HomeMy WebLinkAbout101105859 - Permit (2)Project 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 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01105859
Pin #: 23{90
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio:
Job Type: Solar Constr Type: V B 2nd FL Area T.l.Area:
Nature of work: Solar Code: cBc 2019 other Areas yards Req'd
Existing Bldg. & Use: Sfd w/att garage Flood Zone: A-0602320252J
Garage Area Valuation:
Proposed Use: # of Stories:
Totat
Description of Work: lnstall roof mounted solar panels per checklist. REVISION - DOWNSIZE TO 19 MODULES, 6.46KWH - JAGl23l2021
Planning Conditions:
$16,000.00
Owner:
Address:
Phone:
Tenant
Sang Lam
322 S Cooper St
Santa Ana, CA 92703
(7141474-9998
Contractor: Tesla Energy Operations
Address: z10zAlton Parkway
lrvine, CA 92606
Phone: (7141496-0688
State Lic #: 888104
Lic Type: B, A, C-10, C-20, C46
Bus. Lic #: 324801
Workers' Compensation lnsurance:
Carrier. Zurich Arrierican
Policy #: WC 107458303
Expires: 10/3 ! 12021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
PZSE lnc
Paul Kenneth Zacher, SE
8137 Sunset Avenue, #120
FAIR OAKS, CA 95628
(e16) e61-3s60
s3878
;:::H:Ijjil' "n
Permit lssued By: , /
NPDES lnsp. Req'd, lu No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Zuniga, Allissa
Date:
Date:
Date: 0412612021
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
$56.70
$1.00
$0.00
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
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 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
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450.00
$1.00
$56.70
$s07.70
$0.00
$507.70
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELOIRATION
I hcrcby aftirm undcr pcnalty of pcrjury that I m cxcmpt frcm thc Contractom' Liccnrc [aw for the following rcason (Scc.7031.5
Busincss and Profcssion Codc): Any City or Counly which rcquires a Jrcrmit to cotrstruct, altc, improvc, demolish or rcpair any
structurc, prior io it$ issuancc, also rcquires the applicant for such Frmit to filc a sigrcd statcnrcnt that hc or shc is liccnscd pursuant
to thc prcvisiotrs of thc Contractor's Liccnscd [aw (Chaptcr 9, Comrncncirg with Scction 7000 of Division 3 of the Busincss and
ProlbssionsCodc)orthatheorsheiscxcmptthcrcfmmsndthcbasisforthcallcgedcxcmption. AnyviolationofseclionT03l.5byany
applicant for a permit subjccts thc applicant to a civil pcnalty of not mrc lhan five hundrcd dollss ($500).
_1. as owner of thc profrcrty. or my employees with wages as their solc compcnsation, will do the work and the structurc is not
intended or offcred for salc (Sec.7044, Business and Professions Code: The Contractor's Liccnse Law docs not apply to an owner of
the propcrty who builds or improves thcrcon, and who does such work himsclf or hcrself or through his or her own employces.
providcd that suclr irnprovcnrcnls arc not intcnded or offcrcd for salc. lf, howevcr, thc building or improvcnrcnt is sold within onc ycar
of completion, thc Owncr Buildcr will havc thc burden of proving that he or shc did not build or improvc thc proprty for thc purpose of
sale).
-1,
as owner of thc propcrty. arn cxclusively contracting with liccnscd contractors to construct thc project (Scc. 7U4. Busincss
and hofcssion Code: The Contractor's Liccnsc Law docs not apply to an owner of property who builds or irnproves thereon.
and who contracts lbr such projects with a Contractor(s) licenscd pursuant to thc Contractor's Liccnse Law).
-lamexcmptundcrScction-,B.&P.C.tbrthisrcason.
f \..t o.( t..,-^-.
WORKERS' COMPENSATION
DECLARATION
I hcrcby afllrm undcr penalty of perjury one of the following declarations:
_l havc and will maintain a Ccrtificatc of Conserrt to Self-lnsure for workcrs' compcnsation. as provided fbr by Section 3700 of the
LAbor Codc.
It**^,o
t G work for
fbr thc pcrforrnance of thc work for which thc pcnnit is issucd.
will maintain workcrs'insurance. as rcquircd by Scction 370O of the Labor Codc, for the performance of
this workers' compcnsation insurance carrier and policy number are:
Policy
_l ccrtity that in thc pertbrmancc of thc work tbr which this perrnit is issucd, I shall not
so as to beconrc subjcct to the workcrs' compcnsation laws of Calitbrnia, and agrcc that if I
in any rnilntrcr
subjcct to thc
workers' compensation provisions of Scction 3700 of thc Labor Code, I shall, forthwith cornply with those provisions.
WARNING: Failure to securc workers'compensation coverage is unlawful, and shall subject an errrployer to criminal pcnalties and
civil fincs up to one hundred thousand dollars ($100,000), in alition to the cost of compensation, darnages as provided for the
and attorney's fees.
Ann'icant: ,utnt //lnon,//91--Scction thc intcrcst
LI
DECLARATION L/
I hcrcby atllrm under pcnalty of pcrjury that I am liccnscd under provision of Chaptcr 9 (commcncing with Section 7m0) of Division 3
of thc Busincss and Codc, and rrry liccnse is in full forcc and ctlcct.
Liccn';c /a
W
I hcrcl)y aflirm undcryEnolty of pcrjury that lhcrc is a comtruction lcnding agcncy for lhe pcrformancc of thc work for which this Ismit is
issucd (Scc. 3097, Civ. C.).
Lcndcr's Narnc:
Lendcr's Address:
APPLICANT DECLARATION
I hcrcby aflirrn undcr penalty of perjury one of thc following dcclarations:
Dcmolition Pcrrnits-Asbcstos Notification Fedcral Regulations (Titlc 40, Part6)
-Rcquircd
Lctter of Notilication
-l
ccrtily that thc t'cderal rcgulations rcgarding asbcstos rcmovalarc not applicable to this projcct.
_l ccrtify that I have rcad this applicati<ln and statc that thc atxrvc intilrmation is corrcct. I agrec to comply with City and County
ordinanccs and Statc Laws rclating to building construction,
abovc mcntioned property tbr
Applicant or Agent
I'enrrilee nanre
City l() cntcr thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Vent/lnsu lation
Roof Sheathing
Shear Wall
Framinq
lnsu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
lr I -,s)s
FINAL 0 (l^1V ID',IYW t/
Certificate of Occupancy
Notes, Remarks, Etc
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