HomeMy WebLinkAbout101105202 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O52O2
Pin #: 8336{
I
Project Address: 2902 S Spruce St
Assessor's Parcel: 140-242-32 Lot: 7
Unit.Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 5653 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R.3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio.
T.l.Area.
Yards Req'd
Valuation:$20,460.00
Description of Work: lnstall solar panels
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Dave Bhasin
2902 S Spruce St
Santa Ana, CA 927046229
(7141 381-363s
Contractor: Elite Electric
Address: 9415 Bellegrave Ave
Riverside, CA 92509
Phone: (951) 681-5811
State Lic #: 418242
Lic Type: C-10
Bus. Lic #: 339832
Workers' Compensation I nsurance.
Carrier: Cypress lnsurance Co
Policy #. ELWC 114743
Expires: 0611612021
Engineer:
Address:
Phone:
License #.
Architect /
Designer:
Address:
Phone:
License #:
t
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
\U$\o
No
No
No
Hernan dez, Kathy
Date:
Date:
Date: 1111612020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 BIdg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450.00
$12 15
$1 00
$0 00
$463.1 5
$0.00
$463.15
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert. Req'd: No 01116002 51601
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
01116002 51612
01 1 16002 57770
$4s0 00
$1 00
$12 15
Inspector MID#: 2020-1627 10
I
BUILDING. INSPECTOR REGORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I I
I hcrcby afl-rm under pcnalty of prjury that I am exerrpt from thc Contractors' Liccnsc [:w for thc following reason (Scc.7031.5
Busincss and Profession Code): Any City or County which rcquires a permit to construct. allcr. improve, dcmolish or rcJrair any
structurc. prior to its issuancc, also rcquircs thc applicant for such pcrmit to file a signcd statcrrcnt that he or she is licensed pursuant
to thc lnovisions of thc Contractor's Liccnscd Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and
Profcssions Codc) or that hc or shc is cxcmpt thcrcfrom and thc basis for thc alleged exemption. Any violation of Section 7031.5 by any
applicant for apcrmit subjectsthc applicant to acivilpenaltyof not morethan fivc hundrcddollars ($500).?
_1. as owncr of the propcrty, or nry cmployces with wagcs as thcir solc compcnsation.
intcnded or offcrcd for sale (Scr.7044. Business and Profcsskrns Codc: Thc Contractor's License l.rrw does not apply to an owner of
thc proirrty who builds or improvcs thcrcoru and who does such work himself or hcrself or through his or her own employccs.
providcd that such impovcnrcnts arc not intcndcd or otTcrcd for sah. lf. howcrrr. thc buiHing or irprovcrrcnt is sold within onc ycar
of comphtion. thc Owrrcr Buikler will havc thc burden of proving that lrc or she did not build or improve ttrc property for thc purgnsc of
sfllc)
_1, as owner of thc property, am cxclusivcly contracting with liccnscd contractors to conslruct thc projcct (Scc. 7W, Busincss
and Pnrfcssion Codc: Thc Contractor's Liccnse Law docs nol apply to an owncr of prolrcrty who builds or improves thcrcon.
and wh<l contracls for such projccts with a C-ontractor(s) liccnscd pursuanl to thc Contractor's Liccnse taw).
-lamcxemptunderScclion-.B.&P.C.forthlsreason.__ Owner:_
WORKER,S' COM PENSATION
DT'CI ARATION
I hcrcby aflirrn under penalty of pcrjury onc of thc following dsclarations:
_l havc and will maintain a Ccrtificatc of Consent to Sclf-lnsurc lbr workcrs' compcnsation, as providcd for by Section 37fi) of the
Latxrr Codc. f<rr the perfornuncc of thc work for which thc pcrmit is issucd.
_l havc and will maintain workcrs' cotnpcnsation insurance, as rcquircd by Section 3700 of thc l-abor Code. for the Jrerformance of
the work lbr which this ;rcrmit is issucd. My workers' com[rcnsalion insurance carrier and grlicy numbcr are:
Policv Nunrbcr: Exnircs:
_l ccrtify that in the pcrfbrmancc of thc work for which this pcrrnit is issued, I shall not cnploy any pcrson in any tnanncr
so as to bccomc subject to the workcrs' compcnsation laws of Califbnria. and agrce that if I should beconre subject to thc
workcrs' compcnsation provisions of Scction 3700 of the labor Codc. I strall, forthwith comply with those provisions.
WARNING: Failure to l*curc workcrs' compcnsation covcragc is unlawful. and shall subjcct an employer to criminal pcnaltics and
l
civil lines up lo onc hundrcd thousand dollars (S100.000), in to the cost of com[rcnsation. damages as provided for thc
attorncy's
?t
I hcrcby allinn undcr pcnalty of prjury that I arn licenscd 9 (conrmcncing with Section 7000) of Division 3
of thc tJusincss and Profcssions Codc. and nry liccnsc is in full force arxl cffcrct.
[,iccnsc
Date:_.1_=----__
W
I hcrcby alnrm urder Fnalty of pcrjury that thcrc is r onslruction lcnding sgcrcy for thc lErturnurcc of thc work for which this ]rcrmit is
issucd (Scc. 3097. Civ. C.).
Lcndcr's Name:
l-crrdcr's Addrcss'
a
A PPLI CA IYT DT'C LA RATION
I trcrcby aflinn undcr penalty of pcrjury onc of thc following declarations:
f)crnolition Perrnits-Asbcstos Notification Fcdcral Regulations ('l'itle 40, Part6)
-Rcquircd
lrttcr of Notification
-l
ccnify that Ihc fcdcmlregulations rcgarding asbcslos rcmvalrrc rct applicablc to this pmj6t.
_l ccnify rhat I have read this application ard state that tlE atnvc infomtion is @rec|. I agr lo @trply uith all Citysnd County
ordinanccs aml State [3ws rclaling lo MildinS consrrctiotr atd herclby sulhorirc repre$ntatircs of lhis City and County to enter upon the
above rrrcntioncd property for
Applicant or Agent
Pernrilee nsnre
o*", rr /t ( /zoza
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVI nsu latio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[Vasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL tzlslu t **K/
Certificate of Occupancy
Notes, Remarks, Etc
Rev. 08-07 -201 5
Date:__
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