HomeMy WebLinkAbout101102021 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: { Ol 1O2O21
Pin #: 252Os
Project Address: 1206 S Halladay St
Assessor's Parcel: 014-202-02 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: NA Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Solar
Solar
Sfd w/det garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2016
x-0602320276J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation:
0@0
$13,000.00
Description of Work: lnstall roof mounted PV solar system. Per approved plans.
Owner:
Address:
Planning Conditions
Phone:
Tenant:
Ramon Lopez
1206 S Halladay St
Santa Ana, CA 927071407
(714l640-1494
Contractor: Momentum Solar
Address: 3096 B Hamilton Blvd.
SOUTH PLAINFIELD, NJ 07(
Phone: (7321902-6224
State Lic #: 1026366
Lic Type: C-10, C-46
Bus. Lic #: 368879
Workers' Compensation lnsurance:
Carrier: Employee Service Group
Policy #: WC1125632
Expires: 0410112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Daniel W
Daniel
370
13S 15
on TottrI
SKILLMAN, NJ 08558
(908) 872-3664
c-36477
Planning Approval By:
Plan Checked
Permit lssued
NPDES lnsp.
1
PWA lnsp
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
n Kathy
, Teri
Date:
Date. 1112212019
Dale: 1112512019
subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 51501 Permit Fee
0771.6002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57500 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$3.91
$1.00
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert. Req'd: No 011j6002 51601
01116002 516't2
01't16002 57770
$450.00
$1.00
$3.91
Every permit issued shall become invalid unless fhe 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 suspendedor abandoned for a period of360 days after
the time the work is commenced.
$454.91
$0.00
$454.91
lnspector MID#: 2019-155451
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BUILDING. INSPECTOR RECORD
SITE.WOHK DATE ID/SIG.COMMENTS ()}VNI]R BT'II,I)ER DEI,CARATION
I hcrchy rllirnr undcr pcilrlty of pcrjury lhal I rn! crcmpl liofi lhc (i)trlrxctor(' l-iccnsc l.aw lilr lhc ti)lk)wirc rcason (Scc.7().11i
Rusrncss nnd l)rotir(siril Codc): ADy City r)r Counly whrch rcquircs n JErmil lo coil\lnrel. rltcr. improvc. dcmolish or rcpair any
slnrcllfc.l)r(]rk)rlr r\suaDcc,alsorcquircslhcapplicunllorsurhlErmiltolilcasign!'dslntcnrcnl lhalhcorshcisliccnsc(l pursunnl
k) thc pr)vi\!)[s ol lhc (i)nlra(k)r's Licenscd l-aw (Chaplct 9. Crrnmcncinc with Scclion 7fiX) ol Divrsion .] o[ thc BusiDcss ird
rpplicrnt tix r Nflnil suhjcets lhc applic.nl k) r civil lcnally ol nol morc thail l'ivc hurdrcd rkrllars ($5{)0).
_1. n\ owlcr ol'thc p()lEfl y, ()r rly cnlpl()yccs wilh wagcs as I hcir solt' conrJtnsrl irtn. will do lhc work uil thc slructurc r\ nril
uicndcd or ollcrcd lir salc (Scc.?044, Bu\incrs and Prolessioni (ixlcr 'l he Contrrctor's Liccnsc Law dr)cs not alply k) in owncr ol'
thclr)ltrty whohuildsorirnprovcslhcrqnr,inJwhod(rcssuehw(nthinlscll'orhcrscll'()rlh(Nlhhisorhcr()wncnrlh)yccs.
providcd thll such imfrovcnrcnts rrc nol intcndc(l orolltrcd ti)r salc. ll, howcvcr, tlc httiklirrs or inrprovcrrnt iq sold wilhil onc ycar
salc).
_1. !s r)wncr ol lhc Jrr)l)crly. rnl cxcfu\ivcly c()nlrrctinf, wilh liccns&l crnilricl)rs tr (on\lnrct lle pr(tcct (Scc. 7(H4. Itil\tr)cs\
anJ ['nrlissirnCodc:'lhcC()nlracl{)r'sLiccnscl.rwdocsroldpl)lyk)anowncrr)lfi)pertywhohuilds()rinllrovcslhcrcon.
anrl who c()nlrrcl( li)r such projccts wilh r Corilrrcltr(s) liccnscd pulsuant lo lhc Ci)Dlrrel(,r's I-iccnsc I-rw).
-Iamcxon|tUndcrScCli()n-.B.&P.C.li)rthisrca\on
\\'oRKIatrs' ( ()l\il't,.Ns^t toN
t)ta('1.,\ttA't't( )N
I h('rchy rllrfln und(-r pcnrlly ol N4ury onc ol lhc li)ll)wirr! (lcchrxlion\:
_lhavcilxlwillmaintrinaCcrlilicalcofCrlnscDtloScll:lnsurclirrworkcrs conlrcrsrlion,ns proviilcdfi)rhySceti()n.l7U)otthc
I-itx,r Cirlc. lilr thc pcrl'r)rmance oilhc work lbr which lhc fcrmil i\ irsucil.
thc w(xk lilr whrch thrs pcrnlit is issucd. My workcrs c()nrpcnsrlirnr in\uranrc catricr dRl F)licy rnrnlhcr [c:
Poliuy Nrrnrhcr:_Erpircs: _
__l ccrlily lhrl irr thc pcrli)rnrinc(' ol lhc wr)rk liil' which lhrs Frmil i\ issucd. l (hrll nol cnrpl)y lny pcrK)n irr any nritncr
so ds k) tf,.c()mc slrbject lo lhc workcr\'conlpcn{xli(,n hws ol'Cllil'()rnia. {nd rtrcc thrt il I should hcc(nlE snhjcct k) lhc
wo*cr\'crnnltn\{tirrrpr)vi(ionsofSecli(rr.}700oithcl,alx)rCodc.lshrll.l(nlhwithconrnlywilhthoscpRrvisions.
civil lint's up lo oN- hunJrcil lhrnrsand dolhn (5jl x(ldili(rr lo lhc compcnsalion. danngcs as Fovidcd tbr lhc
Scctir)n -1{)7(r ol thc lrlx)r C(xlc. illcrcst nnd
I hcrcby all'rrnr undcr pcnrlty of l^-rjury lhal I unr liccnscd under provisi(D ol Chiplcr I (cornnEncirg with Scct(i 7UX)) ot Divisii -l
ol' lhc llrsircss rnd Prolcssions Ctxlc, rml my liccnsc is ir htll lirrcc oxl clltct.
l,i(cnsc (tt6 Numlrcr:G \-4 e/
I (
( A.^
I hqL.tty rllirm urrd('r p!ilrlty ol I^*{ury lhat
i\sucd (Scc. l(197. Civ. C.).
aconslnrclionkndinralcncvti)rlhcpcrli)rrnrnccoflhcworktirrwhiehthisfxrtrlil is
l-cnrlcr's Nanrc: _
l,cndtr"s Ad,lrcss:
APPI,I(:ANT DECLARATION
I lrrthy allimr undcr pcnalty ol pcrjury rnc t)l lhc li,llowinL dcclrral ions:
I)curlition Pcrnrls-Ashcqk)s Noliflcillirr F('dcral Rcgulali(ilr\ ( l illc 40. Parl6)
__Ru;uuett l,(tlcr ()l Nottlieilti(nl
lhi\ pr(t('cl.
I ngrcc k) comlly wilh ill City and Cr[nty
ivcs of lhi\ Cit y ilnd Counly to cntcr uF)n thc
Itcrillilce
2< -/7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathino
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL Vhil/a t aL,^ -A^ a ,lfg )
Certificate of Oc
Notes, Remarks, Etc
,r^,". t( '25' l)11