HomeMy WebLinkAbout101106973 - PermitUnit:7JProiect Address: 809 S Aztec Cira
Assessor's Parcel:109-732-20 Lot: 194 Block: NA Tract: 4025
Bldg: Address Range:Suite Range:
Zoning: RlHistoric: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 101106973
Pin #: 66693
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas.
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $27,984.00
Description of Work: ADD TO EXISTING - roof mounted solar panels, per checklist.
Pl.nnlng conditlonr:
rgor(h+r5983.8
- 7/g/:ll2lt, I0r flllllI0;i
ownsr: LLOYD E CABLE conlractor: chnn En ily sotuflon. Enginegr: vourtoltdtm.'dn uao, - ,rulilrti ,lslt;'ii"'
fttdress: SotsAzTEcctR Address: a17lY. Allon avc, Sulto 105 Address: 30oo E BltEffitn iotol t661.31
Srntr An., CA 32704'1507 S.n Dlma., CA 91773 Bru., CA 92421-
Phone; Fl4) 972-2957 Phone: (soo) 99+1134 Phon6: 1a{)rr+}f$ tner5e tdluirons
T€n.nt stat6 Llc #: 9ta787 LiceG€ #: c707&a gur id roe i4irr,LLILicrype: B, c-ro Archirecr/ ,ll,#11,. iitt1l.,l; rr.ri,.lBus. Lic*: 34e5a4 Desiqner: ,,'r r?iniij :,iir:isuu_Wolkels Compensalion lnsuranco: Addaess: h,crotjlo A Oocua€ntE t6t.Sr,Csnier: St t Fund ltll6rirrr- 5;7/rttrtli-
Poticy *: 929216t Phone: ICL Cnec* Lr0tdnli2lil t661.:I4
Expirs6: ozoax2o22 License *:
Planning Approval By:
Plan Checked By
Permit lssued By:
NPDES !nsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd. No
Chavez,O^ury_O,
Date:
Date.
Date: 0710812021
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
$64 80
$2 00
$0 00
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01116002 51601
01116002 51612
01 1 16002 57770
$450 00
$2 00
$64 80Every permitissued shall become invalid unless the workon the site authorized by
such permit is commenced within 360 days afterifs issuance,or tf the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced
lnspector MtD#' 2021-166804
$s16 80
$0 00
$516.80
BUILDING. INSPECTOR HECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm undcr Jrcnalty of pcrjury that I am exempt from thc Contractors' License [:w for thc following reason (Scc.7031.5
Business aml Profcssion Code): Any City or County which rcquires a pcnnit lo conslruct. altcr, improve, dcmolish or rcpair any
structurc. prior to its issuancc. also requires thc applicant for such pcrmit to file a signcd statement lhat hc or shc is licenscd pursuant
to thc gnovisions of thc Contractor's Licensed Law (Chaptcr 9. Commcncing with Scrction 7000 of Division 3 of the Business and
Professions Codc) or that hc or shc is cxenqrt thcrcfrom und thc basis for thc allcged exemption. Any violation of Scction 7031 .5 by any
applicant for a permit subjects thc applicant to a civil penalty of not morc than fivc hundrcd dollars ($500).
-1.
as owrrcr ol'thc prof,eny. or my cmployees with wagcs as their sole compcnsation. willdo the work and thc stnrcture is nol
intcnded or ofl'crcd lbr salc (Scrc.7U14. Busincss and hofcssions Code: The Contractor's Liccnsc law does not apply to an owncr of
thc prcpcrty who builds or improves tlrcrcon and who does such work hirnself or herself or through his or hcr own employees.
providcd that such inrproverncnts are nol interdcd or offercd for salc. lf. howcwr. the btrilding or inryrrovenrcnt is sold within one ycar
of complction. the Owner Buildcr will havc thc burden of proving that hc or she did not build or improve thc proprty for thc purJnse of
salc).
-1.
as owncr of thc profrcrty. am cxclusivcly contracting with licenscd contractors lo construct thc project (Scc. 7M4, Busircss
and ltotbsskm Codc: J'he Contractor's Licensc Law does not apply to an owncr of property who builds or improvcs thereon.
and who contracts for such pojccts with a Contracto(s) licenscd pursuant to the Contraclor's Liccnsc hw).
_l arrr cxcmpt undcr Scrction_. B. & P.C. for this rcason.
WORKERS' C OM PEI{SATION
DECLARATION
I hcrcby affirrn undcr pcnalty of pcrjury onc of thc following dcclarations:
_l havc and willmaintain a Ccrtificatc ofConsent to Self-lnsurc for workers'compcnsation, as gnovided for bySection 3700 of the
Labor C-ode, for thc pcrfonnancc of the work for which thc permit is issucd.
_l havc and will maintain workers' conlpcnsation insurarrcc. as rcquired by Scction 3700 of the labor Codc. for lhe pcrfornurcc of
thc work for which this prmit is issucd. My workcrs' comlrcnsation insurancc carricr and plicy nunrbcr arc:
)u lr^Trr
Poricy *"^*r,t 1 ?4 9l L I Expircs:
tD J-B-) I
_l certify that in thc Jrcrformance of the work for which this Srcrmit is issucd, I shall not employ any f,crson in any manncr
so as to bccomc subjcct to thc workcrs' compensation laws of Califomia, and agrcc that if I should beconrc subjcct to the
workers' compcnsation provisions of Section 3700 of the [abor Code. I shall. forthwith comply with thosc provisions.
WARNIN(I: Failure lo sccure workers' compensalion covcragc is unlawful. and shall subjcct an employcr to criminal penaltics and
civil fincs up to onc hundrcd thousand dollars ($100.00tt), in addition to thc cost of compcnsalion. damages as providcd for the
020\&
LICENSED CONTRACTOR
NECI.,ARATION
I hcrcby affirm under penalty of pcrjury that I am liccrrsed undcr provision of Chapter 9 (comnrcncing with Section 7000) of Division 3
of thc Business and Professions Code, and my liccnse is in full force and effcrct.. t -[oLicensc Class: Liccnse Number:fl7979t
Date:-_,. "?- 3-) I Contracto'r
W
I hcrcby affum urdcr lxnaky of prjury tha thm is I corstructk n lendinS agcrcy for the |Erfol1wc of thc work for shich this lEmit ir
issucd (Ss. 3G)7. Civ. C.).
hndcr's Nam:
[.ender's Address:
APPLICAT\TT NECI ARATION
I hacby affrm undcr lrcnalty of prjury one of thc following declarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
-Requircd
l-cttcr of Notification
-l
ccnify th.t thc fucml rcgulations rcgarding asbcstos remval{c mt applicablc to this pmirt.
l/fr@f, ,n", I havc rcad this appliqtion ard statc rhat thc atrvc informtion is corcrt. I &gE to @r{,ly with all City and County
ordinares and State [2ws rclating to building consrwtiotr ud hcrcby authorire rcpresnt&lircs of this City and County lo cnls upon lhc
above mcntioncd proprty for inspcction 'ff')'20 0D^&,7-g-7IApplicant or Agent Sipnature: *Il..r ^.
Permitee name (oriinry: K rtr i t I 0 f)onnc t l
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loo r/VenVl ns u latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[/asonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
q?D R.^r..l 3-zS-?.t Drrrst4+
FINAL &tx*zt latsP{r.
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. OB-07 -201 5
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