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HomeMy WebLinkAbout101104331 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714)-647-5853 Permit #: {O1104331 Pin #: 73121 Proiect Address: 13881 N Deodar St-a- Assessor's Parcel: 396-313-09 Lot:Block: NA Tract. NA Historic: No Suite Range: Zoning: Unit:Bldg: Address Range: 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 VB cBc 2019 x-0602320164J 1st FL Area 2nd FL Area Other Areas: Garage Totat Patio: T.l.Area: Valuation:: $3O,0OO.OO . it; .l'rir'r ' : r.. i i i;!r]:l.l Description of Work: lnstall solar panels. Planning Conditions: r,icpf,t i Tr 0n st Senp er Gen er t Engrneer: Address: Phone: License #. Architect / Desiqner: Address: Phone: License #: Harold Harold 1168 N Rosemead, CA 91770 (626) 288{1708 35693 Wu, P.E. WuOwner: Address: Phone: Tenant Robert Walton 13881 N Deodar St Santa Ana, CA 92705 (7141 348-0349 Contractor: Semper Solaris Address. 1805 John Towers Avenue El Cajon, CA 92020 Phone: (619) 7154054 State Lic #. 978152 Lic Type: B, C-10, C-39, C46 Bus. Lic #: 365759 Workers' Compensation I nsurance: Carrier: State Fund Policy #: 9029275 Expires'. 1011012020 Blvd. N Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping Insp. Req'd .t Ahangian, Kathy Yrfrernandez, Kathv Date: Date: 1012712020 Date: 1110212020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 57607 Permit Fee 07776002 57770 Microfilm Records 07776002 57672 BIdg. Stds. Revolving 07776002 57600 General Plan Update Fee Total Paid to Date: Balance Due: $450.00 $1 25 5s $2 00 $23.79 No No No No Fire !nsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No No No Account#Total Every permit rssued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs issua nce,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 01 1 16002 51612 01 1 16002 57770 $23 79 $4s0.00 $2 00 $12s.ss $601 34 $0 00 $601 .34 lnspector MID#: 2020-1 60873 BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/S!G.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loo r/VenVl nsu latio n Roof Sheathinq Shear Wall Framinq lnsulatio nlEnergy Drywall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Fina! Report Flood Zone Certif ,/ll ,t \ FINAL /Z /q /22, a)rS(h,t I Cefiificate of Notes, Remarks, Etc , l/^I A l/h OWNER BTIILDER DELCARATION I hcrchy aflrnr undcr pcnalty of prjury that I am exempt from the Contractors' Licensc law tbr thc following reason r$ec.7031.5 Business and Profcssion Code): Any City or County which requires a pcrmit to construct, alter, improve. dcmolish or repair any structurc, prior to its issuancc, also rcquircs thc applicant for such Jrrmit to file a signcd staterrcnt that he or she is licenscd pursuant to the provisions of thc Contractor's Licenscd Law (Chaptcr 9. Commencing with Scrtion 7000 of Division 3 of thc Busincss and Pmfessions Code) or that he or she is cxcmpt thcrefrom and thc basls for thc allcgcd cxemption. Any violation of Section 7031.5 by any applicant for a pcrmit subjcrts the applicant to a civil pcnalty of not more than fivc hundred dollars ($500). _1. as owner of thc propcrty, or my employces with wages as their solc compcnsation. willdo thc work and the stnrcturc is not intcndcd or offcred for sale (Scc.7044, Business and Profcssions Codc: Thc Contractor's License law does not apply lo an owner of the propcrty who builds or improves thcrcon. and who docs such work hirnself or hcrsclf or through his or her own employecs. providcd that such inrprovenrcnts arc not intcrxled oroffercrJ frrr salc. lf, howewr. thc buiUing or inprovcnrcnt is sold within onc )tar of complction. thc Owrcr Buildcr will havc thc burden of proving that trc or shc dkl not build or improvc the proprty for th purynsc of salc). _1. as owncr of the property. am cxclusivcly contracting with liccnscd contractors to construct thc project (Sec. 7M4. Busincss altd hfcssion Codc: Thc Contractor's Licensc Law docs n<lt apply to an owncr of propcrty who builds or improvcs thercon. and who contracts for such projects with a Contractor(s) liccnscd pursuanl to thc Contractor's Liccnsc l-aw). -l arn excmpt undcr Sc.ction-. B. & P.C. for this reason. I )irlr. ( )rt ttcr: WORKERS' COMPENSATION DECI ARATION I r",krcby affirrn under pcnalty of pcrjury one of thc following dcclarations: _l havc and will maintain a Certificate of Consent to Sclf-lnsurc for workcrs'compensation. as provided for by Scction 3700 of the labor (bde. for the pcrformance of thc work for which the permit ls issued. 9fnor" and will maintain workers' compensation insurance. as rcquired by Scction 3700 of rhc l,abor Code, for the pcrformance of 'thcr work for which thi.s pcrmit is issued. My workers' compcnsation insurancc carricr and gmlicy numbcr are: (- Policy -_l ccrrify that in thc prlbrmance of thc work for which this pcrmit is issucd, I shall not employ any pcrson in any nunnet so as to bccome subjcct to thc workcrs' compcnsation laws of California. and agrce that if I should bccorp subject to thc workcrs' compensation provisions of .Scction 3700 of thc [:tnr Codc. I shall. forthwith comply with thosc provisions. WARNING: Failurc to sccurc workers' compcnsation covcragc is unlawful. and shall subpct an to criminal pcnaltics and civil fincs to onc hundrcd thousand dollars ($100.0001. in addition to the cost of danngcs as provided Scction of thc [-atnr Code. intcrcst ard I hcrcby affirm undcr pcnalty of perjury that I arn licenscd Chaptcr 9 with Section 7000) of Division 3 of thc Business and Profcssions Codc, and nry license is in full forcc and cffcrct. c(o CL Liccnsc Conlractor: CONSTRUCTION LENDING AG ENCY I hcrcby allrm undcr pcnalty of prjury thal thcrc is a conslruction lending agcncy for thc performancc issucd (Scc. 3097. Civ. C.). work for which this pcrnrit is Lrndcr's Name: lrnder's Addrcss: APPLICANT DBCI ARATION I lrrcby alf'rrnr undcr penalty of pcrjury onc of thc lbllowing dcclarations: Dcnrolition Pcrrnits-Asbcstos Notification Fcdcral Rcgulalions (Titlc 40. Part6) Lct tcr ol' Not ilication thc fcdcralrcgulatiorrs rcgarding asbcstos rcnmvalarc not applicablc to this projccl. ccrtify that I havc rcad this application and state that thc with all City and County arxl Statc l-aws rclating to building construction, above mcntioned propcrty for Apllliurnt or Agenl I)erlnilee name atnvc information is corrcct. I of this City and to Rev. 08-07-201 5 I I)nlt: