HomeMy WebLinkAbout101105112 - PermitProiect Address: 2801 S Center Sta
Assessor's Parcel: 412-255-13 Lot:24
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 8344 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 #: {O1105112
Pin #: 9{ 21O
Building Use: Single Family Dwelling
Job Type. Solar
Nature of Work: Solar
Existing Bldg & Use SFD w/att Garage
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $9,000.00
Description of Work: lnstatlation of roof mounted PV system. Worksheet attached to plans.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Brian M Huffman
2801 S Center St
Santa Ana, CA 927046006
Contractor: Freedom Forever
Address: 43445 Business Park Dr, #1'
Temecula, CA 92590
Phone: (951) 445-5645
State Lic #: 1029644
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation I nsurance:
Carrier: Redwood Fire and Casualty lnsura
Policy #: FRWC 113471
Expires: 0110112021
Current Renewables Engineer
Joshua Yacoby
7570 CORBIN AVE APT 2
Reseda, CA 91335
(es1l 254-565s
8606s
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Chavez,
No
Dave-*==t?
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 11tO2t2O2O Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
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
$85.05
$1 .00
$0.00
$536.05
$0.00
$536.05
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd:Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued 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 rs suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-162536
$450.00
$1 .00
$8s 05
b
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BTJILDER DELCARATION
I hcrcby atfirm undq pcnalty of pcrjury that I m excmpt from thc Contradom' Liccnse [:w for thc following reen (Ss.7031.5
Business and Prcfession Code): Any City or County which rcquircs a lrcmit to construct, altcr, improvc. dcmlish or rcIEia sy
structurc, prior to its issume, also rcquires thc applicant for such lErmit to filc a signcd statcrent that he or shc is licensd pursumt
to thc prcvisions of thc Contractor's Liccnscd hw (Chaptcr 9, Comncing with Sstion 7000 of Division 3 of the Busircss ild
Prcfcssions Code) or that hc or she is exempt thcrefrom and thc basis for thc alleged cxcmption. Any violation of Scction 703 1.5 by ily
applicant for a pcrmit subj@ts the applicant to a civil pemlty of not mrc the fivc hundrcd dolhs ($500).
_1, as owner of thc property, or my ctnployees with wages as their sole compensation. will do thc work and the structure is not
intcndcd or otfcrcd for sale (Scc.7M4, Business and Professions Code: Thc Contractor's Licensc l.aw docs not apply to an owner of
thc propcrty who builds or improves thcrcon. and who does such work hirnself or herself or through his or her own employees,
provided that such irnprovcrrrcnts are not intended or offered for sale. If, however. the building or irry)rovemcnt is sold within one ycar
of completion. the Owner Builder will have the burden of proving that hc or she did not build or improve the proprty for thc purposc of
salc).
_1, as owncr of thc property, am exclusivcly contracting with liccnscd contractors lo construct the projcct (Sec. 7M4, Business
and ftofcssion Codc: The Contractor's Licensc Law does not apply to an owner of progrerty who builds or improves thereon,
and who contracts for such projccts with a Contmckrr(s) liccnsed pursuant to thc Contractor's License Law).
_l amexempt under
Date:
B. & P.C. for this rcason.
Owner:
WORKEITS' CONII'ENSATION
DIICLARA'IION
I hcreby affilm under penalty of perjury one of the following declarations:
__l have and will maintain a Certificatc of Consent to Sclf-lnsurc for workers' compcnsation, as provided for by Scction 3700 of the
Labor Codc, fbr thc performancc of thc work for which thc pcrmit is issucd.
L$ hru" ond 3700 of the Labor Code, for the pcrformance of
the work for arxl policy number are:
o Co
oL-ol- ZoZPolicyoFO
_l certify that in the performance of the work for which this permit is issued, I shall not cmploy any lrcrson in any rnnncr
so as to bccome subject to the workers' compensation laws of Califomia, and agrec that if I should becorrc subject to the
workcrs' compcnsation provisions of Scction 3700 of the Labor Code, I shall. forthwith comply with thosc provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subjcct an employcr to crirninal penaltics and
civil fines up to one hundred thousand dollars ($100.fin), in addition to the cost of compensation. damages as provided for the
Section 3076 of the Labor Code, interest and attorney's fces.- u-2- zdzo
I
I hcrcby aftirrn undcr penalty of prjury that I am liccnscd undcr provision of Chapter 9 (conunencing with Scction 7000) of Division 3
of the Business and Professions Code, and my liccnsc is in full forcc and cffcct.
o CLO o 2 I
License
Date:
. ll-z- zo zd
W
I hcrcby affirm undcr lEnalty of lrcrjury that thcrc is a construction hnding agcncy for thc pcrformcc of the work for which this pcrmit is
issucd (Sm. 3097. Civ. C.).
Lender's Nanrc:
[.cnder's Address:
APPLICANT DECLARATION
I hcrcby aftirm undcr pcnalty of perjury onc of the following dcclarations:
Demolition Pcrmits-Asbcstos Notification Fedcral Rcgulations (Title 40, Part6)
_Rcquircd lrtter of Notification
-l
ccrtify that the fcderal rcgulations rcguding asbcstos rcmval m not applicablc to this prciEI.
Lts t ""rtify rnn I havc rcad this application erd statc that the above inforrEtion is conEct. I agrec to corply with all City and County
ordinances and State lrws rclating io building construction, and hereby authorize rcpresentatiws ofthis City and County to cnts upon thc
above mentioncd property for inspection 'WM
Date: r (p\-zozoApplicant or Agent
Permitee nanre
Sipnature: D<
P
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVl nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL lil lu,lu Dk*tr7
Certificate of Occupancv t
Notes, Remarks, Etc.
->
Rev. 08-07-201 5
(nrinr):K LUCIO e Ue L4s