HomeMy WebLinkAbout101107897 - PermitProject Address: 501 E Wisteria PI
Assessor's Parcel: 01 1-081-07 Lot: 'l
Unit:Bldg: Address Range.Suite Range:
Zoning: RlBlock: C Tract: 241 Historic: No
City of Santa'An a- 2OCivic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O1107897
Pin #: 29394
Building Use.
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/det garage
R.3, U
VB
cBc 2019
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $36,750.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall roof mounted solar panels per checklist.
Planning Conditions:
Botch*:6r-1646 ? /8/ 2rJ21 ID: ELIZABETHtlflice: (:TYH Trqnsi: g 2 of 4
Owner:
Address.
Phone:
Tenant
SASCHA BANEY
501 E WISTERIA PL
Santa Ana, CA 927015959
(7141 258-6412
Contractor: ComPlete Solar lnc
Address. 3000 Executive Pkwy, Suite
San Ramon, CA 94583
Phone: (8771 2994943
State Lic #: 961988
Lic Type: C-10, C46
Bus. Lic #: 352614
Workers' Compensation I nsurance:
Carrier: lnsurance Co of the West
Policy #: WTX5058894
Expires: 0110112022
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Scott E Wysaling :
76 N Meadowbrook Dr
ALPINE, UT 84004
\2!11 974rf,fr130 in,83664 rii t t..qr:u:r:t -
Erlcl.g Stds
t-t1115t:tt:t?-
I'l i,:r'ol ilnt
r-rl 1 t6r_rr-r?_
I (:L (:h ec [r
5_,1t5u 1t-tt-tt-t-
RevoIv i ns
516121r0rJ-
& Dscuments
577 70Lrtro-
rr2rr657
$45tr, [r[r
$2, [r[r
i44,55
il r 664.71t
Planning Approval By:
Plan Checked By: ,_
Permit lssued By: ( )
NPDES lnsp. Req'd\ ,aG
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
Amsden, Julie
Date. Misc. Receipt:
Date: Misc. Receipt:
Date: Og/Og/2021 Misc. Receipt:
Subject to Field:
07776002 57607 Permit Fee
07775002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$4s0.00
$44.5s
$2.00
$0 00
$496.ss
$0 00
$496.55
Account#Total
Flood Zone Cert. Req'd: No 01 1 16002 51601
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.
qoector MrD#'. 2021-168653
01 1 16002 51612
01 1 16002 57770
$450.00
$2 00
$44 55
a
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUl n s u Iatio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
SouAr[L &T.A(A lb-nr7-l tlt> (d,
\7
FINAL ,o-)^at 0-r^ ry1
Certificate of Occupancy
Notes, Remarks, Etc.
>OWNER BUILDER DELCARATION
I hocby aflim undr penalty of perjury that I m qmpt from the ContBctoE' Licce t:w for thc following r@n (Se.7031.5
Bminss and Profcsion Codc): Any City or County which requira a pcmh to corutruct. alta. improvc, danolish or repair my
structuq prior to its isuoca also rcquiG thc applicst for such pemit to filc a signcd stalmmt thd hc or shc b licascd plNant
to thc provisiom of the Contractor's Liccnsed law (Chapto 9. Commcncing with Sction 7000 of Division 3 of thc Bwinw ud
Prcfsions Code) or that he or shc is qempt thqcfrom od the b8is for the allegcd exmption. Any violation of S6lbn 7011.5 by any
applicant for a pcrmit subjcts thc applicant to a civil pcaalty of nol morc the fivc hundrcd dollds ($500).
-1.
as owner of the property. or my employecs with wages as their sole compensation. will do the work and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improves thereon. and who does such work himself or herself or through his or her own cmployees.
provided that such irnprovonents are not intended or ofliered for sale. I[, howet/er. the btrilding or improveme'nt is sold within one )tzr
of complaion, the Orvner Builder will havc the burden of proving that he or she did not build or improvc thc property for the purposc of
sale).
a
-1.
as o\rmer of the prop6ty, am exclusively contracting with licerued conlractors to construct the project (Sec. 7044, Business
and Pnofession Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improvcs thereon,
and who contracts for such projects with a Contracto(s) licerscd pursuant to the Contractor's License taw).
-l
am exempt under Section_, B. & P.C. for this reason.
I)qtn'0wner:_
WORKERS' COIVIP'NSAT
DECLARATION
I hereby affirm under penalty of perjury onc of the following declarations:
_-l have and will maintain a Certificate of Consent to Self-lnsure for work6s'compensation. as provided for by Section 3700 of thc
Labor Code, for the pcrformance of the work for which the pcnnit is issued.
yl n^r"and will maintain workcrs' compcnsation insurance. as required by Section 3700 of the Labor Code, for the performance of
the work for rvhich this permit is issued. My workers' compensation insurance and policy number are:
Policy l/z<
-l
cenifu that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the workers' cornpensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with thosc provisions.
WARNING: Failure lo secure workers' compensation coverage is unlawful. and shall subject an €mployer to criminal petrahies and
civil {ines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damagcs as provided for the
Section 3076 of the l-abor Code, interest and attorney's fees.
Orr"
DECLAR/ITION
I hcreby affirm under penalty of perjury that I arn liccnscd under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Busincss and Professions Code, and my licensc is in full force and effect.
License t0 b
orr",o'l /A8 /Zo4 conrractor: C.O I
CONSTRUCTION LENDING AGENCY
there is a construction lending agency for the performance of the work for which this pennit b
lrnder's Address:
APPLICANT DECLARATION
I her6y affinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notilication Federal Regulations (Title 40, Part6)
-Required
Letter of Notifrcation
-l
ccrti$, that the federal regulations regarding asbestos removal are not applicable to this project.
V cerri6, that I have read this application and state that the above information is correct. I agree to comply with all City and County
ordinances and State laws relating to building construction. and of this City and County to enter upon the
above rncntioned propcrty for inspection
Applicant or rtgent
Pcrmitce namc S
,,r,8 /4/Zozl
BUILDING. INSPECTOR RECORD
cro 5 gbl t ft)tr _Expires:
9oi qtK
9olo.P lofc
issued 3097, Civ. C.).
Name: