HomeMy WebLinkAbout101105068 - PermitCity 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 #: {01105068
Pin #: 2177o^
Proiect Address: 1414 S Rosewood Avea
Assessor's Parcel. 013-052-21 Lot: 16
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1415 Historic. No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
R.3, U
VB
cBc 2019
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $9,580.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: Install solar panels. Per checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
SAUL CASTILLO
1414 S ROSEWOOD AVE
Santa Ana, CA 927071026
(7141 479-7355
Contractor: Vivint Solar - lrvine
Address: 2500 White Rd #A
lrvine, CA 92614
Phone: (951) 496-2292
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance:
Carrier: America n Zurich
Policy #: WC509601305
Expires. 1110112020
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving W.y, #500
LEHI, UT 84043
c73567
Planning Approval By:
Plan Checked
Permit lssued
NPDES lnsp.Req'd:
PWA lnsp. Req'd:
Planning Insp. Req'd
By:
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 1Ot2Tt2O2O Misc. Receipt:
Subject to Field:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date.
Balance Due:
$450.00
$109.3s
$1.00
$0.00
$560.35
$0.00
$560.35
, Julie
No
No
No
Fire lnsp. Req'd:
Police Insp. Req'd Account#
No
No Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit rssued 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 rs suspended or abandoned for a period of 360 days after
the time the work is commenced.
01 1 1 6002 51 601
01116002 51612
01116002 57770
$4s0.00
$1.00
$10e.35
!nspector MID#: 2020-162414
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER B I.IILDER DELCA RATION
I hcreby attirm under pcnalty of perjury that I am exempt from thc Contractors' Liccnsc law for the following reason (Scc.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a permit to conslruct, alter. improvc, dcmolish or repair any
structurc, prior to its issuance. also rcquircs thc applicant for such pcrmit to filc a signcd statemcnt that hc or shc is liccnscd pursuant
to thc povisions of thc Contractor's Licenscd law (Chaplcr 9, Comnrencing with Scrtion 7000 of Division 3 of the Busincss and
Profcssions Codc) or that hc or shc is cxcmpt thcrefrom and the basis for the allcged exemption. Any violation of Sectkrn 7031.5 by any
applicant frrr a pcrmit subjcrts thc applicant to a civil penalty of not morc than five hundrcd dollars ($500).
_1, as owner of the propcrty, or my employccs with wages as thcir sole compcnsalion. will do the work urd the structwc is mlt
intcndcd or offered for sale (Scc.7044, Busincss and Professions Codc: The Contractor's License law docs not apply to an owncr of
the propcrty who builds or impmvcs thcreon urd who does such work hirnself or hcrsclf or through his or hcr own employces.
provided that such improvcnrcnts are nclt iruenclcd oroffered for salc. If. howcrrr. thc buiHing or inprovcnrent is sold within one )rcuu
of cornphtion, thc Owrrcr Builder will have the burdcn of proving that hc or she dirJ not buiH or improve the proprty for tlr purynsc of
sab).
_1, as owncr of the propcrty. am exclusively contracting with liccnscd contractors lo construct thc pro!:ct (Scc. 7M4. Busincss
and Prrofcssion Codc: Thc Contractor's Licensc Law docs not apply to an owncr of propcrty who builds or improves thercon.
and who contracts for such projccts with a Cnntracto(s) liccnscd pursuant to the Conlraclor's Liccnsc kw).
-l
am exenlpt under Scction- . B. & P.C. for this reason.
Date:_Owner:
WOnfBnS' CtlfttPfns
DECLAITATION
I hcreby affinn undcr pcnalty of pcrjury one of thc following dcrlarations:
_l havc and will maintain a Cenificate of Conscnt to Self-lnsure lbr workers'con{rcnsation. as ;novidcd for bySection 3T00 of thc
Labor Codc, for the pcrfornurnce of the work f<rr which the pcrmit is issucd.
Ne,t ,tr"
havc and will maintain workcrs' compcnsation insurance. as rcr;uired by Seclion 37fi) of the l.abor Code. for thc ;rcrformarrce of
work frrr u,hich this pcrnrit is issued.Mv workcrs' comncnsationLvuLh insurance canicr and plicy numbcr arc:
\ lz,o
Policy \I
$Q-f "crrify
rfur in thc 1rcrformrcc of the work for whhh this prmit is issued. I shall nor cnploy any Jrcrson in any rmrcr
s as Io bccom subjst to thc wtrkss' @mlEnslion laws of Cdifomia, ild agE thd if I should bccom subjct Io Ilrc
workcro comlrcnsation pmvisions ofSction 3700 ofthc Labor Codc. I slEll, fonhwith omply with thos prcvisions.
WARNING: Failurc to scurc workcrC con{rcnstion covcmgc is unlawful, alxl shall subtrt an cmplolrcr to qiminal lEullbs lnd
civil fincs up lo onc hunclred lhousand dollars ($l in adcliti<ln to thc copg[-sqfrcnsation. darnages as provided for the
\*labor Code.
\zc
intcrcst and
I hcrcby alllrnr undcr Jrcnalty ol'pcrjury that I ant liccnscd undcr provision 9 (conrnrncing with Scction 7000) of Division 3
of thc Busincss and Prol'cssions Code, and rrry liccnsc is in full lilrcc arxl cffcct.
Licensc \(,Number:1 SU,
L \\zr CtY
W
I hcrcby affm urder Fnally of pcrjury thal thcrc is a @n$ruction hnding agcrcy for thc lrfot1llmc of thc work for which this pemit is
issued (Sa. 3097, Civ. C.).
lrndcr's Name:
lrndcr's Addrcss:
APPLICANT DFCLARATION
I hcrctry aflinn undcr pcnalty of Jrcrjury onc of thc following dcclarations:
Dcrnolition Pcrmils-Asbcstos Notification Fcdcral Regulations (Titlc 40, Part6)
-Rcqu
ircd lrttcr of Notification
_l ccrtify that thc fedcralrcgulalions rcgarding asbcstos rcnnvalarc not applicablc to this proi'ct.
_l ccrrily that I havc read this and statc that the abovc inforrnation is corrcct. I agree to conrply with all City and County
ordinances and State [-aws upon thc
Loabove rncntioncd properly ftrr
Applicant or Agent
I'ernritee nilnre
cunstruction. and rcprcscntatives of
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/VenUl nsu I atio n
Roof Sheathing
Shear Wall
Framinq
lnsulatio nlEnerqy
Drvwall
Ext./lnt. Lath
Brown Coat
Jvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Engineer Final Report
Flood Zone Certif.
/,\
FINAL /Z /z-z/'z 02€) dk !'7,U
Certificate of Occupancv I,
Notes, Remarks, Etc.
Rev. 08-07 -201 5
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