HomeMy WebLinkAbout10195582 - PermitProiect Address: 1845 S Forest Ave
Lot: 33
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract:4402 Historic: No
city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #:10195582
Pin #: 72897,/
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 2016
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $12,760.00
Occupancy.
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: Install solar panels
Planning Conditions:
Owner:
Address:
Phone
Alfred & Monica Marquez
1845 S Forest Ave
Santa Ana, CA 927044208
(7141267-3163
Contractor: VivintSolarDeveloper
Address: 9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
Phone: (657) 600-8252
State Lic #: 973756
Lic Type: C-10, C-46
fBl.rs. Lic #: 345470
Workers' Compensation lnsurance:
Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1110112018
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
}5
,.o.*ccrc-to"-5-22-\8
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
tq" Hernandez, Kathv
No
No
No
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Dale 02l'1512018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$500.00
$1.00
$0.00
$501.00
$0.00
$501.00
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp Req'd Flood Zone Cert. Req'd: No 01116002 51601
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit ls suspended o r abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 2018-141499
0'1116002 51612
$500.00
$1 00
Assessor's Parcel: 408-352-01
a
IIl
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS ()WNER ITUILDT]R DELCARATION
I hcrchy allirtr undcr pcilrlly of pcriury lhat I iln cxetrrpt from lhc Contracbm' L-iccnsc Law lirr thc folhrwing reflson (Scc.7o]l.5
Busincss and l,rolcssion Codc): Any City or County which rcquircs a lEnnil lo con\truct. allcr. improvc. dcnnlish or rcpair any
structurc. prior k) its issurncc. also rcquircs lhc spplicatrl for such 1--rrnil lo lilc a signcd slfllciltnl lhal tE or shc is liccn{d pursuant
to thc provishns of thc Cootracbr's Liccnscd Liw (Chaplcr 9, Conrmcncing with Scclion 7UD of Division -l of thc Busincss and
Profcssir)nsCodc)orlhsth(orshciscxcnrpllhcrclromnndlhchasislorlhcullcgcdcxemplion. AnyviolationofSeclion?03l.5byany
applicrnrlorapcnnitsubjcclslhc applicanlloilcivilfcnilll)'oflolnrorcthanllvehundrcddollars(S5Ul).
_1, xs owncr ol'thc pro|rny. or nry cillployccs with wugcs rs thcir solc cornpcnsati()n. willdo lhc work nnd lhc slruclurc is not
iilcndcd orollcrcd for salc (Sa.7(X,{. Busiilcss and Prolc\si(rns C()dc:'l-hc Conlrnclor's l-iccnsc lnw docs not apply k) an owncr oI
thcp()frfly whohuildsoriilrprowstlrmn.{idwhod(rc\suchsorkhiillsclforhcrsclforthroughhisorhcrowncnrpk)yccs.
provi(lc(lthatsuch itnptl)vctrrcntsarcnotintendc(loroltcrcdli)rsrlc.llhowcvcr.tlrcbuiltli[gorirrprolcnrcnlissoldwilhinr'rcycar
ofconllcti(rl. lhc Owncr Iluildcr will havc thc burdcn ol provirrg thul hc or she (li(l not huikl or inrprovc lhc pmJ)(fy tbr lhc purfmsc of
sh)
_1. ar owncr of thc prolcrly. am cxclusivcly conlractinS wilh liccnscd conlrxck)rs k) conslruct thc projccl (Sec. 7044. Busincss
and lhrtcssilrCodc:'l'hcConlraclor'sLiccnsc[-awdocsnolapplyloilnowncrofproprrlywhohuildsorimprovcslhcrcon.
and who conlracls lor such projccts wilh r Conlrnck)r(s) liccnscd pursuanl lo lhc Conlractor's Liccnse [-aw).
I rnr cxcrntn urdcr Sc.li()il-. I| & P.('. lbr lhis rcrsoil.
Date:
-
ownerr
-WORKERS' COMPENSATION
DECLARATION
I hcrchy alllrm uDdcr pcnalty of pcrjury onc of lhc li)llowing dccluralion\:
_l hnvc and will nuintilin a Ccrlillcatc of Conscnl lo Scll:lnsurc lirr workcts corttpcosolion. rs prcvidcd tor by Sccti(m :l7U) ol lhc
titx)r (:odc. li)r lhc pcrfornuncc of lhc work lor which lhc pcrmil is issucd.
_lhilvcandwilltnainlaiiworkcrs'conrpcnsalioninsurricc.as rcquirdbyScction.jT(X)ofthct,nbor(i)dc,lbrthcpcrlirnnanccof
thc work for which lhis pcrnlit is i\sued. My workcrs' conrl)cnsali()n insurancc canier r[d lx)licy DUorhcr arc:
Carricr:
Policv Numbcr:
-Expircs:
D
_l ccrlily rhtl in lhc fcrli)rilrilnce oflhc work li)r which lhis perilril is issucd. I shall nol cnrl)k)y any pcrson in any ilrrnncl
s rs () h(conE subiecl lo lhc workcr\' compcn\illiotr laws ol Cflliforniil. and ilBrcc lhrl il I shoukl ttcolnc subjccl to lhc
workcr\'conrpcn\flti(DDrovision\ol-Sccti(il-17(X)ofthcl,ilh)rCotlc.lshall.li)rlhwilhcoilrplywilhlhoscp()vi\ions.
WARNINO: [;aihrrc lo sccurc workcrs'conrfcnsxtion covcrrSc is uildwtul. lld shtll \ubjccl an cnrphycr lo crinlirril ncnallics afd
civil lincs up lo one hundrcd thousand dollars ($100.(xx)). iil a(klilion lo lhc cosl of compensrlion. darugcsu*as providcd lirr lhc
Sccti()n albrrcy's fccs.
Dillci
I hcrcby altlrm undcr pcilalty of pcriury that I am liccnscd undcr pr)vision o[ Chaptcr 9 (commencirt8 with Scction 70U)) ot Divisk)tr 3
of lhc llusiDcss nnd Prolcssions Codc. Md nly licensc is itt full tbrcc and clllcl.
Liccnsc
Date:L ? cont ^"tor,
CONSTRUCTION LFNDING AGENCY
I hcrcby affirrr undcr pcntlly ofpcrjury that lhcrc is a conslruction lcnding agcncy for thc pcrformancc ofthc work for which this frrmil is
issucd (Scc. 1097. Civ. C.).
Lcnrlcr's Nanrc:
Lcndcr's Addrcss:
APILII;ANLIIECI.AMIIQN
I hcrcby aflinn undcr penalty of pcrjury one of lhc following declarations:
Demolilion Pcrmils-Asbcslos Notilication Fcderal Regulations (Tillc 40. Pan6)
-Requircd
lfltcr of Notillcatk n
-l
certify lhal lhc fcdcralregulations rcgrding asbeslos rcmovalarc not uPPlicablc lo lhis Projcct.
_l cedify that I have read this applicrtion and slute that thc above information is corect. I agre lo comply wilh ull City and County
ordinances and Statc Laws rclaling to building conyruction. uM hcrchy {ulhorizc rcprcscnlutivcs of this City and County to cntct upon lhc
abovc rmntioncd propcdy l'or ins\K rrurrylia ,/./ /
AppncanrorAgenrsronru"", .l y'Vd/ U* ,rr", )// S- -
Pemiremme(prrn,r. L*r-4 Lr *A-u
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Vent/l nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Cefiif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc
It