HomeMy WebLinkAbout101107081 - PermitCity <lf Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, cAg27o2. Building
Permit Counter. (7141647-5800 lnspection Requests (714\ 667-27g8 Inspector Secti;n (714)647-5853
Permit #: { O{ { OTOE{
Pin #: 83137w
Proiect Address: 4280W Fifth St
Assessor's Parcel 938-70'l -26 Lol NA Block NA Tract NA Histoflc No
Suite Range
Zoning
U nrt Bldg: Address Range
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use
Single Family Dwelling
Sola r
Sola r
SFD w/att Garage
Occupancy
Constr Type
Code:
Flood Zone
# of Stories:
'l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patrol
T I Area
Yards Req'd:
Valuation:$27,000.00
Oescription of Work: lnstallation of roof mounted solar
Planning Conditions:
Owner
Address
Phone
Tenant
Mai Khang
4280 W. Fifth Street
santa ana, cA 92703
(714) 8s4-s4s4
Contractor: FreedomForever
Address: 43445 Business Park D., #1
Temecula, CA 92590
Phone (951) 445-5645
State Lic # 1029644
Lrc Type: B, C-l0, C-39, C46
Bus. Lrc # 370075
Workers' Compensahon lnsurance:
Carrier Redwood Fire and Casualty lnsura
Policy # FRWC215868
Expires: O1lO1l2O22
Engineer
Address
Freedom Forever
Arashi Yoshioka
143 Saint Thomas Drive
Oak Park, CA 91377
s6285
Phone
Lrcense #
Architect /
Desiqner.
Address
Phone:
License #
Planning Approval By
Plan Checked By:
Permit lssued By
NPDES lnsp Req'd
PWA lnsp. Req'd.
Planning lnsp Req'd
Landscaping lnsp Req'd
Chavez Dave v.
Date
Date:
Oale 0612912021
Subject to Field:
Misc Receipt
Misc Receipt
Misc. Recerpl
07776002 51601 Permit Fee
07775002 5 7770 Mrcrofilm Records
07776002 57672 Bldg. Stds. Revolving
07176002 51600 General Plan Update
$4s0.00
$8s 05
$2.00
$0 00
Fire lnsp Req'd
Police lnsp. Req'd
Flood Zone Cert. Req'd No
Evary pemtt ssuecl shall become invahd unless lhe work on lhe stte authonzed by
such permit tscommenced wlhin 3@ days aftet ls tssuanco or tf the wo* aulhonzed
on the sle by such pem $ suspendod or abandoned for a penod ot 360 days aher
lhe hme lhe t/ork ts commenced
No
No
No
No
ffi Account#Total
$537 05
$0 00
$537.05
lnspector
01 1 16002 5't601
0't 116002 51612
01116002 57770
$450 00
$2 00
$85 05
Fee Total.
Paid lo Dale
Balance Due
R.3, U
VB
cBc 2019
A-0602320256J
MtD# 2021-167142
BUILDING. INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNEX BUII,DEI DEi,CATAfIoN
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P.n,erm.Prl",,:* /f 'tret(o Lor-
Set Backs
Forms/Steel/Holdowns
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Exl./lnt. Lath
Brown Coat
ltrlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
17 -..-
FINAL a-Q^tz,zta-Tz - l ^)2,/t't."la)--t>/v r ru> z- I
Cerlif icate ol Occupancy
Notes, Remarks, Etc.
I DATE
Erection Pads I
I
I
I
I
n 0t
tc- L l.
06t02t2021
City of Santa Ana
Building Division
To Whom lt May Concern:
Sincerely,
Jun 5, 2021
Khang Mai
Signature:$u€
xn!nlr,r, r!n 5,20rl l00lPDr
f ot/ozoat ;ac*e_
I Khang Mai, am the legal property owner at 4280 W sth St, Santa Ana,
CA, 92703. I am granting authorization to Freedom Forever LLC (Lic #
1029644) and their employees to obtain or close solar and electrical
permits from the City Of Santa Ana on my behalf.
Khang Mai
Email: khangmai@hopnhat.vn