HomeMy WebLinkAbout101107706 - PermitProject Address: 2628 S Diamond St
Assessor's Parcel:412-252-04 Lot: 28
Unit.Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 8343 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 lnspector Section. (714)647-5853
Permit #: {O11O77OG
Pin #: 69012
Ft,/
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD wa/att garage
R.3, U
VB
cBc 2019
x-06023202s9J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuationt $t 3,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall solar panels
Planning Conditions:
B'o
?
Owner:
Address:
Phone:
Tenant
Jose Rodriguez
2628 S Diamond St
Santa Ana, CA 927071501
(7141 771,0540 ext. 8286
Contractor: Freedom Forever
Address: 43445 Business Park Dr, #1'
Temecula, CA 92590
Phone: (951) ,145-5645
State Lic #: 1029644
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation I nsurance:
Carrier: Redwood Fire and Gasualty lnsura
Policy #: FRWC215868
Expires: 0110112022
Engineer
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Stds Revr
tr02* 5161
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
Frre lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Hernan dez, Kathy
Date:
Date:
Date: 0812312021
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:
$450.00
$24.30
$1 00
$0 00
'th
No
No
:No
Account#Total
01 1 16002 51601
01 1 16002 s1612
01 1 16002 57770
00
00
30
$4s0.
$t.
$2q.
Every permit rssued 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-168319
$47s 30
$0 00
$475.30
f f i
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/S!G.COMMENTS OWNER BUILDER DELCARATTON
I hseby a{Iirrn undo pcmlty of pcrjury thal I m cxmpt from thc Contractos' Licmc law for thc following twn (SG.7031.5
Buins od Profsion Code): Any City or County which rcqut6 a pqmit lo comtruct, alt6. improvq dsnolish or rcpair'uy
structuq pdor to its isumce. also requirG th€ applicilt for such pcrmit to filc a signcd statmot thrt hc or strc b liccnscd ptNlt
to the provisions of tlrc Contrrctor's Liccnscd llw (Chaptq 9. Comocing with Setion 7000 of Division 3 of thc Busins ed
PrcfesionsCodc)orthathcorsh€isexmptthqcftommdthcbasisforthcallegcdexmption. AnyviolationofSetionT03l.5byany
applicantforapemitsubjetsthe applimttoacivilpcmltyofnotmorcthulivehundreddollm($500).
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as owner of the property, or my employees with wages as their sole compensation. will do the work and the structure is not
intended or offerd for sale (Sec.7044. Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improves theron, and who docs such work himself or herself or through his or her own employees,
provided that such improvernents arc not intended or offered for sale. lf. however. thc building or impnovement is sold within one ]tzr
of completion. the Orvner Builder will have the burden of proving that he or she did not build or irnprove the propoty for the purpose of
sale).
-1.
as owner of the property, am exclusively contracling with licersed contraclors to construct the project (Sec. 7U4, Business
and Prof€ssion Code: Thc Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracls for such projects with a Contraclo(s) licaued pursuant to the Contractor's License Law).
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am exempt under Section-. B. & P.C. for this reason.
f)rto.
WORKERS' COMPENSATION
DECLARATION
I hereby affrrm under penalty of po'jury one of the following declarations:
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have and will maintain a Certificate of Consent to Self-lnsure for workers' compcnsation! as provided for by Section 3700 of the
labor Code.for the performance of the work for which the p€nnit is issued.
will maintain workers' comperuation insurance, as required by Scction 3700 of the l-abor Code, for the performance of
which this permit is issuod. My workers' compeflsation insurance carrier and policy number are:I have and
t\- rc o C.
\1(74 Glt lzz
Jt certify that in the performance of the work for which this permit is issued, I shall not
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employ any person in any manner
so as to become subject to the workers' compensation laws of California. and agrce that if I should become subject to the
rvorkers' cotnpensation provisions of Section 3700 of the Labor Code. I shall. fonhwith comply with thosc provisions.
WARNTNG: Failure to secure workers' compcnsation coverage is unlawful. and shall subje<t an onployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
I
Soction 3015 of the t hr Code,
Dare: Y 113[ Z,
interest and attorney's fees.
Atcq$lov.€-\r DI,,('t.AILt't'l()N
I hoeby aflirm under penalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License L'lo Number:
q
W
t hrcby affim undo pcnalty of pcrjury thar fte is a @ns(ruction loding agmcy for thc pqfomucc of thc wrk for which this pqnit b
isucd (Sc. 3097, Civ. C.).
[rndq's Namc:
knder's Address:
APPLICANT DECLARATION
I hereby affinn under penalty of perjury one of the following declarations:
Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pan6)
-Required
Letter of Notification
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certi& that the federal regulations regarding asbestos removal are not applicable to this project.
_l certi& that I have read this application and state that the above infonnation is correct. I agrec to comply with all City and County
ordinances and State laws relating to building of this City and County to ent6 upon the
above mentioned property for inspection
Applicant or Agent
Pernritee nanre
v
and hereby authorize represertatives
1-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl ns u latio n
Roof Sheathinq
Shear Wal!
Framing
lnsulation/Enerqy
Drynruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
lt
FINAL Qltsla,,JAzn
Certificate of Occu
Notes, Remarks, Etc.I
Owner:
Date:_
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