HomeMy WebLinkAbout101108006 - PermitI 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: (714) 647-5853
Permit #: 1O11O8OOG
Pin #: 39633
Project Address: 2707 N Olive Ln
Assessor's Parce!: 002-284-08 Lot: 37
Unit:BIdg: Address Range:Suite Range:
Zoning. R1Block: NA Tract: 2089 Historic. No
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
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuationr $t 2,800.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall solar panels.
Planning Conditions:Bcrtch * lduTg5 9 /?i-ti itr2
Owner:
Address:
Phone.
Tenant
Nhon Le
2707 N Olive Lane
Santa Ana, CA 92706
(7141 803-8505
Dass Structural Engineers
Praveen DassContractor: South West Sun Solar, lnc.
Address: 13752 Harbor Blvd
Garden Grove, CA 92843
Phone: ( 7141582-3909
State Lic #: 1004667
Lic Type: C-10, C-39
Bus. Lic #: 350754
Workers' COmpensation I nsurance:
Carrier: Starnet lnsurance Company
Policy #: BNUWCO1 54184
Expires: 06/01 12022
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #.
1655 Shertington Place, 2-202
Newport Beach, CA 92663
(s4e) 2ss-7e43
74200
Ref*:
I / ?it/ ?u21
Ir rI
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
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57500 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
Verduzco vior"J
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Date:
Date:
Date: 0912012021
Subject to Field:
$4s0.00
$s6.70
$1.00
$0 00
No
No
No
No
Account#Total
01 1 16002 51601
01116002 51612
01 1 16002 57770
$4s0 00
$1 00
$56.70Every permit issued shall become invalid unless the work on the site aulhorized by
such permit is commenced within360 days afterifs issuance,or if the wdrk authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
$s07 70
$0 00
$507.70
lnspector MID#: 2021-168867
tutlr*: tJi'?9Ll
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloo r/VenUl ns u Iatio n
Roof Sheathing
Shear Wall
Framing
Insu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
't z Jst*',t -b -l l-?nL o--,-,P 4Z
FINAL /o' 1l- ?t fr4P ttz
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER I}UII,I)EIT DELCN RA'I'ION
I hqeby amrm unds penalty of pqjury that I m exempt from thc Contr&toE' Licffi Lrw for thc following .mn ('Se.i3 t.S
BEin6s md Profsion Codc): Any City or county which rcquire a pannit to @Ntruct. alta, improvq dmolish or rcpair uy
structrc. priot Io its issuuce, also rcquic lhc applicet for such pcrmit to file s signcd slalmot that he or dE is lictrcd pNant
to thc provisiom of thc Contrrctor's Liccnscd Law (Chaptq 9. Comencing with Setion 70O0 of Division 3 of thc Businegs od
Prcfsions Code) or that hc or shc is excmpt thccfrom ud thc basis for thc 8llcgcd qmpion. Any violation of Sctiotr 7031.5 by any
applicanl for a pcrmit subjats thc applicat to a civil pffilty of not more thil five hundrcd dollus ($500).
_1. as owner of the property, or my ernployees with wages as their sole cornpensalion. will do thc work and the structure is not
intorded or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the propory who builds or irnproves theron. and who does such work himself or hersclf or through his or her own crnployecs.
provided that such irnprovancnts are not intended or offered lor sale. lf. howsr/cr. the building or improvemcnt is sold within one ]Ear
6f cornplaion. the Orvner Builder will have thc burden of proving ttra he or she did not build or improve the property for the purpose o'f
sde).
_1. as owner of the properly, am exclusively contracting with liccnsed contractors to construct the projcct (Sec. 7U4, Business
and Profcssion Code: Thc Contractor's License Law does not apply to an owner of property who builds or improvcs thereon, . '
and who contracts for such projecrs with a Contractor(s) licensed pursnant to the Contractor's Liccnse l-aw).
_l am exempt under B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I hcreby affrrm under penalty of perjury one of the following declarations:
and will maintain a Certificate of Consent to Self-lnsure lor workers' compensation! as provided for by Section 3700 of the
Code. for the perfonnance of the work for which the pennit is issued.
and will maintain workers' compensation insurance. as rcquired by Sertion 3700 of thc Labor Code, for thc performance of
work for this permit is My workers' compensation insurancc carrier and policy number are:
Policy
_l certify that in the performance of the rvork for which this perrnit is issued, I shall not ernploy any pcrson in any manner
so as to bccome subject to the rvorkers' compensation laws of California. and agree that if I should become subject to the
rvorkers' composation provisions of Section 3700 of the Labor Code, I shall, forrhwith comply with those provisions.
WARNINC: Failure to secure workers' conrpensation coverag,e
civil frnes up to one hundred thousand dollars ($100.000). in
and
Section 3076 of the Code, interest and attorney's fees.
DECI,,ARATION
I hercby affirm under penalty of perjury that I arn licensed under provision of Chapter 9 (comrnencing with Section 7000) of Division 3
of thc Business and Professions Code, and my license is in full force and effect.
W
t hmby affm undo pcsatty of pcrjury thal thqc is a con$ructbn knding agacy for thc psfomcc of thc work for which this pqmit b
issucd (Se. 3097, Civ. C.).
kndd's Nme
l,ender's Address:
APPLICANT DECLARATION
I horby aflinn under penalty of perjury one of the following dcclarations:
Demolition Permits-Asbestos Notification Fedcral Regulations ('title 40, Part6)
Later of Notification
that the federalregulations regarding asbestos removalare not applicable to this projed.
I have read this application and state that the above infonrtation is correct. I
ordinances and State laws relating to building construction. and hereby authorize the
above mentioned property for inspection
Applicant or Agent
Pernritee ntrnre
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Expires:
Licensc Clu*' 3 L.O
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