HomeMy WebLinkAbout101106838 - 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 #: lOi 106838
Pin #:,r7,2
Proiect Address: 2121 N Santa Fe Sta
Assessor's Parcel: 396-191 -29 Lot: 7
Unit Bldg: Address Range:Suite Range:
Zoning: R1Block: A Tract: 9409 Historic: No
Building Use:
Job Type
Nature of Work.
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Solar
Solar
SFD w/ garage
R-3, U
VB
cBC 2019
x-0602320163J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio.
T.l.Area:
Yards Req'd
Valuationt $t 5,000.00
Occupancy.
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall new roof mounted solar PV system. Per PV checklist.
Planning Conditions:
Hn[chi I ir/i'i I
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Owner:
Address:
tPhone:
'renant
Duane Delp
2121 N SANTA FE ST
Santa Ana, CA 927057036
(7141 454-5772
Contractor: California Solar lnstallers Ll
Address: 3424 Via Oporto, Ste G204
Newport Beach, CA 92663
Phone: (855) 346-3888
State Lic #: 1038437
Lic Type: C-10
Bus. Lic #. 378102
Workers' Compensation I nsurance:
Carrier: CLEAR SPRING PROPERTY AND C
Policy #: CSWK0000056290
Expires: 10l0gl2021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
McPherson Engineering
Ryan J McPherson
5169 Sunny Circle
Mira Loma, CA 91752
(909) 569-2244
82088
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Planning Approval By:
Plan Checked By.
Permit lssued By.
NPDES lnsp. Req'd: No
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire Insp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd. No
Zuniga, Allissa [2
Date:
Date:
Date: 0G10212021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Genera! Plan Update
Fee Total
Paid to Date:
Balance Due:
$4s0 00
$s6 70
$1 00
$0 00
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$4s0 00
$1 .00
$56 70Every 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
$507 70
$0 00
$507.70
lnspector MID#: 2021-166479
f1l- l, (, 1r r Ll
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER, BTJILDEN DELCANATION
I hercby affrm undcr lrcnalty of lrcrjury thal I m ereDpt frcm thc ContrmtoB' Liccnre lrw for thc following u$n (Se.7031.5
Business and Prcfession Codc): Any City or County whhh rcquircs r Fmit to mnstffL allcl irprcw. dcmlish or rcpoir oy
slrclurc, pri)r b ils issuam, also rcquircs the applicant for such trcmit to lilc I signcd statcmnt that he or slE k lien*d puNor
to thc provisions of tlE Contretor's Lhcnmd taw (Chaptcr 9, Commrcing with Setion 7000 of Division 3 of lhc Busircss ed
PmlbssionsCode)orthathcorshciscxcr{,tthercfromardthcbasisforthcalbgcdcxemplion. AnyviolationofSetionT03l.5bysy
applicsnt for a pemit sbjEts thc spplicant lo a civil p€mlty of nol rurc thil five hurdrcd dolles ($500).
_1. as owncr of thc propcrly. or nry cmployccs with wagcs as thcir solc compcnsillion. willdo the work and thc structurc is rx)t
inlcndcd or offcrcd for salc (Scc.7Ol4. Busincss and Professions Codc: J'hc Contractor's Licensc law docs not apply lo an owncr of
thc propcrty who builds or inrprovcs lhcrcon, and who docs such work hinmclf or hcrsclf <lr lhrough his or hcr own cmpkryccs.
providctl that such improvcnrcnls arc not intcndrxl oroflbrcd lbr sale. lf. howcvcr. thc buikling or inqrroverrrcnt is sold within onc )rear
trf contphtion. thc Owrcr Buildcr will havc thc burdcn of proving that hc or shc did not build or irnprovc the proprty lbr lhc purynsc of
salc).
_1. as owncr of the propcrty, am cxclusively contracting with licenscd contractors to construct thc proirct (Sec. 7W. Busittcss
and hotLssion Codc: Thc Contractor's Liccnse Law docs not apply to an owncr of property who builds or improves thercnon.
and who contracts for such projccts with a Contractor(s) Iiccnscd pursuant to thc Contraclor's License law).
-lamexemptunderSc.ction-,B.&P.C.forthisrcarcn.
WORKERS' COMPENSATION
DECLARATION
I hcreby aftlrrn under pcnalty of pcrjury one of thc fbllowing dcclarations:
_l havc and wrll maintain a Ccrtificalc of Conscnt to Self-lnsure for workcrs' comlrcnsation. as povided for by Scction 3700 of the
[:bor Codc. for thc pcrfornuncc of thc work for which the permit Ls issucrl.
_l have as requircd by Scction 3700 of the labor Code, for lhe ;rcrformance of
thc work tnsurancc c:uTrcr arxl nurnbcr
s3>4 C)}\Policy
__l cerrify that in thc pcrtirrnmncc of thc work for which this prmit is issuecl, I shall not crnploy any person in any nunncr
so as to bccomc subjcct to thc workcrs' compcnsation laws of Calif<lrnia, and agrcc that if I should bcconrc subjcct to thc
workcrs' compensation provisions of Scction 37CD of the Lrtnr Codc, I shall, frrrthwith cornply with thosc provisions.a
WARNING: Failure to sccurc workcrs'covcragc is unlawful. and shall subjcct an employcr to crirninal pc'3ltioc and
civil fines up to onc hundrcd thousand tll lo thc cost of compcnsation.il\providcd for thc
Scction 3076 of thc labor Codc, intcrest and
f
I)ale:
I hcrcby aflirm undcr pcnalty of pcrjury that I arn liccnscd provision of Chaptcr 9 (cornnrcncing with Scction 7000) of Division 3
of thc Busrncss and Profcssions Codc. arxl my liccnsc is in full lbrcc arxl cft'cct.
t
Liccnsc
Date'
o
I hcrcby affm undcr lf,mlty of IErjury that thcrc is a @nsrudbn hndhS agcrcy for thc pcrf(m of the work for which this lEmit is
isscd (56. 3097, Civ. C.).
lrnder's Nam'
I-cndcr's Address:
APPLICANT DECI ARATION
I hcrcbyalilrmunder penalty ol'pcrjury onc of thc following declarations:
Dcrnolition Pcrmits-Asbcstos Notificatiorr F'cdcral Rcgulations (Title 40. Part6)
-Rcquircd
lrttcr of Notification
_l ccrtify that thc fcderalrcgulations rcgarding asbcstos renrovalare not applicablc to this projcrt.\
__l ccrtity that I have read this application and state that the atnve information with all Cily and County
and County to enter upon the
(" ) ->l
ordinanccs and State laws rclating to
abovc rEntioncd properly for
Applicant or Agent
lDernrilee nanre
arxl
Datt*r_
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu Iatio n
Roof Sheathing
Shear Wall
Framinq
Insulatio nlEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Elood Zone Certif tl /
fq*try^s Q/*/:t I Mtffia
\,//, ,f ,tl ,
FINAL (7/8/4 t rtz,rud
Certificate of Occupancv
Notes, Remarks, Etc
Rev. 08-07-201 5
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