HomeMy WebLinkAbout101108005 - Permitt
Project Address: 209 N Cooper St
Assessor's Parcel: 099-232-23 Lot: 13
Unit Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract 4831 Historic: No
,
{City of Sanla Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O11O8OO5
Pin #: 338OO
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
A-0602320252J
1st FL Area
2nd FL Area
Other Areas:
Garage Area.
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation: $24,000.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall solar panels.
Planning Conditions:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
L 6tlr-r!- i1 6t:t I trt-rtt-
3 5t,rjg Revolving
l,0r-t[t!- 51 61?[t[i[t-.
r'c,filrn & Docutoerr
I or-ir-r!- 5777utrttt-r-
Dass Structural Engineers
Praveen Dass
1655 Shertington Place, 2-202
Newport Beach, CA 92663
(s4s) 2ss-7s43
74200
Rei*: 1r:r11t.lSt-tt
7i?ir/21121 11:26 AlOwner:
Address:
Phone:
Tenant
Amy Nguyen
209 N Cooper Street
Santa Ana, CA 92703
(7141 200-9529
Contractor: South West Sun Solar, lnc.
Address: 13752 Harbor Blvd
Garden Grove, CA 92843
Phone: (7141 582-3909
State Lic #: 1004667
Lic Type: C-10, C-39
Bus. Lic #: 350754
Workers' Compensation I nsurance.
Carrier: Starnet lnsurance Company
Policy #. BNUWC01 54184
Expires: 06/01 12022
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES !nsp. Req'd: No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Verduzco, Vio,"U{J
Date:
Date:
Date. 0912012021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07775002 57507 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
01116002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$4s0.00
$56.70
$1.00
$0.00
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450.00
$1 00
$56 70Every 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 permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MtD#'. 2021-168866
a6DFn?
40 Anf W $s07 70
$0 00
$507.70
vrSB
(:i.+ : r rr****rr**x582?
BUILDING. !NSPECTOR RECORD
I
SITE.WORK DATE ID/SIG COMMENTS OWT,EtTt!UILDER DELCARATION
I hoeby aflim undq pemlty of perjury that I m cxempt fto-m the ContrrctoE' Licsc tsw for the following rcen (Se.?031f
Busines and Profcssion Codc): Any City or County which requiG a psrnit to coNtruc{. altq, improvq doolish or rcpair my
structre. prior to its isswce. also requirc the applicst for such pcmit to file a signed statmmt that hc or slrc b licGcd plNsd
to the provisiom of the Contmctor's Licensed Law (Chapt6 9, Commcncing with Strtion 7000 of Division 3 of thc Busile ud
ProfcssionsCodc)orthathcorshe isexcmptthEefromildtheb8isforthcallegcdcxmption. AnyviolatiotrofSelionT03l.5byrgy
applicantforapmitsubjetsthc applicanttoacivilpcnaltyofnotmorcthefivchundrcddollm($500).
_1. as owncr of the property. or my etnployees with wages as thcir sole compensation. will do the work and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's [,icense Law does not apply to an owner of
the property who builds or improv€s theron, and who does such work himself or he'rself or through his or her own employees,
provided that such improvancnts are not intended or offered for sale. If. however. the building or improvement is sold within one year
of cornplaion, the Orvner Builder will have the hrden of proving that he or she did not build or improve the propo'ty for the purf)se of
sale).
_1. as owner of the property. arn exclusively contracting with licensed contractors to construct the proje'ct (Sec. 7044. Bwiness
and Prrofcssion Code: The Contractor's Liccnsc Law does not apply to an owner of property who builds or improves thereon.
and rvho contracls for such projects with a Contractor(s) licensed pursuant to the Contractor's Licerue Law).
-IamexetnptunderSection-,B.&P.C.forthisreason.
l)oLr.
WORKER,S' COMPENSATION
DECLARATTON
I hereby allirm under penalty of perjury onc of the following declarations:
_l have and will maintain a Ccrtilicate of Consent to Self-lnsure for workers' cornpensation, as provided for by Section 3700 of thc
{ffi;
for the performancc of the work for which the permit is issued.
Section 3700 of the Labor Code. for the performance of
carrier and policy number are:
Policy t
_l certi$ that in the perfonnance of the work for which this perrnit is issuctl. I shall not employ any person in any manner
so ils to become subject to the work6s' compensation larvs of California. and agree that if I should becolne subject to the
rvorkers' cornpcnsation provisions of Section 3700 of the Labor Code. I shall. forthwith comply rvith those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onploycr to criminal pcnalties and
civil fines up to one hundred thousand dollars (S100.000). in addition to the cost of cornpensation. datnages as provided for the
Section of the Code, interest and attorney's fees.
DI'CI,ARA'I'I(IN
I hereby alTirm under pcnalty of perjury that I arn licensed under p,rovision of Chapter 9 (commencing with Section 7000) of Division 3
of the Busincss and Professions Code. and rny license is in full force and effect.
License Number:
W
I hrcby aflirm undr pcnalty of pqjury thar thqc is a consrucrion lcndhg agocy for thc po fomacc of thc work for which this pomit b
issued (Se. 3097, Civ. C.).
Lender's Narne:
lrnder's Address:
APPLICANT DECLAR/TTION
I hcrcby aflirm under poralty of perjury one of the following declarations:
to this project.
I agrec to comply with all City and County
ordinances and State Laws relating to building construction, and represefltatives of this City and County to elrter upon the
above ment ioned property
Applicant rrr Agent
Pernritee nanle
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl ns u latio n
Roof Sheathing
Shear Wall
Framinq
lnsu !ation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
Soa Av Atpr''ft l0 6-zl t-o6)t\/
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
Letter of Notification
that I have read this application and state that the above
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