HomeMy WebLinkAbout10196331 - Permitcity of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
PermitCounter (714) 647-5800 lnspection Requests \714\ 667-2738 lnspector Section. (714) 647-5853
Permit #: {019633{
Pin #: 79549
ef
Project Address: 211 E Memory Ln
Assessor's Parcel 041-212-04 Lot, NA
Unit Bldg Address Range: 2761-3001 N
Main/l01199
Historict No
Suite Range:
Zoningr SO59Block. NA Tract: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Mixed-Use
Solar
Solar
Condo w/att workspacergarage
Live/work Units
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U, B
V B, SPK
cBc 2016
x-0602320163J
3
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $14,750.00
0
Description of Work: lnstall (10) roof mounted solar panels.
Planning Conditions:BotEhi:46799 - 11/6/':!t.tl9 IDt t-RUb'Al,l
Ownerl
Address:
Phone:
Tenant:
Christopher Goffredo
21'l E Memory Lane
Santa Ana, CA 92705
(949) 4394982
Contractor: SemperSolaris
Address: 1805 John Towers Avenue
El Cajon, CA 92020
Phone: (5'19) 7154054
State Lic #: 978152
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 365759
Workers' Compensation insurance:
Carrier: State Fund
Policy #: 9029275
Expiresr 10/10/2019
Harold PiIlg-ltung Wu, P.E.
Harold Ping-Hungf Wu
1'168 N. San Gabriel Blvd. N
Rosemead, CA 91770
(626) 288-0708
Ref+; 1'-i1?6331
11/412(.t!U l7r -{7 Pn
i4:il.rlt:l
Engineer
Address
Phone:
License #35693
Architect /
Desiqner.
Address:
P.u i Id ins
(r111600?- 516010110-
Blds Stds Revolv ins
0111600?- 516120110-
llflster (:flrd
CC+: I *xI x** * rrr *t195
$/r5[r. r:[_r
$1 . nrr
t4I1, r:tlr
ill.t li'j r r.r8il l r:I:l
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Ahangian, Kathy
Amsden, Julie
$450.00
$1.00
$0.00
07776002 51501 Permit Fee
07776002 57572 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
No
Fire lnsp. Req'dl
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permil issued shall become nvalid unless the work on the site authonzed by
such permit is commenced within 180 days after its tssuance or il the work authorized
on the site by such permit is suspended ot abandoned lot a peiod of180 days after
lhe lime the work is commenced.
$4s0.00
$1.00
lnspector MID#: 2018-143140
01 1 16002 5'1601
01 1 16002 51612
Fee Total:
Paid to Date
Balance Due
Phone:
License #:
Datei Misc. Receipt:
Date: 1'1101/2018 Misc. Receipt:
Date: 1,1/05/2018 Misc. Receipt:
Subject to Field:
$451 00
$0 00
$451 .00
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER Bt]ILDER DI]LC RATION
I hcreby amnn undd pa0hy oi pqlury that I d crrnfl lmn th. ConlEcto6 Liccnse t tr lor lh€ tullo$ in! tee. (Ss 70l l 5
Busin6s dd Prolssion Codc): Any Cily oi Counly trh(h r.qur6 . pd,nr ro coNrud. ah6. impro'e. ddnolish or rcpat uy
(rucru€. pior ro i1s tsuancc, aLso r.quL6 thc applic..t lnr sulh p.mrir ro filc a sun..l nalmdr rhr h. or shc 6 ics.d p@dl
b rn pmlLioB of lh. Conlraclors l,rcnsed Law (Chapld 9. Conncncine wilh Sdion 7000 ol Drislo. I of rhc B6inN and
I'olsions Code) or thal hcorshc i!.r.npt rhdetro,n dld lh. b6sb fortheallcred cxcmplioo /\., liolarionofsdion?0115 byany
appli.a nr a p6nn subjetsrhc applicinlloacnilp.mltyofnolmocrhMliv.hu6.teddollds($500)
-1.
d oMd of $. pmFn, or my .mploy6 wilh s.-a6 s lhcir sl. ompo\.rio.. sill do lh. *or k tnd tlE slruci@. n nor
i dd.d or oild.d aor elc (Sc 7044, Buin* dd Prof*io6 Cod.: Th. Co.lrrclois Licds Law do6 nol apply lo ovnd of
the pop.ny who toilG or inFov6 $06., and who do6 su.h so,t hnnsclf or hNlror lhrcush his o. hn oM flploycB.
provid.d rh'l ruch inrrovdd3 m noi incnd.d u ordd lor eL. l[ howds, lh. hildrns or in rovoal t $ld within on. y@
of conpl€lion. rh. Ow€r Blilda wil h.v. fic hnkn ol prolins lh, h. or stc did ml hild or imFow te FDpd, ,or lh. pulFs ol
l. s oMd oarh. Eol-siy. dn etcluively conaaclin,l wilh lico*d cont.dorsto codrucl lh. pdjd (sc. 70'14, BEin<
ad ltlf6sion Cod€:'l hc Conlraclor's Licms. Lawdo€nol applyro ovna o l a'opdy *ho 6uilds or improvcs lhcmn.
and sho ommcis fo. uch prcjdswnh a Codraclo(s) li.dEd puismr to rhe Conldclff's Licdse I2s)
I m cxmDr undcr Sdion .B & PC. forrhi! lsotr
D.r.r Oin.r:
1!ABtr&8lt-(A!!lENS4f!(]!
DECLARATIOiI
I hmby alltrm undd p.n.ltyorpdruryoncolrhe follo$inl: d.claralioB:
Ih.vc d *ill maimain a Calificatr ol Co6ol to S.lr l6urc Lr wolkcB' conD.niario,. 6 p,orid.d lor b, Sction 1700 of rh.
L2bor Codc for rhc pdfonn.ncc oflh. {ork lnr which lh. p@il n 6u.d
: I ha'. tud s 'll na'nra'n wurr (r conrp.Garion insur.nce. 6 rcquiEd by Ser ion I700 oafi. Libor Cod., ror rh. IE aoflrecc of
rh. Nork lor*hi.hrhis pmrn is issucd c.'nr€sdion icumn.. .aid ad rDlicy aumbtr dc
t .,, iJ
q
al cdify $ar ii th. p.rtomanc. ollhc worl lor vhi.h lhis pqf,ir is issu.d. I shallnol mplo, any p<son in any
'nannds 6 ro b..od. subjdt ro rh. wol{6' compcB.lion la*s of Califomiq ud age thd il I should bc.omc subjel lo lhc
sork6' .omrssarion pmlisions of Sdion 1700 of lhc Labor Codc, I $all aonhwith coDply s'ilh lho* po$ions
\IARNINC: Failurc lo Eu. wo m .onpds.rion .ovs.se is unlavtul. and shau subj(r m olloyd to siminal FEhis &d
ro onc hundrcd rhourdd dolls ($l0O.L$0). in .ddilion to the cd of conpesarion, ddnagcs s providcd for fic
::r/7ffi:-A;":
Dl:clr'aalto!
I h6cby attm und€r !e.6lr, olpdjury nd I dn lic€.so.l und6 prolision oi Chaptd 9 (connEncins wnh S€lion ?000) of Diiion l
ol thc Busins ud Pofsio6 Codc, dd my lic.tr. is in full forc. atd cff6l
qb 14 c to, c t4Q..^."^,,.*u
_...*.-g t*/1
CONIIIBIJCIIONI.E DIIG.AGI;ICI
I hGby amm lndr p..ahy of !.rjry thal lho c is a coNlruclioo bnding aSncy for rh. psfomanc€ of lhc {ork for $hich lhis p<mil it
issued (S{ 1097. Civ C.).
aflllcalr.D[cLasarlox
I @ .flim undc. rE alty ol pdjury one oalh. aollovinB dal*ttions:
Oonolit ion Pcrmic-Asb.slos Norifi. ion Fcd@l R.rJ iotu (Tn1. ,10, Pan6)
-Rcquncd
ldrdoaNotifi calFn
l.cnilytld rhc ledera I resulal ions rclddiry 6b6ros renNlald. nor altlic.ble lo lhis prqd
-l
c€nitthat I havc rcsd lh6 ,pPlicar nrnddstiterh.r r.bovcinform.rionscoral complr \rirh allCilyand Couniy
ordinarc6 sd State li*s rehrinS ro bu ildinB conr ct
ib.\ c mmrnn.d rtroedr to, iNq,
^ppll.rmorAs.nrsisr.lur. ..1
.e
.:::ii)ug-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulatio n/E ne rgy
Drywall
Ext./lnt. Lath
lt4ason ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 7^tp.l t1 /L(.e,(.e{l )
Certificate of Occupancy
Notes, Remarks, Etc
Brown Coat
LenJ 'r Add6s
0/n vt
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