HomeMy WebLinkAbout101105210 - PermitProject Address: 2510 N Old Grand St
Assessor's Parcel: 396-372-28 Lot: 44
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 7287 Historic: No
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O52{O
Pin #: 92036
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-0602320163J
1st FL Area.
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $23,000.00
Occupancy.
Constr Type.
Code:
Flood Zone:
# of Stories:
Description of Work: Install solar panels per PV checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Donald Buist
2510 N Old Grand Street
Santa Ana, CA 92705
(562) 881 -2234
Contractor: Solar 360
Address: 1572 N Batavia, Suite 2
Orange, CA 92867
Phone: (7141 401-7242
State Lic #: 985010
Lic Type: B
Bus. Lic #: 345934
Workers' Compensation lnsurance:
CaTTieT: NATIONWIDE AGRIBUSINESS INS
Policy #: WCC332562A
Expires: 0710412021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
c83664
Scott Wyssling
Scott Wyssling
76 N. Meadowbrook Dr,
ALPINE, UT 84004
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA !nsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd:
Police !nsp. Req'd:
$
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 11t12t2020 Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 s1612
01 1 16002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$4s0.00
$60.75
$1.00
$0.00Verduzco, Violet
Total
Flood Zone Cert. Req'd: No 01 1 16002 51601
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits issuance,or if the work authorized
on the site by such pernitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-162724
$450.00
$1.00
$60.75
$51 1.75
$0.00
$51 1.75
I
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcreby affrm undcr lEnalty of pcrjury that I m excmpt t'mm lhe ContracloN' Liccns Law for the followirg M$n (Sc.7031.5
Busincss and Prcfcssion Code): Any City or Couily ehbh rcquircs a Jrcmit to constMt, alter, inqrrorc, &mlish or rqnir uy
^strctre. prkr to its issume, also rcquircs the spplicant for such pcrmit to fib a signcd stdemnt tlEr he or dE is lienrcd pursuat
to the Fovisions of thc Contractor's Liccnmd law (Chapter 9, Comncing wilh Sction 700O of Division 3 of thc Busircss md
PmfessionsCodc)orthBtheorshcisexcmptlhcrcfromandthcbasisfortlrcallcgedcxcmption, AnyviolalionofS@lion703l.5byany
applicant for ! Itrmil subjEts thc applicrnt to I civilpcmltyof not mrc thm live hudrcd dollus ($500). ,
_1. as owncr of thc proprty, or my cmployccs with wagcs as thcir solc comJrcnsalion, will do thc work and thc structurc is rnl
intendcd or offcrcd for salc (Sec.7044. Busincss and hofessions Code: Thc Contraclor's Liccnsc [-aw docs not apply to an owncr of
thc propcrty who builds or funprovcs thcrcoru and who docs such work himself or hcrsclf or through his or hcr own employecs,
providcd that such improverncnts are not intendod oroflcrcd for salc. lf, howcvcr. thc buikling or inprovcmcnt is sold wilhin onc year
of comphtion, thc Owner Buiklcr will have thc burdcn of proving thal hc or shc did ncrt build or improve the propcrty for ttrc purprsc of
salc).
-1,
as owncr of the profrcrty, am exclusively contracting with liccnscd conlractors to conslruct thc project (Scc. J$rH, Busincss
and Profcssion Code: Thc Contractor's License Law does not apply to an owncr of propcrty who builds or improves thereon,
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnse [:w).
-IaIncxemptundcrScnction-.B.&P.C'forthisreason.Owner'wonxrwox
DECLARATION
I hercby affirm under pcnalty of pcrjury one of thc following doclarations:
_l havc and will nraintain a Ccrtificate of Conscnt to Self-lnsure for workers' compcnsation. as gnovidcd for by Section 3700 of the
Ixbor C-odc. for the performance of thc work for which the pcrmit is issucd.
6^ndwillmaintainworkcrs,compcnsationinsuralrce'asrcquircdbyScction3700ofthe[:borCode,forthcperformanccof
thc work for which this permit is issucd. My workcrs' compensation insurance carrier and policy numbcr are:
ioot--s',deCarrierNql
Poricy Nu *r, WCL35 Z562 * Expires:O jt -O.t -Z
_l ccrtify that in thc pcrformarcc of thc work for which this pennit is issued. I shall not employ any pcrson in any trulnner
so as to beconrc subjcct to thc workcrs' compensation luws of California, nnd agrcc that if I should bcconre subjcct to thc
workcrs' compcnsation provisions of Section 3700 of thc L:bor Codc. I shall, forthwith comply with those provisions.
WARNING: Failurc to sccure workcrs' compcnsation covcrage is unlawful. and shall subjcct an enploycr to criminal pcnaltics and
civil fines up to onc hundrcd thousund dollars ($100.000), in addition to thc cost o[ compcnsation, damages as provided for the
Section 3076 of thc Labor Code, intcrcst and attorncy's fecs.
I)alc:h -12->)r*non%
LICENSED CONTRACTOR
DF'CI,{RATION
I am licenscd undcr provision of Chaptcr 9 (conrmcncing with Section 7000) of Division 3
rny liccnsc is in full force and cffcct.
I hcreby affirm undcr pcnalty of ;rcrjury that I
of thc Busincss and hofcssiorrs Code. arrd
Liccnse Nurrtbcr:ag5o / o
-o Y=
W
I hcrcby affirm undcr pcnslry of pcrjury thal Ihcrc is a @nsruclk n bnding agcrcy for the pcrforruce of lhc mrk for which this permit is
is$cd (Se.3097, Civ. C.).
kndcr's Nam:
[.ender's Address:
APPLICANT NT'CLARATION
I lrocby affinrr undcr pcnalty of pcrjury onc o[ thc lirlkrwing dcclarations:
Dc,n,,tiri"tf,fct6it*lsbcstos Nolificltion Fcdsal Regulations (Titlc 40. Pan6)
!f,cquircd trttcr of Ndificdion
-l
ccrtify that thc fedcml rcgulations rcgading &sbcstos rcmval rc rct spplicsblc to this prcjcrct.
-#r,n*l have rcad this rpplicstion ard state that thc above infortrution is orecl, I agrc to @mply with all city and County
Gdiil'ares and Statc tiws Ehtirg to building constructiorl and hcreby autlrcrirc rcprescntatircs of this City and County to enls ulpn lhc
atrovc nrcntioned property for inspcction
Applicant or Agent
Pernrilee nanre €t<r e
o*".10. I -' 2O
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Vent/l n s u I atio n
Roof Sheathino
Shear Wall
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
1,. ---7,
FINAL / z//b/zoz.fl ,dXL///
Certificate of Occu
Notes, Remarks, Etc.
Rev. 08-07-201 5
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