HomeMy WebLinkAbout101107133 - PermitProiect Address: 3005 W Wisteria PI-a-
Assessor's Parcel: 109-751 -06 Lot: 164
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 4025 Historic: No
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city of santa Ana 20 civic center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O1107{33
Pin #: 2214o^
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD
R.3, U
VB
cBc 2019
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas.
Garage Area:
Total:
Patio:
T. ! Area:
Yards Req'd:
Valuation: $19,750.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstallation of roof mounted PV system. Worksheet attached to plans
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
ADRIAN & BEATRICE GOMEZ
3OO5 W WISTERIA PL
Santa Ana, CA 927041566
Contractor: ESP Contracting
Address: 1010 Esplanade Ave. #2
Redondo Beach, CA 90277
Phone: (310) 904-6138
State Lic #: 619149
Lic Type: B
Bus. Lic #: 353769
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9152657
Expires: 0211112022
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address.
Phone:
License #:
Phong Truong
3000 E Birch St #201
Brea, CA 92821
(7141 26e-6ses
c70784
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd.
Date:
Date:
Date 0710212021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
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:
$450 00
$44 55
$1 00
$0 00C
No
No
No
No
havez, Dave
a)-c'
Fire Insp. Req'd: No
Pofice lnsp. Req'd: No Account#
Flood Zone Cert. Req'd : No O 1 1 1 6002 51 601
01 1 16002 51612
01116002 57770
Total
$450 00
$1 00
$44 5sEvery permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-167243
$495 55
$0 00
$495.55
T BI.TTLDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm undcr pcnalty of pcrjury that I du exempt frcm thc Contracton' Liccns hw for rhe following rcarcn (Scc.70315
Busincss and Profcssion Codc): Any City or Counly which requircs a frcrmit to onslruct, alts, improvc, demlish or rc;nir any
strudurc, prior to its issuancc, dm rcquircs lhc applicant for such lrcrmit to fih a signcd statcrcnt that he or she is liccnsd pusant
to thc prcvisions of thc Contractor's Licenscd I:w (Chaptcr 9, Comrcncing with Sction 7000 of Division 3 of the Busincss lnd
PrcfessionsCodc)orthathcorshckcxcmptthcrefromandthcbasisforthcallcgcdcxcmption. AnyviolationofSctionT03l.5byay
appliclnl for a 1rcrmit subjcts thc applicanl to a civil penahy of not mrc Ihan fivc hundred dolhs (5500).
-1.
as owncr of thc propcrty. or my employecs with wages as their solc compcnsation. willdo thc work and lhc structurc ls nol
intendcd or offcrcd lbr salc (Sc.c.704+. Business and Professions Code: Thc Contractor's Licensc [:w docs not apply to an owncr of
thc property who builds or improvcs thcreon, and who clcrcs such work himsclf or hcrself or through his or hcr own employecs,
providcd that such improvcnrcnts arc not intcndcd or <lfTercd lbr salc. lf. howcvcr. the building or improvcnrcnt is sold within onc ycar
of conpletion, thc Owncr Buildcr will have the burdcn of proving that he or shc did not build or improve the propcrty for the purpse of
salc).
-1.
as owncr of thc propcrty, am exclusivcly contracting with liccnscd contractors to construct thc projccl (Scc. 7W, Busincss
and Ptofession Codc: The Contractor's Licensc Law docs not apply lo an owner of proJrcrty who builds or improvcs thercon.
and who contracts for such projects with a Contractor(s) licenscd pursuant to thc Contractor's Liccnsc kw).
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am cxcmpt under Section_. B. & P.C. for this reason.
Date:Owner:_w(lRI(r'w
DECLARATION
I hcreby affirrn undcr pcnalty of perjury onc of the following dcclaralions:
-l
havc ard will maintain a Certificate of Conscnt to Self-lnsure for workcrs' compcnsation. as provided for by Scction 3700 of the
Labor Codc, for lhc pcrfornrancc of thc work for which thc pcrmit ls issucd.
LI have and will maintain workers' compensation insurancc. as rcquircd by Section 3700 of the l-abor Codc, for thc pcrformancc of
thc work for which this permit is issucd. My workcrs' conlpcnsation insurance carrier and prlicy numbcr arc:
D Z. f1 .LZPolicy
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ccrtily that in thc Jrcrtbrmancc of thc work for which this pcrrnit is issued. I shall not cmpby any [rcrson in any manncr
so as to bccome subjcct to thc workcrs'compcnsation laws of California, and agrec that if I should bccourc subject to thc
workers' corrtpcnsation provisions of Scction 37fi) of thc Lrbor Codc. I shall. forthwith comply with those provlsions.
WARNING: Failurc to sccurc workcrs'compensation coveragc is unlawful. and shall subjcct an employer to criminal pnalties and
civil fincs up to onc hundred thousand dollars ($100,0m), in addition to the cost of compcnsation. damages as provided for thc
Scction 3076 of thc l-atnr Codc, intercst and attorncy's fecs.
5
LICI'NS IiD C(IN]'RA C1'OR
DI'CI ,\RA'I'ION r
I hcreby al'flrrn undcr pcnalty of pcrjury that I arn licenscd under provision of Chaptcr 9 (conrmcncing with Scction 7000) of Division 3
of thc Busirtcss and Prolbssions Code, and my liccnsc is in full lbrcc and cffcct.
LiccnseClass: o 6 Liccnsc Numbcr: D 6UetlD{q
e
W
I hcrcby affirm undcr Jrcnalty of JErjury thal lhsc is a construction hnding agcncy for lhc pcrformrce of thc work for whhh this ltrmit Ls
issucd (Scc. 3097, Civ. C.).
lxndcr's Namc:
[rndcr's Addrcss:
A PPLICANT DF'CLARATION
I hcrcby aflinn under pcnalty of perjury one of thc following dcclarations:
DcnroIition Pcrnrits-Asbestos Notification Fcdcral Rcgulations (Titlc 40, Part6)
-Rcquired
l-cttcr of Notification
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ccrtify that thc fcdcral rcgulations rcgarding asbcstos rcmovalarc nol applicablc to lhis projcct.TJ
)4tr""ify that t have read this application and statc that the atnvc inlbrrnarion is correct. I agrcc to comply
ordittanccs and Statc Laws rclating to building construction, and hcrcby authorizc reprcscntativcs of this City
with all City and County
and County to enlcr upon thc
abovc nrcntioncd propcrty for
Applicant or Agent
IDennilce namo
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf !oor/VenVl nsu I ati on
Roof Sheathinq
Shear Wall
Framing
Insulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Nlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
-<fu,-- e^tc,u tlz q -1- 2t lfla.-.od,t
FINAL Q -7 -Zt B^bl 9z
Certificate of Occupancy
Notes,Etc.
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