HomeMy WebLinkAbout101107749 - Permit,j City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
PermitCounter: (7'14)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 101107749
Pin #: 5O17Oiltl
Proiect Address: 1114 W Glenwood Pl-a-
Assessor's Parcel: 015-223-06 Lot: 83
Unit:Bldg: Address Range:Suite Range.
Zoning: RlBlock: NA Tract: 1367 Historic: No
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-0602320257J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $9,000.00
Description of Work: lnstall solar panels.
Owner:
Address.
Phone:
Tenant
JoseM&LuciaMendoza
1114 W Glenwood Pl
Santa Ana, CA 927072112
(805) 345-0533
Contractor: SunErgy Construction lnc
Address: 1641 Commerce Street
Corona, CA 92880
Phone: (9511 736-2982
State Lic #: 1005730
Lic Type. B, C-10
Bus. Lic #: 369657
Workers' Compensation I nsurance:
Carrier: Ace American lnsurance
Policy #. C6996512A
Expires: 0710112022
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
yoursolarplans.com
Phong Truong
3000 E Birch St #201
Brea, CA 92821
(844) 783-5483
c70784
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning !nsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
viore$
Date:
Date:
Date: 0812412021
Subject to Field:
Misc. Receipt
Misc. Receipt:
Misc. Receipt:
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
$60 75
$1 00
$0 00Verduzco
No
No
No
No
No
No Account#Total
01 1 1 6002 51 601
01 1 16002 51612
01 1 16002 57770
$450 00
$1 00
$60 75Every permit issued 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced
$51 1 75
$0 00
$51 1.75
lnspector MID#: 2021-168338
Plannlng Conditiona:
BUILDING. !NSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DET.CARATION
I haeby affm unda pcnalty of pcrjury that I m cxmpt fiom thc CoilEctoB' Licmc llw for thc following @n (Se.7031.5.
Buins ard Profsion Code): Any City or County which rcquL6 a pqmt to construct, altq. improvq &molish or rcpair uy'
structue, prior to its issuocc, also rcquirG thc applicst for such pcmit lo filc a signcd st8t@ot thst hc or shc is licqEcd pGuut
to thc provisiore of thc Contrrctor's Licenrcd taw (Chaptq 9. Commcncing with Sction 7000 of Division 3 of thc Bsins ed
Prcfsions Code) or that hc or shc is ex@pt th@ftom sd the basis for thc allcged ampion. Any violatiotr of S6{ioo 703 1.5 by uy
spplicantforapcrrnitsubjststhe applicmttoacivilpcmltyofnotmorcthefivchundreddollus($500).
_1. u omo of thc [ropcrty, or my cmployc with waga s thcir rclc ompqution. will do thc woIt ed thc atnr-tuc b not
intqdcd or offscd for sale (Sa.7044, Buirs md hofsiom Codq Thc Contrsctor's LiccE lrw do6 not apply to m oms of
Ihc prcpgry who builds or iqFov6 th@n. ad who do6 zuch *ort hiroclf or h6clf or thrcugh his or ho om mploye,
providcd that such improvffits rc rct intodcd or offcrcd for slc. I( howq, thc tuilding or inprovcrmt is rcld whhin one )qr
of complaioo thc Ovos Buildq will havc ttE hrdq of troving thd he or drc dil rct tuild or impove thc popo'ty for rhc ptupos of
elc).
_1. os owner of the propfiy, am exclusively contracting with licensed contractors to construct thc projc.ct (Sec. 7044. Business
and Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
am exempt under Section-, B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I hereby affrrm under penalty of perjury one of the following declarations:
_l have and will maintain a Certifrcate of Conscnt to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
Labor Code. for the performance of the work for which the permit is issued.
#s;and will rnaintain workers' compcnsation insurance, as required by Section 3700 of the Labor Code, for the pcrformancc of
fo5 which this peqnit is issued. My workers' compensation insurance carrier and policy number are:
Aco A rrnori cctn
1- l-LL
Policy
_l cenify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner
so .ls to become subject to the workers'compensation laws of California, and agrec that if I should become subject to the
workers' cornpensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an anployer to criminal penalties and
civil frnes up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
.qb-l-- )r.n
LICENSED CONTRACTOR
DECLARATION
I hereby affirrn under penalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License Nurnber:
-G-oo>
,rr", t^Z L{ - L(
W
I hcby affm undr poalty of perjury thst th@ is s corutructbn lcnding 8g6cy for thc pqfomocc of thc work for wldch thb pcrmit b
issued (Sc. 3097, Civ. C.).
[rnd6's Nmc:
Lender's Address:
APPLICANT DECLARATION
I herEby affrnn under penalty of perjury onc of the follorving declarations:
Dernolition Pennits-Asbestos Notification Federal Regulations (Title 40. Part6)
KR"q, i.ed Letter o f Notification
& ."nify that the federal regulations removalare not applicable to this project.
the
above mentioned property for inspection
Applicant or Agent
Pernritee nnnre
the above I
,rrr,f-Z?-Z(
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u lation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drwvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
t t ,t a\.(rq
FINAL qJ,I\'/ ,\T{Y(/
Certificate of Occupancy \ -\\7 \.
Notes, Remarks, Etc.
Date:_
_Expires:
all City and County
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