HomeMy WebLinkAbout101104942 - PermitProiect Address: 5006 W Maurie Ave-a
Assessor's Parcel: 100454-01 Lot: 44
Unit Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 2465 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 #: 10110,4942
Pin #: 29691
Building Use: Single Family Dwelling
Job Type: Solar
Nature of Work: Solar
Existing BIdg & Use: Sfd w/att garage
Proposed Use:
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBC 2019
A-0602320143J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area.
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $S,720.00
Description of Work: lnstall roof mounted solar panels. Per checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
THOMAS TERRONES
5006 W MAURIE AVE
Santa Ana, CA 927031102
(7141 497-6242
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 lnsurance:
Carrier: American Zurich
Policy #: WC509601305
Expires'. 1110112020
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 By:
Plan Checked By:
Permit lssued By:
NPDES lnsp.
PWA lnsp. Req'd:
Amsden, Julie
Date:
Date:
Date: 1011412020
Subject to Field:
Misc. Receipt.
Misc. Receipt:
Misc. Recerpt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7572 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$109.35
$1 .00
$0.00
No
No
No
No
Fire lnsp. Req'd.
Police Insp. Req'd:
No
No Account#Total
Planning !nsp. Req'd.
Landscaping lnsp. Req'd: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 within 360 days afterifs issua nce,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#: 2020-162148
01 1 16002 51612
01 1 16002 57770
$450 00
$1 00
$1 09 35
$s60 3s
$0.00
$560.35
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/S!G.COMMENTS OWNER BUILDER DELCARATION
I hcrcby afhrnr undcr pcnalty of perjury that I am cxcmpt from thc Contractors' Liccnse l.aw for the following rcason (Sec.7031.5
Busincss arxl Profcssion Codc): Any City or County which rcquircs a pcrmit to construct. altcr. improvc. dcmolish or repair any
structure, prior to its issuancc. also requircs thc applicant for such yrcrrnit to file a signcd slalemcnt that hc or she ls licenscd pursuant
lo the povisions of thc Contractor's Liccnscd L:w (Chapter 9. Commcncing with Scrction 7000 of Division 3 of the Busincss and
hofcssions Codc) or that hc or she is cxerrpt thercfrom and thc basis for the allcged exemplion. Any violation of Section 7031.5 by any
applicant tbr a pcrmit subjccts thc applicant to a civil pcnalty of not more than five hundred dollars ($500).
-1.
as owner of the prof,erty, or my cmployces with wagcs as thcir sole compcnsation. will do the work and thc structurc is not
intcrxlcd or ollcrcd for srlc (Sec.7044, Business and Profcssions Codc: The Contractor's Liccnse [:w does not apply to an owncr of
the propcrty who builds or inrprovcs thereorL and who docs such work hirnself or hcrself or through his or her own cmployees.
providcd that such improvcnrcnts arc not intcndod oroffercd for sale. ll. howerrcr. thc buiHing or irqlrovenrcnt is sold within onc )car
of conrplctioru tlrc Owrcr Builder will havc thc burdcn of proving that hc or she did not build or improve Orc fnoperty for tlre purynse of
salc).
-1.
as owncr of thc propcrty. am cxclusively c<lntracting with liccnscd contractors to construct thc projcrt (Scc. 7W, Busincss
and Profession Code: The Contractor's Liccnsc Law docs not apply to an owncr of propcrty who builds or improvcs thcrcon,
and who conlracts for such projects with a Contracto(s) liccnscd pursuant to thc Contraclor's Liccnsc taw).
_l am excnrpt undcr Scrtion_. B. & P.C. for this reason.
Owner:_
UABIEBSSqMPINSAUQN
DEGI.AEAIION
I hcrcby allirm undcr lEnalty of Fsjury orc of thc followitrg delestions:
-l
haw and will mintain s Ccnifrcatc of Consnt to Sclf-lnsurc for workcrs'@mpcnsalion, as pmvkied for bySfftion 3700 of thc
Lrbor Code. for the lrcrfomre of thc work for which thc lErmir is issucd.
$B,n*"na*iff *iottrinworkem'@mpcnsationinsurarcc,&s rcqutcdbySeclion3?0OofthctaborCrde,forth€psfommof
thc work for which this prmit is issucd.My workcrs' cotnpcr{iation insurancc carricr and policy nunrbcr arc:
ZVACVl
E5.€tU0 7?\'zoPolicy
liB*nn, ,nr, in lhe Jrrformrcc of thc work for which this 1Ermil is issued, I shall not employ any Frmn in any mncr
s, as to bccom subjst to the workcrC cotrpcnsation laws ofCalifomia, ud agrce that ifl should bccore subjct to Ihc
workerC compcnstion prcvisions ofscrtion 37m ofthc t2bor Codc, I slull. forthwith @mply with thos prcvisions.
WARNING: Failure lo $curc workers' compcnstion ovmgc is unlawful, ad shall subtrl an employcr to qimiml 1Enrltier and
civil dollars ($l00.mnt. in addition to lhc cost of compensation, damages as providcd for thc
and attorney's
I 1,..,. .
I hcrcby aflirm undcr pcnalty of pcrjury that I arn liccnscd under provision 9 (comnrcncing with Sc,ction 70m) of Division 3
of the Busincss and Profcssions Code, arxl my license is in full force arxl cffect.
Liccnsc
C\D
Nunrbcr:
"l'51 st,
Contrnctor:tvt
W
I hcrcby affirm undcr pcnalty of Jrcrjury that th@ is a conslruction hndinS agercy for the lrcrfol.tmc of tlE work for which this pcnnit is
is$cd (Sff. 3097, Civ. C.).
knder's Nom:
Lrndcr's Address:
APPLICANT DECLARATION
I tucby affirmundcr pnalty of pcrjury onc o[ thc following dcclarations:
Dcrnolition Permits-Asbcstos Notification Fedcral Regulatiorrs (Titlc 40. Part6)
_Rcquircd lrtter of Notilication
-l
ccrtify lhat thc fcdcral rcgulations rcgarding asbcstos rcmovalare not applicablc to this project.
N?.""ify that I have rcad this application and statc that the atnvc information is correct. I agrc.e to corrrply wirh all City and County
ordinances and Statc [:ws rclating construction. and hcrcby authorize rcprcscntatives of this City and County to upn the
above nrcntioncd propcrly for
Agllllicant or Agr:nt
IDermilee name
lu I
A^LV
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu I ation
Roof Sheathino
Shear Wall
Framing
lnsulation/Energy
Drywal!
Ext./!nt. Lath
Brown Coat
J\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
a ,W 42fr ,/2 )aaHn
'- 6 frg-tt l^' I
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5
2.&r l{L./r**f\
FINAL /
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