HomeMy WebLinkAbout101104868 - Permit?City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 '' -
Brilding
PermitCounter: (714)647-5800 lnspection Requests: (7'14)667-2738 lnspectorSection: (714)647-5853
Permit #: 101104868
Pin #: 45764
Proiect Address: 481 I W Bruce Ave- -a-
Assessor's Parcel: 100456-05 Lot: 6
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 2465 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
A-0602320143J
1st FL Area
Znd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation: $ 12,870.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
Description of Work: lnstall solar panels
Planning Conditions:
I Owner:
Address:
Phone:
Tenant
Mauricio Leon
4818 W Bruce Ave
Santa Ana, CA 927031517
(7141 791-6205
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: American Zurich
Policy #: WC509601305
Expires: 11l,0112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
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
Hernan dez, Kathy
Date:
Date:
Date: 1010712020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Recerpt:
07776002 57607 Permit Fee
07775002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450.00
$68 8s
$1 00
$0 00
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
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 after ifs 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.
01 1 16002 51612
01 1 16002 57770
$450 00
$1 00
$oB as
$51 9 8s
$0 00
$519.85
lnspector MID#: 2020-1 61980
1
i BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Ve nVl nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
L{7 2 Its e a a'-\nr--.t I -- /ta d attJ
FINAL -luoI-(r frr ttr7,vCK)// .6 I
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I hcrcby 0llirm unrjer lrcnalty of Frjury that I am cxcmpt hom thc Cotrtrack)r' Liccnsc hw for thc folhwing rcas9n (Se.70-ll.!
Rusiucss and Prolbssion C(xlc): Any City or Counly which rcquircs a lErmil to construct, alter. improvc. dcmolish (rr rclBir any
struclurc, pri()r k) ils issuancc. al$o rcquircs thc applicanl lbr such lErmit kr Iilc a signed statemnl that hc or shc is licensd pmuant
to lhc pruvisions of lhc Contrack['s Licenscd Law (Chaptq 9, Commcncing uilh Setion 7fix) of Division 3 of thc Busincss and
Pnrlbssions Codc) ur that hc (rr shc is crcmpt thcrcliom atrd thc hasis for thc allcgcd cxcmption. Any violalion ofsection 70ll.5 by any
applicanl for a lErmit subjccls thc applicant to a civil pcnalty of rol morc than livc hundrcd dolhs (5500).
_I. as owncr of thc propcrty, or my cmployces with wagcs as lhcir solc compcnsation, will do the work arxl the slrur.*turc is not
intcndcrl rlr oll'ercd lirr salc (Sec.7(X4. Busincss antl Pnrfcssions Crxlc: Thc Contractor's License [:w does not apply to an owner of
thc pnrJrcrty who huilds or impnrvcs thcrcon. anl who docs such work himsclf or hcrself or through his or hcr own cmpklyces.
providcd that such improvcrncnts arc not intcrxlcd rlr ollcrcd lilr sah. It, txlwcvcr, thc buikling or improvcnrcnt is sokl within onc yciu
ol'comphtkln, thc Owncr Buillcr will havc thc burden ol'proving that hc or she did rxrt buikl or improve thc pruJn'ry lbr thc purposc of
sah).
_1. as owncr ol'thc propcrty. am cxclusivcly conlracting with licenscd contractors to construct the projcct (Scc. 7G14, Busittcss
aml Pnltbssiorr Codc: Thc Contractor's Liccnse Law drrcs not apply lo an owner of propcrty who builds or improves lhcreon,
anrl who contracls firr such projccts with a Conlraclor(s) liccnsctl pursuant to the Contractor's Liccnsc hw).
-IamcxcmptundcrScction-'B.&P'C.forthisrcason.Date: Owner:
wtxrcns' cotttprnls
DECLARATION
I hcrchy alfirm undcr Jrcnalty ol';rcrjury onc of thc krlklwing dcclarations:
_l havc and will maintain a Ccrtitjcate of Consclrt to Sclt'-lnsurc filr workcrs' comJrcnsation, as provided ftrr by Sectitln 17fi) of the
l:txrr CrxJc, lirr thc pcrfilrmancc of thc work frlr which thc Jrcrmit is issucd.
_l havc and will maintain workcrs'comSrcnsation insurancc, as rcquircd byScction 3700of the [aborCodc,
the work frrr which this Jrcrmit is issucd. My workcrs' compcnsation insurance carricr aml plicy numbcr are:
for thc pcrtbrmancc of
2
Policy
-l
ccrtity that in thc pcrlirrnuncc ol'tlrc work lirr which this Jrcrmit is I shall not cmpkly any pcrson in any manncr I
so as to bccotttc suhjc-ct to thc workcrs'crlmpcnsatirtn laws agrcc that if I subject to the
workcrs' conrlrcnsatiott prcvisions o[ Scction ]7fi) of thc l.ahlr lirrthwith thosc prtlvisiotts,
}VAITNIN(]:Itt workcrs' compcnsation covcragc is and cmpklycr to criminal Jrcnaltics and
civil l-rncs up tlxrusand dollars ($l()0,fi)0), in to thc damagcs as prcvidcrl filr thc
Scctiort antl attorncy's l'ccs.
I hcrcby al'lirnt unrlcr pcnalty of prjury that I arn liccnscd 9 (commcncing with Section 7U)()) of Division -]
tlf thc Busincss anrl Prul'cssiorrs Codc, and my liccnsc is lirrcc c['t'cct,
Liccnsc
I hcreby allirnr undcr Jrcnalty ol';rcrjury that llrcrc is a
issucd (Scc. .1097, Civ. C.).
[-cndcr's Namc:
Jrcrtormance of the work lbr which this Jrcrmit Ls
l-endcr's Address:
APPLICANT DECLARATION
I trcrcby all'lrm undcr pcnalty of pcrjury onc ol'thc lirllowing dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd lrttcr ol Notilicatirxr
_l ccrtity that thc t'cdcralrcgulations to this project.
_l ccrtify that I have rcad this application is correct. I agrcc to comply with all
rlrtlinanccs antl Statc Laws rclating to building
atxlvc mcntioncd proprty lilr inspcction
Applicarrt or Agent
Penuilec nanrc
that thc
rcmoval arc
rcprcscrU4livcs of this City and to thc
Rarr nP.-n7-2nl q