ssuance
Microfilm Records
Amount
55.37
22.95
57.20
3.91
Qty
1 .00
1 .00
1.00
100
Fee
$55.37
$22.e5
$s7.20
$3 e1
State Lic #: 972048
Lic Type. C-10, C46
Bus. Lic #: 346803
Workers' Compensation I nsurance:Carrier: State lnsurance Fund
Policy #: 9020313
Expires. 0410112020
Bqtch*:53061 LL/ 1g/21r1? ID: offior'o: rl
0f f ice: CTYH Trnnsi: 148 1 t,f .i
Accti: Ref*: 2t-t171J211
Rcpti: a28ct96?7 lli Lg/lttl? 1 : 1S r'n
Transnct i on Toto I t61 6 .2?
Solormox Renewgb1e Enerss Prov
tienernl F'Iun Uprjttt,e Fer.:
t-t1 i 1 att[t?- 51 6[it-it-t[tt-i-'
Ele,:tr irtcil i,
I t1 1 16[t[t,- i1 ;,t-t.i[tLii-i"
i1i,:rof i lrrr & Do,:ufiiEnLs
r rJ I 1or-rr-i;- :l77,rt r[t[it-i-
r nsta r r lotJr,ir[fi hted so r *l:' etl tx ped ited pe rm it
Process For PV Systems Standard String System.
Solar fees paid on 101 1 02258. Upgrade setv
meter/handout given.
$??
Building Use:
Job Type.
Nature of Work.
Single Family Dwelling
Solar
Solar & Serv Meter
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:02258
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 after the time the work is
commenced.
lnspector MID#: 2019-155942
1
11t18t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
$139.43
$0.00
$139.43
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$22 95
$1 12.57
$3.91
_l
3634ist
ELECTR!CAL.I NSPECTOR RECORD
f)^', nA n7 1n{ fi,
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm lDarxpers
Communications Cable
Buildins .A
Under Slab / Floor r{
Bonding I Groundinq / UFER (-ylil.J0,
Transformers \-/
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
/^\
Rough JoLn4 1"ru-z,o t) "uJxI
Service Meter t,1-'w 'L^lLbYilFINALl-Zzja
Notes Re Etc.
1-t,
I
OWNER BUILDER DELC,ffATION
I hereby affirm undu poalty of pcrjury that I m exmpt ftom thc ContractoB' Licw kw for the following llen (Se.7031.5
llusines md PIofsioo Code): Any City or County which rcquira a pcrmit to construct. alto, imprcvc dqnolish or rcpoir'mf
structue. prior to its issuocc. also require thc applicilt for such pernit to file I signed statmml that h€ or shc is licccd pwuan
to thc prcvisiore of thc Contmctor's Liccnscd lrw (Chapt6 9. Commocing rvith Setion 7000 of Division 3 of rhc Buine md
hofsionsCodc)orthathcorshciseremptthqcfomedthcb€sisforthcallcgcdcxopion. AnyviolationofScrionT03l.5byany
applicantforaptrnitsubjctsthc applicanlioacivilpenaltyofnotmorethillivehundrcddollus($500).
_1. as o\t'ner of the propaly. or my ernployees rvith wages as their sole compensation. willdo thc rvork and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License [.arv does not apply to an ouner of
the property rvho btrilds or improves thereon. and rvho does such u'ork hirnself or herself or through his or her own employees.
provided that such improvonents are not intended or offered for sale. I[, howe!'er. the building or improvement is sold rvithin one year
of complaion. the Orvner Buildo rvill have thc burden of proving that he or she did not build or irnprove the propoly for the purpose of
sale).
__1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Btsiness
and Profcssion Code: The Contractor's Licensc Larv does not apply to an orvner of property who builds or improves thereon,
and who contracts for such projects rvith a Contractor(s) licensed pursuant tcl the Contractor's License Law).
-larnexemptunderSection--.B'&P.C.forthisreason.Date:_Owner:_
WORKERS' COMPENSATION
DECLARATION
I hereby affirm under panalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compersation. as provided for by Section 3700 of the
Labor Code. for the performancc of the work for which the permit is issued.
,6""and will maintain workers' compensation insurance. as required by Section 3700 of rhe Labor Code, for the performance of
the u,ork for which this is issued. My workers' compensation insurance carrier and policy number are:
l)olicy Nt,rrr,cr 1io16313 17 lzct
_l certify that in the perforrnance of the rvork for u'hich this rn any manner
so as to become subject
workers' compensation
to the \r'orkers' cornpensation lau's of California. and agree that if I should become subject to the
provisions of Section 3700 of the Labor Code. I shall. forthrvith comply rvith those provisions..
WARNING: I.'ailure to secure rvorkers' compensation coverage is unlarvful. and shall subiect an onployer to crirninal penalties and
civil fines up to one hundred thousand dollars in addition to the cost of damagcs as provided for the
Section 3076 of the tabor Code.
I)L('t./t RA'I'l()N
I hereby afTirm under penalty of perjury that I am licensed under provision of Chaptcr 9 (cornmencing rvith Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License - 41,c-b
l, 18,
(.ONS'I'RU(]'I'I()N I,IiNDIN(; A(; I,N('Y
I hereby affrm under penalty
issued (Se'c. .1097. Civ. C.).
tlrat construction lending agency for the perfonnance of the rvork for rvhich this permit is
Lender's Name:
Lender's Address:
APPLICANT DECLARATION
I her€by affinn under penalty of perjury one of the following declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
--Required Letter of Notifrcation
_l certify that regulations regarding asbestos remot'alare not applicable to this project.
that I read this application and state that the ahrve information is correct. I agree to comply
rrepresentatives of this City
with all City and County
and County to enter u;xln theI-arvs relating to building construction, and hereby authorize
above
Applicant or
llcrnrilee
for
'1*20
t
fr?a"
,n,, L l' 1?' t1