HomeMy WebLinkAbout101102466 - Permit (2)6il Ciqz of Sorfl], 20 civic center Plaza (M-1e), Santa Ana, cA s2702 Buildifo
@ PermitCounter: (714)047-sxoo tnspection Requests. (714)067-2738 tnspectorSection: (7i4)l47-strrfl
Project Address: 1616 E Fourth St
Assessor's Parcel: 398411-02 Lot: 8, POR 6, POR l(Block: B
Unit Bldg: Address Range:
Tract: GARDNER VILLA Historic: No
Suite Range:
Zoning: P
Building Use:
Job Type:
Nature of Work.
Existing Bldg & Use
Proposed Use:
Commercial
Solar
Solar
Commercial
Occupancy:
Constr Type:
Code:
Flood Zone
# of Stories.
B
VB
cBc 2016
x-0602320276J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area
Yards Req'd.
Valuation:$72,000.00
Description of Work: lnstall (90) roof mounted solar panels
Planning Conditions: No exposed conduit or wires
Owner:
Address:
Phone:
Tenant:
Jason La
1616 E Fourth St
Santa Ana, CA 92701
(7141589-7672
Contractor: South West Sun Solar, lnc.
Address: 13752 Harbor Blvd
Garden Grove, CA 92843
Phone: (714) 582-3909
State Lic #: 1004667
Lic Type: B, C-10, C-38, C-39
Bus. Lic #: 350754
Workers' Compensation lnsurance:
Carrier: Starnet lnsurance Company
Policy #: BNUWCO147932
Expires: 0610112020
yoursolarplans.com
Phong Trug
3000 E Birch St #201
Brea, CA 92821
(844) 783-5,183
Engrneer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
c70784
5 ntlvulv,t- 51o1llrt-tt-]
lni & uoaufi
** r***** *
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp Req'd
Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
am Date:12109/2019
Dale' O2l27l2O2O
Date: 0212712020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 5760L Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07716002 57600 General Plan Update
Fee Total:
Pard to Date:
Balance Due:
$1,000.00
$23.46
$3.00
$0.00
$1,026.46
$0.00
$1,026.46
No
No
No
Account#Total
01116002 51601
01116002 516't2
01116002 57770
$1,000 00
$3.00
$23.46Every permit issued shall become invalid unless lhe work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permit rs suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2019-156367
Permit #:1fJ11o246,6
Pin #: 32829
a
!
BUILD!NG. !NSPECTOR RECORD 1r>
Bev.08-07-2015
SITE.WORK DATE ID/SIG COMMENTS owNlr,R llt,ll,l)t:L t)l.rr,cARA'rroN
IherebyaffirnrundcrpenaltyofpcrjurythatImretenrplfronrtheClontracloB Liccnsebwforthefollowingrcasn(Se.7031.5
Business and Prolcssion Codc): Any City or County which requircs a 1*rmil lo con$lnrct, altcr. irnprove, dcrrelish or rupair any
stntcture. prior b its issuance. illso requires the applicant tbr such pemrit t, lilc a signed slatemenl lhat he or she is licensed pursuaill
lo lhc lrovisions of rhc Conlracrcr's l-iccnscd Iiw (Chdpter 9, Commencing wilh Scction 7fiil ol l)ivision 3 of the Business and
P(r'essioDsCqle)(trlhatheor{heisexempttherefiomaBlthebasi\forthealleSedexenrptiorr. AnyviolatiooofseclionT0Sl.5byany
tpplicint[orrpennitsubjectslhc npplicnnttorcivilpenxltyofnolmorethanllvehundreddollnrs($5(n).
_1, as owncr ol lhc prolEny, or my crnployccs wilh wagcs as lhcir $lc compcnsation, will do lhc wo* ard the stMtue is mt
inenled or offered for sle (Se.7{}14, Business and Pnrfcssions Crxle: The Contractor's l-iccnsc l*w rlocs nol apply lo an owncr of
lhepropeny whobuildsorimproveslherenr,andwlrcdoessuchworkhimselforhersclforlhrouShhisorherowtremployees,
providcd thal such improvemnts dc not intcnded or ollercd I'or slc. ll, howev!'r, lhe building or improvcmnl is sob within one ,rar
ofconplelinr, thc Owrer Buiucr will lmve the burden of provinB llw lrc or she did mt boikl or impmve th6 prcpeiy for the purF)s of
$le).
_1. ns ownlT oflhe lroperly. anr cxclusively contracting wilh Iicenscd conlrnclors to conslrucl llE prcjeet (Sec. 7{}14. Business
arxl PnrlissirrCorle:'lheContructor'sLicerrse[-awrloesnotapplybailowilcrofpropcnywhobuildsorinrprovcsthereotr.
and who contrnctsforsuchprolcctswirhrContrach(s)liccnscdpursunnlhlhcCoolraclor'sLiccnscLaw).
-l
anlerempt under Section-, B. & P.C. lbr this rearon.
WORKI]RS' COM PI]NSATION
DECLARATI0N
I hercby all'irm uodcr pcnalty ofpcrjury one oflhe tblhwing dccluarioN:
_lhaveudwill MintainaCcrtilicateofConsentroSelFlnsureforworkeK'compensation,as prcvidedforbyS€ctionS?00ofthe
tihor CgMor thc Frrlorrumc of lhc work for which thc pomir ir isrucd
!#an,lwillmaintainworkcn compcnsalioninsurancc,as requiredbySection3TOOofthekborCodc,forthcperformrceof
ilc work t'rrr which this f{rmir is ilsucd. My workers' q)mpcruation insurunic cmier unl grlicy numbcr ue:
canrer: 9lz+n 1- 7-n \ .
Policy t)l-L-zz-zo
_l ccfify that in thc Frfornrnncc of thc work for which this lrc(nrit is issucd. I shall not cmploy any Prson in any muncr
so a s to hcco nrc subjcct to thc workc6' co nrpcnsat ioD lawr o f Crl i lbrtria, aDd 18 rcc thxt i l l should bcco rru subjccl to the
workers'conqrnsationprovision$ofSectionST00ofthel-aborCode,lshall,fonhwithconrplywillrtho*provisions.
WARNINC: Failurc h sccurc workcrs'conrpcnsrtion covcrngc i\ unlawful. and shxll suhjcct an cnrlroycr t| fiminll lrelix md
civil fincs up to onc hundr.d thoussnd dolhrs (SI(X),(Xx)), in rdditioD to lhe cosl ofconrpensation, damnees $ provided for th.
Sccliotr .](176 ofthe l-atx)r (ixle. irilerest and attomev s feer. /'1
=,/l /// __-L-71-zo
I,ICENSED CONTR (]TOR
DEEIAEAIIAN
I hereby allirm under pcnally of pcrjury that I am liccnd under provision ol Chaprer I (comrrencinS wilh Section 7000) ol Division 3
of rhc Busincss and Pft)fessions Codc. ml mv liccnsc is in full lbrcc and clfcct.
[-iccnsc t--o
u^,", Z'21'7 )
@
I hercby a|irm ullder lEnaltyof perjury that there is a conslnrction lerdhg aSeDcy fbr the perfomnce of the work for which rhis pemrit is
issued (Scc. 1097, Civ. C.).
[4ndcr's NanE.
L(.ndcr's Ad(lrc\s: _
APPLICANT DECLAR.ATION
I herebyuffmrunder p€nalty ofperjury one ofthe following declarations:
Dcnelition Permils-Asbestos Notification Fcderal Regulations (Title,l0. Part6)
_Required bttcr of Norificalion
_l ceaify rhat re!ilditrg nshcslos renroval are not ill)l)licahle k) this proicct.
with rll City and County
a[d County to entcr ulpn (lE
iltx)vc mnti()ncd propcf,y lbr
Applicant or Agcnt
l'(mrile( nanrr
,Lr. Z-7 L- ILr'
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulationi Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[t/asonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
li
FINAL 4//2,'7.O /l*Ycil /
Certificate of Occu
Notes, Remarks, Etc.
/oo Yos -