HomeMy WebLinkAbout101107518 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O75{8
Pin #: 93231
lhA
Project Address: 1419 N Lowell St
Assessor's Parcel: 405-303-02 Lot: 1 1
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1032 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-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuationr $t 9,930.00
Occupancy:
Constr Type:
Code:
Flood Zone.
# of Stories:
Description of Work: lnstall new roof mounted solar PV sytsem. Per PV checklist.
Planning Conditions:
Bntch* :611327 8/13/21'21 ID I LRCISALEg
Off ice: (:TYH TrnnE*: I+ 1 ut 1Acct*: Rel*: lullt-t75lu
Ficpt*: L'3377?3? g/ L3/?tt21 ?: 31 ilil
TrcnEnct i on Tot o I $5?7 .?:,
Owner:
Address:
Phone:
Tenant
I
Rodney Houser
1419 N Lowell St
Santa Ana, CA 92706
(7141 855-0065
Torrance, CA 90505
(310) 464-1804
c58724
Contractor: Better Earth Electric lnc
Address: 1815 Wilshire Ave Ste 908/91
Santa Ana, CA 92705
Phone: (888) 373-9379
State Lic #: 1024460
Lic Type: C-10
Bus. Lic #: 376582
Workers' Compensation I nsurance:
Carrier: PRAETORIAN INSURANCE COMPI
Policy #: EQB01 02943
Expires: 0411712022
Loyd W Martin Engineering + I
Loyd W Martin
2510 W 237t116ti:Euite 206
51 6Lt I t lt tt-t*
Re,roIv ing
516 I ?t-ttt[t*
& Documents
Ltl 1 l6tttt?- 1777 tr[r[r[l*
ICL (:heclr r-r424
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
$4ill,l:llJ
$1.[ttj
$76.W-,
t527 .95
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 Insp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Zuniga, Allissa
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: og/1 3t2021 Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 516',t2
01 1 16002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07775002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total
Paid to Date:
Balance Due:
$450.00
$76.95
$1 .00
$0.00
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 within360 days afterifs rssuance,or if the work authorized
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
$76.95
$s27.9s
$0.00
$527.95
lnspector MID#: 2021-168045
BUILDING. INSPECTOR RECORD
SITE-WORK DATE !D/SIG COMMENTS OWNER BUILDER DELCARATION
I hercby affirm undcr penahy of perjury that I m cxcnrpt from thc Coflractos' Liccnre Liw for thc following reamn 15@.7031.5
Busincss and Pmfcssion Crxlc): Any City or County which rcquires a pcrmit to construct. trlts, improvc, dcmolish or rcpair any
structurc. prior to its issuance, also rcquircs thc applicant for such Jrcrmit lo filc a signcd statcmnt that hc or she is liccnrcd pursriant
to thc prcvisions of thc Coilmclor's Liccnsd taw (Chaptcr 9, Commercing with Section 70O0 of Division 3 of thc Busincss and'
PrcfcssionsCodc)orthathcorshcisexemptthcrcfromandlhcbasisforthcallcgcdcxcmption. AnyviolationofScctionT03l.5byany
applicatrt for a pcrmit subjets thc applicant to a civil pcnalty of not nrore than fivc huDdrcd dollus ($500).
-1.
as owner of thc proprty. or my cmployces with wagcs as their sole compcnsaliotl, will do thc work and thc structurc is not
intcndcd or ol'fcred tbr sale (Sec.7044. Business artd Professions Code: Thc Contractor's Liccnsc Law does not apply to an owner o[
the proprty who builds or inlprovcs thcrc.on, and who docs such work hirnself or hersclf or through his or hcr own ctnployccs.
providcd that such improvcments euc not intendcd oroffcrcd for salc. lf, however, thc building or improvcmcnt is sold within one ycar
of conplction, thc Owncr Builder will have thc burdcn of proving that hc or shc did not build or improve the propcrty for thc purpose of
salc).
-1,
as owncr of thc propcrty, anl exclusively contracting with licenscd contractors to construct the projcct (Scc. 7W, Busincss
and Profession Codc: Thc Contractor's License Law does not apply to an owner of property who builds or improvcs thereon.
and who contracts for such projects with a Contractor(s) liccnsed pursuant to thc Contractor's License Law).
-lamcxcmptunderSection-,B.&P.C.forthisrcason.r t..t,..
WORKERS' COMPENSATION
DECLARATION
I hcrcby affirm under pcnalty of pcrjury onc of thc following declarations:
-l
have and will rnaintain a Ccrtificate of Consent to Sclf'-lnsurc fbr workcrs' compcnsation, as provided for by Section 3700 of the
Labor Codc, for thc performancc of thc work for which thc pcrmit is issucd.
-l
havc
thc work
and will maintain 3700 of thc l,abor Codc, for thc pcrformance of
Ibr which this policy numbcr arc:
Policy
-l
certity that in thc pcrformancc of thc work fbr which this pcrmit is issued. I shall not cnrploy any pcrson in any manncr
so as to bcconrc subjcct to thc workcrs'compensation laws of Califbrnia. and agrec that if I should becomc subject to thc '
workers' cornpensation provisions of Scction 3700 of thc Labor Codc, I shall. forthwith cornply with thosc provisions.
WARNING: Failurc to sccurc workers'cornpensation coveragc is unlawt'ul. and subjcct an cmploycr to criminal pcnaltics and
civil lines to onc hundrcd thousand dollars ($100,000), in addition the darnaqcs as providcd for the
Scction and fccs.
DECLARATION
I hcrcby alfirm undcr pcnalty of pcrjury that I arn liccnsed undcr provision of Chapter 9
of thc Busincss and Profcssions Codc, and my liccnse is in f'ull forcc and cffcct.
Scction 7000) of Division 3
,
Liccnsc ,a Nunrbcr:
CONSTIII.ICTION I,I'N I)ING AG I'N CY
I hcrcby aflirm undcr Jrcnalty of Frjury that thqe is a construction hnding agcncy for the pcrformncc of thc work for which this lErmit is
issucd (Se. 3097. Civ. C.).
lrndcr's Namc:
kndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby allinn under penalty of perjury one of the following dcclaratiolrs:
Dcnrolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6)
-Rcqu
ircd lrttcr of Notification
-l
ccrtily that the fcdcral regulations regarding asbcstos rcnxrvalarc nol applicablc to this projcct.
statc that thc abovc inlbrmation is corrcct. I with all City and County
abovc mcntioncd propcrty tbr
Applicant or Agent
Pernritee nanre
and and County to entcr upon
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf !oor/Ve nt/l nsu I atio n
Roof Sheathinq
Shear Wall
Framinq
lnsu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
bhunt- \2o.^(-rr 9-1 -21 \-rIFINALQ-a4t /TlL
Certificate of Occupancy
Notes, Remarks , Etc.
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ccrtily that I havc rcad
ordinanccs and to
urIc
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