HomeMy WebLinkAbout101104840 - PermitDrPur e*t{
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Building Permit #: {O11O484O
Pin #: 82912PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 2121 S Forest Avea
Assessor's Parcel: 408448-08 Lot: 51
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 4606 Historic: No
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-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $20,000.00
Occupancy:
Constr Type.
Code.
Flood Zone:
# of Stories:
0
Description of Work: lnstallation of roof mounted PV system. Worksheet attached to plans.
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Sa Mai
2121 S. Forest Ave.
Santa Ana, CA 92704
(7141 622-8221
Contractor: Solartime Electrical Service:
Address: 14371 Euclid Street, #2F
Garden Grove, CA 92843
Phone: (626) 757-6677
State Lic #: 1051 487
Lic Type: B, C-10
Bus. Lic #. 374129
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9257733
Expires: 0711912021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Solartime Electrical Services
14371 Euclid Street, #2F
Garden Grove, CA 92843
(626) 7s7-6677
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA Insp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#
Arabe, Jill
Chavez, Dave
Date: 10/01 12020
Date:
Date: 10lOSl2O2O
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
57507
57770
57672
s7600
57607
$450.00
$36 4s
$1.00
$23.79
$se.30
Total
Flood Zone Cert. Req'd: No
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.
01 1 16002 51600
01116002 51601
01116002 51612
01 1 16002 57770
$23.79
$50e.30
$1.00
$36.4s Fee Total
Paid to Date:
Balance Due:
$570.54
$0 00
$570.54
lnspector MID#: 2020-161708
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrchy affum undcr lEnally of Frjury that I am cxcmpt hom lhc Conlracl()N' Liccnsc llw for lhc lolloviog rcasln (SR-.70.]1.5
Ilusincss anl Profcssion Gxlc): Any City or County which rcquircs a Fmil k) conslruct. alter. impnrvc. dcmtlish or rcpoL any
slruclurc, Fior to its issuancc, also rcquircs lhc applicant for such lErmil kr lilc a signcd slatcmnt that hc or shc is liccnsd pursuant
to lhc lrovisions of thc Contractor's Liccnscd law (Chaptcr 9, Comrcncing wilh Selion ?000 of Division .1 of lhc Busirc$s and
Prolcssions Culc) or that hc or shc is crempt thqcfrom aftl lhc basis for thc allcgcd cxcmption. Any violation of Scction 70.1 L5 by any
applicant for a [Ermit subjels thc applicant kr a civil penalty of not morc thun fivc hundrcd dollds ($500).
_1, as owtrcr of thc propcrty, or my cnlployccs with wagcs as thcir solc conlpcnsalion, will do thc work and lhc structurc is nol
intcndctl or otl'cred lirr salc (Sec.7044, Ilusincss and Prof'cssions Crxlc: Thc Contraclor's Liccnse Law docs not apply to an owncr of
thc pn)lrcrty who builds or intpntvcs thcrcon, and who docs such wrlrk lrimscll'or hcrsclf rlr thrlugh his or her owtr cntpkryccs,
providcd tlrat strch improvcnrclrts arc mlt intcndcd rlroltcrcd tirr salc. ltl howcvcr, thc huilding or impnrvcment is soltl within otrc year
of comphtk)n, thc Owncr lluildcr will havc tlrc hurdcn ol'pmving that hc or shc tlid mrt build or improvc thc proJrcay lbr thc purptrc o[
saic).
_1. as()wncrof thc property. amcxclusivclycontracting with liccnsctl contraclors lo collstruct thc prujcct (Scc. 7044. Business
arxl hrrtcrision Cotlc: The Contraclor's Liccltsc Law docs not apply to an owner of propcrty who builds or improves thcrcott.
and who contracls ftrr such pnljccts with a Glntracto(s) liccnsctl pursuant lo thc Conlraclor's Licensc hw).
-IamcxemptundcrScctirln-'B.&P.C.filrlhisrcastllt.f r.. r ,,.
WORKERS' CO[\T PENSATION
DECLARATION
I hcrcby alfirrn undcr Jrcnalty of pcrjury onc of thc lirlklwing declaratiorts:
--l
havc and will maintain a Ccrtilicatc of Conscnt to Sclf-lnsurc lbr workcrs' conrJrcnsation, as provirlcd firr by Scctitltt 37fi) of the
Lahrr C<xlc, lbr thc Jrcrlbrmancc ol'thc work lbr which thc Jrcrmit is issucd.
_l havc and will maintain workcrs' comJrcnsation insurancc. as rcquircd by Scct ion 37fi) of thc [:bor Codc, lilr thc Jrcrfirrmancc of
thc work lilr which this permit is issucd. My workcrs' compcnsation insurancc carricr arxl Jxllicy numbcr arc:
Policy Numbcr: Expircs:
_l ccrtity that in thc pcrlormancc ol'thc work lor which this pcrmit is issucd, I shall not cnrploy any pcrson in any manncr
so as to hccome subject to thc wurkcrs' comJrcnsation laws of Calililrnia. and agrcc that if I should bccomc suhjcct to thc
workcrs' compcnsation provisions of Scction 3700 of thc Latxlr Codc, I shall, torrhwith comply with thosc prrvisions.
WARNING: Failurc to sccurc workcrs' comJrcnsation covcraglc is unlawlul, and shall sub.icct an cmploycr to crintinal pcnaltics and
civil lincs up to onc hunrlrcrl thousand dollars (S100,Uru), in addition lo lltc cosl of comlrcnsalion. damagcs as providcd lirr thc
Scclion 3076 of thc Lahlr Crxlc, intcrcsl antl allorrcy's tbcs.
Dete:
LICENSED CONTRACTOR
DECLARATION
I hcrcby allrm under pnalty of Jrcrjury that I am liccnscd undcr provision of Chaptcr 9 (comrncncing with Scction 7UX)) of Division 3
of thc Busincss and Pnlt'cssions Ctilc, and my liccnse is in full torcc and cffcct.
l.ice-trsc Nulnbcr:
W
I hcrcby affrm undq Fnalty of JErjury that thcrc is a @Ntrudion hnding agcrey for the Frfomree of lhc work for which this Ismit is
issucd (Scc. 3097, Civ. C.).
lxndcr's Nam:
lrndcr's Addrcss:
APPLICANT DECLARATION
I lrcrchy atl-trm undcr pcnalty of pcrjury onc of thc lilllowing dcclaratiorts:
Dcrnolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, I'art6)
_Rcquircd l,cttcr of Notilication
_l ccrtity that thc t'cdcralrcgulations rcgarding asbcstos rcmovalarc not applicable to this project.
_l ccilify that I havc rcad rhis epplicati(ln drJ starc that thc atNvc inlbrrotiotr is coret. I aerc to @mply with all City atxl Counly
ordhanccs and State Laws rchting h huilding c(rnstruction, atxl hcrcby authrrizc rcFc$ntslivcs ofthis City and County to cntq uF)n tlrc
rbovc mntioncd prupcrly for inslEction purynscs.
Applicsnt or Acent SisDlure: Date:-
Pemfle nsme (grinl):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framing
Insu Iation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
tl ,l s,2-
FINAL lt lzlTt I >Mr r/
Certificate of Occupancy I
Notes, Remarks, Etc
Florr nP*n7-2nl q
t
A)f,:l
f,Q
go
E
C
g
f
Q
Qolc)\
]\)O
o
s:oool(+o
1
T
A)N
ttJ
7oqto
f
3ox
|ii Ii
li glH
l-u A1,, S<11 -.r .l'-r sg
3e-r33o
r.+l:I eoSo
=
-{
rJ
(a
a-o(1
trlo
F|r
3a\<
sobs:a.
a
:-l
:I
t'#U
<
VI0i:)
{-fl!
I
.D
.J
q,)
o
L)
(J
CTp
.U
o
A)
Itto
c
UIo
q)
o
A)oT
o\o
l,i
o
f,*ro
IBo
f,^|boT
1'-to
f-.o
c).'+
o.o-
1oo
?
T'-oioof
o{fo1
oo:l,+-rq)o..+of
r
o'ofao
f
*r1a;1{ :fiBf )sr$+ri+*; $aa if q*r r ;dinii3+5 rqf si F+a ; ]i't {=;iT g+3 ia ilf l fi gf g ;(nrD(.rrO
c:ff
iB[1E3E t; i[t g i [H ;i,3-SB Grq.-,ir e-f j 3 ga ?rlgs8qgsEali iE f'q1sPsEiE53[ 3r afct"cor^aiq Sis fr? eil# o er' ;eqq;=4 dS?Ef [i 3:lo)E-, + ,"1P o =6 3 o- r n o-:agla*;aFi i: iqxatgl +g+q +i:d q€ 5g- 3 J;g' p:, 3
91=eEg gaxi ;r *a = q d =€ :r
=:l 1a ' v, l= : 'q,i s" t€{ E$ I*'-q =a?3., ets H o-or H'5 o,o,5',. F.: 3 l; up 1i3B rq { F; ii il
=BE 2o . 3+ gJ aaa; g* g Eg E- 5(--l:rD o o d-* o
= =' LP 2._? j $9 - 6
=,-?, rr aE G ia aF Eo=a pq [ :il d:_ =or- j a[ q Til ra -loJ:t=
Jqg -t rD rD L^ 55 u)=a -o e o, . A =' 1"fr AE E 3 E € o-€ o-vi :rr=5 : = : gr t
rDsq 3- (D
o
-Jor.|F
=(-)
rD
:l
V\
rD
o_
(^)of
OJ(-)
c+q
-o
1oEo
n
o
€fo
EE 6Hfiilq;.=
G'a h
ig+
€ *g
r:$.
Fr3
OF.tEoS1
(1FrB
{a.
=
\i.ao'o-;
fii8$
3Ra.A
='Bqs
6' srq[,
rtX>-{rbrna.f€oOD
_.\ .oS-rQltql
aT(rrSOrr\ l.+
d-
FI\sit
b'SAa=(a
I
A,
o
l+
J
o'
oo
3
1C
6-,+o
o-
-fro1
3
g)
f
o-
F}
rF
Jo
o(r
Io
E|,-ra-
-roq)
o-
-a-
gt
g.
ilg
o
o
=
=r=A,-
3'oT'ooI1oa
T'o-r
3
r{.zg
3cro.
\
e
FJ
-.(v
a\
ooFl
P
E
NJ
\
P
\v
$
(/l
a3oFts\o
0