HomeMy WebLinkAbout101103016 - PermitI
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714)647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{{O3O{6
Pin #: 737e1i
Project Address: 2513 N Larchmont Ave Unit Bldg: Address Range Suite Range:
Zoning: RiAssessor's Parcel:003-052-1 1 Lot: 21 Block: NA Tract: 1964 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/ garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R.3, U
VB
cBc 2019
x-0602320163J
Patio:
T.l.Area:
Yards Req'd:
Valuation: $19,881.00
Description of Work: lnstall new roof mounted solar PV system. Per PV checklist.
Planning Conditions
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Owner:
Address:
Phone:
Tenant:
Brendan Baksh
2513 LARCHMONT AVE
Santa Ana, CA 927062018
(949) 302-5180
Contractor: Precis Development dba Pre
Address: 36625 Kevin Rd #147
Wildomar, CA 92595
Phone: (951) 969-9400
State Lic #: 952305
Lic Type: B, C-10, C46
Bus. Lic #: 366962
Workers' Compensation lnsurance:
Carrier: State Compensation Insurance Fur
Policy #: 9045374
Expires: O2l15l2O2O
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Euilding
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F'rec is De,reloprenb dbo Pre,: is
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
,r"v
Misc. Receipt
Misc. Receipt
Misc. Receipt
$4s0.00
$19.55
$1.00
$0.00
Date:
Date:
Dale: O1l3'll2020
Subject to Field:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
Zuniga, Alli
No
No
No
No
Account#Total
01 1 16002 51601
01 1 16002 51612
al116002 57770
$450.00
$1.00
$19.55Every permit issued shall become invalid unless t/,e 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.
$470.55
$0.00
$470.ss
lnspector MID#: 2020-157517
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area.
Total:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby aflirm undr penalty of pojury tha I an exempt from lhe Contracto6' Licmse Law for the following rron (Sc.7031.5 '
IJusinss md Profsion Codc): Any City or Counly which rcquirc a permil lo construd. all6, improve. dmolish or ,foi, -y'
struclure. prior to its isumce, also requirG the applicilt for such pemit to file a signed statemmt that he or she is licmed pmumt
ro the provisions of the Contractor's Licenscd Law (Chaptcr 9, Commencing with Section 7000 of Division 3 of the Business md
Professrons Codc) or that he or shc is exempl lhacfrom ed lhe b6is for the allcgcd exmplion. Any violation of Sation 70-11.5 by ey
applicantforapennitsubjectsthe applicanttoacivilpenaltyofnotmorethmllvehundreddollas($500).
l. o orvno oflhe propeny. or my employe with wage 6 lheir ele compensation. will do thc work ild lhc structue is not
intmdcd orolTcrcdforelc(SE.T044,BuinosandProlasionsCode:TheContractor'sl.icsseLawdosnotapplytomownoof
thepropeny whobuildsorimprovethq@a,mdwhodo6suchworkhimselforherselforthreughhisorhcrownemployes.
provided that such improvmols ue not intodql or offqed for sle. If, howryq, the building or im;novcmt is mld whhin onc ,qr
ofcornpletiotr lhc Orvns Buildr rvill havc the hrdm ofproving tlm he or she did not build or inrprore the propoty for the purpow of
sle).
_,1, m ou'nci oflhc propoly. aI cxclusively cofllracting with liccnsed contracloc to construct the prcject (Scc. 7044, Bsines
md ProftsionCodc:'IheContractor'sLicenseLawdo6nolapplytodowotrofpropenywhobuildsorirnproveslhtrsn.
and u'ho contracts for such projets rvith a Contraclo(s) licosed puGumt lo lhe Contraclor's Licosc [aw).
I iln exefipl undq Section-, B. & P.C. for this re6on.
Dste:__
WORKERS'COMPENSATION
DECLARATION
I hcreby affirnr u nder poalty o f ptrjury one of the following declarat ions:
__l have md will maintain a Certificate of Cons$t to Self-lnsure for workm' compwlion. s provided for by Setion -1700 of the
tabor Code, for the pqfommce of the work for which the psrnit is isued.
I have and rvill rnaintain worko's' cornpensation insurance. as requircd by Section -1700 ofthe Labor Code, for the pdfonnance of
thc work for which this pfinil is issucd. My workos' compensalion insuruce carier md policy nurnbe ae:
('micr: ]: SA"+. ru"d
zlt o lt
I ceniry thal in the performance ofthe work for which this pomit is issued. I shall not mploy any person in any rnmncr
s 6 to become subjet to the work6'compeNlion laws of Califomia. md agrc thd if I slnuld become subjel lg thc
s'orkqs' comp€rsarion provisiom ofsection 1700 ofthe tibor Code t shall. fonhwith comply rvith thos provisiim.
WARNING: I;ailurc to scure workm' cornpemalion coverage is unlawful, md shall subjet u onployo to aiminal pemltie md
civil ftnesuptoonehundredthousanddollm($100,000),inadditiontothecostofcompensalion,danagesoprovidcdforthe
DECLARATION
I hcrcby affrm und6 psalty of pcrjury that I an licmsed under povision ofchaptq 9 (cornmmcing with Setion 7000) of Division 3
of the Busins md Prcf*ions Code. and my licme is in full force md effet.
l.iccosc Nurntrr:?< z gos
CONSTRUC'TION LENDING ACENCY
I hercby aflirrn under Jrenahy of pertury that thtre is a construction lending agcncy for the pqfonnance oflhe rvork for which this permit is
issued (Sec. 3097, Civ. C.).
APPLICANT DECLARATION
I haci'y afErn undo pmalt y o f perjury one o f thc fo llowing da laat ions;
Demolition P6rnils-AsbGtos Notitication Federal Regulations (Title 40, Pan6)
Required Ldts of Notificalion
__l cfiiry that thc fedoal rcgulatiom reguding rbctos rmoval ae not applicable to this prejd.
a--:J cstii, that I have r@d this application md sratc that the above infomation is coret. I agra to comply with all City and County
ordinanc6 md Stetc ltws relating to building construction. md hercby aulhotizc rcprsentativ6 ofthis Cilyjmd Counly to stq upon the
abovc mentioncd prolrcTty for
4pplicsnt or.lgcnt Signature:
I'crnrilcc nanrc
6 ?r LoZC)
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenVl nsu lation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
{f *t*L tztfliw*2--zs -2e ?,_1,to>
FINAL 2-?a- ?a A,at ,t t
Certificate of Occupancy
Notes, Remarks, Etc.
ONner:
rhricyNurrrber: - 9Oqggat
Detc:
lrnds's Name:
Lmdq's Addrqs:
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