HomeMy WebLinkAbout101107470 - Permita
*Lq,l %uu*nncity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714).667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O747O
Pin #: 75063
Proiect Address: 3614 S Seabreezea
Assessor's Parcel: 412-22443 Lot: 176
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 7711 Historic: No
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
x-06023202s9J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $17,688.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description of Work: tnstallation of roof mounted PV system. Worksheet attached to plans.
Planning Conditions:
Owner.
Address:
Phone:
Tenant:
I
David L Perry
3614 S Sea Breeze
Santa Ana, CA 927047140
(7141 3764764
Contractor. TLP Electric lntegrations db
Address: 2460 North Glassell Street, I
Orange, CA 92865
Phone: (7141 599-1 139
State Lic #: 824287
Lic Type: C-10
Bus. Lic #: 343655
Workers' Compensation lnsurance:
Carrier. Starnet lns Co
Policy #: BNUWC01 37148
Expires: 0710112022
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Loyd W Martin Engineering
Loyd W Martin
2510 W 237th St, Suite 206
Torrance, CA 90505
(310) 464-1804
c58724
l,rir
It_rtrr-
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Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Chavez, Dave
:(zt
Fire lnsp. Req'd:
Police lnsp. Req'd
Date:
Date:
Date: 08/1 012021
Subject to Field:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt.
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7572 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450 00
$76 95
$1 .00
$0.00
No
No 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 within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
01116002 51612
01 1 16002 57770
$450 00
$1.00
$76.95
$527 95
$0 00
$527.95
lnspector MID#: 2021-167926
a
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BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATTON
I hcrcby lffirm undcr Fmlty of pcdury thal I am cxcmpt from thc Contraclorc' Liccns law for lhc following rtasn (Se.?Otl.5
Business and Profcssion Codc): Any City or County which rcquircs a Jrcrmit to construcl. altcr, improvc. demlish or rclEirany
slructurc. prior to its issuancc, also requircs thc applicant for such |rcmit lo filc a sigred stqtcmnt that hc or strc is liccnsd pursuant
lo thc provisions of thc Contractor's Liccnrcd law (Chaptcr 9. Commcncing with Scction ?000 of Division 3 of thc Busincss and
Prcfcssions Codc) or that hc or shc is cxcmpt thcrcfrom and the btrsis for thc allcgcd cxcmption. Any violation of S$tion 703 1.5 by any
applicant for a pcrmit subjccts thc applicant to o civil pemlty of not morc than fivc hundrcd dollus ($500).
_1. as owncr of the propcrty. or my employccs with wagcs as theh solc conlpcnsation. will do lhc work and thc stnrcture Ls not
intcrded or offcrcd for salc (Scr.7044. Business and hofcssions Codc: Thc Contractor's Liccnse law docs not apply lo an owncr o[
thc propcrty who builds or improves thcrcrn. and who dcrcs such work himsclf or hcrsclf or through his or hcr own cmployccs.
providcd that such inrprovcnrcnts are not intcndcd or ofIcrcd for sah. lf. howcvcr. thc building or improvcnrcnt is sold within onc ycar
of cornphtion. thc Owncr Buildcr will havc thc burdcn of proving that hc or shc did not build or improve thc propcrty for thc purJnsc of
salc).
_1, as owncr of the propcrty, ilm exclusivcly contracting with liccnscd contractors to construct thc projcct (Scc. 7U4, Busincss
and hofession Code: The Contractor's Licensc Law docs not apply to an owner of property who builds <lr improves thcrcon.
and who contracts for such projccts with a Contractor(s) licensed pursuant to thc Contractor's Liccnsc Law).
-lamexelnptundcrScction-.B.&P.C.forthisrcason.Dale: Owner:-
WORKERS' COM PF'NSATION
DECLARATION
I hcrcby affirm under pcnalty of perjury onc of thc following declaratiorts:
-lhavcadwill
rointsinoCcrtificatcofConsenttoScl[lnsurcforeorkc]s'con[rcnstion,as prcvidcdforbySstion3T00oflhc
h!9r fue. for thc tErformrcc of thc work for which lhc Ircmit is issucd.
Vfl havc and will mainrain workcrs' compcnsrtion insuruncc. as rcluircd by Selion 37OO of ttrc tibor Code, for the pcrfomncc of
thc work fbr which this Jrcrmit is issucd. My workcrs' omlrcnsali(rn insurarcc cunicr ord policy numbcr rc:
t
]-o'rior la2Policy
_l certify that in thc Jrcrformancc of thc work for which this prcrmit is issucd. I shall not cmploy any pcrson in any manncr
so as to becomc subjcct to thc workers' compcnsation laws of Calitbrnia. and agrcc that if I should bccome subjcct to thc
workcrs' compcnsation provisions of Section 3700 of thc l.-abor Code. I shall. forthwith comply with thosc provisions.
WARNING: Failurc lo sccurc workcrs' cotnpcnsation and shall an crnpkrycr to crirninal penaltics and
civil fincs up to one hundrcd thousand dollars ($100,000),Io lhc damagcs as providcd for the
allorlrcy's l'ccs.
I
I hcreby affirnr undcr pcnalty of prjury thal I anr liccnscd undcr provision Chaptcr 9 (commcncing with Scction 7000) of Division 3
of thc Business and Profcssions Codc, alrd nry liccnsc is in full force ard cfl'cct.
t
a to Nunrbcr: F 6L+L(1Liccnsc']o 2-l
W
I hcrcby affrm undcr lrcnalty of pcrjury Ihar thcrc is a construction lcnding agcmy for thc Frforrorcc of thc work for which this tsmil ir
issucd (Scc. 3097. Civ. C.).
lxndcr's Namc:
Lcndcr's Addrcss:
APPLICANT DECLARATION
I tnrcby affmn under pcnalty of perjury onc of thc following declarations:
Dcnrolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40. Part6)
Rcouircd [rttcr
-An"rhat
thc
f*"-irv rr,rr I have
ol'Notilication
tbdcral rcgulations rcgarding asbcstos rcmovalarc not applicablc to this projcct.
rcad this application that thc atxrvc inftlrnration is corrccl. I agrcc to cornply with all City and County
ordinanccs and Statc laws rclating to of this City and County to enter upon thc
rlo,a o oB l'u lz'atxrve nrcntioncd propcrty for inspection
Applicant or Agent
( t <otl'ernritee nanle
K
and
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loo r/Ve nt/l ns u I atio n
Roof Sheathinq
Shear Wall
Framinq
lnsu lation/Enerqy
Drvwall
Ext./!nt. Lath
Brown Coat
N/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
ll ^ tL rt /
FINAL qtc0 'l {t}t{.6q
Certificate of Occupancy ll
Notes, Remarks, Etc.
_Expircs:
Scction 3076 of thccc)LS Applicant:
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