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Home My WebLink About101108112 - PermitI Project Address: 925 S Susan St Assessor's Parcel: '144-372-20 Lot: 25 Unit:Bldg. Address Range:Suite Range: Zoning: R1Block: NA Tract: 9535 Historic: No city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O11O8 112 Pin #: 67367 tu,i, Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Solar Solar Sfd w/att ADU 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: Totat Patio: T.l.Area: Yards Req'd Valuation:$18,000.00 0 Description of Work: lnstall roof mounted solar panels per checklist. Planning Conditions: Lfi/ 6/2rr2l Irctns*; ? Ref*: r-t I L lnft1l ID: LROSI 1 ol 101 1 u91 , rl-t Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: Current Renewables Engineer Ramin Fadaeian : 1960 Chicago Ave, Suite D15 Riverside, CA 92507 (e51) 2s4-56SS s6338 : 1: Owner: Address: Phone: Tenant Anh Goodman 925 S Susan St Santa Ana, CA 92704 (562) 972-2339 Contractor: Freedom Forever Address: 72OO Fenwick Lane Westminster, CA 92683 Phone: (7141404-0194 State Lic #: 1029644 Lic Type: B, C-10, C-39, C46 Bus. Lic #: 370076 Workers' Compensation I nsurance: Carrier: Berkshire Hathaway Policy #: FRWC217374 Expires: 06/01 12022 Aut,h * Planning Approval By: Plan Checked By. Permit lssued By: NPDES lnsp. PWA !nsp. Req'd Planning lnsp. Req'd: Landscaping lnsp. Req'd Frre lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Amsden, Julie Date: Date: Date: 1010G12021 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07775002 57607 Permit Fee 07776002 57770 Microfilm Records 07776002 s7512 Bldg. Stds. Revolving 07776002 57600 General Plan Update Fee Total Paid to Date: Balance Due: $4s0 00 $32.40 $1.00 $23 7e No No No Account#Total 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 MrD#'. 2021-169165 01 1 16002 51600 01 1 16002 51601 01116002 51612 01 1 16002 57770 $23 79 $4s0 00 $1 00 $32 40 $507 1 9 $0 00 $507.19 Bcr I cl 0f f i, BUILDING. INSPECTOR RECORD SITE.WORK DATE !D/SIG COMMENTS OWNER BUILDER DELCARATION I hqcby 8ffm und6 poalty of pqjury that I m exmpt from thâ‚¬ ContnctoE' Licre law for thc followirg r@tr (Se.7031.5 Buins md Prcf*ion Codc): Any City or County which rcquirc a pcmit to co]lltruct, altq. improvc, dsmlth or rpair $y struciue, prior to its isswcc, aho rcquic thc qplicet for such pcrnit to filc a signcd srrrmot thd hc or slE b licosrd pueaot to thc Fovisiom of thc Contrrctor's Liccnscd t:w (Chaptq 9, Com@cing with Setion 7000 of Division 3 of thc BNin* ud PrcfcsioB Codc) or thrt hc or shc ie cxmpt thqr&om md thc bosis for thc sllcgcd q@p(ion. Any violstion of Scrion 7031.5 by uy applicutforapcrmitsubjetsthc spplimttoacivilpmltyofnotmorcthnfivchmdreddollm($500). _1. s ownq of thc popqty, or my employG with wag6 I their mlc ompcruaion" wil do thc w* ed thc stnrdw b rct intqdcd or offard for slc (Se.7044, BGins ed kofcssioN Codc: Thc Contractor's Licre t w do6 not apply to e owq of thc popoty who builds or imFovc tluon, ad who do6 reh wrt himsclf or harlf or through his or ha oM mployce. prcvidcd that such improwts e rct intodcd or ofErod for slc. If. howrc. thc building ot imgovcmt is $H within onc )qr of ompldiort thc Osn6 Build6 will havc thc h[d6 of prcving tlra hc or shc did mt tuild or imprcvc thc propdy 61 0E prpo$ of slc). -1, r oma of thc propoty, m ucluivcly contrrcting with licaacd contradoE to @rotruct the prcj*t (Se. 7044, Buine ud Profcsim Codc: Thc Contnctor's LiccNc Law doe not spply to m owna of prcpoty who builds or imprcvâ‚¬ ths@n, md who ontrrc{s for such projcts with a Contraao(s) licascd pmwt to thc Contrctor's Licw lrw). -l m cxcmpt udfi sction-, B. & P.C. for this rwn. I)o lo' WORKEITS' COMPENSATION DECI.ARATION I hereby allirm under penalty of perjury one of the following declarations: _l have and will maintain a Certificate of Consent to SelFlnsurc for workers' compmsation, as provided for by Soction 3700 of the Labor Codc, for the performancc of thc work for which thc pcrrnit is issued. (^:have and will maintain workers'insurance. as by Section 3700 of the Labor Code, for thc pcrformance of and policy numh are:work for which this pennit is issuetl.ciuTler Policy _l ccrti& that in the pcrformance of the work for which this pcrmit is issued. I shall not cmploy any pcrson in any manner so as to becomc subject to the workâ‚¬rs'compcnsation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the kbor Code. I shall. forthwith comply with those provisions. WARNTNG: Failure to secure workers' comperration coverage is unlawful, and shall subject an onployer to criminal ponltics and civil fines up to one hundred thousand dollars ($100,000). in addition to the co$ of compcnsation, damages as provided for the Section 3076 of the l-abor Code interest and attorney's r-l DI'CT,AITAI'ION I hcreby aflirm under paralty of perjury that I am licenscd under provision of Chapter 9 (comrncncing with Section 7000) of Division 3 of thc Business and Profcssions Code, and my license is in full force and effect. Liccnse -r> W I heEby affm udq pqElty of pcrjury that th@ is 8 @$truction Lrding ag6cy for thc pqfoffic of thc mrt for which this psmil b issued (Sc. 3097, Civ. C.). Lrnd6's NmG: Lender's Address: APPI ICANT DECLARATION I hcndry alnrm under penalty of perjury one of the following declarations: Demolition Permils-Asbcstos Notification Federal Regulations (Title 40, Parr6) -Required trtter of Notilication _l certi& that thc federal regulations regarding asbestos removal are not applicablc to this project. the above mcntioned property for Applicnnt or Agent Permitec nnmc and state that al Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloo r/Ve nUl n su I atio n Roof Sheathing Shear Wall Framing lnsulation/Enerqy Drywal! Ext./lnt. Lath Brown Coat JVlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif ^,Y*r_fur (Z \ ,i\\(\/ a'-I _C,n, FINAL ,/ /\o /-y \,4 Gertificate of Occupancy / Notes. Remarks, Etc. -2- oare:/6 fr; f C I