HomeMy WebLinkAbout101106683 - PermitProject Address: 2622 W Strawberry Ln
Assessor's Parcel: 101 -123-03 Lot. 11
Unit:BIdg: Address Range:Suite Range:
Zoning. RlBlock: NA Tract: 1351 Historic. No
-,-City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Permit #: {01106683
Pin #: 52642at
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 2019
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $16,000.00
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
Description of Work: lnstall solar panels
Planning Conditions:
Bstch * : 5? 1?6 i-'/ L
0f f i ce: (:TYH l'r n
A--Ll.FILL U? T
RcpL*:032911314
Trqnsoct ion TotctI
ZABET}of2
Owner:
Address:
Phone:
Tenant
Tarsicio Perez
2622 W Strawberry Ln
Santa Ana, CA 92706
(7141 631 -54/.3
Contractor: Momentum Solar
Address: 539 W Walnut Ave
Orange, CA 92868
Phone: (510) 6924261
State Lic #: 1026366
Lic Type: C-10, C46
Bus. Lic #: 368879
Workers' Compensation lnsurance:
Carrier. American Zurich
Policy #: WCl12563202
Expires: 0410112022
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
Ilomen t um So 1 nt
Bu i Id ins
rJ 1 1 16ULr2-
P,lds Stds
r.r11150u2-
ll icrof i Im
rrl I 16LrLr2-
I (:L (.heclr
5 t 6Ltl ultu -
Revolv irrs
:,161?uuu-
& DocumentE
7_,lT TLtLtUt:t-
r-r1 194 4
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Hernan dez, Kathy
Date:
Date:
Date: 05/1 712021
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 Totat
Paid to Date:
Balance Due:
$450.00
$36 4s
$1 .00
$0.00
$487.4s
$0 00
$487.45
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450.00
$1 00
$36.4sEvery permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterits 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.
Inspector MID#: 2021-166179
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI.,CARATION
I hseby affm undq p@alty of perjury thar I m qcmpt fipm thc Contracton' Licme Law for thc following rcun (36.7031.5
Businas and Prof6sion Code): Atry City or County which requirG a panit to coNtruct, altq, improve, dmolish or rcpeir my
structuc, prior to its isumcc. also requirs thc applicut for such pqmit to file a signcd stalmot thar hc or she b licascd pEWt
to the provisioN of thc Contr&tor's Licmscd Law (Chaptc 9, Comcncing with Setion 7000 of Division 3 of thc Buinas md
Prcfsiotrs Codc) or that hc or shc is qmpt thefrom ad thc basis for thc allegcd cxmpion. Any violation of S€tbn 7031.5 by uy
applicant for a ponit subjets thc applicut to a civil pcraltyofnot morc th4 6vc hundrcd dollus ($500).
_1. as owner of the property. or my employccs with wages as their sole compensation. will do thc work ard thc structure is not
intended or offered for sale (Sec.7M4, Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improves thereoru and who does such work himself or herself or through his or her own cmployees,
provided that such improvcments are not int€nded or offerod for sale. If, howevcr, the building or improvcment is sold within one ],car
of complaiorL the Orvner Buildcr will have the hrden of proving tha hc or she did not build or imp,rove the property for the purpose of
sale).
_1, ils owner ofthe property, am cxclusively contracting with licersed contractors to construcl thc p,roject (Sec. 70tt4. Buiness
and hrofession Code : The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projccts with a Contracto(s) licersed pumuant to the Contractor's Liccnse kw).
-l
am exempt under B. & P.C. for this reason.
Date:
WORKER.S' COMPENSATION
DECLARATION
I hereby affrrm under penalty of perjury one of the following declarations:
_l have and will maintain a Cerrificate of Consent to Self-lnsure for workcrs' compensation, as provided for by Section 3700 of the
labor Code, for the pcrformance of the work for which the perrnit is issued.
f! hare and will maintain workers' compensation insurance. as rcquired by Section 3700 of the l-abor Codc, for thc perfonnancc of
the work for which this pcrmit is issued. My workers' cornpensation insurance carrier and policy number are:
poricy N,^*,,W L <1 17 4f )7 -c> c Expires:*l-t l--
_l certi$ that in the performance of thc work for which this permit is issued, I shall not employ any p€rson 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 l-abor Code. I shall. forthwith comply with those provisions.
WARNING: Failure to sccurc workers' compq$ation coverage is unlawful. and shall subject an onploycr to criminal ponlties and
civil I'rnes up to one hundred thousand dollars (5100,000), in addition to the cost of compensation, damagcs as provided for the
Section 3076 of the Labor Code. interest and attorney's fecs.
.'L
I hereby affrrm under penalty of perjury that I am licensod under pnovision of Chapto 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License Number:lo?-tr 3bb
",r", f / t?lzl conrractor:Y T lu l+vil l{J\-W
I hseby affm unds penalty of pojury thst thqc is a erotruction lcnding agocy for thc pqfomcc of thc wrk for which this ponh b
issucd (Sc. 3097, Civ. C.).
Lender's Narne:
knder's Address:
APPLICANT DECLARATION
I her*,, affirm under pcnalty of pcrjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Lctter of Notification
_l certi& that the federal regulations regarding asbestos removal are not applicable to this project.
_l ccrti& that I havc read this application and state that the above information is correct. I agrce to comply with all City and County
ordinances and State laws relating to building construction and representatives of this City and County to enter upon
above mentioned property for inspection
, Applicant or Agent
Permilec nanre
)<_
the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nul n s u latio n
Roof Sheathing
Shear Wall
Framinq
Insulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 7h L,JrtVr-.
Certificate of
Notes, Remarks, Etc.
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