HomeMy WebLinkAbout101108020 - 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 #: {O11O8O2O
Pin #: 36496
//
Project Address: 1403 N Lowell St
Assessor's Parcel: 405-303-06 Lot: 7
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/att garage
R-3, U
VB
cBc 2019
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Total
Patio:
T.l.Area:
Yards Req'd
Valuation: $22,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
Description of Work: Install solar panels
Planning Conditions:
Bsb,:h*:6t_tSt-tj t/2L/ tltzI
I r'nn s* : 1:
Owner:
Address:
Phone:
Tenant
Leoniel Cabus
1403 N Lowell
Santa Ana, CA 92706
(7141 318-9483
Contractor: SunSolar US
Address: 16755 Von Karman Avenue,
lrvine, CA 92606
Phone: (949) 242-0088
State Lic #: 975072
Lic Type: B, C-10
Bus. Lic #: 367937
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9108804
Expires: 0712612022
Engineer.
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
iuri Sc' 1cr Uti
tturldtng
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Revolv i ns
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& DocumenLs
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c}g1'?O-l / .)
tL/ illiI
Planning Approval By:
Plan Checked By.
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd. No
Police lnsp. Req'd. No
Ffood Zone Cert. Req'd: No
\N Hernan dez, Kathy
Date:
Date:
Date: 0912112021
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 Totat
Paid to Date:
Balance Due:
$4s0.00
$20 2s
$1 .00
$0.00
$471.25
$0 00
$471.25
No
No
No
No
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450 00
$1 .00
$20.25
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-168906
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hseby affm undq psulty of perjury thal I m cxcmpt ftom the Contrac-to6' Licre law for the following wn (Sc.70i1.5
Buincs ard Prcfcssion Codc): Any City or County which rcquiB a pqmit to corutrucl, altq, improvg danolish or rc?air anf
structuq Fior to its issumcc, also rcquirc thc spplicot for such pqmit to filc I signcd stdmot that hc or slrc b licoscd pmt
to thc lrovisiore of thc Contmctor's Licmscd lzw (Chapt6 9, Comocing with S$tion 7000 of Division 3 of thc BNitrs ed
Prcfsiotrs Codc) or that h€ or shc is cxcmpt thqcfrom ed thc basis for thc allcgcd cxoption. Any violation of Sdion 7031.5 by uy
applicant for a pcmit subjets th€ applicut to a civil penally of not more tha five hundrcd dollm ($500).
_1, r oms of thc prcpsty, or my cmployca with wagc c their $lc compcru8tiotr. will do thc wrt ed thc stnr-trc b not
intqrded or offcred for ele (58.7044, Bsins ud Prof$ioG Codc: The Contractor's Licsc lrw do6 not apply to a omer of
thc pmpqty who builds or irnprovc th@n, ed who doe such wrt himsclf or h6clf or ttrough hb or he om cmployce,
prcvided that such imprcmmts ec not itrtsd€d or offqcd for s.lc. If, howqq. the building or improwt is sld within onc yw
ofcomphtion, thc Owns Buildq will havc thc htrdor ofprovi[8 ttld he or shc did rct build or impove thc popoty for rhc purporc of
salc).
_1. c omq of thc Fopqty, m cxcluiv.ly conractitrg with liccns€d cotrtracto$ to coNtruct thc projEt (Sa. 7044, Buins
ild PrDfsbn Codc: The Contrrctor's Liccmc t w do6 not apply to u ownq of proprrty who builds or improvc thq@n.
ed who contnds for such projEls with a Contncto(s) licq&d prc@t to thc Contrsctor's Lic$e t w).
-l
am cxempt under Section-, B. & P.C. for this reason.
Date:
WORKERS' COMPENSATION
DECLARATION
I hereby affirm under penalty of pojury one of the following declarations:
_l have and will maintain a Certilrcatc of Consent to Self-lnsure for workers' compcnsation, as provided for by Section 3700 of the
I-abor Code, for the performance of the work for which thc pcrmit is issued.
_l have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation insurance carier and policy numkr are:
Policy Number: Expires:
-t
certify that in the performance of the work for which this permit is not employ any person in any nlanner
if I should bc"come subject to the
comply rvilh those provisions.
and that
WARNINC: F'ailure to secure workcrs' cornpensation coverage and shall subject an ernployer to criminal pa,alties and
civil fines up to one hundred thousand dollan ($100.000),
Section 3076 of the tabor Code, interest and attorney's fees.
1o the cost of compensation, damages as providcd for the
I hereby alTirm under penalty of perjury that I arn under provision of Chaptcr 9 (commencing with Section 7000) of Division 3
of thc Business and Professions Code, and my licensc is in full force and effect.
License
l)rrlr.'
I hcby affm undo pcoalty of pcrjury that th@ is I corutruciion knding agacy for thc psfor:mcc of thc rcrk for which this pcmit b
isucd (So. 3097, Civ. C.).
[rnd6's Nm€:
l-cnder's Address:
APPLICANT DECLARATION
I herEbyalfinn under penalty of perjury one of the following declarations:
Dcmolition Perrnits-Asbestos Notification Federal Regulations (Tille 40, Part6)
_Required Letter of Notification
-l
certify that the federal regulations
-l
certify that I have read this with all City and County
ordinances and State laws relating to
above rnentioned property for
Applicant or Agent
I'ernrilec nrme
removalare not applicable to this projed.
and
zl
upon the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathing
Shear Wall
Framing
Insulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
tr -a
F!NAL (e ltt\A D$,44'YY
Certificate of Occupancy I
Notes, Remarks, Etc.
Carricr:_
a
Date:
Class:
and hereby
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