HomeMy WebLinkAbout10197667 - Permit (2)Proiect Addressl. 2019 W Harvard St
Assessor's Parcel: 408-371-17 Lot: 28
Unit:Bldg: Address Range:
Pin #:
Suite Range:
Zoning: RlBlock: NA Tract: 4433 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:10197667
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd Watt Garage
R-3, U
VB
cBc 2016
x-0602320257J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd.
Valuation: $10,400.00
Occupancy:
Constr Type
Code.
Flood Zone:
# of Stories:
Description of Work: lnstall PV solar panels. Per Residential Photovoltaic Checklist.
1.1ri
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Gilberto & Ana Mendoza
2019 W Harvard St
Santa Ana, CA 927044624
(714)'925-7767
Contractor: VivintSolarDeveloper
Address: 9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
Phone: (5621942-'1270
State Lic #: 973756
Lic Type: C-10, C46
Bus. Lic #: 345470
Workers' Compensation lnsurance:
Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1'110112018
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving Way, #500
LEHI, UT 84043
c73567
Planning Approval
Plan Checked By:
Permit lssued By:
NPDES lnsp
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Date:
Date:
Date: 09/11/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$1.00
$0.00
$451.00
$0.00
$451.00
Account#Total
01 1 16002 51601
011'16002 5't612
$450.00
$1.00Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit ls suspended o r abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 2018-146016
BU!LDING- !NSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BTIILDER I)EI,CARA'IION
I hcrcby allirrn undcr pcnrlly of pcrjury that I am cxcmpl liom thc Contractors Liccnsc ljw lbr thc lblk)witg rcason (Scc.70.ll.5
Busincss and Prolcssiol C(xle): Any Cily or C()unly which rcquircs a Jrrnril lo conslrucl. illler. ifiprovc. dcnrolish or rcprir any
slruclurc,prktrloils issunncc.illsorcquircslhcapplicnntlirrsuchpcflniltolilcasigncdsliltenrnt thathcorshcisliccnscd pursutnt
k) lhc provisioDs ol thc Contrackrr's Liccnscd Litw (Chaptcr 9. Conrmcncing with Sccti(il 7(XD of Division J of thc Busincss antl
Proltssio[sCodc)(,rlhulhcorshciscxcnrptlhcrcftomrndthchasisli)rthcallcgedexcnrplion. AnyvblillionofScctionT{)3l.5byany
ilpplicrnlli)rapcrillitsubjcclslhc apllicantt)acivilfcnxltyofnotnmrcthanlivchundrcddollars(S5(X)).
-1.
as ou'ncr of the profrcny. or my colJ,loyccs wilh *ilgcs as lhcir solc conlrcnsal ion. will (lo thc work and lhc stnrcturc is n([
inlcndcd oroflcredlorrille(S*.?0,l4.BusincssandProfcssionsCodc:ThcCorIractor'sl-iccnscLawdocsnotapplytoonowncrof
lhcpr)frcny whobuilds(,rimprovcslhcrq,n.andwhod(Essuchwo*himsclIorhcr\clIorthroughhisorhcrowncmpk,yccs.
providcd that such irnfrolcnrnls uc not irilcndcd orofliJrcd li)r $lc. ll. howcvcr. lhc huikJing or inrprovcmnt is sold within onc )r:rr
ofcoorplction. lhc Owncr Buildcr will havc lhc burden ofproving lhrt hc or shc di(l not build or intprovc lhc pRlpcrly fi)r thc pu{nrc of
sah).
-1.
as owncr of lhc l)ropeily. anr cxclusivcly conlracti,rg with liccnscd contrack)rs k) constnrct thc projcct (Scc. 7(N.1. Busi[css
and PlofeisionCoclc:ThcConlraclor'sLiccnscLawdocsnotapplylornowncro[propcrtywhobuildsorinlprovcsthcreon.
and who contmcts for such project$ with a Corilraclor(s) licenscd pursuant t) lhc Conlraclor's Licensc Law).
-lamcxcmp|undcrscction-.B,&P.C,lbrlhisIcason'l)iltel O*ner:
}VORKERS' CONTPENSATruN
DFCLARATION
l hcrcby al,irD undcr pcnxllyoIl)crjuryonc ol lhc li'lhwirrg dcclnt.li(,ils:
-l
hrvc uud will ruintilin r Ccnillcrlc olConsetrl to Sclfllnsurc fbr workcr\' coil)Icnsali(n. as prcvided lbr hy Sccti()n -37(X) ol thc
t-nk)r Co(lc. li)r thc pcrforilmilcc ofthc srnk ft)r which rhc lrclnir is i\sucd.
-lhavcnndwillmaintainworkcrs'conrpcnsalioninsurancc,as
rcquircdbyScction3T{)OofthckhorCodc.forthcpcrtbrtrlanccof
lhc work li)r which this pernlil is issucd. My workcrs' conrpcnsatk[ insurtncc cafticr and [x)licy numhcr ilc:
Poljcy;rlx111r"r'
-l
ccnily thal in lhc Jrcrlirrnnncc ol lhc work lbr s'hich thi\ porillil i\ i\\ucd. I shrll 0ot cmpk)y any person in any milnncr
so as k) ttcont subjccl k) lhc workcrs'conlpcnsillioD lilws ol'Cxlilbrnir. and agrcc lhul il I should hcc()mc cuhjccl to lhc
workcr\' c(tnrpcnsrlion provisions ofScction .17fi) ol lhc LatDr Codc. I shall. li)rthwith conlply wilh thosc provisions.
WARNIN(i: hilurc k) {cure workcrs'
civil fincs up to oDc hundrcd thousatrd
Scction 3076 ol lhc tik)r Codc- intcrcst
comFcnsalioD covclagc subiccl ril cnrpl()vcr l() crirninill trcnrllics an(l
i(,n l0 c0\! r)l conrlcn\ali()il.as providcd li)r lhc
rrxl I
,,,",4/ ti / rt,
I hcrchy ill'llrnl undcr pcnnlty of unrlcr provirion ofChollcr 9 (conrntcncing with
in lull li)rcc tnd ctl'cct.
7(XX)) 0f I)ivisi()n -l
ol lhc Bu\incss and Prolessi(rns Codc, and my
Liccnsc o -iccnsc Numbcr:131 S1./
D^.", q/ l\ll?)\ r u^*t
I herchy allirnt untlcr pnahy ofpcrjury lhcrc is a con\truction lcnding ilgcncy li,r thc pcrlirrnrancc of thc urrrk lirr which this Nrmit is
issncd (Scc. l0()7. ('iv. ('.).
Lcndcr'* A.ldrcss:
APPLICANT DECLARATION
I hcrcby aflirm undcr pcnalty of pcrjury onc of lhc lbllowing dcclarnttns:
Dcmolilion Persrits-Asbcshs Noliflcation Fcdcral Rcgulations ('I itlc 40. PM6)
_Rcquired [altcr of Notilicati(nl
_l ccrlily that thc rcgulalions rcgtrding artrcslos rcnor'al arc not tfplicablc k) lhis pro.iccl.
I ccrr ily rcarl Ihis applicrtion anrl lhc illx)vc itrli)r rn.li(in is corccl I agrcc l() cotnply with illl ('ily rn(l (i)unly
ordirtanccs rclaling k) bu rcprcscnlativcs ofthis Cily and County k) cntcr uF)n tlrc
Applicrrt or
It'rrritm
li)r
and
U v'Y1v{-CLLi\--- Cr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
A
FINAL 3/tt /zr)-LYX",n
Certificate of ncy '//-/u
Nlotes, Remarks, Etc
lrnder's Namc