HomeMy WebLinkAbout101102361 - PermitProiect Address: 2004 E Wellinqton Avea
Assessor's Parcel: 400-153-03 Lot: 63
Unit Bldg. Address Range:Suite Range:
Zoning: R4Block: NA Tract: 8954 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-1e), Santa Ana, CA sztozl+Jl Building
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {0110236{
Pin #: 53461
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-06023201 64J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $10,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall roof mounted solar panels. Per Residential Photovoltaic Checklist.
Botch*:531?6fili ice: CTYHPlanning Conditions
Owner.
Address:
Phone:
Tenant:
Nadia Faheem
2004 E Wellington
Santa Ana, CA 92701
(7141 458-9538
Contractor: Senga Energy LLC
Address: 2201 Francisco Drive
El Dorado Hills, CA 95762
Phone:
State Lic #: 1033247
Lic Type: C-10
Bus. Lic #: 374481
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9256549-19
Expires: 0612812020
Solar Communication lnternat
Jacob S Proctor
8885 Rio San Diego Drive, Suite
San Diego, CA 92108
Engineer:
Address.
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
201
(619) 243-27 50
c70567
Planning
Plan Checked By:
Permit lssued
NPDES lnsp.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fire lnsp. Req'd. No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
, Teri
Date:
Date:
Date: 1112712019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57607 Permit Fee
07775002 57770 Microfilm Records
07776002 s7672 BIdg. Stds. Revolving
07775002 57600 General Plan Update
Fee Total.
Paid to Date:
Balance Due:
$4s0 00
$62.56
$1 00
$0 00
No
No
No
No
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450.00
$1.00
$62 56Every 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2019-156188
$s1 3 s6
$0 00
$st 3.56
.t
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrchy allirm urk cr lEnalty of pcrjury lhd I m cxcmpt liom thc c()nlrxcto6' L'rccns Law ti,t lhc tbllowing rcasrn (Scc.703 1.5
Busincss anl Profcssion Crxlc): Any City or G)unty which rcquircs a Jrcrmil lo cotrslruct. alls. improve. dcmolish (tr rcpair any
structurc. prbr k, ils issuaree, also rcquircs thc applicanl tirr such Jrcmit k) lilc a signcd slatcrcnt that hc or shc is lien$d pusuant
to thc pfi,visi(|ns of tlE Conlract()r's Liccnrcd law (Chaptcr 9. Commcncing with Scction 7000 of Divisbn .] of thc Busincss and
PnrlbssionsGrdc)orthathcorshcisexemptthercliomandthchasisttrrtheallcgcdcxcmption. Anyviolati(rnofScctionT03l.5hyany
applic.nt for a lrcmit subjccts lhe applicant kt a civil pcn.lty of n(rl morc than fivc hundrcd dollils ($50O).
_1, as owncr ol'the propcrty, or my cmployecs with wagcs as thcir solc conrlrcnsation, will do thc wtrk and thc stn]cture is not
intendcd or ollbrcd lbr salc (Sec.7044. Business and Prol'csskrns Crxle: 'l'hc Contractor's [-icensc Law drrcs n()t apply to an owncr ol'
thc prupcrty wkl builds or impn)ves thcrqrn, arxl wlxr dtrcs such work himsclf or hcrsclf or thK)ugh his or hcr own cmployccs,
pr()vidcd that such impntvcrncnts arc n()t intcnJcd or ollbrcd tirr salc. lt, howcver, ltrc huilding or improvcment is sold withm onc year
of comphtion, tlrc Owner BuiHer will have thc burdcn ol'proving lhat hc or she dirl not buikl or improve thc pnlJrcrly lbr tlrc purJxrsc of
salc).
_1, as owncr of thc proprty, am cxclusivcly contracting with licenscd contraclors to construct thc projcct (Scc. 7044, Busincss
arxl Pnttbsskln Codc: 'fhe Contractor's Licensc Law rlocs not apply to an owncr of pnlJrcrty who builds or improvcs thcretln,
and who contracts for such pnrjects with a Contractor(s) licclrscd pursuanl trt lhc Contractor's Licensc Law).
_l anr cxcmpt undcr B. & P.C. lirr this rcason.
Dete:
}VORKERS' COt\ I PENSATION
DECLARATION
I hcrcby al'l'irm unrlcr Jrcnalty of prjury onc of the firllowing dcclarati<tns:
_l have anrl will maintain a Certilicatc of Conscrrt to Scll'-lnsurc tirr workers' comJrcnsation, as providcd lbr by Scctitln .]700 of thc
l-abor Culc, lbr the pcrtormance of lhc work fbr which thc Jrcrmit is issucd.
_l havc anrl will nraintain workcrs' compcnsalion insurancc. as rcrquircd hy Scct ion .1700 of the Labor Codc, lirr thc pcrlirnruncc of
thc wrrk lilr which this perrnit is issucd. My workcrs' com[rcnsation insurancc carricr arxl Jxllicy number :uc:
Policy Numbcr: Expircs:
_l ccrtity that in thc lrcrfrlrmancc o[ thc work tbr which this Jrermit is issucd, I shall not employ any [rcrson in any manncr
so as to bccomc subjcct to the workcrs'compensation laws of Calitbrnia, and agrce that if I should bccomc suhjcct to thc
workcrs' compcnsalion pruvisions of Section 1700 of thc Lalxrr Crxlc, I shall, tbrthwilh comply with thosc provisions.
WARNING: Failurc to sccure workcrs' compcnsation covcragc is unlawful, and shall suhject an empklycr to criminal Jrcnalties and
civil lincs up to onc hundrcd thousand dollars ($/r0.U[), in addition to thc cosl of compensation, damages as provided tbr the
Scction 3076 of lhc t-abor Codc, intcrcst and attorrr1's hel'")-,,Vitrn -
",,.|W*w
NQ't
,,/', \r DECLARATTON
I hereby atl'irm under pcnalty of pcrjury that I am licenscd under pnrvision of Chaptcr 9 lcommencing with Scctitrn 7m0) of Division 3
ol' the Business and Prolbssions Codc, uxl my liccnse is in t'ull tbrcc and cttcct.
Liccnsc c( 0 Nunrhcr:to 33ut:
I 7 I
I hcrcby allirm undcr lrcnahy of pcrjury thd thcrc Lr a construction bnding agercy lirr thc pcrfomncc of the work for which this Frmit ir
issucd (Scc. 3097, Civ. C.).
I-cndcr's Nanrc:
lrnder's Addrcss:
APPLICANT DECLARATION
I lrcrrtry all-rm undcr pnalty of Jrcrjury onc of thc following dcclarations:
Denxrlition Pcrmits-Ashcslos Notit'ication Fedcral Regulations (Titlc 40, Part6)
_Rcquircd lrttcr of Notification
_l ccrtil'y that the l'cdcral rcgulations rcgarding ashcslos removalarc not applicable to this projcct.
t hal rcad this application anl statc lhal thc atxlvc inlirrnration is corrcct. I agrc'e lo comply with all City and County
and County to cnlcr uJxtn tlrc[.aws rclating to building construction, and hcrchy aulhorizc rcprcscnlalives of this City
profrcrly lilr insJrcction
I
Agent
atxrve
n:tnlc
0!rlx)ses,
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
tl
FINAL /L/ /)/r 0 %, 1/t.Y
Certificdte of O6cupancy
Notes, Remarks, Etc.
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