HomeMy WebLinkAbout101107462 - PermitProject Address: 4310 W Silver Dr
Assessor's Parcel: 100-573-1 1 Lol:22
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract. 3737 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853
Permit #: {01107462
Pin #: 60265&r
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-0602320256J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$13,384.00
Ltouch;;6Llfir tf -/ / t\tt
7.FlnC. I :
lu: ofnor(tIE
1 ci{' 1Description of Work: lnstall roof mounted solar panels per checklist.
Planning Conditions:
Jr t r ce;
Acctf:
icpti: ttS'InonEnct
Owner:
Address:
Phone:
Tenant
Jason Sommer
4310 W Silver Dr
Santa Ana, CA 92703
(7141 3364528
Contractor: Blalock Electric & Solar, lnc
Address: 23905 Clinton Keith Rd. #11,
Wildomar, CA 92595
Phone: (951) 440-0583
State Lic #: 915397
Lic Type: C-10, C-39
Bus. Lic #: 350286
Workers' Compensation lnsurance:
Carrier: State Comp
Policy #: 9075584
Expires: 10l,1212021
McPherson Englneerlng
Ryan J McPherson
Engineer:
Address:
Phone:
License #:
Architect /
Designer.
Address:
Phone:
License #:
6169 Sunny Circle
Mira Loma, CA 91752
(909) 569.2244
il6tt I Lltlt.l'
Revoivtn
il612it[tt-t.
82088
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p.)atL
t1
$2t
$ 475
t8276
Planning Approva! By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Date:
Date:
Date: 08/09/2021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07176002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450.00
$28 3s
$1 .00
$0.00Amsden, Julie
Landscaping lnsp. Req'd
Every permit issued 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 MtD#'. 2021-167906
No
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
01 1 16002 51612
01 1 16002 57770
00
00
35
$4s0
$t
$28
$479 35
$0 00
$479.35
rl
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenUI ns u latio n
Roof Sheathinq
Shear Wall
Framinq
lnsu lation/Enerqy
Drvwall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar \
Handicap Req.
Deputy Final Report /
Engineer Final Report
Flood Zone Certif.
t/z1
-LFINAL
Certificate of Occu
Notes, Remarks, Etc.
/
<-'a
I hcreby offrrn under pcnalty of;rrjury that I m cxcmpt from thc Contrrctom' Lhcn* liw fo. thc following rcamn (Ss.?031.5
Busincss and Prcfcssiotr Cftlc): Any City or County which rcquircs a fErmit 1o @nstruct, altcl improrc, dcmlish or rcpair my
structurc. prior to its issuancc, olso rcguircs the appltmt for such lEmit to lilc a signcd stalcmtrt that lrc or s]rc ir licensed puzuut
1o thc previsions of thc Contrrctor's Liccnscd taw (Chaplcr 9. Commncing with Sstion 7000 of Division 3 of thc Busiress and '
PmfcssionsCodc)orthathcorsheiscxcmptthercfremsndttEbmisforlhcallcgcdcxcnwion. AnyviolationofSstionT03l.5byany
applicant for a pcrmit subj$ts thc applicant to a civil pcnalty of not mrc than fivc hundred dolles ($50O).
-1.
as owncr of thc propcrty.or my cmployccs with wagcs as thcir solc cornpcnsation. willdo thc work and the structurc is not
intcnded or offcrcd for sale (Scc.7044. Business and Professions Codc: Thc Contraclor's Liccnse Law docs not apply t<l an owncr of
thc propcrly who builds or improves thcrcon. and who docs such work hirnsclf or hcrsclf or through his or hcr own employecs.
provided that such improvcmcnts arc not intcnded or offercd for sah. If, howcver. thc building or improvcrncnt is soh within onc ycar
of complction. thc Owncr Builder will havc thc burden of proving that hc or she did not build or improvc the pnrprly for thc purposc of
sale).
_1. as owncr of thc propcrty, arn exclusivcly contracting with liccnscd contraclors lo conslruct thc project (Sec. 7W, Business
and Prrolcssion Codc: Thc Conlractor's Liccnsc Law docs not apply lo an owncr of propcrty who builds or improvcs thcrcon.
and who conlracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnse l.aw).
_l am cxcrnpl undcr B. & P.C. lbr this reason.
Date: Owner:
WORKERS' COMPENSATION
DF'CLARATION
I hcrcby affrm under pcnalty of pcrjury one of the following dcclarations:
havcandwill rnaintainaCertificateofConscnttoScll'-lnsurcforworkcrs'conrlrcnsation.as providedforbyScction3T00ofthe
t2bor Codc. for thc pcrforroncc of thc work for which thc pcrmit i! issucd.
$ havc and will maintain workers' comlEnsation insurorcc. ss rcquircd by Scclion 3700 ofthc bbor Codc, for thc pcrtorrc of
Ihc work for which this pcmit is issucd. My workcrs' compcnsation insurancc cmier and lrclicy numbcr uc:*b/z ot-t Fuyrol
Poricy *"rr*r. ?OA 5584 Expires:/on2 /zr
_l certify that in thc pcrforrnance of thc work for which this pcrnrit is issucd. I shall not cmploy any pcrson in any manner
so as lo bccome subjcct to thc workers' compcnsation laws of California, und agrce that if I should bcconre subject to thc
workers' compensation provisions of Scction 3700 of the Lrbor Codc. I shall. forthwith cornply with thosc provisions.
WARNING: Failurc to sccurc workers'compcnsation covcrage is unlawful. and shall subjcct an employcr to criminal pcnaltics and
lbr thc
LICF'NSED CONTRACTOR
DECL/IRATI0N
I hcrcby affirm under pcnalry of perjury rhat I arn licenscd under provision of Chaptcr 9 (comnrcncing with Section 7000) of Division 3
of thc Busincss and Profcssions Code. and nry liccnsc is in full lbrcc and effcct.
-/O 7rss" 7
Contraclor:o
7na
CONSTRUCTION LENDING AGENCY
I hcrcby affrm undcryEnalty of pcrjury that thw is a @nstruction lending agcmy for thc Jrcrforrorcc of thc work for which this pcrmit is
issucd (Sec. 3g)7. Civ. C.).
lrndcr's Namc:
Lcndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby alilnrr undcr penalty of pcrjury one of thc following dcclarations:
Dcrrrolition Permits-Asbestos Notification Fcdcral Rcgulations (Titlc 40, Part6)
-Requircd
l.ctter of Notification
-l
ccrtify that thc federal rcgulations rcgruding asbcstos renrovalare not applicablc to this projcct.
ccrtily that I havc rcad this application with all City and County
and County to cnter upon thcordinanccs and Statc Laws rclating to
above mcntioncd propcrty for inspcction
or Agent
IDernritee nanre Ct a-
o,r", oo/o?/zt
civil fincs up to ollc hundrcd thousand
Scction 3076 of the l;rhrr Codc.intercst
_License