HomeMy WebLinkAbout101103049 - PermitProject Address: 1522 W Richland St
Assessor's Parcel: 010-025-02 Lot: 143
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract 1856
City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: I Ol 1O3O49
Pin #: 79027
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD Watt garage
R.3, U
VB
cBc 2019
x-0602320257J
1 st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T I Area:
Yards Req'd
Valuation: $11,900.00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Description of Work: lnstall solar panels
Planning Conditions:
Owner:
Address
Phone:
Tenant
Douglas M Morales, Engineer
Douglas M MoralesFranciaco V & Rosalina Carrillo
'1522 Richland St
Santa Ana, CA 927034623
(7',t41281-5877
Contractor: clean lnitiative LLC
Address: 2400 E Katella Ave
Anaheim, CA 92806
Phone: (805) 324-3844
State Lic #: 1038376
Lic Type: B
Bus. Lic #: 374811
Workers' Compensation lnsurance:Carrier: Hartford
Policy #: T6WEGAA6RGZ
Expires: 0411312020
Engineer
Address:2027'l Lighthouse Lane
Huntington Beach, CA 92646
(949) 28s-5104
69163
L-i
Architect /
Desiqner:
Address:
Phone:
License #:
Phonei
License #:(:{:* : r* xi(xx jr *}xx* l9lJ,{
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPOES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
VX Hernandez, Kathy
Datel
Date:
Date: O2|OS|2O2O
Subject lo Field:
lVisc. Receipt
N,lisc. Receipt
l\,tisc. Receipt
$450.00
$78.20
$1.00
$0.00
07776002 51601 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 s1600 General Plan Update
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unloss the wo* on the site authoized by
such permit is comfienced within360 days after ils issuance,or if the work authoized
on tha site by such peftnit is suspended ot abandoned for a peiod ot 360 days after
the time lhe wofu is commeocod
lnspector MID#: 2020-157586
01 I 16002 51601
01 1 16002 51612
01116002 57770
$450.00
$1.00
$78.20
$529.20
$0.00
$529.20
Historic: No
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Fee Tolal
Paid to Date:
Balance Due:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE tD/stG.COMMENTS OWNER BI]ILODII DELCARATION
I hreb, altim uhdd p.mhj of pBjury rhd I an .x€mpr &om lh. Conttcroa Li.c. tiw for lhc tollowins rcNn (5€.70115
BNm6s and Prortsion Code)r Any Ciry or Coumy \rhich ..qun6 a pron to colrrucl. alld, ioprov., d.inolah Ep6tr d)'
strucruq plor ro s seudc.. ale .equt6 Ihc applicd lor such p€rnit lo filc a sisn.d $ar.mnl lhot nc or sh. i, licNd prsua.l
r, rh. provisions of rh€ Conlmclois l-ic€ns.d Law (Chaflo 9, com.ncinS snh S.clion 7000 ol Divison i oarh. Btrsind sd
Prcicsions Cod€) or rhat h. or sb. i! acnp thoc&om Md thc b6is for fic alles€d aftplio. A.t violtrion ofsa]1ion 7011.5 by any
applioanlforap.mnsubjearh.rppli.antlo.cirilp.nallyofnotnorclhdli!.hun&cddollds{1500).
,. 6 orner olthc prorEn). or dy .mplorB Nirh {.16 s rhcir sl. c.mp.Nalion. wiu do rh. *ort od ln. stflf,lue n Nr
inrd{tcd or olT6.d aor slc (sc.7044. &tsin6 Md holsiont Codt T1€ ont.croas Li.eM L.w do6 nol apply to d os.6 oa
rhc FopqtJ rho bulds or iihptuvB thdon. sd who do4 $ch srt hidsclaor h.Elt or rhmqh hk or hd own cdploy!6.
p.oud.d thar such mprc!@ds d€ mr inlddcd or oflaot lor eL. li hoqd6, thc bLrildins or imprc!@€ b e0 within onc ,M
ofcompldn[ rhe O{ra Builds *ill ha( rh. htrda ofFovins tnd hc or sh. did ml build or iEpNc 6. p@larl lo. th. purpor of
- l. $ o$n r olthe rop6ly, m .x.lusilcly conlracling with lictuctl contac1oc to @ieruct {h€ pmj€ct (Ss. ?044, BEinB
dd qotsion Co.L: Th. Conletois Licc.r. Law do6 nor .ppl, to e ownd olpropsly who buil& o. ihprovB lh6on,
.d who o.ra.ts aorsuch Foj..s *nh a cotu?cro(s) licc6.d puBur.r rorh. conradols Lic@ L,$).
I an.xchfl undd s(rion
lloatrlagllaMtENsarIa.N
DEqIABAIIAX
I hdcby amm und6 poahy ofr,gjury on€ orlh€ rollow',s ddldalioN:
I halc ud will mainrain a CcnificaE olcoMl ro S.lf-16urc aor Bort{6 mnptralion. * prcvid.d aor by setion l?00 oa$.
Labor Codc, forlh. pdlom c€ ollhe wort lorvhichlhcpmil i! issu.d
1l hak d n rll marrau u'orl6 comp.Nat 'on '6uan.., s t.gut d by Selion 1700 ofthc tibor Cod., for t. pdfo'l@ce of
rL
n insurmcc cArid &rd p.licy nuhbd @:
,^,"r^.,*,, % Lt i cAf\BG _z_Z
I ccnify lhat ii rh. pdaoman.. oirh. work for vhicn lfiis !.mn is issu.d. I shall not atrploy 5ny p6on in any m n
e s ro b<on. subjet to rh. wort6' conp.Ealion la* of Calitomla. ed lge thd if I slbuld bc.ooc subjd lo ll'.
srl(6' cornpostion prcvisioB of S..lion l70O olrh. tlbor cod., I shall, lonhwnh comply vnh lhosc roriri.B
WARNINC: Faihrc lo su. vorkds' onumsdion covqasc ir u.h{iul dd slEll subjar e 4ploy€r lo qimind p€nahi6 dd
.ivil nn6 up ro on. hundrcd rhouend dou6 {1100.000). i. addnio. lo th. .os ol comp.Nlion. daruss d prcvid.rl aor rhc
s(rion 1076oarlE tabor Cod.. inlod and allofty t 'ya-
r-rc@Eotrinac-rfn
/-.aic,,ABtrnor
lrc.i'd unde pI oUs'on of Chanrd q (.ommocrnE w h SdDn '000, o l Dtr sdn lI hdcby amr6 undd !.aalry ol pnjury rnd I tun
oi lhe Busi.*rod PNf6io6Codc, dd my liccBc is in tull forcc dd.f'sl
1]/o5s37/
""", 2r/?/ zo
I hmh! afiinn lnrler pcnahy ol D.riurr thal a coEltuclion lddinS r8ocy for lh. psfodec. ol rh. worl lor which fiis pasit i3
issu.d (sc 1097, civ. c ).
Lmd( s Name
-ATTIICAtrTDECI.ABAIIA!
I nolby .trfln und.. p.f,ally oa pEjury on€ of $c followi.e dcl&arioal
Dctaolnion Pmtu.tubds Notili.rriod F.d6al R.gulalioN (Titlc 40, Pan6)
R.quiEd lrtte of Nolification
-l
.ql.ry thd lhc Ldral relul,tioc Eg&dins G!6tos mval @ iol .I)rlkabL to lhis prcjal.
tr+-- 'ry
rnn t u* *ua ,m appl,ca! ion un srarc lhd rh. abov. inronmrion is cor.d. I asr€ lo cospry snh .u Ciry ed Counry
o imc6 Md Srarc Lls rcldrns ro buildrns .odtoclio( a.d h@hy.ulnorizc rcp(6s aliv6 of dis Ciy @d Comly lo otr upon tlE
above hdrdr.d pop.rly aor rNpdrcn
,lmlicn rur,tge lsignilom:
,/a-,- I t---)-/t1c-/hc
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL 16la Dlrnfi.?*b'7
Certificate of Occupancy u
Notes, Remarks, Etc.
UFER Ground
Flood Zone Certif.
- ,- /-Dd.: ///5 //.o
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