HomeMy WebLinkAbout101104652 - Permit-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 #: {011o,4fi,52
Pin #: 39257
Proiect Address: 928 S Cedar Sta
Assessor's Parcel:011 -236-02 Lot: 9
Unit:Bldg. Address Range:Suite Range:
Zoning: R1Block: NA Tract: 3078 Historic: No
Building Use: Single Family Dwelling
Job Type: Solar
Nature of Work: Solar
Existing Bldg & Use: Sfd w/att garage
Proposed Use:
Description of Work: lnstall solar panels per PV checklist.
Planning Conditions:
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $20,000.00
Owner:
Address:
Phone:
Tenant:
Francisco & Graciela Alfaro
928 S Cedar Street
Santa Ana, CA 92701
(7141 486-1 302
Contractor: Freedom Forever
Address: 43445 Business Park Dr, #1'
Temecula, CA 92590
Phone: (951) 445-5645
State Lic #. 1029644
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation lnsurance.
Carrier: Redwood Fire and Casualty Insura
Policy #. FRWC 113471
Expires: 0110112021
Poplar Consulting Engineers
Arash Zandieh
763 Eldorado Blvd #2123
Broomfield, CO 80021
(e01) 692-0431
c821 18
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd:
Verduzco, Viobt$
Date.
Date:
Date: 09/1 512020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
077750 0 2
077760 02
07776002
07776002
07776002
5750 7
57770
57672
s7600
5760 7
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$450 00
$8s 0s
$1 00
$23 79
$5e.30No
No
No
No
Fire Insp. Req'd.
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs 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
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$23 79
$s09 30
$1 00
$8s.0s Fee Total:
Paid to Date:
Balance Due:
$61 9 14
$0 00
$61 9.14
lnspector MrD# 2020-160484
BUILDING- INSPECTOR RECORD (-')
SITE.WORK DATE ID/SIG.COMMENTS OWNITR II U ILDI.:R DIiI,CARATION
I hereby affrrrm under penalty of perjury that I am exempt from the C'ontractors' License law for the following reason (Sec.7031.5
IJusiness and Profession Code): Any City or County which requires a pcrmil lo construct, alter, improve. dernolish or repair any
slructure, prior to its issuance. also requires the applicant lbr such pernrit to file a signed slaternent that he or she is licensed pursuant
to the pmvisions of thc Conlracror's l,icensed taw (Chaprer 9, Commcncing with Section 70fi) of Division 3 of thi Business and
Professions Code) or that he or she is exempt thereltom and the basis tbr the alleged exemption. Any violation of Section 7031.5 by any
applicant for a pcrmit subjects thc applicant to a civil penalty of not nnre than five hundred dollars ($stXl).
_1, as owner of thc property, or my employecs with wages as thcir sole compen.sation, willdo the work and the stnrcturc is rnt
intendcd or oflerctl for salc (Sec'.7O44, Busincss and Profcssions Code: Thc Contractor's Licensc Law does not apply to an owner of
the prcperty who builds or improves thereoru and who does such work himself or hcrself or through his or her own employees.
provided that such improverrcnts are not intended orollcred for salc. Il. however. the buiEing or inproverrcnt is soH within one year
of completiorL lhc Owncr Buikbr will havc thc burdcn of proving lhat he or she tlid not buill or improve the propcrty for thc purposc of
sale).
_1, as owner of the property, am exclusively contracting with licensed contracloni to conslruct tlr projcct (Sec. 7044, Business
arxl Prolbsskln Code: The C<lntractor's License Law does not apply to an owner of property who builds or improves thercon.
and who contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's License Law).
_l anrexempt under .Section_, R. & P.C. lbr this reason.
I)ate:
WORKI{)RS' COM PENSATION
DECLARATION
I hcreby aflirm under grcnahy of perjury one of the following declarations:
_l have ard will maintain a Ccrtificate of Consent to Selt:-lnsure for workers' comgrcnsation, as provided for by Section 3700 of thc
f-atgr{nOe, for the Jrcrformance of the work for which rhe prmit is Lssued.,/
1l have and will maintain workers' compensation insurance, as required by Section 3700 of thc Labor Code, for lhc pcrformance of
thc this permit is workcrs' compensation insurancc carricr and policy numbcr are:
( rL "-.
Policy t\-I 1,,- [-
_l certify that in thc pcrformance of thc work for which this permit is Lssuerl, I shall not cmploy any pcrson in any manncr
so as to bcconrc subject
worliers' comlrcnsation
to the workers'compensalion laws of California. and agrcc that if I strould bccomc subject to the
provisions of Section 3700 of the Labor Codc, I shall,forthwith comply with
and shall subject an
thosc provisions.
WARNING: Failure to secure workers'compensation coverdge is unlawful.employer to and
civil fines up to onc hundred thousand dollars ($l addition to the cost of the
Seclion Y':W""and attorney's
I hcrcby aflirm under pcnalty of perjury that I am licensed under provision of Chaptcr 9 (cornnrencing with Section 7fin) of Division 3
of the Business and Profcssions Code, and my license is in full force and cffc'ct.
E-L( o
License Class: License /o Lqbt( c(.
CONSTRI.)CTION I,I.:NDING AGI.]NCY
I hercby atfrm under pcnalty of perjury that thcre is a construction lending agency for tlre pcrformarrce of the work for which this permit ls
issucd (Scc. 3097, Civ. C.).
trndcr's Nanrc:
[.ender's Address:
APPLICANT DECLARATION
I trrcby affrmr under penalty of perjury onc of the following declarations:
Denplition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
lrtter of Notification
are not applicable to this project,
with all City antl County
and County to enter upon the
abovc mcntioncd propcrty t'or
Applicant or Agcnt
Prnnilee nanre ne
,z o
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Ve nUl n su latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerov
Drvwall
Ext./lnt. Lath
Brown Coat
[vlasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enoineer Final Report
Flood Zone Certif
I I ,t
FINAL il tq(l't/-t>flvry7 7
Certificate of Occupancy t
Notes, Remarks, Etc.
Rev. 0B-07-2015
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