HomeMy WebLinkAbout101105859 - PermitProject Address: 322 S Cooper St
Assessor's Parcel: 108431-08 Lot:27
Unit:Bldg. Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 3775 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714).667-2738 lnspector Section: (714) 647-5853
Permit #: {Oi {05859
Pin #: 23{90Z/lr
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
R-3, U
VB
cBc 2019
A-0602320252J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio.
T.l.Area.
Yards Req'd
Valuation: $t 6,000.00
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall roof mounted solar panels per checklist.
Planning Conditions:
Botchf : i8?40 +/?6/2t-t2L ID: EL IZABETH
CIi {' i ce: (:TYH Tr nn s* : 19 ? sf 3Accb*: ftef*: 1u11t:r5$i9
Rcpti:tr3267955 4/26/21121 9343 A}1
Trqnsoction Totn1 tlr25B.79
Owner: Sang Lam
Address: 322 S Cooper St
Santa Ana, CA 92703
Phone: F14l474-ggg8
Tenant
Contractor: Tesla Energy Operations
Address: 2102 Alton Parkway
lruine, CA 92606
Phone: (7141496-0688
State Lic #: 888104
Lic Type: B, A, C-10, C-20, C46
Bus. Lic #. 324801
Workers' Compensation I nsurance:
Carrier: Zurich American
Policy #: WCl07458303
Expires: 10/31 12021
pZSE lncl es I n En er s e 0p er'nt i uri s
Paul Kennetb Zacher. SE
81 sr s u ffi i{yi{i-fu",flt6pr rr r-r rr -
FAIR OA[ft049062*evCIt,,' i ng
(916) 96ll396OLrLr?- :i1 6 I ?t:tt-tt-i-
53878 11 i,:nof iltrt & Do,:urfierrts
t-t L 1 1 6l:u:ti * i;7-l7t-t[t[tt:t--
Ilnst er (:nr d
(:i:+: **r*****s**xi 1? 1
t45(t . t-t0
g1 . r10
$56 .'/tJ
tlr258.-/9
Auih*:tt627tt5
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
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:
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Zuniga, Allissa
Date:
Date.
Date: 0412612021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07716002 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
$56.70
$1.00
$0 00
No
No
No
No
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$4s0.00
$1.00
$56.70Every 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.
Inspector MID#: 2021-16427 1
$507.70
$0.00
$507.70
tt t
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I hs€by affim unda pemlty of pcrjury that I dn cxcmpt from thc Contractos' Licwc Law for thc following rcetr (54.7031.5
Buincs and Profsion Codc): Any City or County which rcquirs a pqrnit to comtrucl. alt6. imprcvc, dmolish or repair uy
structuq prior to its issmcc, also rcquirB thc applicet for such psmit to file I signcd stalm@t that hc or she is licmsl p|edr
to thc provisio$ of th€ Contractor's Licms€d t w (Chaplo 9, Commcncing wilh Setion 7000 of Division 3 of thc Bsinc$ ild
Prcfesions Codc) or that hc or she is qempt thqefrom ild the basis for the allegcd qmption. Any violation of Serion 7031.5 by oy
applicantforapcmitsubj*tsthc applicattoacivilpmltyofnotmorcrhilfivchundrcddollm($500).
I
_1. as owner of the property. or my employees with wages as their sole cornpensation. will do the work and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Codc: The Contractor's License Larv does not apply to an owncr of
the property who builds or improves thereon. and who does such worft himself or hersclf or through his or her own employees,
provided that such improvanents are not intended or offcrod for sale. I[, howet/er. the building or improvernent is sold within one ]er
of complaion. the Orvner Builder will have the huden of proving that he or she did not build or improve the propoty for the purpose of
sale).
_1. as owner of the prop€rty. am exclusively contracting with licensed contractors to construct the project (Scc. 7044, Bwiness
and Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such p,rojects with a Contracto(s) licersed pursuant to thc Contractor's Liccnse taw).
-IalnexemptunderSection-.B.&P.C,forthisreason.
WORKERS' COMPENSATION
DECLARATION
I hercby affrnn under pcnalty of perjury one of the following declarations:
-l
have and will maintain a Certificate of Consent to Sclf-lnsure for workers' compensation. as providod for by Section 3700 of the
Labor Code. for the po'formancc of the work for which the perrnit is issued.
_l have and
the work for
\
will maintain workers'as by Section of the Labor Code. for the performance of
permil is numbcr are:
Policy
_l certi& that in the perforrnance of the work for rvhich this perrnit is issued. I shall not cmploy any pcrson in any manner
so ,ls to become subject to the workers'compensation larvs of California, and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with thosc provisions.
WARNTNG: Failure to secure workers' compensation coverage is unlarvful. and shall subject an anployer to criminal peiralties and
civil fines up to onc hundred thousand dollars ($100.000), in to the cost of damages as for the
attorney's fees.
I hereby affirm under pcnalty of perjury that I am 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.
Liccnse
C()NSTITT](]'TION I,T.]NDI N(; AG I.:N(]Y
I hrcby affm undr penalry of perjury thal the is a coNtructiotr lcndiag agocy for thc pqfot:lmcc of thc work for which this pqmit is
isucd (Se. 3097, Civ. C.).
Lender's Narne:
Lender's Address:
APPLICANT DECLARATION
I hereby affinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
_Required Letter of Notification
-l
certi& that the Heral regulations regarding asbestos rernoval are not applicablc to this projed.\
_l certi& that I havc read this application and state that the abovc information with all City and County
ordinances and State Laws relating to building
above mentioned property for inspection
Applicant or Agent
I'ermilee name
and and County enter the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u Iatio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Itlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I
FINAL tol'LllLl OtktuY 'l
Certificate of Occupancy !- I
Notes, Remarks, Etc.
Carrier:-
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