HomeMy WebLinkAbout101105234 - PermitProiect Address: 2360 N North Park BIvda
Assessor's Parcel: 002-122-01 Lot: 210 & 211 Block: NA
Unit:BIdg: Address Range:Suite Range:
Zoning: RlTract: 425 Historic: Yes
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 ' \
Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 101105234
Pin #: 3544,5
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-06023201 63J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $27,500.00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Description of Work: lnstall new roof mounted solar PV system. Per PV checklist.
Planning Conditions:
Engineer: JDC Energy Solutions
Owner:
Address:
Phone:
Tenant
Demetrius Harakas
2360 N. North Park Blvd
Santa Ana, CA 92706
(7141 308-1 363
Contractor: SERELICA CONSTRUCTION
Address: 17972 SKY PARK CIR STE D
lrvine, CA 92614
Phone: (7141 769-6455
State Lic #: 101 6277
Lic Type: B
Bus. Lic #: 363589
Workers' Compensation I nsurance:
Carrier: Exempt
Policy #.
Expires:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #.
10373 Trademark St STe B
Rancho Cucamonga, CA 91730
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES !nsp. Req'd: No
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd:
Police Insp. Req'd
Zuniga, Allissa
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 11t1Tt2O2O Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 51612
01 1 16002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 BIdg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$4s0.00
$64.80
$2.00
$0.00
Total
Flood Zone Cert. Req'd: No 01 1 16002 51601
Every 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
Inspector MID#: 2020-162802
$4s0 00
$2.00
$64.80
$516.80
$0.00
$51 6.80
a
)t BUILDING- !NSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BT,rILDER DELCARATION
I hcrcby affrrn undcr Fnalty of perjury ihat I m cxcr{,t frcm the Contmcton' Liccns [:w fo] thc followirg r@sn.(Sec.7031.5 |
Busincss ord Pmf6sion Codc): Any City or County which rcquircs a fmil to constrcl. alte, improve, dcmlish or rcpair my
stluturc. priT lo ils issumc, also rcquircs thc spplicanl for such lErmil k, filc I signcd statemnt that hc or drc is licensd pusuill
to the povisions of thc Contractor's Lhcnrcd trw (Chaptcr 9. Commrcing with Setion 7000 of Division 3 of the Busircss od
Prcfcssbns Code) or that he or shc is excmpt llwfrcm ad thc basis for lhc allcgcd cxemption. Any violotion of Setion 703 I .5 by my
applicanl for a pcrmit subjsts the applicant to I civil pculty of not mrc thn fivc hundred dollas ($Sfi)).
_1. as owncr of the propcfiy, or my ctnployccs with wagcs as thcir sole compcnsalion. will do the work and ttrc structure is not
intended or ol'fercd for salc (Sc.c.7o4a, Busincss and Professions Code: The Contraclor's License law does nol apply to an owner of
the proJrcrty who bnrilds or improves thercrln and who does such work hirnself or hcrself or through his or her own employecs.
providcd that such impovcnrcnts arc not intcrxlcd oroffcrcd for sale. If, howercr. thc b,uilding or irprovcnrnl is sold within onc )ryu
of completio[ thc Owncr Buiher will have tlrc burdcn of proving that hc or she did not buih or improvc thc property for thc purpsc of
sale).
_1. asownerof thc propcny, amexclusivelycontracting with licenscd conlractors to construct thc projcct (Sec. 7044, Busincss
and Profcssion Codc: Thc Contractor's Liccnsc Law does not apply lo an owncr <lf prolrcrty who builds or inrprovcs lhcreon,
and who c<lntrucls for such projccts with a Glntractor(s) liccnscd pursuant to thc Conlractor's Liccnse Law).
-l
am exempt under Section-. B. & P.C. for this reason.
Date:_Ilunor.
WORKERS' COMPENSATION
DECLARATION
I hcreby affirm undcr pcnalty of perjury onc of thc following dcclarations:
_lhavcandwill maintainaCertificateofConscnttoSelf-lnsurcforworkcrs'compcnsation,as providedforbyScction3T00ofthe
Labor Codc, for the pcrformance of thc work for which thc pcrmit is issued.
_l have and will maintain workers'insurancc.by Section 3700 of the l-abor Codc, for the performance of
thc work for which this pcrmit is issucd.workers'carricr and plicy numbcr arc:
Policy
_l ccrrify that in thc Jrerformance of thc work for which this 5rcrmit is issucd. I shall not employ any pcrson in any trurnner
so as lo bcconrc subjcct to thc workcrs' compcnsati<ln laws of California, and agrcc that if I should bcconrc subjccl to thc tD
workcrs' compcnsation provisions of Section 3700 of thc labor Code, I shall, Ibrthwith comply with thosc provisions.
WARNING: Failurc lo sccurc workers'
civil fines up lo orrc hundrcd thousand
coverage is unlawful. and shall subject an cmploycr pcnaltics and
($in addition to lhe cost of as providcd for thc
aScction 3076 of thc Latnr Code. intercst and attonrcy's
D,'", /7/// / zd
DECI.ARATION
I hcrcby affirm undcr penalty of pcrjury that I arrr liccnscd under provision of Chaptcr 9 (comnrencing with Section 7000) of Division 3
of the Business and Professions Code. and rny liccnse is in full force and effcct.
t)
Licensc Nurnbcr:
I hercby affEm urder Fnslty of perjury thar therc i$ a construclk n lcnding agcrcy for rhc perfome of thc work for which this pqmit is
isrued (Se. 3097, Civ. C.).
lrndcr's Nam:
lrnder's Address:
APPLICANT DECLARATION
I My affrnn undcr pnalty of pcrjury one of the following declarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40. Part6)
-Rcquircd
lrttcr of Notifrcation
_l ccrtily that thc fcdcral regulations rcgarding asbestos rcmovalare nol applicablc to this project.
-l
cenify that I have rcad this application and statc that the atnvc infornurtion
ordmanccs and State taws rclating to building construction and
above nrntioncd proprty for
Applicant or Agent
Permitee nanre
/t
thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf Ioor/VenUI ns u lat io n
Roof Sheathino
Shear Wall
Framinq
Insulation/Enerqy
Drvwall
Ext./!nt. Lath
Brown Coat
[t/asonrv
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif .
T@.N\TE v1t1ttu WfUlha<'r9{v
I
FINAL tdtltN Dbaord ,Ifi:d
Certificate of Occupancv I
Notes, Remarks, Etc.
Rev. 08-07-201 5
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