HomeMy WebLinkAbout101104619 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714l'647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {011046{9
Pin #: 58548
Project Address: 2311 N Rosewood Ave
Assessor's Parcel: 001 -172-28 Lot: POR 10 & POR 1'Block: NA
Unrt:Bldg: Address Range:Suite Range:
Zoning: RlTract. 1740 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-0602320144J
1st FL Area
Znd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T. !.Area:
Yards Req'd
Valuation:$q2,000.00
Description of Work: lnstall roof mounted solar panels/auth on file
Planning Conditions:
Engineer:
Address:
Phone.
License #.
Architect /
Designer.
Address:
Phone:
License #:
Doug Englneering
Douglas M. Morales
\
Owner:
Address:
Phone:
Tenant
Doug Schulein
2311 N Rosewood Ave
Santa Ana, CA 92706
(949) 331-6288
Contractor. Solarmax Renewable Energ'
Address: 3080 12th St
Riverside, CA 92507
Phone: (951) 300-0788
State Lic #: 972048
Lic Type: C-10, C46
Bus. Lic #: 346803
Workers' Compensation I nsurance:
Carrier: Ace American
Policy #: C66830615
Expires: 10/01 12020
20271 Lighthouse Lane
Huntington Beach, CA 92646
(e4s) 28s-s104
c69163
ld t I
161u.
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Ahangian, Kathy
W Hernan dez, Kathy
No
Date:
Date. 0912912020
Date: 1012112020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$4s0.00
$24 30
$2.00
$0.00
PWA Insp. Req'd: No Fire lnsp. Req'd: No
Planning lnsp. Req'd. No Police lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued 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.
Account#Total
01 1 16002 51601
01116002 51612
01 1 16002 57770
$450 00
$2 00
$24 30
$476 30
$0 00
$476.30
lnspector MID#: 2020-161404
-,
BU!LDING- INSPECTOR REGORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BTJILDER DEL$RATION . A
I hcrcby afftrm undcr Fnalty of lErjury lhat I m cxempt frcm the ContractoN' Liccns [rw for thc following rssn (Scc.703 1.5
Busincss and Prcfcssion Codc): Any City or County which rcquircs I Jmit to construct. 8ltcr, improvc. dcmlish or rclBir oy
struclurc. prior to its issumc. also rcquircs thc applicant for such lErmil to filc I signcd slatemnt that hc or slrc is liccnsd F$uul
to thc Fovisions of IIE Cont!-.ctor's Licensd taw (Chaptcr 9, Commrcing wilh Selion 7000 of Division 3 of Ihc Busiress ud
PrcfcssionsCodc)orthatheorshciscxctr{rtlhcrcfromandthcbasisforthcollcgcdexemplion. Anyviolation(rfsEtionT03l.5byany
applicanl for a pcrmil subjcts thc applicrnt to a civil pcBlty of not mrc th4 fivc hundrcd doll{s ($500),
-1.
as owrrcr of thc 1ropcrty. or my cmployccs with wages as thcir sole compcnsalion. willdo thc work and thc structure is rrrt
intcndcd or offcrcd for sale (Scc.7044, Busincss and Professions Codc: The Contraclor's Liccnsc l-aw docs not apply lo an owncr of
thc proprly who builds or inrproves lhcrcrn. and who does such work himsclf or hersclf or through his or her own employees.
providcd thal such improvenrcnl.s arc not intendcrl oroffcred for sale. lf. howcrcr. thc building or inprovcrEnt is mld within one )rcar
of completion. thc Owner Builder will have thc burden of proving that hc or shc did not build or improve thc proprty for thc purynscof
salc)
_1, as owncr of thc propcrty. anr cxclusivcly contracting with liccnscd contrBctors to conslruct thc projcrct (Sec. "l(44, Business
and Profcssion Codc: Thc Contraclor's Licensc Law docs not apply lo an owner of propcrty who builds or improves thcrctrn.
and who corttracts for such projccts with a Contractor(s) liccnscd pursuant to thc Conlractor's Licensc Law).
_l am exempt under Section_, B. & P.C. for this reason.
Dete: Ormer:
WORKERS' COM PEIT{SATION
DECI {RATION
I hcrehy aflirm under penalty of pcrjury onc of thc following dcclarations:
-lhavcandwill
nraintainaCcrtificateofConscnttoSelf-lnsureforworkcrs'comFrensation.as gnovidcdforbySection3T00ofthc
[:bor Code, for the pcrfonnancc of thc work for which thc pcrrnit is issued.
_l havc arrd will rrraintain workcrs' conrpcnsalion insurarrcc. as rcquircd by Scct ion 37fi) of thc Labor Codc, lirr the pcrfonnarrcc of
the work for which this perrnit is issucd. My workcrs' con{rcnsation
carricr: ,/ ccl/ez 0/tn14,!r-/^
insurancc carricr and plicy numbcr arc:
Policy
-l
ccrtify that in thc pcrformancc of thc work for which this pcrmit is issucd. I shall not cnrploy any pcrson in any rnnner i\
so as to bcconrc subjcct to thc workers'compcnsation laws of Califonria. and agrcc that if I should hcconrc subjcct to thc
workcrs' compensation provisions of Section 37fi) of thc labor Code. I shall. forthwith comply with those provisions.
WARNING: Failurc to sccurc workers' compcnsation coveragc is unlawful. and shall subject an employcr to criminal pcnaltics arrd
civil fines up lo onc hundrcd thousand dollars ($100.000). in addition to thc cosl of compcnsatiorf. danrages as provided for rry;
attonrcy's fees.
I hcrcby afflrrn under pcnalty of Jrcrjury that I arn licenscd under provision of Chaptcr 9 (conrrnencing with Scction 7000) of Division 3
of thc Business and Prol'cssions Codc. and my licensc is in ftll forcc and cffc'ct.
o/c)e46 -))cLiccnsc
,
Dale:/
CoNSTRUCTION LM{DING AGENCY
I hcrcby aflinn udcr Fnallyof Jrcrjury that thc.c is a construction hnding ogcrcy for thc Frforrucc of thc work for which this tEnnit is
issucd (Scc. 3097. Civ. C.).
lxndcr's Nalrc:
knder's Address:
APPI ICANT OtrCT {*"ON
I horby afllrnr undcr pcnalty of pcrjury onc of the folkrwirrg dcclarations:
Demolition Pcrmits-Asbcstos Nolification Fcdcral Rcgulations (Titlc 40. Parl6)
-Rcquircd
l,cttcr of Notilicalion
-l
ccrlity that thc fbdcral rcgulations rcgarding asbcslos rcnmvalarc not applicablc to this projcct
_l ccrrify lhat I havc rcad this applicatiorr and statc that thc alxrve inlirnnatiorr is corrcct. I agrec to conrply with all City and County
ordhanccs and Statc laws rclating to building construction. and hcrebyauthorize reprcscntativcs of this Cityand
abovc nrcntioncd propcrty for
Applicant or Agent
Pernrilee name
purFroses.
cntcr u6rn tlrc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loo rlY enV Insulation
Roof Sheathinq
Shear Wall
Framing
Insulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Engineer Fina! Report
Fjood Zone Certif.
ftDt//A5 /{" l' r'V Atur'fui,V XlIVI
FINAL lPl"ao *{Ltffi ,tr
Gefiificate of Occupancy
Noteq Remarks, Etc.
Rev. 08-07-201 5
iz
.Sccliort #44 ,rQ/{t