HomeMy WebLinkAbout101102258 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714)647-5853
Permit #: {011o.2258
Pin #: 62sE(N
.=
I Project Address: 2825 S Pacific Ave
Assessor's Parcel: 140-241-15 Lot: 52
Bldg: Address Range:Suite Range:
Zoning: Rl
Unit
Block: NA Tract: 5653 Historic: No
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 2016
x-0602320259J
2
tst Ft Area:
Znd FL Area:
Other Areas.
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $22,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstalt roof mounted solar. Per Residential Photovoltaic Checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Vu Huynh
2825 S Pacific Ave
Santa Ana, CA 927046235
(7141 742-5532
Contractor: Solarmax Renewable Energ:
Address: 3080 12th St
Riverside, CA 92507
Phone: (951) 300-0788
State Lic #: 972048
Lic Type: C-10, C46
Bus. Lic #: 346803
Workers' Compensation lnsurance:
Carrier: State lnsurance Fund
Policy #: 9070313
Expires: 0410112020
Douglas M Morales, Engineer
Douglas M Morales
20271 Lighthouse Lane
Huntington Beach, CA 92646
Engineer:
Address:
Phone.
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
(949) 285-5104
691 63
LrLrLr-'
umen t
Fer
F
Planning By:
Plan Checked
Permit lssued
NPDES Insp.
PWA lnsp.
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
i, Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Date:
Date:
Date: 1111812019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57507 Permit Fee
07776002 57770 Microfilm Records
07776002 s7572 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date.
Balance Due:
$4s0 00
$3 e1
$0.00
$22.es
No
No
No
No
Account#Tota!
01 1 16002 51600
01 1 16002 51601
01116002 57770
$22.95
$450 00
$3 e1
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
$476 86
$0 00
$476.86
lnspector MID#: 201 9-155942
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathing
Shear Wal!
Framing
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Fina! Report
flood Zpne Certif .-\W,LN"luoff Jat4)L -77-?A
>(
FINAL "LV-71 *'x,fi0)
Certificate of Occupancy vv-
Notes Remarks , Etc.
lttr I l.l)1..R I)E1.cA RA'l't( )N
I hcrchy rllirm under pcnalty of pcrjury that I am cxcmpt frcm lhc G,nlractos' l-iccnsc Lrw li)r lhc following rcawn (Sec.70ll"5 .
Busilcss ad Pmlcssion Gxlc): Any Cily or Coutrly which rcquircs a Jrcrmil k) construct. altcr. improvc. dcmolish or rcpaf any
slructrrc. prklr b its rssuancc. also rcquircs thc applicant fbr such lrcrnril k) tilc a silucd stalcmnt thal hc or shc is liccnrcd pursuant .
k) lhc pn)vist)ns of lhc Conlracbr's l-icenscd [:w (Chaplcr 9. Conrmcncin8r wilh Sslion 700O of Division .1 of thc BusirEss lnd
Prtlbssiurs Codc) or thal hc or she is cxcmpt thselftlm and thc hasis ltrr thc allcgcd crcmption. Any vtrlattln of Scction 703 1.5 hy any r
applicail tor a pcrmit suhjets lhc applicatrt to a civil pcnalty of not morc than livc hundrcd dollars ($5(l()).
-1.
as owncrof lhc pn)pcrty. orrnycntpklyccs with wagcs as thcir solc comJrcnsalirur. willdo thcworkaftt the structure Ls nol
intentlcd rlr oll'ercd lor salc (Sc.c.7M4. Busincss and Pnrl'cssitlns Crxlc: '['hc Contractor's Liccnsc Law docs not apply lo an owncr rlf
thc pnrprly whrt buikJs rtr impnrvcs thcrcon. and wlrrl r-krcs such wrlrk hirnsclf rlr hcrscll'rlr thnrugh his rlr hcr own cmployecs,
providcd tltat such intprrvcn*-nts iue txrt furtcndcd or ollbrcd lirr salc. If, howcvcr, thc huilding or inrprovcrncnt is sold within onc yciu
ttf cttmpletion. thc Owncr Builder will havc thc burtlen of proving that hc or she did mlt truikl or improvc thc pnlpcrty lirr thc purprsc of
salc).
i
-1.
as owncr of thc pft)pcrty. am cxclusivcly conlracting with liccnscd contractrlrs lo construct thc pnrjcct (Scc. 7(X4, Business
and Pnllbssion Codc: "l'ltc Contractor's Liccnsc Law docs not apply lo an owner of propcrty who builds ur inrprlvcs thercon,
and who conlracls litr such prujccts with a Contraclor(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
_l arn ('xcnlpt un([-r B. & P.C. lirr this reason.
WORKERS' CONI PENSATION
Ihercbyat.l.irmunderpcnaltyofJrcrjurytlnctr[thctillklwin*ffi
-lhavcandwill
mainlainaCertiticatco[ConsenttoScll-lnsurctirrworkcrs'conrpcnsation,as provitlcdtbrbyScctiorr.]7fi)ofthe
Lahrr Codc, Ior the pcrlilrmrnce of thc wrlrk lbr which thc pcrmit is issucd.
--fl^u"and will mainlain workcrs'contpensation insurancc. as rcquirerl by Scction .1700 of tlre l-abor Cotlc, tirr thc Jrcrfirrmancc of'
the work lirr which this Jrcrmit is issucd. My workcrs' comlrcnsation insurancc carricr urd prlicy numbcr are:
carricr: (ta.. \ e-F. -n d
PolicyNun,t"r' 46JOSlll9 t..xpires:(+ / t lzot.(
-l
ccrtity that in thc Jrcrlirrmance ol'thc work tirr which this Jrcrmit is issucd, I shall n()t empk)y any lrcrson in any ]nanncr
so as to hecomc suhjcct lo thc workcrs' compensation laws of Calitilrnia, antl a-urcc lhat if I should bccomc subjcct to thc
workcrs' comlrcnsation pnlvisions of Scction -1700 ol'thc Labor Ctxlc. I shall. tbrthwith comply with tlxlsc pnrvisions.
WARNIN(i: Failure lo sc'curc workcrs' conrpensation covcragc is unlawful. and shall suhjcct an cmployer to criminal Jrcnaltics antl
civil tincs up to onc hundrcd thousand dollars in addition to lhe cosl of compcnsalion.as pnrvided lirr lhc
Section .1076 of thc l.ahrr Crxlc, intcrcst and
1
I hcrc'hy at'lirrn undcr pcnalty of prjury lhat I anr 9 (commcncing with Scction 7firu) of Division .l
ol' thc Busincss atrd Pnll'cssions Cotlc, and my liccnsc is irr hrll lilrcc aril cll'ect.
I..icc-lrsc'L-10 Nrrnrrrcr:
q12oq8
I hcrcby allirnr undcr pcnalty ot'pcrjury that
issuc'd (.Scc. .1097, Civ. C.).
is a conslruction lcnding agcncy lirr thc Jrcrtilrmancc of thc work tilr which thi.s pcrmit is
Lendcr's Namc:
lrndcr's Atldrcss:
APPLICANT DT]CLARATION
I lrcrchy allinn undcr pcnalty ol'perjury onc ol'thc lillhrwing dcclarations:
Dcmolition Pcrmits-Ashcslos Notificalion Fedcral Rcgulalions lTitlc 40. Part6)
_Rcqu irctl [rttcr ol' Not ilication
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ccrlily that thc l'cdcralrcgulations rcgarrling ashcslos rcmovalurc not applicable to this projccl.
6"n,t:v lrat rc'ad this applical ion :uxl statc tlut thc atxlvc inlilrnration is corrccl. I agrc.c lo comply with all City and County
arrd Laws reprcsentativcs of this City and County to enter ugnn lhc
abovc propcrty
Aplllic:url Agent
Pcnrritee nanre
relating t<t huilding conslruclion,and hcrchy
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