HomeMy WebLinkAbout101105156 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O11O5{56
Pin #: 85383
Project Address: 1230 W Camile St Unit:Bldg: Address Range:Suite Range:
Zoning: R1Assessor's Parcel: 010-1 14-07 Lot: 8 Block: NA Tract: 1406 Hrstoric: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2019
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Tota!:
Patio.
T. !.Area:
Yards Req'd:
Valuation: $1 2,870.00
Description of Work: lnstallation of roof mounted PV system. Worksheet attached to plans.
Planning Conditions:
Owner:
Address:
Jose Ruesga
1230 W Camile Street
Santa Ana, CA 92703
(7141 785-3721
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, C-46
Bus. Lic #: 345470
Workers' Compensation lnsurance:
Carrier: American Zurich
Policy #: WC509601305
Expires'. 1110112020
Engineer:
Address:
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving W.y, #500
LEHI, UT 84043
Phone:
Tenant:
Phone:
License #:c73567
I Architect /
Designer:
Address:
Vivint Solar Developer
Eric Curtis
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(s62) s42-1270
I
Phone:
License #:
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
Chavez, Dave
Date:
Date:
Date: 1110G12020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 51672 Bldg. Stds. Revolving
07775002 57600 General Plan Update
$4s0.00
$101 .25
$1.00
$0.00
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Tota!
Flood Zone Cert. Req'd: No 01116002 51601 $450 00
$1 00
$101 25Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
01116002 51612
01 1 16002 57770
Fee Total:
Paid to Date:
Balance Due:
$ss2 25
$0 00
$s52.2s
lnspector MID#' 2020-1 62639
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/S!G.COMMENTS OWNER BUILDER DELCARATION .
I hcrcby affirm under pcnalty of pcrjury that I am cxcmpt from the Contractors' Licensc law for the following reason (Sec.7031.5
Busirrcss aml Profcssion Code): Any City or Counry which requires a pennit lo consrruct. altcr. improve, &molish or rtpair any
structure. prior to its issuancc, also requires the applicant for such ;rcrmit to filc a signed statcrnent thal he or she ls licensed pursuant
to the fnovisions of thc Contractor's Licenscd Law (Chapter 9, Commencing with Section 7000 of Division 3 of thc Business and
Profcssions Codc) or that he or she is exerrpt thcrcfrom and the basis for the allcged cxemption. Any violation of Section 7031.5 by any
applicant for a permit subjccts thc applicant to a civil pcnalty of not morc than fivc hundred dollars ($5001.
_1. as owncr of the fnoperty. or tny employccs with wagcs as thcir solc compcnsalion, will do the work and the structure is not
inlcnded or offered for sale (Scrc.7044. Busincss and Professions Code: Thc Contractor's License [aw does not apply to an owner of
the propcrty who builds or improves thercon and who does such work hirnself or hersclf or through his or her own employecs,
providcd that such improvenrcnts arc not interrlod oroffcrod for sale. If. howerer, thc buiHing or inprovenrcnt is sold wilhin one )ryr
of complctio[ the Owner Buildcr will have thc burden of proving that hc or she did not build or improve thc property for the purynse of
salc).
-1,
as owncr of thc propcrty, am cxclusively contracting with licenscd contractors to construct the projct (Sec. 7044, Business
and Profssion Code: Thc Contractor's Liccnse Law docs not apply to an owncr of propcrty who builds or improves thercrrn.
and who contracts for such gnojccts with a C-ontracto(s) liccnsed pursuant to the Contractor's License l-aw).
-IamexcmptundcrScction-,B.&P'C.forthisreason.Date:_Owner:-_
wonxg
DECLARATION
I hcreby affirm under pcnalty of grerjury one of the following dcrlarations:
_l have and will maintain a Certificatc of Consent to Sclf-lnsure for workcrs' compcnsation, as providcd for by Section 3700 of thc
[:bor Code, for thc pcrfornrance of the work for which thc pcrrnit ls issued.
NR havc and will maintain workers' contpcnsation insurance. as rcquircd by Scctiott 37fi) of thc Labor Code. for thc lrcrformatrce of
work this is issued. My workcrs' comgrcnsation insurarrce carricr and plicy numbcr arc:
I
Policy o \zl
\\r,ccrlity that in the prforlrrancc o[thc work for which this pcrnrit is issued. I shall not cmpklyany pcrson in any nnnncr
so as to bcconrc subject to thc workcrs'compcnsati<ln laws of Califomia. and agrcc that if I should bc'conre subjcct to the
workers' conrpcnsation provisions of Section 3700 of thc hbor Codc. I shall. fbrthwith cornply with thosc provisions.
WARNING: Failure to sccurc workcrs' compcnsation coveragc is unlawful. and shall subjecl an cmployer to criminal pcnaltics and
civil fincs up to onc hundred thousand
Scction 3076 of thc Labqr Code. intcrcst
Date: lt lvlz-l:
dollars ($to the cost of compensalion. danragcs as providcd ltlr tlrc
and attorney's fecs.
Applicant:_
I hcrcby affirrn undcr pcnalty of pcrjury that I arn liccnscd 9 (comnpncing with Scrtion 7000) of Division 3
of thc Busincss and Professions Code. and my liccnsc is in full forcc and eff'cct.qtbl 3b I
Liccnsc c Nurtrbcr:
\('onlructor:L
W
I hcrcby aflinn urdcr Fnalty of pcrjury thd thm is tr ongruction lcnding agcrcy for thc ftrforlmcc of thc work for which lhis fmii is
issucd (Scc. 3097, Civ. C.).
Lrnder's Name:
Lrnder's Address:
APPLICANT DECLARA'ryON
I lrrcby affirm undcr pcnalty of pcrjury onc of the following declarations:
Dcmolition Pcrmits-Asbcstos Notification Fedcral Rcgulations (Title 40. Part6)
-Rcquircd
lrtter of Notification
_l ccrtify that lhc fcdcral rcgulations rcgarding asbcstos rcrnval arc nol applicablc to this projcrt.
[S."nify that I havc read this statc that thc atnve infbrnurtion
ordinanccs ancl ,Statc laws
abovc rncnlioncd property for
Applicant or Agent
Pernritee nanle
construction. and
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loo r/VenVl ns u I atio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqv
Drywall
Ext./lnt. Lath
Brown Coat
J\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
It
FINAL 11.I ?,0 DRV[1
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5
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