HomeMy WebLinkAbout101108206 - PermitProiect Address: 1239 E Martha Lna
Assessor's Parcel: 398-082-19 Lot. 39
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 9519 Historic: No
{
-City of Santa Ana 20 Civic Center Plaza (M-19), Santa nn", Cn ,)rO, Buitding
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O11O82OG
Pin #: 35669
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Solar
Solar/Service Meter/ EV Outlet
SFD w/att Garage
Occupancy:
Constr Type
Code.
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation: $62,950.00
Description of Work: lnstallation of roof mounted PV system. Worksheet attached to plans
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Randy Carrillo
1239 E. Martha Lane
Santa Ana, CA 92701
(7141 235-8851
Contractor: Nexgen Solar
Address: 18032 Lemon Drive, #C418
Yorba Linda, CA 92886
Phone: (7141 993-2011
State Lic #: 973276
Lic Type: B, C-10, C-33
Bus. Lic #. 377802
Workers' Compensation I nsurance:
Carrier: State Comp
Policy #: 9384406
Expires'. 10/01 12021
Engineer:
Address:
Phone:
License #:
Architect /
Designer.
Address:
Phone.
License #:
Dass Structural Engineers
Praveen Dass
1655 Shertington Place, Z-202
Newport Beach, CA 92653
(e49) 2s5-7943
74200
Nexgen Solar
18032 Lemon Drive, #C418
Yorba Linda, CA 92886
(7141 ee3-201 1
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Date:
Date:
Date. 1010812021
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
07776002 57607 Permit Fee
07775002 57770 Microfilm Records
07776002 57572 BIdg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$60.75
$3.00
$0.00Chavez, Dave
Fire lnsp. Req'd:
Police Insp. 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 issua 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.
lnspector MID#: 2021-169327
No
No Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$4s0.00
$3.00
$60 75
$513.75
$0.00
$st 3.75
r
)
tsUILUING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS oWNERBUTLDERDELCARATTON LI hseby affum unde pcnalty of perjury thst I m qmpt fiom thc ContracloE' Licw law for thc following rcen (Se.703 ! .t
Buine ud Profsion Codc): Any city or County which rc{uir6 8 p6mit to @mtrucl altq, imprcvc dcrnolish or rcpair uy
struc{uq prior to its isuocc. also rcquirc thc applicut for such pcf,nit to filc a signcd statmot thst hc or shc is licascd pGuut
to the Fovisioru of thc Contnctor's Licenscd Law (Chapt6 9, Commocing with Setion 7000 of Division 3 of the Bsins ud
Pmfsioro Codc) or thst hc or shc is q@pt thqcftom md thc b6sis for thc allcgcd oopion. Any violation of Scrion 7031.5 by ily
appliciltforap6mitsubjetsthc applicmttoacivilpcnaltyofrctmorcthafivehundrcddollm($500).
_1,6 owner or my employees with wages as their sole compensation, will do the work and the structure is not
and Professions Code: The Contractor's License [,aw does not apply to an owner of(Sec.7044. Business
the property who builds or improves thcron, and who does such work himsclf or herself or through his or hcr own employees.
provided that such impnovanents are not intend€d or offcrod for sale. I[. howorer. the building or improvernent is sold within one ]&ar
of complaion the Or,vner Builder will have the hrdcn of proving ttat hc or she did not build or improve the propcrty for the purposc of
sale).
_1, as owner of the propertyr arn exclusively contracting with licensed contractoni to construct the project (Sec. 7044. Buiness
and hofession Code: The Contractor's License Law does not apply lo an owner of propcrty who builds or improves thereon,
and who contracts for such projects with a Contraoo(s) licerscd pursuant to the Contractor's Licensc l-aw).
-l
am cxcmpt under Section-, B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I hereby affrrm under penalty of pcrjury one of thc following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compeosation, as provided for by Section 3700 of the
Labor Code, for the performance of thc work for which the perrnit is issued.
_l havc and will maintain workers' compensation insurance, as requircd by Section 3700 of the [abor Codc. for the pcrformance of
the work for which this pa'mil is issued. My workcrs' compensalion insurance carrier and policy number are:
Policv Number: Exoires:
_l certi$ that in the performance of thc work for which this pcrmit is issued. I shall not employ any person in any manner
so rui to bccome subject to the workers'compensation laws of California. and agrec that if I should become subjcct to the
rvorkers' compcnsation provisions of Section 3700 of the l"abor Codc, I shall. forthwith comply wilh thosc provisions.
WARNING: Failure to secure workers' compcnsation coverage is unlawful, and shall subject an anployer to criminal panalties and
civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compcnsation, damages as provided for the
Section 3076 of the Labor Code, intercst and attorney's fees.
I hereby affrrm under -1
of the Business and Professions Code, and my license is in full force and effect.
License Class: License Number:
Ilol o.
W
I hsEby affm undq paalty of pGjurythat thqc is a constructbn knding agmy for thc pqfolrrucc of thc rcrk for *hich this Frnh b
i$u€d (56. 3097, Civ. C.).
Lender's Name:
Lender's Address:
AfI!.ICANLDECI.AEAITON
I hq6ry sffm urd6 paalty of pGjury onc of thc followiag dalarations:
Demolition Pmits-Asb6tos Notificstior Fcdqal Rcgulatiore (Tillc 40, Parr6)
-Rcquircd
trtts of Notifi@tbn
-l
cqriry thd thc fcdqal rcgulatioro rcgrding sbctos rmoval uc not epli€blc to this prcj6{.
-t
cqtiry that I hsve red this applic8tion 0rd statc that the abovc infonnarion is cor6t I agr to omply with all City od Couty
ordimG md Statc ttw rching to building congruclion, ed hcby authoria reprMtativ6 of this City md County to mtq upon thc
above mationed prcpcrty for impetion purpos.
Applicant or Agent
I'ermitee name
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfl oor/Venul ns u latio n
Roof Sheathing
Shear Wall
Framing
Insu Iation/Enerqv
Drywall I I It
E9.nnt. Lath 0lwlv L ?Z
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif I A
t@TtrUS ro\r&la'*>ttb,aw
(J I ^4 t I t --
FINAL Dn0tz\r I .fr
Certificate of Occupancy I J
Notes, Remarks, Etc.
)
Contractor: