HomeMy WebLinkAbout101105719 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests'. (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O57{9
Pin #: E^76,22
/
Proiect Address: 1613 E Gatalina Avea
Assessor's Parce!: 396-053-22 Lot: 9
Unit Bldg: Address Range:Suite Range:
Zoning: AlBlock: NA Tract: 4167 Historic. No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Solar Constr Type: V B 2nd FL Area:
Nature of Work: Solar w/ back up battery Code: CBC 2019 Other Areas:
Existing Bldg. & Use: SFD w/aft garage Flood Zone: X-0602320163J
Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: lnstall new roof mounted solar PV system w/ back-up battery system. Per checklist.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $20,000.00
Owner:
Address:
Phone:
Tenant:
James Panzer Contractor: Sunrun Solar
1613 E Catalina Ave Address: 20512 Crescent Bay, #108
Santa Ana, CA 92705 Lake Forest, CA 92630
17071364-3726 Phone: (818) 563-0529
PERMTTCANCELLED :rT;',:,-' lll.ll,...
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DATE: Carrier: Liberty tns corpto\rslz\ ::fi:l Y:;::iDlr,5522o2o
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Sunrun
Amir Massoumi
46 Cezanine
lruine, CA 92618
(e4e) 383-0se3
c75504
INITIAL: (
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd.
Planning lnsp. Req'd
b
ryAmsden, Jutie
(.No
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
01776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Date: 0210412021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
$450 00
$1 01 .25
$1.00
$0.00
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs rssua nce,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.
01116002 51601
01116002 51612
01116002 57770
$450 00
$1 .00
$1 01 .25
$552.2s
$0.00
$552.25
Inspector MID#: 2021-163874
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby alfrrm undcr pcnalty of Jrcrjury that I am crcmpt from thc ContrackrB' Liccn* law for thc lbllowing rcasrn (Soc.7031.5
Busilcss arxl Profcssiotr Cdle): Any City or County which rcquircs a lErmit kr conslruct. oltcr. improvc, dcmolish or rcpait ,ny
structurc, ltrDr to ils issuscc, als rcquircs thc spJrlicsnt for such lrcrmit k] tile a signcd statcmnl lhat he or slE is liccnsd pmuant
b thc lmvisions of thc Contractor's Licenscd Law (Chaptcr 9, Comcreing with Scction 7(XX) of Divishn 3 of thc Busircss afil
ProtbssionsCodc)orthathcorsheisexemptthcrcfromandthebasisforthcalle8cdcxcmption. AnyvttlationofscctionTOJI.5byany
applicatrt for I |rcmit subjets the applicant to a civil pcmlly of trol m(rrc than livc hundrcd dollus ($5(x)).
_1. as owncr of thc propcrty, or my employccs with wagcs as thcir solc compcnsation, will do lhc work aml thc shw*ture is not
rntcndcd or ollercd lirr sale (Sec.7M4, Business and Prot'cssions Crxle: Thc Contractor's Liccnsc L:w drrcs not apply to an owner of
thc pnrpcrty who builds or improves thcrcrrn, arxl wtxl tlocs such work himsclf or hcrsclf or thnrugh his or hcr own employccs,
providcd that such improvcnrcnts are not intcndcd or ofl'crcrl for salc. If. txlwcvcr, thc buikling or improvcnrcnt is s<lkl within onc ycar
ol'comphtion, thc Owncr Buikler will have thc burdcn of proving that hc or shc dll not buikl or inrprovc thc pnrJrrty for thc puryxrsc of
salc).
_1, as owncr of the property, am exclusively contracting with liccnscd contracton lo construct thc pnlject (Scc. 7OM, Busincss
arxl Pnlfesskrn Crilc: Thc Contractor's Licensc Law docs not apply to an owncr of proJrcrty who builds or improvcs thcrcon,
and who conlracts for such projects with a Contractor(s) liccnscr-l pursusnt to lhc Contractor's Licensc kw).
-IamcxcmptundcrScction-.B.&P.C'ftlrthisrcastltl.
Date:
W ORKERS' COIII PENSATION
Ihcrcbyat1rrmuntlcrpcnaltytlfpcrjurytlneofthe,u,u,*"*ffi
_l havc and will maintain a Ccrtilicate of Conscnt to Sclf-lnsurc firr workcrs' comJrcnsation, as providcd tbr by Scction 3700 of thc
l-atxlr Culc, lor thc pcrformancc of the work for which the Jrcrmit is issucd.
[t nur" and will maintain workers'compcnsation insurance, as rcquired by Scction 3700 of thc Labor Ctxle, tirr thc Jrcrlbrmance of
thc work tbr which this pcrmit is issued. My workcrs' compensation insurancc carricr and Jxrlicy number arc:
CrBFrrn-t1
poricyNurnt"r'(dfia- 6q(9-tt\SfZ?- o?o Expircs: tc, /", / Z I
_l ccrtity that in thc Jrcrtirrmance of the work tilr which this Jrcrmit is issucd, I shall not cmphry any lrcrson in any manncr
so as to r-kct)mc suhjcct to thc workcrs'comSrcnsation laws of Calitbrnia, and agrcc that il'l shoukl hecomc subjcct to the
workcrs' comJrcnsation pmvisions of Scction 3700 of thc Lahrr GxIc, I shall, tirrthwith comply with thosc pnlvisions.
WARNING: Failurc to sccurc workcrs'comJrcnsation covcragc is unlawful, and shall subjcct an cmpklyer to criminal pcnaltics and
civil lincs up to onc hurrdred thousand dollars ($100,firu), in addition to thc cost of compcnsation, damagcs as providcd for lhc
Scction 3076 of thc Labor C<xle, intercst and attonrcy's fccs.
LICENSED CONTRACTOR
DECLARATION
I hercby allrm under pcnalty of prjury that I am Licensed undcr pnlvision of Chaptcr 9 (commcncing with Scction 7UX)) of Division 3
ol' thc Busrncss and Prol'essions Code, arxl my liccnsc is in l'ull lirrcc aml ctl'cct.
Liccnscglu"..C'to C-L( (, LiccnscNumhcr: n5C) t g\
(o o ZL Conlr;rclnr'(-lr..J fav^/
CONSTRUCTION LENDTNG AGENCY
I hcrcby affrm undcr grcnalty of fsjury lhal thcrc is a conslructi)n hnding agcrey for thc lErforrorec of thc wotk for which this Imit is
issucd (Scc. 3097, Civ. C.).
[-cndcr's Name:
APPLICANT DECLARATION
I hcrcby all'rm undcr pcnalty of ;rcrjury one of thc lirlklwing dcclarations:
Dcmolition Pcrmits-Asbcstos Notitication Federal Rcgulations (Titlc 40, Paa6)
_Rcquircd l-ctter of Notitication
_l ccrtily that thc t'cdcral rcgulations rcgarding asbcslos rcnxrval arc not applicahlc to this pro.jcct.
A I ccrtity thar I have rcad this application and state that thc atxrvc inlirrmation is corrcct. I agrce to cttmply
ordinanccs and Statc Laws relating to building construction, and hcrchy autlxlrizc rcprcscntativcs <tf this City
with all City and County
and County to entcr uJxrn thc
z(q l.t
l)cnrritee nanle
g,rv/
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nVl ns u lation
Roof Sheathinq
Shear Wall
Framinq
!nsu lation/Energy
Drvwal!
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
Flarr nP.n7 3n1q
,rr.' ?-l V I Z t Annlicanl:
ahovc- nrcntioncd prcpcrty lilr
Applicant or Agenl
lrrrirrll.BG.muocr.r DfetFS
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