HomeMy WebLinkAbout101102302 - PermitProject Address: 2246 N Lyon St
Assessor's Parcel: 396-052-14 Lot:
Unit:Bldg: Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning.Block: A
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 A Building Permit #: {O11O23O2
Pin #: 71926PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Building Use: Single Family Dwelling
Job Type: Solar
Nature of Work: Solar
Existing Bldg & Use: SFD
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
R.3, U
VB
cBc 2016
x-06023201 63J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $16,000.00
Description of Work: lnstallation of roof mounted PV system. Worksheet attached to plans
Botch+:53123 IL/21,/2fi190flice: (:TYH TrnnE*: 43
ID: NGAR(:IAI rif' ')
Planning Conditions:
Felicia Germany
2246 N. Lyon Street
Santa Ana, CA 92705
(7141 747 -372s
Contractor: Momentum Solar
Address: 3096 B Hamilton Blvd.
SOUTH PLAINFIELD, NJ 07(
Phone: (7321 902-6224
State Lic #: 1026366
Lic Type: C-10, C-46
Bus. Lic #: 368879
Workers' Compensation I nsurance.
Carrier: Employee Service Group
Policy #: WC 1125632
Expires: 0410112020
Engineer. Carl S
Address:
Phone.
License #:
Architect /
Designer.
Address:
Phone:
License #:
ct ion TotcrI
llomentum So I nr
Buildins
Cggl 1 1 r_rt I 1-5r-rr.r2.- 516rr1rt[r[r-
P'1,1s 5td; Revr:lvins
Daniet w oldfifltr[r?'- :i16I irJLrLr-
Daniel W Dirrdf ilm & Documents
370 Burnt-HitPAUga- i7' i /t-tt-ttt[t-
sKILLMAil! NJffiSB t-r1i-t+':t:
(908) 872-3664
c-36477
t458. g2Owner:
Address.
Phone:
Tenant:
a
$451t . ui:l
$1 , [r[r
$45ti. g?
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 Insp. Req'd. No
Date:
Date:
Date: 1112112019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450 00
$3 e1
$1 .00
$0.00Chavez, Dave
Fire Insp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No 01 1 16002 51601
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs rssuance,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MrD#'. 2019-156050
No
No Account#Total
01 1 16002 51612
01 1 16002 57770
$450.00
$1 .00
$3 91
$454 91
$0 00
$4s4.91
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BUILDING. INSPECTOR RECORD
S!TE.WORK DATE ID/SIG COMMENTS ()wN t,lR llt, I l,l)llll I)lit,('A ll^'l'loN
I hcreby afiirm unde pculty of perjury that I m cxempt ftom thc Conlractos' Licnrc taw for the following @{,n (56.7011 5
Bsin6s md profsion Code): Any City or County which rcquire a pemh to onsirucl. altq, imprcvq dcmolish or repair my
structurc, prior to its issusce. also rcquirB thc applicant for such pcmit to filc a signcd statmmt thst hc or shc is licmscd pmust
to the prcv6io6 of thc Cootractor's Licenscd trw (Chaptq 9. Commcncing rvith Sction 7000 of Division 3 of thc Busine md
prcfesionsCodc)orthathcorsheisexemptthgeFomildthebasisforthcallcgcdcrmplion. AnyviotationofSethnT0-ll.5byany
applicant for a pmit subj(ts the applicant lo 8 civil pcnallyof not morcthm livc hundrcd dollrs ($500). .
_1. c owncr of lhe Fopcfly. or my cmplo,6 with sag6 s their sle compcnsalion. *ill do thc work ard thc stnrlw is not
intqrdcd or offqed foi rlc 1sc.7fin. nwins md Prcfoiom Codc: The Contraclor's Licffi law doc not qply to il omo of
thc propqiy who buil& or improvc thron, and who doa such mrk himclf or hmlf or thrcugh his or ha om mploycc.
prorided rhat such imprcmB e rct irtodcd or offsql for elc. lf, howd6. the building or improml is mld within one yw -
of corrplaion thc Orna Builds will have thc h[den of proving thli h€ or shc did rct build or improvc thc popary for thc prposof
ulc).
l. sowns of the pfopqty. m cxclsively cortracting with licosed contractoE to construct th€ projcd (Sd. 7M4. B6ins
ad profusbn Code: Thc Conrractor's Licensc Law do6 not apply to m orvno ofpropoty rvho builds or imprcv6 thfr@n'
and who contmcts for such plojets with a CootEclo(s) licmcd puEmt to lhc Contractor's Licre taw).
-l
m cxempt undq Sation---. B. & P.C. for this r@n.
l):rlc: ()rvlttr:
WORKEIIS' COMPENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the follorving declarations:
_l haye an{ will maintain a Certifrcate of Consent to Self-lnsure for workers' compensation. as providd for by Section -3700 of the
Labor Code. for the performance of the work for which the pennit is issued.
_l have and will rnaintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the perfonnance of
the u.ork for which this permit is issued. My workers' compensation insurance carief, and policy numhr are:
canier: P A ltne YiCa Yn lru n G,
PolicyNr-b-,' \y' C tt ZS (1, 3 L
-Expires:
t n/'1?
_l certi& rhat in the performance of the rvork ftrr rvhich this pernrit is issued. I shall not etnploy any person in any tnanner
so ils lo become subject to the work€rs' compensation laws of Califcrrrria. and agree that if I should become subjc'ct to the
g,orkers' compensation provisions of Section -3700 of the Labor Code. I shall. forrhrvith comply rvith those provisions.
WARNINC: Failure to secure workers' compensation coverage is unlarvful. and shall subject an anployer to crirninal pcnalties and
civil fines up to one hundred thousand dollars ($100.000). in
Section 3076 of the tabor Code. interest and attorney's fees.
cost of compensation. damages as provided for the
D t\LI (D(
l.r(' rrN s Ep ('oN'I'RA( "1'()R
l)11('1,,\R,\'l'l0N
I hereby affirm under penalty of perjury that I arn licensed under provision of Chapter 9 (cornmencing with Section 7000) of Division -l
of the Business and Professions Code. and my license is in full force and effect.
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License rr^"t. cl,.O I c-Yb
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f Ullrontrac,or:
Licensc
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I
CONS'IRUCTION LENDING AGENCY
I hcrcby a{Iirm unda penslty of pcrjury thd th6c is a congruc{ion lading ag6cy for the pcrfomocc of thc work for which this pcnnh b
issued (Se. -1097. Civ. C.).
Lender's Name:
-
Lender's Address:
APPLICANT DECLARA'I'ION
I luelry affrrn under penalty of perjury one of the follos'ing declarations:
Pernrits-Asbestos Notification Federal Regulations (f itle 40. Pan6)
[.etter of Notification
€_l certify that the federal regulations regarding asbestos removal are not applicable to this project.
certify that I har,e read this application and slate rvith all City and County
and County to enter upon theand State Laws relating to
atxrve rnentioned properly for inspectitln
Applicant or Agent Signalure:-f
-
l'ernrilee nfl nre (print):)(-v44l_
,,r",'l({UlUfi
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUl ns u lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flpod lqle Qertif. IS)lavr\ffir *nfu
l \r ,A
FINAL I lIOo (uu$&i(ft/
I YCertificate of Occupancy
Notes, Remarks, Etc.
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