HomeMy WebLinkAbout101107581 - Permiti
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (7'14)667-2738 lnspectorSection: (714)647-5853
Permit #: {01107581
Pin#: ,OW
Project Address: 2312 N Rosewood Ave
Assessor's Parcel. 001 -173-18 Lot: 22 & POR 21 Block: NA
Unit.Bldg: Address Range:Suite Range:
Zoning: RlTract: 1740 Historic: No
Building Use:
Job Type.
Nature of Work.
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/detached family room
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2019
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio
T.l.Area:
Yards Req'd
Valuation: $14,800.00
Description of Work: lnstall solar panels to sfd/auth on file Eotch*:6tt3$l S/18/7'tt2t I0: orrrorolesl
Off ice: (:TYH Tr.nns*: 25 1 ri{' IAccti: Ref'*: lrtl 1r-t758:L
Rcp ti : u3391662 8/ l9r'2tr?I l tt: 14 AH
Tnnnqnr-t i nn TnLn i l,i71 -il,Planning Conditions:
,
Owner:
Address:
Phone:
Tenant
Chad Bair
2312 N Rosewood Ave
Santa Ana, CA 927061957
(s4e) 2e2-7866
Contractor: Orange County Solar Contra
Address: 2745 E Chapman Ave
Orange, CA 92869
Phone: (7141 514-1517
State Lic #: 1023627
Lic Type: B, C-10
Bus. Lic #: 367055
Workers' Compensation I nsurance:
Carrier: Starnet
Policy #: BNUWC0153760
Expires: 0410812022
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
Oronee (:ounts Soltrr (:ontroci in
Build tng
01 1 160112- 51ot-r10CI0-
Blds Stds ftevoivins
r-rl 1 16Lttt2- 5161 2rrrrtt-
11 i cr ol i lu & Uocuren t s
ul 1 161102- 3777tr(rCI0-
llaster (:nrd
(:(:+: *rr***rr*rr x7 46'/
$45(t. l:lu
11 , t:t[t
s2u. :15
i171. ;?:;
Authi: tt2597tl
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:
$Hernan dez, Kathy
Date:
Date:
Date: 08/1 812021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
077760 02
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
57607
57770
57672
s7600
57607
$450 00
$20.25
$1 00
$0.00
$0 00No
No
No
No
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
Account#Total
$4s0 00
$1.00
$20.2sEvery permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of 360 days after
the time the work is commenced.
Fee Totat
Paid to Date:
Balance Due:
$471 .2s
$0.00
$471.25
Inspector MID#: 2021-168245
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DALCARATION
I hcrcby allirm undcr pcnolry of pcrjury that I am cxcmpl Frcm thc Coilraclors' LiccnE law for thc following reasn (Ss.7031.5
Busincss ard Profcssion Codc): Any CiIy or County which rcquircs a Frmil to conslruct, allcr. improvc, &mlish or rcpair any
slructure. prior to its issuancc, also rcquircs lhc applicant for such pcmit to filc a sigrcd slatemnl thal hc or she is liccnsd pu.Grnt
to lhc Fovisions of thc Contmctor's Liccnscd [aw (Chaplq 9. Comcrcing wilh Setion 70O0 of Division 3 of the Busircss and
Professions Codc) or that hc or shc is cxcmpt thcrcfrom aM thc basis for thc allcgcd cxcrnption. Any violalion of Sdicn 7031.5 by any
applicant for a pcmit subjets thc applicant to a civil pcnalty of not mrc than fivc hundrcd dollars (S50O).
_1. as owner of thc propcrty. or my cmployccs with wagcs as lhcir sole compcnsation. will do thc work and thc stnrcturc ls not
intendcd or offcrcd for sale (Scrc.7044, Busincss and Profcssions Codc: Thc Contraclor's Liccnsc Law does not apply to an owncr of
thc proJrcrty who builds or improvcs thcrcon. and who does such work hirnsclf or hcrself or through his or hcr own employecs,
providcd that such improvcrncnts arc not intcndcd or offcrcd fbr sale. If, howevcr. thc building or improvcnrcnt is sold within onc ycar
of cornplction. thc Owner Buildcr will have thc burden of proving that he or shc did not build or improvc thc property for the purposc of
salc).
_1. as owner of the propcrty, am cxclusively contracting with liccnscd contractors to construct thc projcct (Sec. 7W, Busincss
and Profcssbn Code: Thc Contractor's Licensc Law docs not apply to an owncr of proJrcrty who builds or improves thereon,
and who contracts for such projects with a Contractor(s) Iiccnsed pursuant to thc Contraclor's Liccnsc hw).
-lantexemptundcrSection-.B.&P.C.forthisreason'
WORKF'RS' COMPENSATION
DECLARATION
I hcrcby affium under penalty of pcrjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Sclf-lnsurc for workers' comgrcnsation. as providcd for by Section 3700 of the
Labor Code. for the pcrformance of thc work for which the permit is issued./
lu(have and will maintain workers' compcnsalion insurance, as required by Scction 3700 of thc Lubor Code, for the pcrformance of
thc work for which this perrnit is issucd. My workers' comlrcnsation insurance carricr and policy numbcr are:
c*ri"r'^llatncl
poricyNu^*r, BNULI/Cot53'76o Expires:o+/o?/ LL
_l ccrtify that in the prforrrurncc of thc work for which this pcrmit is issued. I shall not cmploy any lrcrson in any manncr
so as to bccomc subjcct to the workcrs'cornpcnsation laws of California, and agrcc that if I should beconrc subject to the
workers' compcnsation provisions of Scction 3700 of thc l-abor Code. I shall. forthwilh comply with thosc provisions.
WARNING: Failure lo sccurc workcrs' compcnsation coverage is unlawful, and shall subjcct an employcr to criminal grenaltics and
civil tines up to one hundrcd thousand dollars ($l00.m0), in addition to thc cost of compcnsation. damages as provided for thc
Section 3076 of the [abor Code. intcrcst and attorncy's fecs.
o,rc,€? o8/13/2(
LI C IT NSI'D CONTIT.,\ CTO R
DT.'CLAItA'I'I()N
I hcrcby alfirnr undcr pcnalty of pcrjury that I am liccnscd undcr provision of Chaptcr 9 (conrmcncing with Scclion 7000) of Division 3
of thc Busincss and Profcssions Codc. and rny liccnsc is in full force and cfl'ccl.
Liccnsc o Numbcr:I oz76 L7
orru,Og/lo/21.CL
W
I hcrcby affrm undcr pcnalty of JErjury that thcrc is a construction lcnding agcrcy for thc Isforllrrec of thc work for shich this pcrmil is
issucd (Sff. 3097, Civ. C.).
Lrndcr's Namc:
lrnder's Addrcss:
APPLICANT DECLARATION
I trcrcby aflirm under penalty of pcrjury onc of thc following dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6)
_Requ ircd lrtter of Notificat ion
_l ccrtify that thc fedcral rcgulations rcgarding asbcstos removalare not applicablc to this projcct.
_l ccnify rhat I havc rcad this application and slalc that lhc abovc infomtion is coret. I lgrc to comply sith 8ll Cilyand County
ordinarccs and Statc lrws rclrting to building construction. a[d hcrcby aulhorizc rcprcsntativcs of this City md CoufiFoqts uIDn tlrc
atnvc mcntioncd propcrty for
Applicant or Agent
Permitee name
o*",to?/t9/z\
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Vent/l nsu Iation
Roof Sheathinq
Shear Wall
Framinq
Insu Iation/Enerqy
Drvwall
Ext./lnt. Lath
Brown Coat
[Vlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
tl
FINAL .lfiru|n ?/tqh,,
Certificate of Occu
Notes, Remarks, Etc.v
Dale: Owner:-
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