HomeMy WebLinkAbout101107435 - PermitProject Address: 2630 W Manly Ave
Assessor's Parcel:414-071-15 Lot: 29
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 8326 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {011o^7435
Pin #: 87550r
J
I
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Pro'posed Use:
Single Family Dwelling
Solar
Solar
SFD w/ att garage
R.3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $20,000.00
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall new roof mounted solar PV system. Per PV checklist.
Botch*:6t-t19.
tlf f ice: i:TYl
8/ 4 /2t7?l
Tr'ctn E* : 21
Rebecca L Vargas
2630 W Manly Ave
Santa Ana, CA 927045945
(7141 955-1 272
Contractor: Sunshine Energy
Address: 4900 E Chapman Ave #32
Orange, CA 92869
Phone: (7141425-0608
State Lic #: 1015790
Lic Type. C46
Bus. Lic #: 372159
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9168083
Expires. 1011412021
Engineer: Dass Structural Engineers
Praveen Dass
i$79 .'71
Owner:
AdCress:
Phone:
Tenant
Address:
Phone:
License #.
Architect /
Desiqner:
Address:
Phone:
License #.
1655 Shertington Place, 2-202
Newpoft Beach, CA 92553
.r r ! . i .
Blitz Concepts & Designs
2832 Santiago Road
Fullerton, CA 92835 Aublr*
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
NPDES lnsp. Req'd: No
Date.
Date:
Date: 0810412021
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:
$4s0 00
$s6.70
$1 00
$0 00
PWA lnsp. Req'd: No Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd: No
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 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#: 2021-167839
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$4s0.00
$1.00
$56.70
$s07 70
$0 00
$507.70
Planning Conditions:
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcreby affrrm undcr pcnalty of Frjury that I m excmpt ftom thc Contrrclos' Liccns law for thc following rcamn (Sc.7031.5
Busincss rnd Prcfcssion Codc): Any City or County which rcquircs a JErmit to construct, altca improvc, dcmlish or rcpair any
structurc. prk r to ils Lssu8rcc. als rcquircs the applicant fo] such lErmit to filc a sigrcd statcmnl th.t hc or sh6 is liccnsd pwsuant
to thc provlsions of thc Contractor's Liccnsd lxw (Chaptcr 9, Commercing with S6tion ?000 of Division 3 of the Busircss and
PrcfessionsCodc)orthathcorsheiscxcmptthcrcfmmandthchsisforthcollcgcdcxcmption. AtryviolationofscclionT0.ll.5byany
applicant for a Frmit subjccts the applicant to s civil pcnalty of not mrc thil fivc hundrcd dollus (5500),
_1. as owncr of thc propcrty, or my cmployecs with wagcs &s their solc compcnsation, will do thc work and thc structurc is nol
intcndcd or offcrcd for salc (Sec.7044. Business and Profcssions Codc: Thc Contractor's Liccnsc Law docs not apply to an owncr of
the pmpcny who huilds or improves thcrcon, arxl who docs such work hinrself or hcrsclf or lhrough his or hcr own employccs.
providcd that such improvcnrcnts arc not intcndcd or offcrcd lbr sah. lf. howcvcr, thc building or improvcnrcnt is sold within onc )rcar
of conrplction, thc Owner Buildcr will havc the burdcn of proving that hc or shc did not build or inrprove the propcrty for thc purlnsc of
salc).
_1, as owncr of thc propcrty, am cxclusivcly contracting with liccnscd contraclors to construct thc projcct (Scc. 7M4, Busincss
and Proti:ssion Codc: Thc Contractor's Liccnsc Law docs not apply lo an owncr of propcrty who builds or improvcs thereon.
and who contrdcts for such projccts with a Contracto(s) licenscd pursuant to thc Contractor's Liccnsc taw).
-IamcxcmptunderScction-.B.&P.C.lbrthisrcason.
\
Date:_Owner:_
WORKT.'RS' C()M PENSATION
DECLARATION
I hercby affirm undcr pcnalty of pcrjury one of thc following dcclarations:
_l havc and will maintain a Ccrtificatc of Consent to Sclf-lnsure fbr workcrs' compcnsation, as providcd for by Scction 3700 of thc
Labor Codc. for thc pcrformancc of thc work for which thc ;rcrmit is issucd.
_l havc and will maintain workcrs' c<lnrpcnsation Scction 3700 of thc Labor Codc, for thc pcrfbrnuncc of
thc work tbr which this is issucd.carrier and plicy numbcr are:
Policy to /tv 1z-rlt
-l
ccrtify that in thc perfbrmance of thc work lbr which this pcrnrit is issucd, I shall not cmploy any pcrson in an) manner
lio as to hccome subjcct to thc workcrs' comlrcnsation laws of California, and agrce that if I should bccornc subjcct to thc
workcrs' compcnsation provisions of Scction 3700 of thc l,:rtnr Codc. I shall. forthwith cornply with thosc provisions.
WARNING: Failurc to sccurc workcrs'compcnsation covcragc is unlawful, and shall subject an cntploycr to artd
civil tincs up to one hundrcd thousand dollars (S100,0m1. in addition to lhc cost the
Scction intcrcst and
DECI,ARATION
I hcrcby altrrm under penalty of perjury that I am liccnscd undcr provision of Chapter 9 (commcncing with Scction 7000) of Division 3
of thc Busincss and Profcssions Codc. and my liccnse is in fulllorce and ctlcct.
Liccnsc Nurnbcr:o
-91 qlm
t 't
I hcrcby {flirm undcr lEmhy of perjury that thcrc is a conslruction lcnding agcrcy for lhe fsformncc of thc work for which this lsmit is
issued (Sa. 3O97. Civ. C.).
Lcndcr's Name:
lrnder's Address:
APPI ICANT DECLARATION
I hcrcby aflinn under pnalty of perjury one of the following declarations:
Dcmolition Permits-Asbcstos Notification Fedcral Regulations (Tillc 40, Part6)
-Rcquired
l.cttcr of Notilication
-l
certify that thc fcdcralregulations rcgarding asbcstos rcmovalarc not applicablc to this projcct.
q
_l ccrtify that I havc rcad this application and statc that thc above is corrcct. I agrcc to comply with all City and County
ordinanccs and Statc [:ws
abovc rrrcnlioncd propcrty
rcprcscntativcs of this City and County lo cntcr uJxln thc
Applicant or Agent
lDernrilee nanle
\
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Ve nt/l nsu latio n
Roof Sheathinq
Shear Wall
Fram
lnsulation/Energy (I \,
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL Qln/u l^xZ.
Certificate of Occu
Notes, Remarks, Etc.
b
Expircs:
^10