HomeMy WebLinkAbout101107766 - Permit!.?
City of Santa Ana 20 Civic Center Plaza (M-191,
!a_nt1
Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {01107766
Pin #: 93OO74/{'
!
{ Proiect Address: 434 S Baker St-a-Unit:Bldg: Address Range:Suite Range:
Zoning: Rl
(
Assessor's Parcel: 010-1 11-21 Lot: 35 Block: NA Tract: 1408 Historic: No
Building Use Single Family Dwelling
Job Type: Solar
Nature of Work: Solar
Existing Bldg & Use: SFD w/ garage
Proposed Use:
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: $20,000.00
Description of Work: lnstall new roof mounted solar PV system. Per PV checklist.
Planning Conditions:
'3
Owner:
Address:
Phone:
Tenant
SIMONA PLASCENCIA
434 S BAKER ST
Santa Ana, CA 927034502
(7141 834-1 327
Contractor: PGS Solar & Home lmprovet
Address: 8615 Muller St
Downey, CA 90241
Phone: (562) 413-6293
State Lic #. 1051 1 16
Lic Type: C-10
Bus. Lic #: 372691
Workers' Compensation I nsurance:
Carrier: Exempt
Policy #:
Expires:
Engrneer:
Address:
Phone:
License #.
Architect /
Desrqner:
Address:
Phone:
License #:
McPherson Engineering
Ryan J McPherson
6169 Sunny Circle
Mira Loma, CA 91752
(eos) 56s-2244
82088a
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
Zuniga, Allissa
Date:
Date:
Date: 0812512021
Subject to Field:
Mrsc. Receipt:
Mrsc. Receipt:
Misc. Receipt:
W
-foX ATttAll g o1 - 46t- Lt53o
07775002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450 00
$s2 65
$1 00
$23 79
$527.44
$0 00
$527.M
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd. No
l
Every permitissued shall become invalid unless the work on the site authorized by
, such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permttis suspended or abandoned for a period of 360 days after
' the time the work is commenced
01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 57770
$23 79
$450 00
$1 00
$52 65
lnspector MID#' 2021-168423
BUILDING. INSPECTOR RECORD t
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DEI.CARATION
I h6c$, aflim undq poalty of perjury that I m cxcmpt ftom thc Contractoc' Liccre liw for thc following r@n (Ss.7031.5
Buincs od Prcfsion Code): Any City or County which require a pamh to coNtruct. altq, improvc, dmolish or rcpair ay
struc1uc, prior to its iswcc, also requirs lhc applicilt for such psrnit to filc a signed sldm@t that hc or slrc b licoucd pwut
to thc prcvisions of thc ContBctor's Licmsed taw (Chaptq 9, Comcncing with Sstiotr 7000 of Division 3 of thc Bsins ild
Prcfe$ioru Code) or that hc or shc is ermpt th@from sd thc b&sis for the allegcd amption. Any violation of S€1bn 703d.5 by oy
applicant for a psmit subjcts thc spplicet to I civil pmlty of not more tha five hun&cd dollus ($500).
_1. as o\tmcr of the properly, or my employees with wages as their sole compensation, will do the work and the strucrr. b ;
intended or offered for sale (Sec.7044, Business and Professions Code: The Contractor's License Law does not apply to an orller of
the property who builds or itnprovcs thereon. and who does such work himself or herself or through his or her own cmployecs.
provided that such improvcrnents are not intendcd or offered for sale. lf. howwer. the building or improvernent is sold within one ye:r
of complaioq the Or,vner Builder will have the h,rden of proving tha he or she did not build or improve the propoty for the purpose Df
sale).
_1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Btsiness
and Profession Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves thereon.
and rvho contracts for such projeos with a Contracto(s) licorsed pursuant to the Contractor's License taw). {
-l
am exempt under Section-. B. & P.C. for this reason.
Date:
WO RKER,S' COMPENSATIO N
DECLARATION
I hereby affirm undcr penalty of perjury onc of the following dcclarations:
_l have and will maintain a Ce'ntificate of Consent to Self-lnsure for work6s' compcrsation, as providd for by Section 3700 of the
Labor Code, for the perfonnance of the work for which the pennit is issued.
_l have and will maintain workers' compcnsation insurance. &s required by Section 3700 of the Labor Codc, for the pcrformance of
the work for which this permil is issued. My workers' compensation insurance carier and policy number are:
Policy
(*rfthat in the perforrnance of thc work for which this permit is issued. I shall not onploy any person in any manner e
so .ls to becorne subject
rvorkers' compensation
WARNING: Failurc to
to the work€rs'cornpcnsation laws of California. and
provisions of Section 3700 of the Labor Code, I shall,
that if I should become subject to the
cornply with those provisions.
secure workers'compensation coverage
dollars ($100.000), in ,
is unlawful.shall subject an onploycr to criminal pcnalties and
civil fines up to one hundred thousand addition to cost of compensation. damages as provided fo1$e
Section 3076 of the Labor Code. interest and fees.
Dutc:E/? t /al
I hereby affirm under penalty of perjury that I am licensod 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full
( -l,o /oittlb
CONSTRUCTION LENDTNG ACENCY
I hreby affm unda penalty of pcrjury that thqe is a connrudion lcnding sgocy for thc pqfomcc of thc mrk for which this pqmit b
issued (Sc. 3097, Civ. C.).
Lcnder's Name:
Lcnder's Address:
APPLICANT DECLARATION
I hereby affinn under penalty of perjury one of the follorving declarations:
Demolition Permits-Asbestos Notification Federal Rcgulations (Title 40. Pan6)
__Required [.etter of Notification
_l certi& that the federal regulatlUns regarding removalare not applicable to this project.
above information is correct. I agrcc to comply
a
_l certi$ that I have read this application and state the with all City ard c.:Unty
and County to enter upon the
t
ordinances and State Laws rclating to building and hereby authorize representatives of this City
above mentioned property for
Applicant or Agent { / "l
Pcrmitee name q.
\
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu Iation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drnrvall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif /.A
Sou4rL ,4T{4c. l{ ng{T cl /ts/ zt Z;t-t(3'U
FINAL /D-*2 t ErrSGfL
Certificate of Occupancy
Notes, Remarks, Etc.
Carrier:
o*", /f /z)rlt
=-l I
-=-,=2-pe.:
-
t- t-
====-Z==*x
t
q)
S
S\rS(ar
Eab\\r
L
a.\rSabaoSo\
No
o
6'
c)o
=o-T
o,Nonooo
==ox
liEli
H*EE
Fej3
+po
g8
l+,
2
U)-u
ao
N)
N)o
(,
ono
tf,6- A'$a.taooe
SI8SoTsilo-*reE"laLu=Fa.oa
F)
=.:UFuo\rFEl=Oll=s' li?Fl l--Elisl=
lo
lo)l=lf
lo)l=
IPlo
tal--folu
lq)l--
oo
=F+-oo
F}o-
!-loE'of
o{
=o
l'!
!o-r
3
-l+ztr
3
ETo
l'!
!-obroo.+'
CL
CL-oo
?.
N
B.S
-15
s\
\-
S..p
\S
FR\.s()
r
IIoo
=oo
*
s-\
\.tr\
B*$;Bt 86sgtr)gt+Er
1*; f lil 1* aii E ;aindiln-f. 9;+ o o, Ag f = a:b_ =i5i r1[ g; 1*E r i1[ ig5 fEIe q33 f " =:f :lo", +al aa F:[ $ ;*n €9 o 3 s) r o, 'L =' o R = 2 o'
='2 ol - q A 1H E E o, + A6'=+ a3; rA il== 3 lI \rv FF )o-5 ru3rs38q&gEAlI 3t *'o+ag: sl i+a I i+ r
foicOoaiqi&i:=R 6 ts?s [ 5) ad_, + ili ts 3 eg; e. 3 S o-;id t=& c ==i 6F i;iE = a= q o,6V. r;- g:HE'g} }ria +i:d=€ EE-= ; ;=d' 3-v oglEi;E, Ei$l 5r *a I a A = € 5 Pg*1?*f : H-eg ril I;ii sa H BE il: ro) r (U c) = ='A d.E =aoq i\,r a ol 6E 3i33 Fq g F; :f r 6
=gE q6 a += a= ;
Ed-B sd P ;i rB t+=1 ** i iil aH Ei = e o, g o fil do- 5.ttr* 3l 3 q[ Fi ;3 sq -t o o vt l5' !,[)= a'a o o ", o d =: urfr fE{i E € .€ g,. e+l=.-? o r o =f q
ooq o o
3
o)
f
C
o)o
c
-t(D
a-
llr
='ac+
-tC
S'
,Ar(.}\-o()F
oSoY
E(1o
=
r)o
:f
-to)r)e+o
-t
-o
o
€fo
-t
$E AESlrq ;.=A'a h-
iEe
E u$
il lE
FluOA.Eo
t'.=a
3i$'xoo-\\oB
fiB6$$3OO
=Bqs
6' st
*T${
3. I
FB_,,
=.oS\taslsla+
SEsiil
i*
-o
o
F}:'
-ao
oo
3E'-o
F}o
CL
-fro-t
3
q,
=CL
,-;
='o
ErocrIoo-CL
.loo
CL
-t-
o
g.
-o
ET-o
of
=!=g,
-l
=ot,oo
=Lo
=
,* t
(a
\rQSaFls\o
aa
\
\
tra
F)
I!
.\
tr
\'. \\,t\t\
,
\
o
1l
=c-o
=-€sq,6EOs= P
.93 $:l)aa(b
u6 6tso
=.p
rO
U)o!.+o
3cro
-l
N)..-\
t+7
N)oN
J
uiaJ O=
o!o
H=F
=od.- ur=ggR
s"5
O)o
(f
o
0)
-l
-l9
0)e
=o
J.t
a=
a-,.
-lCOC)-t
J
gLC
o=
8.q-o u,
-
e-tbEa4
q,B
,-i Fif:,oE
3oNil
J-lc=[8\, ,+
FF --.co6=o- 6'
J-l
38_,?o=-
e&
t-l.
nS
o^E^(t
l-r :v,
=.d-!J ;+(oJ
ooo-*o-Y
EAg. g.
o:f
o
o
F;o
3
g)
fo-
(o-5-lN (r=
=5oil @ -o
FlH,^.(I,:l!J (D C)
slt(rE trfoo
8E 0;roxJo
lnLrniD;=3ai;Re;s?a
=o-='PP6 d3o=.=6
(\) 9 o- b-ut=oTi3a33 ?* ot 5 +e€qq
=H si$ 6'
Eo =',1
peSAdk = v, EHil€3
-
F.? 'a\gg+u,
--Fl L
^rNEg5
aP
=
q)
6'FAEPiits=g*qgB[;d9iadp\i, (I' c-r.
=TJ
L J Ad?oso o f +.+rr4 O O;+ qt6-*3=:oXou,
(n 5':<6 = -9o o'i'qr $'g ==r0)+3a
1fr Iq63a =. oOO,.+:, CToo
9,5oo-o
I
v
o
=
=oT
=o-aoF
p
!'n
D:{e#8=D'D
-IOHo!t
ODEvl
aq/Do:sr'*
r.r E!.3EPri;
I.oq
Eoo
m
(r)o
=H
NON
ott
C)(
*
+
I
a