HomeMy WebLinkAbout101102145 - PermitPermit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1621 E Washington Ave Unit:Bldg: Address Range:
Assessor's Parcel:400-286-06 Lot: 6 Block: NA Tract: 2648 Historic. No
Suite Range:
Zoning: Rl
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA92702 Building Permit #: {O110.2145
Pin #: 76636
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-0602320163J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $g 4,647.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall roof mounted solar panels. Per checklist. Auth on file
Planning Conditions:
Bcrtch*:53lLr6 11/?r:r,t?f_rl? ID: H6AF:(:Ifi
Off ice: (:TYH Trnr;Hi: 89 i cif' :
Owner:
Address:
Phone:
Tenant
Richard Sanchez
1621 E Washington Avenue
Santa Ana, CA 92701
(7141 3e3-0768
Contractor: TLP Electric lntegrations db
Address: 2460 North Glassell Street, I
Orange, CA 92865
Phone. (7141 921-1868
State Lic #: 824287
Lic Type: C-10
Bus. Lic #: 343655
Workers' Compensation I nsurance:
Carrier: STARNET INSURANCE COMPANY
Policy #: BNUWC01 37148
Expires: 0710112020
NGW E n gi,neering;,LLG'
43020 Blackdeere Loop, Suite 204
Temeculd,l TinSZS9O i "''": ; " r':i: ' '
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
(e51) s0&-6?j1 ingiaaie t!, 16oo?- ,16urLrLrLr-
Blds Stds Revolvirrs
t-t1 i 160t12- 5161Ztlt"ttt-
11 i crof i lm & Docurnent s
LIl 1 16tttt2- l777lltllJll-
llnst er (:nrd
(:(:+ : *********** * 4 641
t2 . t-ri.
t3,':i] 1
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t6?9, ';r3
Auth*: 4697,I7
Planning Approval By:
Plan Checked By:
Permit lssued By:\N Hernan dez, Kathy
Date: Misc. Receipt:
Date: Misc. Receipt:
Date. 11tZOt2O1g Misc. Receipt:
Subject to Field:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07775002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$4s0 00
$3.e1
$2.00
$0 00
NPDES lnsp. Req'd: No
PWA !nsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd. No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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.
lnspector MID#: 2019-155677
01 1 16002 51601
01 1 16002 51612
01116002 57770
$4s0.00
$2.00
$3 91
$45s 91
$0 00
$455.91
t
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA'I'ION
I hoeby aflim unda pcnahy of perjury thd I m cxcmpt ftom thc Contractoc' Licffs Law for thc following r@n (Ss.7031.5
Bcin6s and hofruion Code): Any City or County u'hich rcquirc a pamit lo construct. ahc. improvc. dstrolish or rc?air ily
structura prior to its issuilcc. also rcquic the applicant for such pcnnit to file a signcd stdmmt that hc or she is licosed Pmuot
to thc previsions of the Contractor's Licenscd law (Chaptr 9. Commencing wfuh Strtion 7000 of Division 3 of thc Busins and
PrcfcsionsCode)orthatheorshciscxcmptthqefromandtheb6isfortheallegcdermption. AnyviolationofSetionT03l.5byany
applicant for a pmnit subj(ts lhc applicant to a civil penalty of not more thil livc hundred dollqs ($500).
__1. m ownq of thc property, or my mployc with wag6 6 thcir sle compensation, will do the work md the stnEtw is not
into<lql or oflscd for sale (Se.7M4. Busin6s sd Pref6sioc Code: 'Ihe Contraclor's Licms Law do€ not apply to il orwq of
thc prefEty rvho boilds or irnprcve thmn. md s,ho do6 such uork himself or hffilf or thtough his or hr orn onployec.
provided that such imprownts e not inlodcd oroffqed for sh. lf. horvq'q. the building or hnproEmt is rcH wilhin one )a
;fcomplction, thc ownq Builds will have thc btudcn ofproving that hc or shc did not build or improw the prcpoty for the pupo$ of
sle).
_1. s oM6 of thc propqty. m exclusivcly contractitrg with licsd contraclosto coNtruct lhe proj(t (Se. 7044. B6in6
and Profxsbn Code: Thc Contrrctor's Liccnsc Law do6 not apply to m ownq ofprop€rty who builds or improves thq@n,
ud who contmcts for such projects with a Contracto(s) licqsed pursuilt to thc Contractor's Lic6c kw).
-l
zun exernpt under Section B. & P.C. for this reason.
Date:_Owner:_
WORKERS' COIlTPENSATION
DEC!.A8AIIO!
I hocby allim undo pcnahyofpcjury of,e ofthe following dcluatiom:
_l havc and will maintair a Ccrtificate of ClMt to SGlfJNure for rvorko' compwtion, c providcd for by Setion 3700 of the
Labor Code for thc pafomcc of the work for which thc pcmil b isued.
V(ile and will maintain workm' compesation insurance. I rcquircd by Setion 37OO of lhe tabor Codc. for thc pafomocc of
/ihE/rvork fior which this pcrmit is issucd. My work6' compwtion iruurece cuiq md policy numbo uc:
C-s.
Policy Vtr Expires: ? /r /s q)
t
_l cerrify that in the perforrnance of the work for u'hich this perrnit is issued. I shall not employ any person in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Codc. I shall. forrhwith cotnply with those provisions.
WARNING: Failure to secure workers' compensation coverag,e is unlau'ful. and shall subject an onployer to criminal penalties and
civil fines up t9 one hundred thousand dollars ($100.000). in addition to the cost of compensation. datnages as provided for the
Section 3076 the l-abor Code. interest and attorney's fees.
S- q.,
DECLARATTON
I hereby alfirm under penalty of perjury that I arn licensed under provision of Chapter 9 (comrnencing rvith Section 7000) of Division 3
of the Business and Professions Code. and rny license is in full force and effect.
8qx&eLicense ctass C. I a)
,.*
l.icerrse
I
CONSTRUCTION LENDING AGENCY
I hrcby affrm unda pcnalty of psjury that thoe is a construc{ion hnding agmcy for the pqfollmce of thc work for which this p<tnit is
issucd (Sc. 3097. Civ. C.).
Lender's Name:
Lender's Ad&ess:
APPLICANT DECLARA'TION
I hac{ry affrnn under penalty of perjury one of the following declarations:
Demolition Pernrits-Asbestos Notification l;ederal Regulations (l'itle 40. Pat16)
-Rcquircd
lrttq of Nolification
-l
cgriry that thc fcdral rcgulatioro rcgrding sb6tos rmoval uc not applicable to this prcjerc,t.
_l cdify that I hsvc r€d thb application ild statc that thc abovc infomation is corcct. I agr€to comply with all City and County
ordinancB od State Laws relaing io building coNtruction, ard h€rcby authorizc rcplffitdivB of this City ed County to 6tq upon thc
above rnentioned property for
,,,., lt luoJtlApplicnnt or Agent
Pernritcc rrAnle
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[/asonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
//
FINAL // (/hto f LJ et0O
Certificat6 of 'Occu pancy
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