HomeMy WebLinkAbout101108179 - PermitProject Address: 1002 N Toddy St
Assessor's Parcel:100-41 2-02 Lot: 14
Unit Bldg. Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 2191 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 'lnspecior Section: (714)647-5853
Permit #: {01108179
Pin #: {5{9O
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
R-3, U
VB
cBc 2019
A-0602320143J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l Area:
Yards Req'd
Valuation:
Description of Work lnstall roof mounted solar panels. Per checklist.
Planning Conditions:
$24,000.00
Botch*:.11t128 ltt/6/2t:t21 ID: t.RilSAL-E!
0f f i ce: (:'i YH [r'crns* | 2 : ui' 2Acct*: Ref*: ltllltl{17-/'l
Rcpti;tr3431tr36 Llt/6/2tt2l ltr:31 At1
Trun sgcL i on '[ot, a I $99S . {r1
Owner:
Address:
Phone:
Tenant
CINDY CHI TRAN
1OO2 N TODDY ST
Santa Ana, CA 927031545
(7141 623-1676
Contractor. Freedom Forever
Address: 72OO Fenwick Lane
Westminster, CA 92683
Phone: (7141404-0194
State Lic #: 1029644
Lic Type B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation I nsurance:
Carrier: Berkshire Hathaway
Policy #: FRWC217374
Expires: 06/01 12022
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C u rrent BpneWehleq,[ngi neer
Ramin Fadaeian
1960 Chloago,Aue, Suite Dl5
Riversidu,lGh'',S!$bZ l-i i
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$,i99 " 6?
Auth*:ll2t6tt-i
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
4tt ,50
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Date:
Date:
Date: 1010G12021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450 00
$40 50
$1 00
$0 00Amsden, Julie
Landscaping lnsp. Req'd
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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#. 2021-169278
No
No
No
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01 1 16002 51601
01116002 51612
01 1 16002 57770
$4s0.00
$1 00
$40 s0
$491 50
$0 00
$491.50
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h6cty afrm undq poalty of pcrjury thd I m qf,pt ftom thc Cootraclm' Licw law for thc followiru @tr (Sc.7031.5
Buine md Prcfesion Codc): Any City or County which rcquiro a pcrnit to cooltrucl, alta, improvq damlish or rcpair uy
structuc Fbr to its issuocc. also rcquire thc applicut for srch pqmit to 6lc a signcd stdmt thal bc or dE b licas€d plmail
to the prcvisioG of thc Contrrctor's Licoscd Law (Chspt6 9. Commcing with Sation 7000 of Division 3 of the Buine ud
PrcfesiomCodc)orthathcorshcisdmptthccfromildthcbssisforthcallcgcdamption AnyviolationofSctionT03l.5byey
applicutforaperrnitsubjeBthc applicuttoacivilpmaltyofnotmorcthmfivchundrtddollrs($500).
-1,
s om6 of thc fopcdy, or my cmploys with wagc r thcir $lc @mposatioo, will do thc wrk atd thc stnr{rc is rct
iitcdad or otfqcd for salc (Sc.7044, Bsirs od ProfsioE Codc: Thc Conrador's Lic@ law do6 mt 8pply to e owl6 of
thcpropgty whobuildsorimpoverhqa&ildwhodo6$chwrthimsclforhwlforthrcughhisorh6ommployc6,
providcd that such imFo@t! e rct intqdcd or offqd for ele lf, how. thc buildiag or improvffit L sH within onc )qr
of omplrbr\ thc o\vna Buildq will havc thc hrdar of pmving ttra hc or strc did mt hrild or inprovc thc popcty for thc pupo* of
$le).
_1, r oms of thc prcpqty, m cxclGivcly contracling with liccnscd contrrctoB to @mtruct thc prcj61 (Se. 7044, Bsins
and Eoftsix Codc: Thc Contretor's Licmc Law doc rct apply to e own6 of propqty who builds or imprcvB th6oD,
and who @dmcts for such projEts with a Contmcro(s) licoscd pummt to thc Contrrctor's Licerc law).
I mcxcmDt utrdtr Sction-, B. & P.C. for this rmn.
Dete:
WORI(ERS' COMPEN SATION
DECTARATION
I hereby affrrm under poralty of perjury one of the following declarations:
_l have and will maintain a Cenificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 37(t0 of the
labor Code for the pcrformance of the work for which the pcrrnit b issued.
/l
the
have and will maintain workers'insurance. as by Section 3700 of the l-abor Codc, for the perfonnance of
work for which this permit is issued.policy numkr are:
Policy
_l certi$ that in the pcrformance of the work for which this permit is issued, I shall not employ any person in any manner
so ,ts to become subject to the workers'compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Sedion 3700 of thc tabor Code I shall. forthwith comply with thosc provisions.
WARNINC: Failure to secure workers' compensation coverage is unlawful. and shall subject an anploycr to criminal perr,alties and
civil lines up to one hundred thousand dollars ($100,000). in addition to the cost of compcnsation, darnages as providcd for the
Section 3076 of the Labor Code, interest and attorney's
Dnte: h la /l=
(
T l)li('1.,\R,\'l'l()N
I hereby affirm under penalty of perjury that I arn licensed under provision of Chapter 9 (cornmencing with Section 7000) of l)ivision 3
of the Business and Profcssions Code, and my liccnse is in full force and effect.
License -
""", {o/h/a
W
I h*by affm urd6 poalty of pcrjury thd thrc is a condruc{ion hnding agmcy for thc pqfomce of the rcrk for which this pqmil b
Civ. C.).
Lender's Address:
ASPIICANLDECI.AEAIIAN
I hrdryatrm und6 poralty ofpcrjury onc ofthc following delarations:
Dcmolition Pmit3-Asb6tG Notification Fcdcrsl RcgulatioN (Titlc 40, Part6)
-Requircd
lrtt6 of l,,lotificarbn
-l
fsriry thar thc fcdsal rcXulatioro rtgudiag robetos moval re not applicablc to this pDj61.
-Z"n r, ,* , *c rcad this spplicstion and statc thst thc sbovc informarion is conqt. I agr to @mply with 8ll City ud Couty
ordimcB md Statc law rcldirg to builditrg construclioq ad h*by authorirc rcpreatativG of this City ud Couty to 6ts upor thc
above mentioned property for inspection purposes.
Applicant or Agent
Pernritcc nanle
Set Backs D
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUI ns u latio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drynruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
c.l>loIZ-ZI r(e J ,*Al
FINAL 16-l>7,1 [t41t *t243 -UI
Certificate of Occupancy
Notes, Remarks, Etc.
Contractor:_