HomeMy WebLinkAbout101104667 - PermitProiect Address: 1922 W Moore Avea
Assessor's Parcel:412-283-22 Lot: 3
Unit:Bldg
Tract: 8200
Address Range:Suite Range:
Zoning: RlBlock: NA Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714),647-5800 lnspectron Requests. (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01104667
Pin #: 36046
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/att garage
R.3, U
VB
cBc 2019
x-06023202s9J
1st FL Area.
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation: $13,500.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall new roof mounted solar PV system.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Thien Nguyen
1922 W MOORE AVE
Santa Ana, CA 927046132
(7141 725-9327
Contractor: TLP Electric lntegrations db
Address: 2460 North Glassell Street, I
Orange, CA 92865
Phone: (7141 599-1 139
State Lic #: 824287
Lic Type: C-10
Bus. Lic #: 343655
Workers' Compensation lnsurance.
Carrier: Starnet lns Co
Policy #: BNUWC01 37148
Expires: 0710112021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
NGW Engineering, LLC
Neal G Wanket
43020 Blackdeere Loop, Suite 204
Temecula, CA 92590
(s51) s06-6507
68856
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Ahangian, Kathy
Amsden, Julie
Date:
Date: 1112312020
Date: 1211412020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07775002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Tota!:
Paid to Date:
Balance Due:
$450 00
$85.05
$1 00
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd Account#
No
No Total
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01 1 16002 51601
Every permit rssued 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.
lnspector MID#: 2020-1 61531
01116002 51612
01 1 16002 57770
$450 00
$1 .00
$85.05
$536.05
$0 00
$s36.05
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION
I hcrchy afiirm undcr Fmlty of Friury thot I 0m cxcmpt lirm thc c(rntrackrff' Liccns tlw for lhc folkrwing rca$n (Scc.?031.5
Busincss anl Protbssion Culc): Any City or County which rcquircs a lrcrmit lo coNlrucl. altcr. improvc. dcmolish or rcpair any
slruclurc, prior kr its issuancc. also rcquircs thc applicanl for such Frmit kr tilc a sigrcd statcmnt lhal he or shc is liccnsd pursuant
k) thc prcvisions of thc Contract(,r's Liccned Law (Chaptcr 9, Cummcncing eith Sccliur 7000 ot Divisi(tn J (tf thc Busircss and
P(rlcssions G)dc) or that he or shc is cxcmpl thcrcliom ard thc basis ti)r thc allcScd cxcmpti(nt. Any violation ofsccli(rn 7031.5 by any
applicdnt tbr a lrcrmit subjccts thc applicant k) a civil pcualty oi n(rt morc lhan five hundrcd dollus ($5(x)),
_1. as owncr of the propcrty, or my cmployccs with wagcs as lhcir solc conlpcnsation, will do thc work and lhc slru!*lurc is nol
intclrdcrl or ot'lercd lirr salc (Scc.7044, Busincss arrd Prot'cssions Crxle: 'l'hc Contractor's l-iccnsc Law drrcs not apply lrt an owncr of
thc pn)pcrty wlxl builds or improvcs thcrcon, aml who drrcs such wrlrk hinrsclf or hcrscll'or lhnrugh his rtr hcr own enrpkryccs.
providcd that such impnrvcnrcnts arc not intcndcd or oll'crcd lilr sale. Il, howcvcr, thc building ()r impn)vcmcnl is sold within onc yciu
ol'complction, tlrc Owncr Buiklcr will havc the burdcn ol'pnrving that hc or shc did not build or inrprovc thc propcrty tbr thc purJxtsc of
salc).
_1, as owncr ol'thc pnrJrcrty, am exclusivcly contracting with liccnsctl c()ntraclors t() construct tlrc prtjcct (Scc. 7044, Busincss
and Pnrfbssi<ln Code: 'fhc Contractor's Licensc Law drrcs not apply t() an owncr of proJrcrty who builds or improves thcrcon.
and who contracts lirr such pnljccts with a Contractor(s) liccnsed pursuant to thc Corttractor's Liccnsc Law;.
_l am cxcnrpt undcr Scction-, B. & P.C. for this reason.
I \... ^.
IVORKERS' CONI PENSATION
DECLAITATTON
I hcrcby atljrm undcr ;rcnalty ol'Jrcrjury onc of thc lbllowing dcclarations:
_l havc arxl will maintaitr a Ccrtiticatc of Conscnt to Sclt'-lnsurc lilr workers' comJrcnsation. as providcd tirr by Scction 3700 of thc
Labor Crxlc, lirr thc grcrlormancc of thc wrlrk lirr which thc Jrcrmit Ls issucd.
ZAhauc an l wltt mainlain workcrs comlEnsation insurdncc, as requircil by Scctio[ .]700 ol'lhc tlbor Codc, li)r thc lsfomancc of
L'ihE'wrrk tbr which this Jrcmit is isrucrl. My workcrs' comlrcnsntion insurane cmicr aul F)licy numbcr ue:
Policy +-f r Ist
I
_l ccrtily that in the p-rklrmance of thc work lilr which this pcrmit is issucd, I shall not cmploy any frcrson in any manner
so as to bcconrc suhjcct to thc wrlrkcrs'compcnsation laws of Calilbrnia. and agrcc that if I stxluld bccornc suhjcct to ttrc
workcrs' coml^*nsation provisions of Scction .17ffi ol'thc Lahrr Codc, I shall, lirrthwith comply with thosc pnrvisiotts.
WARNING: Failurc to sccurc workcrs'compcnsation covcragc is unlawlul, and shall subjcct an cmploycr lo criminal pcnaltics and
civil lines up lo onc hundrcrl thousand dollars ($100,UX)), in addition to thc cosl of'conrJrcnsation. rlamagcs as providcd tirr thc
Scction 1076 ol'thc CorJc, intercst and atlrlrncy's t'ccs.
I hcrcby allirm undcr Jrcnalty ol'Jrcrjury .]
ol' the Busincss and Prolbssiorrs Codc. arxl my liccttsc is in lfull lirrcc aml cll'cct.
Liccnsc t>Numbcr:
+b \,\
CONSTRUCTION LENDING AGENCY
I hcrcby affum und$ Jrculty of lErjury that thcrc is a constructi)n lcnding agcrey for thc JtIfomrcc of lhc work for which lhis Ismit is
issucd (Scc. 3097, Civ. C.).
lxn lcr's Nam:
knder's Addrcss:
APPLICANT DECLARATION
I hcrcby all-rm undcr pcnalty of Jrcrjury onc of thc lblklwittg dcclaratiorts:
Dcmolition Pcrmits-Asbcstos Notitlcation Fcdcral Rcgulations (Titlc 40, Part6)
_Rctlurcd lrttcr of Notilrcalkrn
-l
certity that lhc lcdcral rctulations rcgeding asbcskrs rcm)val arc not applicablc k) lhis Prtjet.
Klcdity tnat I havc rea'l rhis applicstion arkl strte thrt thc ahovc intbrrutiou is corccl. I a!re to comply wilh all City and County
ordina\ccs and Statc bws rchting nr building construclion, anl lErcby aull$rizc rclrcsntalivcs oflhis City arkl County to cntcr uF)n thc
atxlvc mcntioncd proJrcrty ftlr
Applicarrt ur Agent
Penrrilee nanle
*,., Fr[ tr{/+ooo
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUI nsu lation
Roof Sheathing
Shear Wall
Framinq
lnsu lation/Enerqv
Drywall
Ext./lnt. Lath
Brown Coat
lVlasonry
-Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
I ,)n
FINAL l? -lw 'n lkff6
Certificate of
Notes, Remarks, Etc.
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