HomeMy WebLinkAbout101104938 - Permit- -.!
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O493E
Pin #: 3O14O
Proiect Address: 412 W Santa Clara Avea
Assessor's Parcel: 002-1 '11-02 Lot: 12
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: NA Historic: Yes
Building Use: Single Family Dwelling
Job Type: Solar
Nature of Work: Solar
Existing Bldg & Use: Sfd w/det 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-06023201 63J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation: $t 5,000.00
Owner:
Address:
Phone:
Tenant:
Michael Penilla
412 W Santa Clara Avenue
Santa Ana, CA 92706
(7141 666-1 54s
Contractor: Solarmax Renewable Energ'
Address: 3080 12th St
Riverside, CA 92507
Phone: (951) 300-0788
State Lic #: 972048
Lic Type: C-10, C-46
Bus. Lic #: 346803
Workers' Compensation I nsurance:
Carrier. Ace American
Policy #: C66830615
Expires: 10/01 12020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Harold Ping-Hung Wu, P.E.
Harold Ping-Hung Wu
1168 N. San Gabriel Blvd. N
Rosemead, CA 91770
(626) 288-0708
35693
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping !nsp. Req'd: No
Verduzco, Viotet"N
Date:
Date:
Date: 1011412020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$89.1 0
$1 .00
$0 00
$540 1 0
$0 00
$540.10
Fire lnsp. Req'd:
Police Insp. Req'd Account#
No
No Tota!
Flood Zone Cert. Req'd: No 01 1 16002 51601
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 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.
01116002 51612
01 1 16002 57770
$450 00
$1 00
$89.1 0
lnspector MID#: 2020-162142
I
t BUILDING. INSPECTOR RECORD
ID/SIG.SITE.WORK DATE COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loo r/VenUl ns u latio n
Roof Sheathing
Shear Wall
Framing
lnsulatio nlEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancv
Notes, Remarks, Etc.
OWNI'R
I hcrcby afftrm under pcnally of Frjury that I m excnq)t frem thc Contnclor' Lbensc lnw for the following rNn (Src.703l.t
Busincss and Prcfcssion fuc): Any City or County which rcquircs a Jrmit lo constMt, alter, improve. dcmlish or rcpoir my
slructuG pri)r to its issuffic, alre requiEs thc applicant for such pmit to file a signcd stalemnt that hc or slrc i$ liccnsd puBu.nt
to thc Fovisions of tlE Contrrctor's Licensed lrw (Chsptcr 9, Comrcing with Sction 7000 of Division 3 of the Busiress md
PrcfcssionsCodc)orthathcorshciscxctrrptthorcfromandthcbasisforthcallegedcxcmption. AnyviohtionofSectionT03l.5byany
applicail for a pcrmit subjsts thc applicmt to a civil pcully of not mrc thm five hundrcd dollus ($500).
-1.
as owrcr of the Fotrcdy, or my emplolccs with wagcs as their slc @mfEnsalion, willdo thc wok ard thc sttutrc is ml
iilqdcd or offered for slc (Se.7Ol4. Busincss and Prcfessions Codc: The Contraclor's Liccnc l:w &rcs mt apply to an owncr of
thc ImIEaty sho builds or inpmE tlE@tr ard wln dc sch mrk himelf or hcMlf or lhDugh his or her own cmployccs.
providql that such imfmwnts @ not iilqdcd orolfcrcd for slc. lf. homEr, thc boiBing or inpmrcmnt is sU slhin orc Fe
of con{rbtiotr thc Owrcr Buikhr will h6w thc htrdcn of pmving thar lE or dE dil mt boiH or hprow the prcIEty for tlrc purlDs of
sh).
_1. as owncr of thc propcrty. am cxclusivcly contracting with liccnscd contractors lo conslruct thc projcct 1Sec. 7U4, Business
and Pmfbssion Codc: Thc Contractor's Liccnsc Law docs not apply to an owner of propcrty who builds or improves thcrcon,
and who contracts for such projects with a Contractor(s) liccnsed pursuant to thc Contractor's Liccnse Law).
-lanrcxenrptundcrSc.ction-.B.&P.C.forthisreason.
I ):rl r
WOITKIi ILS' COI\T PENSA'I'ION
DI,CI ,TRATION
I hcrcby uffirrn undcr Jrcnalty ol'Jrcrjury orte of thc lbllowing dcclarations.
_l havc and will maintain a Ccrtificate of Conscnt to Sclf-lnsurc lbr workcrs'cornpcnsation, as provided for by Scction 3700 of the
l.atxrr Crrdc, for the pcrformance of thc wort for which the pcrmit is issucd.
U4nuurand will maintain Codc. for thc pcrformance of
arc:thc work for which this
/
Policy
_l certify that in the pcrforrnance of the work for which this permit is issued. I shall not cmploy any frcrson in any nurnncr
so os lo bccome subject to thc workcrs' compcnsation laws of California. and agrcc that if I should bcconr subict to thc
workcrs' compcnsation provisions of Scction 3700 of thc l-atnr Codc, I shall. forthwith comply with thosc provisions.
WARNING: Failure to sccurc workers'compcnsation coverage is unlawful. and shall subjcct an employcr to criminal penaltics and
civil fines up to onc hundrcd thousand dollars ($100.00t11. in addition to thc cost of con;lcnsation, danugcs as providcd for the
Sccliott intercst and attorncy's fccs.)
I hcrcby atfirm undcr pcnalty of Jrcrjury that I am licenscd of Chaptcr 9 with Scction 7000) of Division 3
of thc Busincss and Prolbssions Codc, and rny liccnsc is in full forcc and cffcrt.
{!r l-
I-rccnsc
Date:/{
CONSTT,UCTION I NNDING AGENCY
I hcrehy aflirm undcr Fmhy of Frjury Ih.l lhcrc is a concructkrn bnding agcrcy for thc pcrformcc of thc work for which this tHmil is
issucd (56. 3097. Civ. C.).
Lcndcr's Namc:
I-cndcr's Addrcss:
APPLICANT NBCLARATION
I lrcrcby alfirm undcr pcnalty of pcrjury one of thc following declarations:
Dcrnolition Permits-Asbcslos Notification Fcdcral Rcgulalions (Titlc 40, Part6)
_Rcquircd lrttcr of Notilication
LI ccrtify that rhe federalrcgulations rcgarding asbcslos rennval are not applicablc to this projcct.
-Y r"nifythat I have rcad this apptication and srate thar
ordinanccs and State l.rws relating to building
atxlvc nrcntioncd propcrty for inspcction
Applicant or Agent
Pernritee nanle
Rev. 08-07 -201 5
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