HomeMy WebLinkAbout101106576 - PermitProiect Address: 1636 E Stafford St-a-
Assessor's Parcel: 400-295-09 Lot: 42
Urtit:Bldg: Address Range:Suite Range:
Zoning: R1!llock NA Tract: 2648 Historic: No
City 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 #: 101106576
Pin #: 65947
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Buildrng 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-06023201 63J
1st FL Area
2nd FL Area
Cther Areas:
Garage Area:
Totat
Patio:
T l Area
Yards Req'd
Valuation: $12,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'
# of Stories:
Description of Work: Add to existing roof mounted solar panels. Per PV checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant
ROBERTO BORDA
1636 E STAFFORD ST
Santa Ana, CA 927013232
Contractor: Clean Energy Solutions
Address: 417 W. Allen Ave. Suite 105
San Dimas, CA 91773
Phone: (800) 994-1 134
State Lic #: 998787
Lic Type: B, C-10
Bus. Lic #: 349544
Workers' Compensation Insurance:
Carrier: State Fund
Policy #: 9292161
Expires: 0210612022
Engineer: Phong Truong
Address 3000 E Barch St #201
Brea, CA 92821
(714I- 26s-6ees
c70784
Phone:
License #:
Architect /
Desrqner:
Address:
Phone:
License #:
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 !nsp. Req'd: No
Zuniga,Allissa
Date:
Date:
Date: 1010512021
Subject to Field:
Misc Receipt
Misc. Receipt:
Misc. Receipt:
0771-6002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg Stds Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$4s0 00
$60 7s
$1 00
$0 00
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert Req'd: No 01 1 16002 51601
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
lnspector M tD# 2021- 1 65882
01116002 51612
01 1 16002 57770
$450 00
$1 00
$60 7s
$51 1 75
$0 00
$51 1.7s
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BUILDING. INSPEGTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
t hrcby afftrm undcr pcnalty of pqjury that I m cxcmpt ftom thc Cotrtracton' Licse law for the following rwn (Se.7031.5
Busines arxl Profsion Code): Any City or County which require a pcmil to coNtrucl, dlq, improvq donolish or rcpair uy
struc1rc prior to its issuocc. also requirB thc applicdt for such pennit to filc a signcd stal@6t that hc or shc is licos€d pmuilt
to the provisioE of thc Contractor's Liccnsed taw (Chaptq 9. Commcing with S€criotr 7000 of Division 3 of thc Bwins md
PrcfesionsCodc)orthatheorshe iscxcmptthqellomudthebcisforthcallcaedcxmption. AnyviolationofScctionT03l.5byey
applicaotforapennitsubjetsthc applicanttoacivilpcmltyofnotmorcthofivchun&eddollds($500).
-1.
as owner of the property, or my employees with wages as their sole compensation, willdo the work and the structure is not
intcnded or oflered for sale (Sec.7044. Business and hofessions Code: Thc Contractor's Liccnse law does not apply to an owner of
the propcrty who builds or improves thereon, and who does such work himself or herself or through his or her own employees.
provided that such improvanents are not intended or ofF€rerJ for sale. If, howe'ver. the building or improvenrent is sold within one )€ar
of cornplaion. the Ourner Buildcr will have the burden of proving that he or she did not build or improve tlre propoty for the purpose of
sale).
_1, as ow'ner of the property. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7M4. Business
and Proftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and rvho contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License [arv).
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arn exempt under Section-, B. & P.C. for this reason.
WORKERS' COMPENSATION
DECI..ARATION
I hereby affirm under penalty of po'jury one of the following declarations:
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have and will maintain a Certificate of Consent to Self-lnsure for workers'compe{sation. as provided for by Section 3700 of the
Labor Code, for the perfonnance of the work for which the perrnit is issued.
_l have and will maintain workers' compensation insurance, as required by Scction 3700 of thc Labor Code, for the pcrformancc of
the work for which this permit is issued. My workers' compensalion insurance carrier and policy numbcr are:
foJ*,
I'olicy
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certi& that in the pcrforrnancc of thc work for rvhich this permit is issued, I shall not employ any person in any manner
so as to becorne subject to the workcrs'compensation laws of California. and agrc.e that if I should become subject to the
workers' compensation provisions of Section 3700 of the l-abor Code, I shall, forthwith comply with those provisions.
WARNTNG: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal pcnalties and
civil fines up to one hundred thousand dollars ($100,000). in addition to thc cost of compensation, darnages as provided for the
Scrction 3076 of the Labor Code. interest and attorney's fees.
I hereby aflirm under poralty 3
of the Business and Professions Code, and my license is in full force and effect.
License Class: License Numbcr:
I)rto'
CONSTRUCTION LENDING AGENCY
I hwby affrm undu pcnalty of perjury that thw is a comtruction lqrding agocy for thc pa fomcc of thc work for which this pamit is
issued (Se. 3097, Civ. C.).
Lender's Name:
Lender's Ad&ess:
APPLICANT DECLARATION
I hercby affinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Fedcral Rcgulations (Title 40, Part6)
-Re4u
ired Latcr o f Notification
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ccfiiry that the fqlcal rcgulatiom rcgarding sbctos moval rc trot applicablc to this prcjer.
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cdiry that I have rad this applic&tion ed statc that thc abovc infomation is coret. I agr€ to @mdy with all City and County
ordinmcG ild Statc [2ws relating to building construcliorl od hqcby authorirc r.prGmtative of this City ud Couty to @tq upoD thc
above mmtioncd prcpcny for iropc-tion purpos.
Applicanl or Agent
Permil$ nsmc (prlnl):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u latio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
lt ,l ^a-
F!NAL r0ltl lN Uwir&l 6
Certificate of Occupancy
Notes, Remarks, Etc.
Date:_