HomeMy WebLinkAbout10187289 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714\667-2738 lnspectorSection: (714)647-5853
Permit #:1tJ187289
Pin #:57272\"
Froject Address: 1521 W Anahurst Pl Unit:Bldg: Address Range:Suite Range:
Zoning: RlAssessor's Parcel:408463-13 Lol'.42 Block: NA fract:2207 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD Uatt garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories.
R-3, U
VB
cBc 2013
x-06023202s9J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $7,280.00
Description of Work: lnstall solar panels. Per PV checklist
Planning Conditions:
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Eut ch *: 3?l:i I4
t'iff iLe: i.lYH
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
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9511 , r1UOwner:
Address:
Phone:
Tenant:
Francisca Abarca
1521 W Anahurst Pl
Santa Ana, CA 927045142
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
j.lr:rl . Lrir
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:
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
PERMIT CANGELLE,D
DATE:
Fee Totai:
Paid to Date:
Balance Due:
Date:
Date:
Dale: O112112016
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$500.00
$1.00
$0.00Ahangian,
Zuniga, Allissa
No
No
No
No
Account#Total
0't116002 51601
0't116002 51612
$500.00
$1.00Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 1 80 days after its issuance,or if the work authorized
on the site by such permit ls suspended or abandoned for a period of1 80 days after
the time the work is commenced.
$52'i.00
$0.00
$s01.00
lnspector MID#: 2015-124017
INITIAL:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNI]R BUILI)ER DEL('ARATION
I hereby aflirm unda penally of psjury lhat I an erempl fiom lhe ConlractoB' Licqrse La$ for the follosing reasn (Se.70-11.5
llusincss and Profssion Codc): Any City or Counly which requircs a peirnil lo conslruct. alto'. irnprove. dernolish or repair ily
stnrcture. prior lo its issuance. also requirG the applicant for such pennit lo file a signed statonml lhal he or she is licosed puGumt
lo the $ovisions ofthe Contraclor's Licensed Larv (Chapler 9. Comrnencing wilh Section 7000 ofDivision.l ofthe Business and
Profe$ionsCode)orthalheotsheiseremptthqefiomandtheb6isfortheallcgedcxernpthn. AnyliolitionofsationT03l.5byany
applicantforapennitsubjelsthe applicsnttoacivilpenahyofnotnrorelhanfivehundreddollars($5d0). . -
.- -1.
as orvner of I he profE ly. or my etnployees rvilh rvages m lhcir mle compmsation. \1ill do the $ork ard lhc struclurc is nol
intsded oroflsedforsle(Sa.7044.Busin$sandl'rofsionsCodei lheContractor'sl,icmse I-a$do6notappl]toano$nqof
lheprcfrty rvhotxrildsorinprovelhson.ildwhodo6suchuofthimselforherselforlhroulrhhisorhero$nempl()]-e6.
providedthatsuch inprcvmmtstrenotintodedoroflq-erlforsle. If hosevs.thebuildingorimporoncnlissoldNithinone,@
ofcomplelion. the Olvner Buildq will havc the burdot ofproving thal he or shc did nol build or irnpmve the ptolEly for the pu4ns of
sle ).
_1. rs orvner ofthe prop6ty, dn cxclusively contraclin8 rl ilh liccnsed conlraclors to constnrct lhe projed (Se. 70.,14. []usins
and I'rofssion Codc: The Conlraclor's l-icense [,aw do6 not applv to an os'ner ofpropeny who builds or irnproles thcreon.
and who contracts for such prcjects *ith a Contractorls) licenscd pursuaill 1o lhe ('onlractor's License l-a\\ ).
-l m exernpt undr Sstion--. a. & P.C. for this re6on
Date: __ __ Osner:
woRKttRs' cot\tPENsA'iloN
DECT,AR,{'tION
I hereby affirnr under penalty ofpojury onc ofthe follorvirg dclaralions:
-l
have md will maintain a Cetlificate of Consent to Self-lnsure for worko's cornpens.tion. s provided for by S(tion -1700 of the
txbor Code. for thc pqfonnance of the q,ork for rvhich the pmit is isued.
I hare and rvill maintain workers' cornlxnsalion insurance. m required by S(tion -1700 ofthe Labor Code, for lhe prq fonnmcc of
thc sork for shich lhis pcrrnit is issucrl.coillllcnsali()n insrrrancc can'icr anrl lxrlicr numtrcr uc:
Carier:
l'olicy Nurnber:l;\l)ir es:
_l cenify lhal in the perforrnance ofthc rvork for rvhich this pumit is issucd. I shall nol ernphy anl person in any nrannt'r
s d to becorne subj(t to the $ork(s'composalion la$s ofcalifomia. and agre that ifl should trcone subi*t to thc
worko's' comparsalion provisions ofSection 3700 ofthe l-atnr Code, I shall. lbnhwith comply with lhos provisions.
WARNINC: Failure lo seure sorkers'corn;rcnsalion co\emge is unlarvful. and shall suhjecl an onplolcr h oiminal Frrmltie and
civil lines up lo one huildred thousand dollars in aLldition to lhe cosl of conrpensalion. danrages as prorided fcl the
Section 1076 of rhe LaU)r Code. intsd and atlorey I
DF,CT.ARATION
I hocby aflinn undo pmalty of pqjury that I an lico*d under govisfun of Chapls 9 (commmcing $'ith S*tion 7000) of Division 3
of lhe Busin6s md Prof6sions Code, and my licflsc is in full force and effat.
Licenseclass: i *f'Z
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CONS'TRUC'TION LENDTNG AGENCY
I hereby affitm under penalty of psjury lhal thse is a conslruction lending agency for the psformmce ofthe work for Nhich this pcrmit is
issued (S(. -1097, Civ. C.).
Lender's Narne:
-
l-ends s Addr6s:
AI'PLICANT DECLARAl'ION
I hoeby affinr unde penalty of perjury onc of the folbrving delarations:
Dcrnolition Pqrnils-Asbestos Notification Fedtral Regulations ('l itle 40, Parl6 )
Rcquired Ldtd of Nolifi cation
I cqtify that thc fedeal regulations rcgrding astrstos rernolal are n(x applicahle h this prcjet.
-l
cdify that I hale read this application
ordiDanccs and Slale [-aws
above trolioned prolEtly for
Applicanl or Agent Sign{ltrre
Permite tr{mc (pritrl):
thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
l)ale
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DocuSign Envelope lD: 1 306958 1 42304E82-8137-2DBEBCDD64BB
l3l52Harbor Blvd, GardenGrove, CA92843 Offrce:714-582-3909Fax 714-660-2224
13 l0 Tully Rd. Suite I 1 5, San Jose CA 95122 Office: 408-7$0-2013
www. southwestsunsolar.com Email : info@southwestsuns, rlar.com
SouthWest Sun Solar fnc. @
Authorization Letter
Date: January 29,2020
City of Santa Ana
Building and Safety Division
20 Civic Center Plaza
Santa Ana, CA 927OL
(7141 667 - 2700
RE: 1521 West Anahurst Place, Santa Ana, CA92704
To whom it may concern,
The undersigned homeowner (Francisca Abarca) hereby authorize Southwest Sun Solar, lnc. to act as
the sole active contractor in permitting and installing the solar system for property address 1521 West
Anahurst Place, Santa Ana, CA92704. By signing below, they no longer allow any other company to act
on their behalf. Furthermore, homeowner would like to request to cancel the current solar permit,
1OL87289 and 20158455.
Thank you.
Francisca Abarca
Print Name ?f..Tw"D
by:
FEB 0 4 RtcD(rawisw frbara
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L/30/2020
Date
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