HomeMy WebLinkAbout101104697 - PermitProiect Address: 5103 W Sixth St Unit:Bldg: Address Range Suite Range:
Zoning: RlAssessor's Parcel:100-241-08 Lot: 34 Block: NA Tract:1078 Historic. No
City of Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section. (714)647-5853
Permit #:1O1{04697
Pin #: 30662
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
A-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total.
Patio:
T l.Area
Yards Req'd.
Valuation: $15,000.00
Occupancy:
Constr Type.
Code:
Flood Zone.
# of Stories:
Description of Work: lnstall solar panels per PV checklist.
Planning Conditions
Owner:
Address:
Phone:
Tenant:
Maria Carbajal
5103 W Gth Street
Santa Ana, CA 927032520
(7141718-8296
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 lnsurance:
Carrier: Redwood Fire and Casualty lnsura
Policy #: FRWC113471
Expires: 0110112021
Current Renewables Engineer
Joshua Yacoby
7570 CORB]N AVE APT 2
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
Reseda, CA 91335
(ssl) 254-5655
8506s
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Verduzco, Viole'nl .I
Date:
Date:
Dale. 0912112020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc Receipt:
$450.00
$81 00
$1 00
$0.00
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date
Balance Due:
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#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 after its issuance,or if the work authorized
on the site by such permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
MID#: 2020-161615
01 1 16002 51601
01116002 51612
01116002 57770
$450.00
$1.00
$81.00
$532.00
$0 00
$532.00
lnspector
BUILDING. INSPECTOR RECORD
Rev. 08-07-201 5
SITE.WORK DATE ID/SIG.COMMENTS owNER IltilI,])t]R I)t),cARA't't()N
I hereby affirnr under penally of pcrJury thal I am exeDpi fmm thc Contractos' License l:w for thc following rca$n (Ss,703lf
[lusincss and Proltssion Code): Any City or County which requircs a [Ennit lo construcl, altcr, irnprove. dcrmlish or rcpair any
struclure. prior m its issuance. also requires the applicanl li)r such pernit to filc a si8ned slaleren( that he or sha i$ Iicenscd pursuaril
to th.' pmvisions of lhc Conlractor's l,icenscd law (Chaptcr 9. Comrncncing wilh Scction 7ffn oI l)ivision 3 of the Busincss ard
Pro[cs\i([sCodc)orthathcorqhcisexemptthcretiomandthcbasisti)rlheallegedexenrptiul. AnyviolatiotofSectionT03l.5byrny
applicrnt for r pcnnir subjccts the applicatrt lo tr civil penahy of not more thnn fivc hundrcd dollars ($5(X)).
_1. as owncr ol'lhc profEny. or my cmployecs with waScs as lhcir slc compcnsation, will do lhc work ard thc stmue is mt
inlerilal or offered for ulc (Se.7(X.1, Business and Prcfessions Codei The Conlrrctor's Liccnsc Llw does nol apply lo an owncr of
the propef,y who builds or inqrrows lheron. md who does silch work hinrself or herself or through his or her own employecs.
providr'd lhat slch improvcrrcnls e mt inte trded or olfcrcd lhr slc. ll, howcvei thc txrilding or irnprovemnt is sold within onc }l{
ofconphrbn, th. Owrer Buillcr will havc the burden ofpmvinS that he or shc did frn build or irnpmv. fic pmpe(y for dE purlrs of
salc).
_1. ils owncr ofthe propcny, anr exclusively contrnctinS wilh licensd con(rack)N () conslruct llE pmjcct (Sec. ?(N4, Busincs\
aill PmtlssionCode:TheCi)ntrack)r'sLicenseLawdoesnotapplyt(,anownerofprope(ywhobuildsorimproveslhereon.
and who conlracts for such preiccts with a Coflractor(s) liccnscd pur\uml to lhc (:onlrrctor's Licensc Law).
-IinleIem|lunderSecti<rn-,B,&P,c,li,rthi$reasotr,
WORKI.:R5' COlll PIINSA'l'I( )N
DECLARATIoN
I hcrcby rtlirm undcr pcnrhy of pcrjury onc of thc lirllowing dcclnrati()ns:
_l hrve afil will nBinlain a Ce(iticate of CoNe nt to Selr:lnsurc for workers' conlpensation, as pmvitled for by Section 3700 of the
Luhtr Codf.
,K"*u
for lhc pcrformmc of the work for which lhc permit is i\sucd.
will maintaiD workers'compensstfun insurance, as rcquircd by Section 3700 of lhe bbor Code, for the p€rfomrcc of
which thls lrcrnrit is issucd. My workss' rcmlrcNalion iNurance ceicr afll lElicy numhcr ue:thc |4<
2(Policy \t-l-
_l ccnity lhat in the pcrli)rnlancc of the work for which this pcrmil is issucd. I shall not cn[loy any pcrson in any nunncr
s as lo bccorrc suhjccl lo thc workers'compensatioD laws ofcalifonria. and aSrce lhat ifl should bccorrc subject lo lhc
workers conrJlnlation provisions of Section 3700 of the Llbor Code, I shall. fo(hwith conrply with tlrc* provisions.
WARNINGI l:ailurc to sccurc workcrs'compcnsilion covcrrrgc is unlawful, and shrll subjcct e cnuk,yer to fiiminal pcnalties and
civil lines up lo one hundred thousand dollars ($lm.(Xl)). in addition lo thc cosl ofcornpensalion. daroges as providcd for lhc
Section J076 ofrhe labor C(xle. intcrest and atlomy s fees.
UEENSEEgNIWIgE
DI:CLARATION
I hcrcby allirm undcr penahy of perjury that I am liccnsed undcr provision ofChaptcr 9 (cornmcncing with Seclion 7000) ol Division 3
of thc Busincss and Profcssions Codc. and nly liccnse is in full fbrcc and clfect.
Liccns!'B-e to Nilrnl{r:
(3z q((
(J
W
I hercby alfrm undcr [Emhy of perjury that lhere is a @nslnrct ion hndllg agefty li)r the perfomree of thc work for which this pmit is
issucd (Scc. 1097, Civ. C.).
Lendcr's Nailrc: _
[rndcr's Addrcss:
APPLICANT DECLARATION
I hercby atrm !nder pcnalty of perjury onc of the following dcluations:
DenDlition Permils-Asbcstos Notification Federal ReSulations (Title 40, Parl6)
_R4uired trttcr of No(ificalion
_l certify lhrt lhe federnl regulali(r)s regarding ilshesk)s rcnx)villarc [[ applicahle to this p()iect.
_l cenify that I luvc rend this application and starc lhat Ihe ibove infornmlion is corecl. I il8rcc lo Llmply with nll Cily and County
onlinances and State llws relatiilg to coD\rnlctiol aild hereby ofthis City and Counry io enrer utx)n the
xtDve nr(nli()n(l ffi)l--(y i)r
Applicsnt or Agcnt
l'eilrilcr nanrt
PUrJx)scs.
CJ
z /-za
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
ltrlasonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif.
,--t q-
FINAL lDy+J-iA L/'/€tvZ'rtY> Z /
Certificate of Occupancy
Notes, Remarks, Etc.
Planning & Building Agency
Building Safety Division
20 Civic Cenler Plaza
P.O. Box 19AA (I/-19)
Santa Ana, CA9270?
(714) 647.5800
www.santa-ana, org
RESIDENTIAL
PIIOTOVOLTAIC
CH EC KL IST
. -: . ) , isll-c1 cal2l1l
Solar Photovoltaic (PV) Checklist for Detached SINGLE FAIdILY RESIDENCES Only
lnstructions: Th3 lcensed contractor ol record shall complete all sections, ans\iver the ten questions and
sign the cerlificatron section belolv. A copy of this form shallbe attached to each of Tt//O s-^ts of plans, of
minim,-rnr 11" x 17' siza. li ans'rterin f the uestions lan chack shall be re uired
Project Address:StDZ t( b \\
d r(\)<-Contractor Company Name:
Contractor License fi umber
YES NO
OZq,G
4
,]
Are the following applicable to the proposed project?
t//ill the PV system layorLl provide the required three-footrlide clear access pathv,rays
pEr Section 605.11 of the California Fire Code, and is this sho,rn on the roof plan?
'//ill the PV system be instali:d on a rcolharing onll on= roofing lay:r 'rrith n,
overlays?
Will the PV array be flush mounted to the existrng roof so that the plane of the
modules (panels) are parallel to the plane of the roof?
VVill the PV system weigh maximum 4 pounds per square feet or less?
Will the PV system be installed where the modules do not overhang any roof edges
(such as eaves, gabled ends, ridges and hips)?
\tr/ill the PV system be installed with a space of 2" minimum to'l0" maximum bebrueen
the underside of modules and the surface of the roof?
U/ill the PV system be installed without using any ballast system or counter-'leight
system?
Vtiill the anchors be installed with a maxirnum horizontal anchor spacing of 6 feet
and is this maximum horizontal spacing shown on the plans?
Will the minimum 5/16" lag screws be installed with a minimum of 2-112inch
ernbedment into roof rafters (with pre-drilled holes) and is this minimum embedment
shown on the plans?
Are ALL the structural pages of the plans stamped and signed by a California
licensed professional engineer? (including project specific site plan, PV layout,
anchorage spacing, anchorage details and manufacturer's PV support information.)
I certify under Pen ty of e ry under the laws of the State of a liforn ia above is true
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Print Name
Phone Number
Email Address
Rev I l/19/2015
Signatu
Date:4*z/: 7D
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I
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09t0212020
City of Santa Ana
Building Division
To Whom lt I\Iay Concern:
l, [\Iaria Carbajal, am the legal property owner of 5103 W 6TH ST, SANTA
ANA, CA,92703. I am granting authorization to Freedom Forever (Lic #
1029644) and their employees to obtain or close solar and electrical
permits from the City of Santa Ana on my behalf. Sincerely, N/aria Carbajal
' /,'' )""-''-4)))r+^