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HomeMy WebLinkAbout101102841 - Permit (3)Proiect Address: 522 S Harbor Blvd Assessor's Parcel 108-681-05 Block: NA Tract: NA Historic. No Suite Range Zoning city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 inspector Section: (714) 647-5853 Permit #: 1011o.28,41 Pin #: aso!$../ Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Solar Solar Sfd Watt garage Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3, U VB cBc 2019 x-0602320256J 2 Patio: T.l.Area: Yards Req'd: Valuation: $20,000.00 Description of Work: lnstall roof mounted solar panels. Per Photovoltaic Checklist. Bobchi: E3897 - !/ !4/?tt')n 0f I iceI CTYH Trtrne'i IDI HGAR(:I I lr:tI1r-r:lS4 r:r 1? rFU i'l'Planning Conditions: Owner: Address Steve Justice 522 S Harbor Santa Ana, CA 92704 (714\ 916-'.t917 Contractor; SouthwestDevelopment Address: '13407 Saticoy Street North Hollywood, CA 91605 Phone: (855) 808-8887 State Lic #: 1031232 Lic Type C-36, B, A, C-10 Bus. Lic #; 374843 Workers' Compensation lnsurance: Carrier: exempt Policy #: Expires; yoursolardlanBiibrh inir I {r Phong Trug 3ooo E Birhft,Shr Idai- i'r'''!r to1 lop ent Brea, CA 92821 (844) 783-5483 c70784 Enganeer Address Phone: Tenant: Phonel License # Architect / Desiqner: Address: P hone License #: ':i le Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req'd PWA lnsp. Req'd: d Date: Misc. Receipt Date: Misc. Receipt Date: O1l14l2O2O Misc. Receipt Subject to Field: No No Account# 01 116002 51601 01't16002 57770 07776002 51501 Permit Fee 07776002 57770 Microfilm Records 07776002 57672 Bldg. Stds. Revolving 07776002 57600 Genetal Plan Update $450.00 $39.10 $0.00 $22.95 No eri Fire lnsp. Req'd: Police lnsp. Req'd TotalPlanning lnsp. Req'd: No Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No 01116002 5t600 Every pemit issued shallbecome invalid unlesslhe wo* on the site authorlzed by such pemit is cofimenced within360 days after its issuahce,ot if lhe wotu authorized on the site by such pemit is suspended ot abandoned for a period of360 days after the time the wofu is commonced MID#: 2020-157069 $22.9s $450.00 $39.10 Fee Total: Paid to Date: Balance Due: $512.05 $0.00 $s12.05 Unit:Bldg; Address Range: Lot: 1 st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: 0 lnspector BUILDING. INSPECTOR RECORD COMMENTSSITE.WORK DATE Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Sublloor/VenVl nsulalion Shear Wall Framin lnsulation/Ene allD Ext./lnt. Lath Brown Coat It/aso n Pool Fence T-Bar ReHandica Final ReDeU rt rtEnineer Final Re Flood Zone Certif . Certif icat ol Occu anc Notes Remarks Etc. OWNERB(JII, I h.,cby rllmr nnJc! p.ndlry (, p.dury rhi I a t .\.'nlr lr. DER DEI,CARATION m rhc G)ntrnnr Li.cnsc l-aw l,t rhc lnlk,win! r.,u (Sc..7oll 5 Busircs r, liorc\eon Culc): Any C y or CouDly whi.h lcqurc\ r ncmil lr) conntuct. rllcr. imtttv'. d'molish or rcnar rtrv srru.rE. pritr k) irr issu{n(c,r\orcqntrcslhcapoli.rnrn,such,cm n) fil. r \4ncd slarcmnr rh,r h.or $c s li(n*d J'nruinl r) rh. ttuvnrff of rt Conlrektr s t-iccni.tl Ij* (Ch.t'rcr D C,,mmcn( r! I h S.l|trrn 70{x, nl lrtrrnrn I rn thc Busincs 'nd Prrllson\ codc)orthd hc.r\hc L\.rcnu llrrcEonan'l rhc hJls lt{rhc allcscJ c\cn'l trrn ^n) 'trn'r''n"jar n ?orl5 bvlnv 'fl. r nriI1^rn .ul''(r\tn. rffl(Jrr1,3,^'ll.nrlrvrln,i,r^^'l.rnrrchun.l'tJJrlld\t1<0u' '" l-a\owtrutrhcptuIEny,ornry.nlluyeswilhwrlcs,\rhcrqnc.omncn:dhnwl,lorhcwrn*orlrhc(ur@xnor inrcndcJ or ottar.d Lr sle (St.7o44 Busilc* an't Ptul.\sio.s Cn lc: 'l h. Conta.ktr s t-iccn\c Lw docs nor aPflv h - owncr ol rhc pDpcny w&, hius or mnr.B rrrRJn. drxl wl$ Jc\ rd k* hinrsclt or hercll or rhhush h$ or hcr own cmllovces, tn)vidcd rhar su.h inpmvcnrnrsN n.ri' cBlcJ o'.ficrcd tur eh lt, k,wcvcr' rln'h!tll!n8 o'ihF,vcnr.lN sll wirhlnonc rs ;, cod{krirn. rlE Owm, Bu ld w l haE rlE htrdtn of pttvtrrt llEl lE or shc Jrl nol hu 'l .. unprut inc flslrny ft* rhc t'uq''* ol I. as o*ncr or rk ln)Iqty. am cxcloliv.l, cont.clins *ilh Ii.{n{J .onr!..loc b $.\lrucl rlE In jc.r (Se. ?l)44, Bn:ocs anJ Pnn $r,n C(ic: Ihe Cdnkicror's Ltcnsc Lrw docs n.r rl'Ply to { osbcr dl lnpcnv {h. burlds or iEprovcs rhcrcon, 0tu1 who d,nrdcts ror su.h lnU.ch wdh a Cbnrncnr(9 licen*,i 0urru{nr brh. contt.ct}r s lrcnsc Lasr. _l mcr.tupl undcr S&r woRxERs' col\lf FrtsarloN I'ECL'ARATION I h.r.by {fi]m unJcr Pcnnlry of lsjury otu of rb. tulbwn'8 dcukarions: -I hrvc M,l *ill mainr$ , Ccrtitic c ol Co.s.nt lo sclf-hsure lq workc$ compcnqrk,n n Ptuvi'lc! ,'rlr bt Scction 11700 or rh' Ubor Co{b, ntr lhc pcrlbtutuc of rhc wort li{ *hih rh. P.mit is ksu.'l Ih{vcan,j*ill *int,in qo,kcF coml.n\,r bn ,nsutaroc, as ftqurcd trv Sar i(,n l7x) or thc ljhot Cr)dc lor lhe NtrolruLc ol thc work ror wh'ch rhrs pcrm is issu.rl. M, workcr' .ompcnsdi.n nsur{te fficr .nd p,icv nunh.r @: PolcyNum$c.r-Exftrcs:,/ !.lucdrrythar'nrhencrr"mnrcuirhcw,trkl,rwhf,hrhtn€rn,irisissucd.Ish,llnorcrylov,lc^ohira'vm{nnd sr e! nr h.om subi*r ro rhc hlkdc u,m!.nsal ion hw\ of calilomi!. ud aa6 rhll il I should bc.om subjsr 16 I lE woikc6' Lrn{'(nsrlion prcvrn'ns of Serion l70O of rhc L.br Coilc, I \hrll. fodhuilh conPly wirh I WARNING: Fa ui. ro suurc wo c('con{rnsalo ovccs. '\ unliwtul. 2nJ shrll subjecr 'n c .ivil li'Es trp n' onc rrunlrc! rhousrnd doll,s (Sloo.UrO). in i, r& (o{ !'l (oDrrnri S..rkn J016olrh. trlrn (ixlc ll ercr rnl I hcrcby iliiltnutut.rp.n!hy ol !.riu!y rh (c.mmn.ins wi(h Sc(rbn 7(D0) orD,vBion -r oi rh. Rr\i'r'\\ l l"olt\son\Corlc my licetr{ Ll in tu[ loE &n cffd Q-lotB lo3l ," ol^ ltl , 2D 20 ..", I lErchy a,ltm und.r p.ndlyolp.iury th.l I ssucJ rscc. l0ir7. Civ C.) ntr r[c Nllomrmcc ol rlE *ork Iir wlrth I his Pcrnir is trnJ.''( Nrm.' Lcn.lcr. A,i.lrc* APPLICANT DECLARAIION I hortry anim utut r pcnalr y ol p.rjury orc ol rtc nnbwDl delaal ons: Dcnnibn l'.rfr leAshcstos Noria,cr(bn Fcdc,ll R€sllarions (T lc 40, Prr6) _R.quiEd t ttcr ol Noririari.n ,"0/ //'zo?a ID/SIG, Roof Sheathinq -{F|NAL 7 // lJ)* I atllUo'"",,. ol t Lt'2ozt) andCounrybcmq uFrd rh.E]f,ru,g ro builJirg .on(tucriJn. I =