HomeMy WebLinkAbout101104691 - PermitProiect Address: 740 N Eastwood Avea
Assessor's Parcel: 398-374-02 Lot: POR 2
Unit:Bldg: Address Range:Suite Range.
Zoning: SD84Block: A Tract 344 Historic: No
City 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 #: {0110469{
Pin #: 26328
Building Use: Single Family Dwelling
Job Type: Solar
Nature of Work: Solar
Existing BIdg. & Use: SFD w/ garage
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2019
x-0602320163J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation: $t 1,000.00
Description of Work: lnstall '16 new roof mounted solar PV system. Auth on file.
Planning Conditions:
t
Owne:,:
Address:
t
Phone:
Tenant
Luis Campos
740 N EASTWOOD AVE
Santa Ana, GA 927014203
(7141460-3198
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #.
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engineer: Vector
Jacob
Address:
Phone.
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
651 W Galena Park Blvd, Suite 101
Draper, UT 84020
(801 ) 990-1775
c70567
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd.
Ahangirn, X@
Zuniga, Alliss\
Date:
Date: 1112412020
Date: 1210412020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07175002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 BIdg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450.00
$24.30
$0.00
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert. Req'd. No 01 1 16002 51601
01 1 16002 57770
$450.00
$24.30Every permit issued 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 permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector lvllD#: 2020-161473
$474.30
$0.00
$474.30
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrchy aflirm undcr lrcmlty of Frjury that I am cxcmpt ltom llE G)nlrackrs' Licensc [:w for lhc following rcawn (S4.70J1.5
Busincss arxl Prolbssion CrxJc): Any City or County shich rcquircs a lrcrmit k, construcl. altcr. intprove. &molish or rcluir any
structurc, ltrbr lo its issuancc, also rcquircs thc applicatrt lbr such JErmit to l'ilc a si8ncd statcmnt thal hc or slrc is licen*d pursuant
to thc pmvisions of tlrc Contractor's Liccn$cd Lav (Chaptcr 9. Commcre-ing silh SNIhn 70fl) of Division .l of lhc Busircss and
Pnrfcssfuns Codc) or thar lrc or she is cxctrrpt thcrcliom and thc hasls tirr lhc allcgcd cxcmplion. Any violrtktn of ScctiM 7O.l1.5 by any
upplicant lilr r pcrmit subjsts thc applicatrt k, a civil pcnally of not morc thaD fivc hu[drcd dollars ($500).
_1, as owncr of thc propcrty, or my cmployccs with wagcs as thcir solc com[rcnsation, willdo thc work and the slructurc is not
iltelxled oroll'ercdtbrsalc(Sec.7(X4,BusincssanrlProt'cssionsCtxlc:ThcContract()r'sLicenseLtwdocsnotaPplytoanowncrof
the propcrty who btrilds or improvcs thcrcon, and wlro drrcs such work himsclf or hcrsclf or thn)ugh his or hcr tlwn cmployccs,
providcd that such irnprovcmctrts arc not fultctxlcd or otlbrcd lilr sah. It, txlwcvcr, thc building or imp()vcmcnt is sold within onc ycar
ol'complction, thc Owncr Buiklcr will havc tlrc burden ol'proving that hc or shc did not build or inrprove thc propcrty lilr tlrc purprse ol'
sah).
_1, as owtrcr of tlrc propcr"ty. am cxclusivcly contracting with liccnscd contractors to constnlct thc pntjcct (Sec. 7U4, Busiltess
antl thrtbssion Cotle: Thc Contractor's Liccnsc Law docs not apply to an owncr of proJrcrty who huilds rlr improves lhcreon,
and who contracts ltrr such projccts with a Contractor(s) liccnscrl pursuant to thc Contractor's Liccnsc Law).
_l anr cxc'mpt .C. lirr lhisvl7,-1
t)ti('t.Att^'l'loN
I hcrchy alf irm undcr pcnalty of Jrcrjury onc ot'thc lillkrwirtg dcclaratiotts:
_l havc and will maintain a Ccrtilicatc of Conscnt to Sclt-lnsurc fbr workers' comJrcnsation, as providcd titr by Scctitln 3700 of thc
Latxlr Crxlc, lor thc pcrltrrmancc ol'thc work tilr which thc Jrcrmit is issucd.
_l have and will maintain workcrs' contJrcnsation insurancc. as rcquircd by Scction .1700 of thc Lahor Crilc, tor thc Jrcrlitrmancc o[
thc work lor which this pcrmit is issucd. My workers' compcnsation insurancc carricr arxl pllicy numbcr arc:
€Policy Numbcr: Expircs:
_l ccrtity that in thc pcrlilrmancc ol'tlrc work lirr which this Jrcrmit is issucd, I shall not cntpkly any pcrson ilt any manncr
so as to becorrrc subjcct to thc workcrs' comJrcnsation laws of Calilirrrria, and agrcc that if I should bccomctuhjcct ttl lltc
workcrs' comJrcnsation prcvisions of Scction 3700 of thc l-ahrr Codc, I shall, lirrthwith comply with thosc prrlvisions.
WARNING: Failurc to sccurc workcrs'conrpcnsation covcragc is unlawful, and shall cmploycr to crinrinal pcnaltics and
civil lincs up to one hundrerJ lhousand dollars irr atldition to thc cost rtl'damagcs as providcd tilr thc
Scction 3076 ol'thc Latxrr CuIc, intcrcst and
I hcrcby allirm undcr pcnalty ot'J^-rjury that I anr liccnscrl undcr provisilln of Chaptcr
of thc Busincss and Prolbssions Codc, and my liccnsc is in l'ull lirrcc anrl cfl'cct.
(commcncirrg 7firu) of Division J
Liccnsc Numbcr:
f \...^.
W
I hcrcby alfum undcr Fnalty of JErjury that tlsc i$ a constructhn lcnding agcrey tbr thc Fstbmancc of thc work for uhich this JEmit is
issucd (Ss. .1097, Civ. C.).
kn,lcr's Namc:
APPLICANT DECLARATION
I lrcrcby allirm undcr grcnalty of Jrerjury onc of thc lirlklwing dcclarations:
Delnolit ion Pcrmit s-Asr^kstos Nol ificat ion FcrJcra l Regu lat ions (Tit lc 40, Part6)
_Rcquired lrttcr of Notilicatktn
_l ccrtily that thc l'cdcral regulations regarding asbcstos rcnxrval arc not applicahlc to lhis pnrjcct.
_l ccrtily that I havc read this application and statc that thc atxrvc intirrmation is corrcct. I agrcc to comply with all City anrl County
rlrdinaft6es and Statc Laws rclating herehy authorize
atxrvc mcntioncd proJrcrty lor
Applicanl or
Penrritee nanre
constntcl
rva o
rcprcsentalivcs of this City and County to cntcr uJxtn thc
\ J,/q/Lo
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsu lation/Energy
Drvwall
Ext./lnt. Lath
Brown Coat
N/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .t
7rn/tnrF'tlnlxt iW
(J ,
FINAL rxtoyx))WuMq 260
Certificate of Occupancy
Notes, Remarks, Etc.
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