HomeMy WebLinkAbout101107514 - PermitProject Address: 1301 N Fawn St
Assessor's Parcel: 100-551-22 Lot: 15
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 3523 Historic: No
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {01107514
Pin#: ,"W
Building Use:
Job Type:
Nature of Work:
Existing BIdg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
R-3, U
VB
cBc 2019
A-0602320143J
1st FL Area
Znd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $t 9,600.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall roof mounted solar panels per checklist.OVICf,OPIC
2 of'2
L tt 7514
LI ANPlanning Conditions:
BOICh;:6LUZU
0l'f i ce: (:T Y H
Acct i :
ftcp ti:11337 791
Owner:
Address:
Phone:
Tenant
Hongvan Thinguyen
1301 N Fawn St
Santa Ana, CA 92703
(7141 234-6667
Contractor: South West Sun Solar, lnc.
Address: 13752 Harbor Blvd
Garden Grove, CA 92843
Phone: (7141 582-3909
State Lic #: 1004667
Lic Type: C-10, C-39
Bus. Lic #: 350754
Workers' Compensation I nsurance:
Carrier: Starnet lnsurance Company
Policy #: BNUWC0154184
Expires: 06/01 12022
Engineer:
Address:
Phone:
License #.
Architect /
Designer:
Address:
Phone:
License #:
Dass Structura! Engineers
Praveen Dass
1655 Shertington Place, 2-202
Newport Beach, CA 92663
(949) 295-7943'
'' r.. t,
Ti
DOJ
L.atr-t
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Date:
Date:
Date: 08/1 312021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51607 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
$36.4s
$1.00
$0.00
$487.45
$0.00
$487.45
Amsden, Julie
Landscaping lnsp. Req'd
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
Inspector MID#: 2021-168039
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Ceft. Req'd: No
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450 00
$1 00
$36 45
q"
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf Ioor/VenVl ns u latio n
Roof Sheathing
Shear Wall
Framing
lnsulationlEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
l\/asonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Engineer Final Report
Flood Zone Certif
I ,I
FINAL 1/rt /t,J^,6lYh
Certificate of
Notes, Remarks, Etc.J
OWN IiR I} UI I,DI.]R I)I.]LCA RAI'ION
I hcrcby affrm undcr pnalty of pcrjury that I m cxcmpt frcm thc Contraclos' Liccns law for thc following rcasn (Scc.7031.5
Busincss arxl Prcfcssion Code): Any City or County which rcquircs s JErmil to @nstrucl, alto, imprcvc, dcmlish or rcpair any
structurc. prior to its issuancc, dm rcquires the applicmt for such pemit to filc a signcd stolemnl that hc or shc is liccnscd purset
to thc pmvisions of the Contretor's Liccnsd hw (Chapter 9, Commcrcing with Scction 7000 of Division 3 of thc Busincss and
PrefcssionsCodc)orthatheorshciscxcnrptthcrcfromandthcbarisforthcallcgcdcxcmption. AnyviolalionofsccthnT03l.5byany
applicanl for a pcrmit subjccts thc applicant to a civil pcnalty of not mrc than fivc hundrcd dollus (5500).
_1, as owncr of thc proprty. or my crnployces with wagcs as their solc compcnsation. will do thc work and the stnrcturc is not
intcndcd or offcrcd fbr salc (Soc.7044. Busincss and Profcssions Codc: The Contractor's Liccnse [:w docs not apply to an owner of
thc propcrty who builds or improvcs thcrcrrn. and who docs such work himsclf or hcrsclf or through his or hcr own cmployccs.
providcd that such improvenrcnts arc not intcndcd or offcrcd for salc. If. howcvcr. thc building or improverncnt is sold within one ycar
of complction, thc Owncr Buildcr will have the burdcn of proving that hc or shc did not build or improvc thc propcrty for thc pur;nsc of
salc).
_1. as owncr of thc propcrty, am exclusivcly contracting with liccnscd conlractors to construct thc project (Scc. 7W, Busincss
and Profcssion Codc: The Contractor's Licensc Law docs not apply to an owncr of propcrty who builds or improves thcrcon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Licensc taw).
_l am cxcmpt undcr B. & P.C. for this rcason.
( )u'rrt.r.
WORK T'RS' COM PENSA TION
DECI ARATION
I hercby affirrn undcr pcnalty of pcrjury onc of thc following declarations:
_l havc :urd will nraintain a Certificate of Conscnt to Sclf-lnsure l'or workcrs' compcnsation. as providcd for by Section 3700 of the
Codc, tbrthc pcrforn'nnce of thc work for which the perrnit is issucd.
havc and will maintain workcrs'comlrcnsation insurancc. as rcquircd by Scction 3700 of thc labor Codc. for thc performancc of
thc work for which this pcrnrit is issucd. My workcrs' compcnsation insurancc carricr and policy numbcr are:
L
_l ccrtify that in thc pcrforrnancc of thc work firr which this prrnit is issucd. I shull not crnploy any pcrson in any nlanncr
so as to bcconrc subjcct to thc workcrs' conrpcnsation laws of California. and agrcc that if I should becomc subjcct to thc
workers' compcnsalion provisions of Scction 3700 of thc latxlr Codc. I shall. forthwith comply with thoric provisions.
WARNING: Failurc to securc workcrs' compcnsation coveragc is unlawlul. and shall subjcct an cmploycr to crirninal pcnaltics and
civil fincs up to onc hundred thousand dollars ($100.0m). in addition to thc cost of conrpensation. damagcs &s providcd for thc
Scction 3076 of the Code, interest and attorncy's fccs.
I hcrcby affirm undcr pcnalty of pcrjury that I am liccnsed undcr provision of Chaptcr 9 (contmcncing with Scction 7000) of Division 3
of thc Busincss and Profcssions Codc, and my liccnsc is in full force iud ctfcct.
Liccnsc
o"ru' 8
W
I hcrcby uflirm undcr Fnalty of Frjury that thcrc is a construction lcnding ogcncy for thc pcrformncc oflhc work for which this lErmit is
issucd (Scc. 3097, Civ. C.).
lrndcr's Narnc:
lrndcr's Address:
APPLICANT DECLARATION
I hcrcty affrnn undcr pcnalty of perjury onc of the tbllowing declarations:
Dcmolition Pcrmits-Asbcstos Notification Fedcral Regulations (Titlc 40, Parl6)
_Requ ired l-ctter of Notification
ccrtily that thc fcdcral rcgulations rcgarding asbcstos rcrmrvalarc not applicahle to this projcct.
ccrtily that I havc read this application arxl statc that thc abovc infornration is corrcct. I agrce to comply with all City and County
ordinanccs and Statc [:ws rclating to building of this City and Counly to entcr upon thc
abovc nrcntiorrcd propcrty for
Applicant or Agent
Pcrnritee nanre
l)urp()scs.
and hcreby authorizc
poricy*,,,n". B\)u\)cs-rLSZ*I+ Expircs:
I I
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