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Home My WebLink About101106743 - Permit.l City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {01106743 a Project Address: 704 S Ross St Assessor's Parcel: 010-204-09 Lot: 1, POR 2 Block: O BIdg. Address Range: Tract: HENINGER,S FOURTH ADD Historic: No Pin #: Suite Range: Zoning: SD40 Unit: Building Use: Job Type: Nature of Work: Existing Bldg & Use: Proposed Use: Single Family Dwelling Solar Solar Sfd w/det garage R-3, U VB cBc 2019 x-0602320276J 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat 0 Patio: T.l.Area: Yards Req'd Valuation: $90,000.00 Occupancy: Constr Type: Code: Flood Zone'. # of Stories. Rr / LZtDescription of Work: lnstall28 roof mounted solar panels Planning Conditions: PLANS lN FOLDER Rcpti; tt33 Tron sor:t i .lose Freedorr F on eve Owner: Address: Phone: Tenant Juan Tapia 704 S Ross St Santa Ana, CA 92701 (71417s54304 Contractor: Freedom Forever Address: 43MS Business Park Dr, #1' Temecula, CA 92590 Phone: (951) 445-5645 State Lic #: 1029644 Lic Type: B, C-10, C-39, C46 Bus. Lic #: 370076 Workers' Compensation I nsurance: Carrier: Redwood Fire and Casualty Insura Policy #: FRWC2l5868 Expires: 0110112022 Current Renewables Engineer Rahi Movassagh : 1960 Chicago Ave, Suite D15 Riverside, CA 92507 (9511 254,5655 c78s27 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd: No Arabe, Jall Ahangian, Katn{ t{ Verduzco, VioleN 07776002 57501 Permit Fee 07776002 57770 Microfilm Records 07776002 57672 Bldg. Stds. Revolving 07776002 57600 General Plan Update Fee Totat Paid to Date: Balance Due: Date. 05/1 212021 Date: 0711512021 Date: 08/1 212021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: $450 00 $101 .25 $2.00 $0.00 $ss3.25 $0.00 $553.25 Tlf, 5â‚¬Lvrâ‚¬ b(o An? fiwwFire lnsp. Req'd: Police lnsp. Req'd Account# No No Total Flood Zone Cert. Req'd: No 01 1 16002 51601 Every permit issued 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 permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51612 01 1 16002 57770 $450 00 $2.00 $1 01 .2s lnspector MID#: 2021-166103 { BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby affrm undcr pcnalty of pcrjury that I m cxcmpt from thc Contraclor' Liccnre kw for thc following rca$n (Scc.7031.5. Busincss and Profcssion Cfllc): Any Cily or County which rcquircs r Frmil to construcl. allcl improvc, dcmlish or rqnir-uy slructre, lrior to its issuancc, also rcquircs thc applicant for such frcmil lo lilc a signcd statemnl thal hc or strc is liccn$d pursuant to thc tmvisions of thc Contractor's Lienscd t:w (Chaptcr 9. Commcrcing with Scction ?000 of Division 3 of thc Busincss and Prcfcssions Codc) or that hc or shc is cxcmpt thcrcfrom and thc basis for thc sllcgcd exemption. Any violation of Sstion ?03 1.5 by any applicant tbr a pcrmit subjccts thc applicant to a civil penalty of not mrc lhan five hundrcd dollus ($500). a _1, as owncr of thc prclErty, or my cmployccs with wrgcs os lhcir srlc o[[rcnsation. will do thc wort arxl thc stnrctrc is nol intcrdcd or ollercd for slc (Se.7O44. Busirrcss and hofcssions Codc: Thc Contraclor's Liccnsc [jw docs not apply to an owncr of thc pmlEny who builds or impmws thcmn. ard sho dds seh u)rk himrclf or her*lf or thrcugh his or hcr own employccs. pmvidcd that such impmrcmnts @ rcl intcrfu oroffcrcd for slc. tf, howcrci lhc buiHing or impmvcrcnl is sH within orc Far of onplction. thc Owncr Buildcr will harc thc burden of prcving that hc or shc dil mt buiH or iryrcrc the Jmpcdy for tlrc purJns of sh). _1. as owncr of the propcrty. am cxclusivcly contracting with liccnscd contrilclors lo construct thc prrtjcct (Scc. 7W, Busincss and Prrofession Code: Thc Contraclor's License Law does not apply to an owncr of property who builds or improves thereon. und who contfticts tbr such projccts with a Contractor(s) liccnscd pursuanl to thc Contractor's Liccnse Law). -lanrcxcn1ptunderScctiorr-'B.&P.C.ttlrthisrcason.Owner:- WORKERS' COMPF'NSATION DECLARATION I hcrcby affirm undcr pcnalty of pcrjury one of the following dcclarations: _l havc and will maintain a Ccrtificatc of Conscnt to Sclf-lnsurc for workcrs' compensation. as providcd for by Section 3700 of thc L-atyrr Codc. for thc pcrfornuncc of thc work for which thc pcrmit is issucd.IVl havc and will maintain workcrs' compcnsation insurancc, as rcquired by Scction 3700 of thc Labor Codc, for thc perlbrmancc of I[i work for which this pcrrnit is issucd. My workcrs' compcnsation insurancc carrier and policy nutrtbcr are: k\oLt,c. Poricy Nr-b"r, F,(lrlC,tt1fi U Expircs:G l.lLL -l ccrtify that in thc pcrfortErcc of thc work for which lhis JErmit is issucd. I shall not cmfrloy any pcrson in any mrcr m as to bccom subjcct to lhc workcrs'@mlrcnsation laws of California, and agre that if I should t$onE subjel lo thc workcrs'compcnsationpovisionsofscction3T00ofthctitnrCnlc,lshall,fonhwithcomplywiththospmvisions, WARNING: Failurc to wurc workcrs'compcnstion covcmgc is unlawful, and shall subjcct an cmploycr to cimiml [rcBllics Bnd civil fines up to onc hundrcd lhousmd dollus ($100,000), in addition lo thc cost of con{rcnsution, damgcs &s providcd for thc Scction 3076 ofthc tibor Codc, intcrcst snd attorrcy's fes. Date: LICENSEN CONTRACTOR NFCI ARATION I hcrcby atlirrn undcr pcnalty of prjury lhat I am liccnscd undcr provision of Chapter 9 (conrrncncing with Scction 7000) of Division 3 of thc Busincss and Profcssions Codc. and my liccnsc is in full frrrcc iutd cffctt. Liccnsc ctass: tt\J Liccnsc Numbcr:t o'Ll aqtt r)'rc: g ItXIt.ll W I hcrcby affrm undcr Fnalty of lErjury rhd thsc is a onstruction lcnding agcncy for the pcrfomncc of thc work for which this pcmil is issucd (Se.3097, Civ. C.). [,cndcr's Namc: lrnder's Address: APPLICANT NF'CLARATION I lrcrcby allirrn undcr pcrralty of pcrjury onc of the fbllowing dcclaratkrns: Dcrnolition Pcrrnits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6) -Rcqu ircd l.ettcr of Notification _l ccrtify that thc fcdcral rcgulalions rcgarding asbcstos rcnrovalarc not applicable to this pnrict. -{ r"rtitythat I have rcad this that thc atnvc intbrrnation is corrcct. I agrcc lo cornply with all City and County ordinances and Statc Laws relating to and hcrcby authorizc representativcs atxrvc mentioncd propcrty for Applicant or Agenl Pemilee nanre f(b Uul+- of this City and County to cntcr uJxrn thc Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl nsu Iation Roof Sheathinq Shear Wall Framinq lnsu lation/Energy Drywall Ext./lnt. Lath Brown Coat N/asonry Pool Fence T-Bar Handicap Req. Deputv Final Report Enqineer Final Report Flood Zone Certif /i ,4.. F!NAL '.tl [0 lzt f<il t"y Certificate of Occupancv t I Notes, Remarks, Etc. D 2 cos{ J -r .g CL.oFoxed6.=t?ltsK)oo)O r\- - AE=f r\. -l J\/ E?â‚¬oE(,f â‚¬ EtEeE: ; =. $Ec-c,PTES thoEI.NoFPE--b =EEgig"-EIEPE =crr6'id EE E $E.ooE- .- --e EIBEO- () F *,E;+t EoH.eb Eâ‚¬qE6s=E EEHSEgSEjA L o Hl-o()coo (o = Eo -c =P EE .E 9, F?-=-N 6OE?P(oo= 5.aEdOm J