HomeMy WebLinkAbout101104722 - PermitProject Address: 21 14 S Magnolia Ave
Assessor's Parce!: 015-194-04 Lot: 172
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 1192 Historrc: No
. city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {011o,4722
Pin #: 59743
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories.
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total.
Patio:
T.l.Area:
Yards Req'd:
Valuation: $2,865.00
0
Description of Work: lnstallation of additiona! solar panels. Total o122.
Planning Conditions:
Owner:
Address:
Phone
Tenant:
Jesus Diego
2114 S Magnolia Avenue
Santa Ana, CA 92707
Contractor: Vivint Solar - !rvine
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: American Zurich
Policy #: WC509601305
Expires: 1110112020
Engineer:
Address.
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving W"y, #500
LEHI, UT 84043
c73567
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Date: Misc. Receipt:
Ahangian, Kathy l{ Date. 1Ot14l2O2O Misc. Receipt:
Verduzco, Violet -rl Date: 1Ot1gl2O2O Misc. Receipt:
Subject to Field:
Fire !nsp. Req'd.
Police Insp. Req'd Account#
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
No
No Total
$4s0 00
$1 37 70
$1 .00
$0 00
$588 70
$0 00
$588.70
Flood Zone Cert. Req'd: No 01 1 16002 51601
Every 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.
lnspector MID#: 2020-161665
01116002 51612
01 1 16002 57770
$450 00
$1 .00
$1 37 70
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BI'ILDER DELCARATION
I hcreby alfrm under Fnolly of Frjury that I u exetr{,t from thc CoilractoE Lkorc law for thc following uion (Sc<.7031J
Busincss and Pmfcssion Code): Any City or County which rcquires a Imit to constrct. .tlts, improvc" dcmolish or qnir ily
structurq prior lo ils issumc. als rcquires lhc alplicant for such pmit to fih a signed stalcrcnt that hc or shc is liccn*d pusill '
to thc Fovisions of the Contretor's Lbenscd lzw (Chaptcr 9, Comrcing with Sction 7000 of Division 3 of the Busircss od
PrcfcssionsGrdc)orthathcorshcisexcmptthcrcfromardthcbr$[sfo]thcallcgcdcrcmption. AnyviolationofsetionT03l.5byilny
applicsnt for a lrcrmi! subj€ts tlrc applicant to a civil pcElty of not mrc thil fivc hundrcd dollus ($500).
-1.
as owrrcr of the fnopcrty. or my cmployecs with wagcs as thcir solc compcnsation. will do the work and the structurc is rnt
intendcd or otfcrcd for sale (Sec.7M4. Business and Professions Codc: The Contractor's Liccnsc law docs not apply to an owncr of
lhe proJrrty who builds or improves thcreon and who does such work himsclf or herself or through his or hcr own employees.
providcd that such improvcnrnts arc not intcndcd oroffcrcd for salc. lf. howcr,cr. the buikling or inprovcnrcnt is sold wilhin one )ryu
of complction. thc Owner Buildcr will have the burdcn of proving that hc or shc did not build or improvc thc propc.rty tbr thc purposc of
sale).
-1,
as owncr of the propcrty. am cxclusivcly contracting with liccnscd conlractors to construct thc projc'ct (Scc. 7M4, Busincss
and Prrolbssbn Code: Thc Contractor's Liccnse Law docs rrol apply to an owncr of proJrcrty who builds or improvcs thereon,
and who contracls for such pojccts with a Contracto(s) licenscd pursuant lo thc Contractor's Liccnsc [aw).
_l anr cxempt under Scction_. B. & P.C. for this reason.
l):rtt'
WORKERS' COMPENSATION
DECI ARATION
I hcrcby alfirnr undcr pcnalty of pcrjury onc of thc following dcrlarations:
_lhavcandwill nmintainaCerlificatcofConscntto.Sclf-lnsurelorworkcrs'comlrcnsation,as providcdforbyScction3T00ofthe
.Labor Code.
NH^,cand
for the pcrforrrance of the work for which thc Jrcrmit is issucd.
wi ll rrraintain workcrs'insurance, as by Scctiorr 3700 of thc labor Code. for thc performarce of
are:thc work which this pcrnrit is issurxl.workcrs'carricr aml plicy numbcr
U4 \Z
N thal in thc pcrforrnancc of thc work for which this pcrnrit is issucd. I shall not employ any pcrson in any manncr
so as to bcconrc subject to thc workcrs' compcns:llion laws of California. and agrce that if I should bcconrc subict to lhc
workcrs' compcnsation provisions of Section 3700 of thc l-abor Codc. I slull. forthwith comply with thosc provisions.
WARMNG: Failure to sccurc workcrs' cornpcnsation covcragc is unlawful. and shall subjcct an employcr to criminal penaltics and
civil fincs up lo one hundred thousand dollars in addition to thc cost ion. damages as providcd for thc
Scction 3076
rrara. \ O T'TA I76"""
and
I hcrcby affirrn undcr pcnalty of perjury that I ant licenscd under of Chaptcr 9 (conrrrrcncing with Scction 7fi)()) of Division 3
of thc Busincss and hofcssions Codc. arxl my license is in full force ard cffcrcl.
Licensc o to Nunrhcr:
q1 dsb
t
W
I lrcrcby rffirm undcr lrenalty of Frjury thal thcrc is a mnslruclion lcnding agcrcy for thc Jsfornuce of the work for which lhis lErmit is
issucd (Sec. 3097. Civ. C.).
Lrndcr's Narne:
lrndcr's Addrcss:
APPI ICANT NFCLARATION
I hocby affirm under Jrcnalty of pcrjury onc of thc following dcclarations:
Dcmolition Permits-Asbestos Notification Fcdcral Regulations (Title 40, Part6)
_Rcquired l,cttcr of Notificalion
_l ccrtify that thc fcderalregulations regardirrg asbcstos
l$""n,fy that I havc read rhis application and statc thar thc
rermrvalarc nol applicablc to this proJcct.
abovc information
ordinances and Statc laws rclating to
alxrvc nrcnlioncd propcrty firr
rt;lplicnnl or
I)crnritec
construction. and
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl ns u latio n
Roof Sheathing
Shear Wall
Framing
!nsulation/Enerqy
Drywal!
Ext./lnt. Lath
Brown Coat
JVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL I Ll? l'2 0 D**h
Certificate of Occupancy I
Notes, Remarks, Etc.
Rev. 08-07-201 5
,
O"tu, \ O Contraclo r, V lvtnl- Sbt 4r
with all City and County
and County to enter u6rn thc
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