HomeMy WebLinkAbout101107746 - Permitcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714)-647-5853
Permit #: {O1107746
Pin #: 6,4302
Project Address: 2401 W Carriage Dr
Assessor's Parcel: 412-162-33 Lot: 1
Unit:Bldg: Address Range:Suite Range:
Zoning: A1Block: NA Tract: 7434 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/ garage
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l Area:
Yards Req'd
Valuation: $13,000.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstal! new roof mounted solar PV system. Per PV checklist.
Planning Conditions:
Owner:
Address.
Phone:
Tenant
DOUGLAS ALEXANDER HORN
2401 W CARRIAGE DR
Santa Ana, CA 927046503
(7141 345-7052
Contractor: Sunrun Solar
Address: 2500 White Rd, Suite A
lrvine, CA 92614
Phone: (818) 563-0529
State Lic #: 750184
Lic Type: A, C-10, C46
Bus. Lic #: 340287
Workers' Compensation I nsurance:
Carrier. Liberty lns Corp
Policy #: WA764O445522020
Expires'. 10/01 12021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Sunrun Solar
James Walsh
225 Bush Street, Suite 1400
San Francisco, CA 94104
c73567
Sanning Approval By:
Plan Checked By:
\' -ssrmit lssued By: Zuniga, Allissa
NPDES lnsp. Req'd No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Date. Misc. Recerpt:
Date: Misc. Receipt:
Date: Ogt24l2L21 Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 51601
01116002 51612
01 1 16002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds Revolving
07776002 57600 General Plan Update
Fee Total
Paid to Date:
Balance Due:
$4s0 00
$60 7s
$1 00
$0 00
Fire lnsp. Req'd:
Police lnsp. Req'd
Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days after rfs issuance,or if the work authortzed
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced
$450 00
$1 00
$60 75
$5t 1 75
$0 00
$st 1.7s
lnspector MrD#. 2021-168335
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hseby aflirm undo pcnalty ofpcrjury thal I m cxempt fipm thc Contractoc' Liccre taw for thc following r?ren (Sa.7031.5
Businss md Profsion Codc): Any City or County which requirc a po'mit to coctruct, alta, improvc, dcmolish or rtpoig oy
structue, prior to its i$uece, also rcquire thc applicilt for such p€mit to filc a signcd statmot that hc or shc is licoscd pwmt
lo the provisioN of the Contrrctor's Licenscd Law (Chaptc 9, Commencing with Setion 7000 of Division 3 of the Busines md
Prcfeions Codc) or that he or shc is umpt thaefrom ed the bosis for thc alleBcd cxmption. Any violation of Sdion 7031.5 by ily
applicmtforapcrnitsubjetsthc applicmttoacivilpcnaltyofnotmorcthufrvchundrcddollm($500).
-1.
as owner of the property. or my employees with wages as their sole compcnsation. will do the work and the struoure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contraclor's License law does not apply to an own€r of
the propcrty who builds or improves thermru and who does such work himself or herself or through his or her own employees,
provided that such irnprovonents are not intended or offered for sale. If, however, the building or improvement is sold within one year
of complaion. the Owncr Builder will have the hrden of proving that he or she did not build or improve the propo'ty for the purpose of
sale).
--1, as owncr of the propcrty, am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Bwiness
and Profcssion Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon.
and who contracts for such projects wilh a Contracto(s) Iicersed pursuant to the Contraclor's Licensc Law).
-l
am excmpt und€r Scction-, B. & P.C. for this reason.
l)oto'
WORKERS' COMPENSATION
DECLARATION
I hereby affrrm under penalty of perjury one of thc following declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for rvorkers' compcnsation, as provided for by Sectiort 3700 of the
d,;
for the performance of the work for which the permit is issued.
will maintain workers' compensation insurance, as required by Section 3700 of the tabor Codc. for the performance of
is compcnsation insurance carrier and policy number are:
L7,l.7lPolicy
-l
certi& that in the performancc of the work for which this permit I shall not employ any person in any manner
so as to becomc subject to the workers'compensation laws agree that if I should become subject to the
u'orkers'of Section 3700 of the Labor shall. forrhu,ith those provisions.
secure workers' compensation coveragc and shall to criminal penalties and
civil thousand dollars ($100.000). in to the cost of damages as provided for the
interest and
7
I hereby affinn under penalty of perjury that I arn licensed 9 (commencing with Section 7000) of Division 3
of the Business and Profcrssions Code, and my license effcct.
Liccnse
b
I hereby affrnn under penalty of perjury that there is a
issued (Sec. .3097. Civ. C.).
lending agency for the of the rvork for whrcrr.$is neg8it is
Lender's Name:
1,J- <
Lender's Address:
APPLICANT DECLARATION
I hercb), affurn under penalty of perjury one of thc following declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
_Required Letter of Notification
_l certi& that the federalregulations rernoval iue not applicable to this project.
that the above infonnation with all
above mentioned property for inspection
Applicant or Agent
I't:rnritce nilnre
and
e
and County to
County
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUl n su latio n
Roof Sheathing
Shear Wal!
Framing
lnsu Iation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I - l 2/)
FINAL L 74 /
Certificate of Occupancy I /
Notes, Remarks, Etc.
Owner:_
Carrier:_
Io
_l certiS that I have read
ordinances and State Laws
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