HomeMy WebLinkAbout20173976 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 20173976
Pin #: 57127
Ae/
Proiect Address: 1301 N Fawn Sta
Assessor's Parcel. 1 00-551-22 Lot: 15
Unit:
Block. NA
Bldg:
Tract: 3523
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone
Hongvan Thinguyen
1301 N Fawn St
Santa Ana, CA 92703
(7141 234-6667
South West Sun Solar, lnc.
13752 Harbor Blvd
Garden Grove, CA 92843
(7141 582-3909
01 1 16002 51603
01 1 16002 5160C
01 1 16002 s1603
01 1 16002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59 30
4.05
Qty
100
100
100
100
Fee
$s7.40
$23 79
$59.30
$4.05
t23 . "/9
tl16 "
'/0
14 . t-t5
$631 . i?g
State Lic #: 1004667
Lic Type: C-10, C-39
Bus. Lic #: 350754
Workers' Compensation lnsurance.Carrier. Starnet lnsurance Company
Policy #: BNUWCO1S4184
Expires: 06/01 12022
Botchi:6tt328 8/ 13i 2u2l ID: ov i ctor it
Uff ice: (:TYH [rorrs*: 3 I of 2Acct*: Ref'*: 2tt173?76
Rcpti: tr337789:, 8/ l StZit?I g:50 Atl
Tronsoct i on Tors i t631 , ?9
Soueh l,lest Sun Sol or' r I nc ,
Generol Flan Updat,e Fee
Lrl I 160112- 516Ct0001r-
Electr i col
Lil 1 I 60tt2- 516tt3[ttt0-
11 icrof iim & Dcrcu,ients
Lrl 1 161t02- 177 7r-t0[tu-
ViscrBuilding Use:
Job Type:
Nature of Work:
Single Family Dwelling
Solar
Solar/Service Meter
Julie
01 107514
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019 Notes:tnstall roof mounted solar panels - solar fees paid on
101 107514. Service meter handout provided.
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
08/1 3t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.79
$1 16.70
$4.05
Fee Total
Paid to Date:
Balance Due:
$144 54
$0.00
$144.54
lnspector MtD#'. 2021-1 68039
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor I
Bondinq I Groundinq I UFER 9/t,oh,t
Transformers I lY (
Torqueinq
Sub-Panels
Air Conditioners /
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
[/eter Release
Rough
Service lt/eter /r lt
FINAL qltu fz,
Etc.Notes Re /V
I
I hcrcby aflirm undcr pcnalty of perjury lhal I m crcmpt from the Contmctos' Licen$ ljw fot the following rcasn (Se.7031.5
Busincss 8td Profcssion Codc): Any City or County which rcquircs a lmit to @nstruct. trltcr, improvc, demlish or rcJtsir ony
structurc, prior to its issuane, olso rcquircs thc applicsnt for such permil to filc s sigrcd statcrcnt lhat he or slrc is liersd puNutrnt
to thc prcvisions of the Contnctor's Liccnsd llw (Chapler 9. Comrcing with Sation 7000 of Division 3 of thc Busim$ rnd
PrcfessionsCodc)orthathcorshciscxcmptthmfrcmandthcbasisforthesllcgedcrcmption. AnyviolalionofsetionT03!.5byany
applicant for a permit subjcrcts thc applicant to I civil pcnalty of not mrc than five hundred dollus (3500).
_1. as owncr of thc propcrty, or my cmployees with wagcs as thcir mlc compcnsation. will do the work and thc structurc is not
intcndcd or offcred for sale (Scc.7044, Busincss and Profcssions Codc: The Conlractor's License Law does not apply to an owner of
the profrcrty who builds or improvcs thereon. and who docs such work hinrsclf or hcrsclf or through his or her own employees.
providcd that such irnprovcnrcnts arc not irrtcndcd or offcred for sah. If. howcvcr. thc building or improvenrnt is sold within onc )Ear
of completion, ttre Owner Builder will havc tlre burden of proving that he or she did not build or improve the propcrty for thc puryxlse of
sah).
-1,
as owncr of thc property, am cxclusivcly contracting with liccnsed contractors to construct thc projcct (Scc. 7U4, Busincss
and hofcssion Codc: The Contractor's Liccnse Law does not apply to an owncr of property who builds or improvcs lhercon,
and who contracts for such projccts with a Contractor(s) liccnsed pursuant to the Contractor's Liccnse Law).
-l
am exempt undcr Scction-. B. & P.C. for this reason.
WORKERS' COMPENSATION
oacLnru{TIoN
I hcrcby affirm undcr penalty of pcrjury one of thc following dcclarations:
havc and will rnaintain a Certificate of Conscnt to Sclf-lnsurc for workers' compcnsation. as provided for by Section 3700 of thc
Codc, for thc lrcrformancc of thc work for which thc permit is issucd.
havc and will workcrs'insurance. as by Section 3700 of thc labor Codc, for thc pcrformancc of
carrier and plicy numbcr are:work for
Policy
_l ccrtify that in thc pcrlbrmance of thc work for which this pcrmit is issucd, I shall not crnploy sny pcrson in any manncr
so as to becolnc subjccl to thc workcrs' compcnsation laws of California, and agrcc that if I should bcconre subict to the
workcrs' conrpensation provisions of Scction 3700 of thc Labor Codc, I shall, forthwith comply with those provisions..
WARNING: Failurc to sccurc workcrs' compcnsation covcrag,c is unlawful. and shall subjcct an crnploycr to crirninal pcnaltics and
civil fincs up to onc hundrcd lhousand dollars ($100.0U1;, in addition to cost of compensalion. damages as providcd for thc
attorncy's fccs.
NECI ^ RATION
I hcrcby affirm undcr penalty of prjury that I arn licenscd undcr provision of Chapter 9 (comnrcncing with Scction 7000) of Division 3
of thc Business and Profcssions Code, and my licensc is in full forcc and effcct.
W
I hcrcby allirm undcr penalty of tErjury that thcrc is s constilclion lending agcrcy for lhc pcrfme of thc work for which lhis lEmil b
issucd (Scc. 3097, Civ. C.).
l4ndcr's Narc:
kndcr's Address:
APPLICANT DECLARATION
I hcrcby atrirm under pnalty of pcrjury onc of thc following dcclarations:
Dcmolition Pcrrnits-Asbestos Notification Fedcral Regulations (Title 40. Part6)
-Rcquircd
lrttcr of Notification
certify that thc fcderal regulalions rcgarding asbcstos rcmoval are not applicable to this project.
ccrtify that I havc rcad this application and statc that thc abovc information is conect. I agrcrc to comply with all City and County
and Statc Laws rclating to building construction. and hcrcby authorizc rcprcscntatives of this City and County to entcr upln thc
abovc mcntioncd property for inspcction
or ,,r",81 l\{Zl
no n7 ont tr
Date: Owner:_
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