HomeMy WebLinkAbout10197208 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
PermitCounter: (7'14) 647-5800 lnspection Requests: (7'14\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 1lJ197208
Pin #: 85455
q
Project Address:1852 W Bt ckhawk Dr
Assessor's Parcel: 412-521-38 Lot: 29
Bldg
Tract: 16311
Suite Range:
Zoning: SD4Block: NA Historic: No
Single Family Dwelling
Solar
Solar
SFD w/att garage
Occupancy:
Constr Type.
Code
Flood Zone:
# of Stories:
R.3, U
VB
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$14,000.00
I0: t:CUr:.l.l.Ari
Description of Work: lnstall solar panels
Planning Conditions:
Eotchir{5131 - 8/1/ml8
Off ice! CIYH Trons+: ?9Accti: Ref+
Rcptt:02346021 - 8/l/20l
Tronsoct ion fotol 8lt
3 ol' 3
t0l972r'ts
0:59 Afl
t r 353.Otr
c^r--a.it- a.^^^^--$ i^^
Owner:
Address:
Phone:
Tenant
Malinni Rowen
1852 W Blackhawk Dr
Santa Ana, CA 92704
(714) 615-5671
Contractor: SolarCityCorporation
Address; 1831 Ritchey St
Santa Ana, CA 92705
Phone: (702) 785-2998
State Lic #. 888104
Lic Type: B, A, C-10, C-20, C-45
Bus. Lic #: 324801
Workers' Compensation lnsurance:
Carrier: Zurich
Policy #: WC0182018
Expires: 1Ol31l2O1A
8u ild i nt(rll16002- 516010@-
Elds Stds Revolv ins
01u600?- 5161?000-llsster Cord
CCi: rr*rlrr*rrrr6465
_ t45n.00
91 .0i
tl r353.[0
Auth t : 035 3tr I
Engineer:
Address
Phone:
License #
Architect /
Desioner:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
\0(Hernandez, Kathy
Date:
Date:
Date: 08/01/2018
Subject to Field:
01116002 51601 Permit Fee
01115002 51672 Bldg. Stds. Revolving
01776002 51500 General Plan Update
$450.00
$1.00
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 01 .116002 5160.1Landscaping lnsp. Req'd
$451 .00
$0.00
$451.00
lnspector MtD#. 2018-145064
01 1 16002 51612
$450.00
$1.00
Fee Total
Paid to Date:
Balance Due:
U nit:Address Range:
Building Use:
Job Type:
Nature of Work;
Existing Bldg. & Use:
Proposed Use:
Phone:
License #:
lvlisc. Receipt:
lVisc. Receipt:
lvlisc. Receipt:
Every permit issued shall become invalid unless the wo* on the site authorized by
such pe nit is commenced within 180 days after its issuance,ot if the work authoized
on the site by such pemit is suspended or abandoned for a period of180 days after
the time the work iscommenced.
BUILDING- INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUILDER DELCAR{'IION
I hcrcby aftilN nMcr pc.aky of pcdury rhit I nN cxcrn,)l norn thc Conrrrcrorr l,iccnsc La* f{r rtu lolbain! rcN,i (s.. r0:ll s
Businc$ md Prolc$ior Codc) Any Cily or C.unly which rcquirc\ a pcnnir b c.n{dcr. alrcr. nnfiovc. dcnmlnh or rcj'Jir JDy
nnrfurc. nrior ro ils hsulncc- lho rcqlncsrhc applica for such pemrit h l]lo r sign.d {d.ncnr rhar hcor shc is li.cn{d pursurnl
b rhc FJvisiotrs offi. Cont dols Licctrscd L.w (Chrfrcr 9. Conmcn.ins wilh Scclion 7(xX).r Dilhi.n I ofrhc ausinc$ and
Pfttt$iotrs Codd or lh0l h.orshc iscxcnDr thcrcrionrand rlreblsh lor llrc rllcs.n.xttrll,i.. Atrlviol,rionoiSccrion?0.ll.5byany
rrpli.flnr r'or. pcfl.il subjccrslhc smlicor l. !civilpcMlryoln.' morcrrhn llvc hutrdrcddollitr (5500).
l. as oqmrofrhc proFny.or nrycnrtloyes pirh w{-!csrsrhcir v'lc compenrarnnr. *illdo ihc $.rkd rhc sinrlurc is rol
i cndcd or oitcrcd f.r $lc (Sa.?0,14. Blsincrs aod Pnltsions Adc: Th. C()nltktr s Li.c.sc La$ docs nor lpDly n) rn osmror
rhcntupcdy {ho buildsor i,nprovcs thcE .aftlwhodocsNclrlorkiim\cllorhcEclforrhk)ughhi\orh.rowncmployccc.
pruvidcd rhd srch n nrov.mnr r. ml h cndcd or of.ft{ hr srlc li hoscw rhc ttrildin8 or imlnvcmnr is {nd virhin oic )td
ofcon\rhriotr- Ihc Owncr Duidcr will harc lhc burdcn oil]r.vins rhar he o' \hc did nor build or i'nprolt fic fmp.ny ior rlrc PUIPEot
_1,aso$D.rolrheirop.ny-amcrclu\ivcltcomrucrlng(irhlicrtr{d.oikr.t s lo cotrslrml Ihe pmicd (S.c 7r)44, Bx\i',")\
dnd PolassrD Codc lhcCotrr.ctot s LiccDsc Laq docs nor lr,plylo 3nosncr offn)pcny who huilds.r rrlrir orcs I hcrc.r
rnd who .1'nrd{ f(n su.h tn.jcckwirha Clrnri&ror (, liccr*d Nrn.nrrorhcConrracroir I.iccnsc l-aa)
I rDcxcnrt, undcr Sc.tio
D.l.: . _ Ovn€r
w( rRKlrr- c{I\l Pr:vs,1Jrl(rN
DIiCIA.SAIION
I h.r.by aflirnondcr p.nrlr, or r.rjuiy onc orrhc fdbwiis dc.l.mrnnN
I l !c mJ qilliui'nriirC. ii.drcul Coisctrr r' Scll.ltrsurc lo, work.n conrNn{'li{rr- rs trovidcd fd byScctnnrlT00olrhc
rtrd will hinhltrsorkcn.onrNtrsariotrnruramc.as rcquncd hySc.lion.ITOOolrhc l-rborCodc. turrlt NrhflnrNcol
y *o*cs co.rFne[ion insumrNc caricrlndFnicy iu'nbdr r.]
?tAlaor
l.c(firl[tnrrhcr.rloirninccofuhcsorkior*hichrhispcrnririsissncd-I\hallnorcDli,yrtrytcsotrir{ny'nxnncr
sor!nrbcromsuhJccrt,rhcw(trkc^'.onipcnsarnnrh*\ofcalifimir.rtrdrsrccrhjlillrhouldhcconr\uhjc.rrorhc
rorkcrs con!.nsariontovirn,isorS.dtunST00orrhc LnbrCodc.l rlull. ihnhsir[.annpl] *irh rho\c F)visio s
IIARNINC F{ilurc ro wurc workcs' cornpcrslltnr covcra8c is unhwful. d shrll $hjccr nrr cmplortr ro criminal Ftuhics rnd
cilil litrcs uD lo.nc hutrd'ld rhouMn{l dollrrs ($1(x}.(IX)). in rddiriotr ro rhc.o{of compcnsarion- drmrs.\ rs j,.vided r.r rhd
V"
I hcmbyafllrDn.dd pcnaltyofpciurythat I am liensdutrdcr pmvhion olChrprcr9(co nltmingNirhScction?OO0).1Divisi,,n:l
of rhc Bo\in.ssnnd Prufcsions Codc. d trryliccnsc is ir full lorarndcflc.l
'"'*v'
CONEIBIJSIIONIIIDIIIJ.A{jENCI
I hcrcby rlhrn uMcr p.nilry o l'pcrj$y lh0l rhcrc h ! con(rcli.r lcrdins rE.n.y nr lhc pcrlinl.ncc ofthc sork iu shichr[n Filnir i\
hsuedls.c .1097- Civ C )
AIIUCAXIDUCLAAAUON
I trrby afllm undci F-MlryofD.rjury orc ofrhc rbllo$in8 dlrl.rrlion\:
O.rinnior Pcnnir+Asb.slos Nolilic.rion Fcdcr0l Rqularions (Iille 4l), Pan6)
_Rcquncd Lcrrcr ol N.rifi uriotr
Iccnilyrhd rhc ltdcralrcgu[ri.ns rc8a'di'rg a\h.{o\'. n)v3l]rcior t,t,ltr rlcrorhtJnolc.r
l,.$J[,,,,,",lhrvc rcad rl,is afpicrrin,and \rrr.rharrhcrh'$ i'nn'rurion h.onccl liSrericonrply*irhallCnyandCourly
rrc !-r*sr.hriry kr hxildinaconid.rnn,. n hcrcby.urlDrizc rcnrcsc rliv$olrhisCiryr.d Coutrry ro cnrcr ulmn Ihc( \t ltrt((a Fox
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Roof Sheathinq
Shear Wall
Framino
lnsu lation/Energy
Drywall
Brown Coat
Ivlasonry
Pool Fence
\
Handicap Req
Deputy Final Report
Engineer Final Report
A
WAGU Pt t4tL g-7-lv Y.ILI iL
U\
FINAL t'-7-tv \7Certif icate of Occupancy
Notes, Remarks, Etc.
L
SITE-WORK
UFER Ground
Subf loor/VenUlnsulation
Ext./lnt. Lath
T-Bar
t
Flood Zone Certil.
Cotlc. i{n (h. I}.rtunnanr ofrh. w.rk tur which drc Fnnir i tsucd
L.nd., \ Addrc..
tt
tt
Planning & Building Agency
2: Civic Center Piaza Rcss Annex
P.O. Box '!988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
,w^a/.santa-ana.ort
Smoke & CO
Alarm Affidavit
;\sP-c2 2a'3 i?a
This document moy be found at..,
(Please use a black or blue ink ball-int pen)
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that eiisting dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R3L4.3 and R314.3.3 define
the required locations.
Both boxes below must be checked:
Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
edrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appllances (i.e. hot water heater, cooktop, furnace) or a fireplace.
E Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/Co alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am t contractor or the property owner of the above project. I further certify
that smoke alarms and n monoxide alarms have been installed in compliance with the governing
Codes and have been te
manufacturer's instructi
d to be functional. l, also, hereby certify that I will retest the alarms per the
lcheck onel Lic sed Contractor Prope y Owner
NOTE: Ihis sef-certificotion is only used for projects thdt dffect the EXTERIOR of the structure. This
process is applicdble ONLY to proieds where access to the interior oI the dwelling by a Santa Ana
lnspector is not required.
s
Project Address:O-
Permit Number:Dtl-l2o(
Contractor:License #:(-
Signoture:Dote:
Have this completed form and the job-card readily available on final inspection!
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NAJhffi
yl a,<-t
lAl<"(\
Property Owner:
I