HomeMy WebLinkAbout101107763 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01107763
Pin #: 60939
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Project Address: 1851 W Meadowbrook Dr Unit:
Assessor's Parcel: 412-521-71 Lot: 153 Block: NA
Bldg
Tract 1631 1
Address Range:Suite Range:
Zoning: SD4Historic: No
Building Use.
Job Type:
Nature of Work.
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD
R.3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area.
Totat
Patio
T.l.Area:
Yards Req'd
Valuation: $92,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
Description of Work lnstall new roof mounted solar PV system. Per PV checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Kristopher Do
1851 W Meadowbrook Dr
Santa Ana, CA 92704
(7141 234-9600
Contractor: South West Sun Solar, lnc.
Address: 13752 Harbor Blvd
Garden Grove, CA 92843
Phone: (7141 582-3909
State Lic #: 1004667
Lic Type: C-10, C-39
Bus. Lic #: 350754
Workers' Compensation I nsurance:
Carrier: Starnet lnsurance Company
Policy #: BNUWC0154184
Expires: 06/01 12022
Engineer:
Address:
Phone:
License #.
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Zuniga,
No
nrrss[
07776002
07776002
07776002
07776002
07776002
57607
57770
57607
57672
57600
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: OglOTt2O2l Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 51601
01 116002 51612
01 1 16002 57770
Permit Fee
Microfilm Records
Fee Exempt
Bldg. Stds. Revolving
General Plan Update
$462.00
$36.4s
$-32.36
$2 00
$0 00
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd.
Police Insp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued shatt become invalid unless tht work on the site authorized by
such permit is commenced within 360 days afterifs l'ssua 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.
$429 64
$2 00
$36 45
Fee Totat
Paid to Date:
Balance Due:
$468.09
$0.00
$468.09
lnspector MID#: 2021-168416
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hacby a(fim undc pcrulty of pcrjury that I m cxcmpt fiom thc Contrectos' LicN trw for thc following rwn (Se.7031.5
Buinqs md Profcssion Code): Any City or Couty which rcquire a pemh to coNtruct, alto. improvq danolish or rtpoir my
struc1uc, Srior to its isuucc, also requirs rhc applicmt for such pcrmit to file a signcd statmot that hc or shc is liccnscd psuilt
to thc irovisios of thc Contractor's Licmscd Law (Chapts 9. Comcncing with Setion 7000 of Division 3 of thc BNin* ild
Prcfc$ionsCodc)orthathe orsheisexmptthocfromudthcbasisforthcallcgedq@ption. AnyviolationofScclion?03l.5byuy
applicatforapcntritsubjctsthc applicettoacivilpcnaltyofnotmorcthilfrvchun&cddollus($500).
_1, as owner of the property, or my employecs with wagcs as their sole compensation, will do the work and the structure is not
intended or ofFered for sale (Sec.7M4, Business and Professions Code: The Contractor's License [^aw does not apply to an owner of
the property who btrilds or improves thereon, and who does such work himself or herself or through his or her own cmployees,
provided that such improvonents are not intcnded or offered for sale. If. howe'ver. the building or improvement is sold within one y€ar
of complaion, the Owner Builder will have the burden of proving thd he or she did not build or improve the propoty for the purpose of
sale).
_1. as owner of the property. am exclusively contracting with liccnsed contractors to construct the project (Sec. 7O44, Business
and Pnofessbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves ther@n.
and who contracts for such projects with a Contracto(s) licerscd pursuant to the Contractor's Licensc l-aw).
-l
am exempt under Section-. B. & P.C. for this reason.
Owner:
WORIGRS'COMPENSATIM
DECLARATION
I hereby affrrm under poralty of perjury one of the following declarations:
_l have and will rnaintain a Certificate of Consent to Self-lnsure for workers'compensation, as provided for by Section 3700 of the
ffi;for the performance ofthe work for which the pennit is issued.
rvill rnaintain workers'3700 of the Labor Code. for thc performancc of
this permit is and policy number are:
Policy
_l certify that in thc performance of the work for which this permit is issued, I shall not crnploy any person in any manner
so its to become subject to the workers'compensation laws 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.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an onployer to crfuninal pcnalties and
civil fines up to one hundred thousand dollars in addition to the of cornpensation, damages as provided for the
Section 3076 of the Code. interest and
DECI.ARATION
I hereby affrrm under poralty of perjury that I arn licenscd under p,rovision of Chapto 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
2
License Number:
I
W
I hqeby affirm under pqElty of psjury that th@ is a coGtruction lmding agency for the pqfommce of thc work for which this pqmit b
issuel (Sa. 3097, Civ. C.).
Lender's Name:
Lendcr's Address:
A PPLTCAI\T DEC T.ARATION
I ha€by alnrm under pcnalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Lcttcr of Notification
J coti$ that the federal regulations regarding asbcstos rcmovalare not applicable to this project.
(-r/"*ig/
that I have read this application and statc that the abovc information is correct. I agrce to comply with all City and County
ordinances and State Laws relating to building City and County to enter upon the
above mentioncd property for
Applicant or Agent
Permitee name (print):
purposes.
and hereby authorize
,,,",qf z/>-l
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Venul n su lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
*-a- Canrrra 4r h, -J $ -zt B^f {e
FINAL te-ll-2|Degtr? {r
Certificate of Occupancy
Notes, Remarks, Etc.
Date: