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: