HomeMy WebLinkAbout10181849 - PermitCity 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 #: 1O18{ 849
Pin #: 23415
Proiect Address: 714 S Gates St
Assessor's Parcel: 108-415-03 Lot: 91
Unit:Bldg: Address Range:Suite Range. n
Zoning: R'lBlock: NA Tract: 3656 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Solar Constr Type: V B 2nd FL Area:
Nature of Work. Solar Code: CBC 2013 Other Areas:
Existing Bldg. & Use: Sfd w/att garage Flood Zone: X-0602320256J Garage Area.
Proposed Use: # of Stories: Total:
Description of Work: lnstal! (13) roof mounted pv solar panels & (13) micro-inverters. FEE EXEMPT PER CITY RESOLUTION.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd
Valuation:$16,250.00
Owner:
Address
Phone:
Tenant:
Lydia Jackson
714 S Gates Street
Santa Ana, CA 92704
(949) 929-9443
Contractor: VivintSolarDeveloper
Address: 1529 E McFadden, Suite A
Santa Ana, CA 92705
Phone: (657) 600-8252
State Lic #: 973756
Lic Type: C-10, C-46
Bus. Lic #: 345470
Workers' Compensation lnsurance:
Carrier: New Hampshire lns Co
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
PZSE lnc
Paul Kenneth Zacher, SE
8137 Sunset Avenue, #120
FAIR OAKS, CA 95628
(916) 961-3960
s3878
Planning Approval
Plan Checked
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
icy #: WC029342335
Expires: 11101120'|.4
Date: 0710312O14 Misc. Receipt:
Dale 1011312014 Misc. ReceiPt:
Date: 10113t2014 Misc. Receipt:
Subject to Field:
lvan
Ahangian, Kathy
Brodowski, Teri
Phone:
License #:
o7776002
07776002
07775002
07776002
07776002
07776002
57607
53600
57607
57672
57600
57507
Permit Fee
Plan Check Fee
Fee Exempt
Bldg. Stds. Revolving
General Plan Update
lssuance
$141 .26
$195.83
$-406.07
$1.00
$19.46
$48.52Fire lnsp. Req'd:
Police lnsp. Req'd Account#
Flood Zone Cert. Req'd: No N/A _ No Balance
N/A - No Balance
N/A - No Balance
No
No
Every permit lssued shall become invalid unless the work on the site
authoized by such permit is commenced within 180 days after its
lssuance, or if the work authoized on the site by such permit is
suspended or abandoned for a peiod of 180 days after the time the
work is commenced.
lnspector MID#: 2014-115358
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
Total
BUILDING. !NSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUlnsul
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
EXPII TED
FINAL ITIAII I I zu16
Certificate of Occupancy SAMC 843 29ft sie eaz
Notes, Remarks, Etc.
Orvner-Builder Declaralion '-'-
I hereby afftrnt under penalty of perjury that I anr exenrpt form the Contracbrs' License Law for the folbwing reason (sec 703 I .5 Buiness
and Profdsion Codc): Any ('ity or County which rcquircs a permit lo conslrucl. alter. improvc. dcmolish or repair any structure. prior to its
issuance. also rcquird thc applicaot fot such pennit lo filc a signed slatement thal hc or she is licemed pureuant to the previsions ofthc
( ontraclor's l-rcensed Law (Chapter 9, Commencing wilh Seclion 7000 of Divrsion 3 of the Ilusiness 6nd Professions Codc) or thal he or
she is exeilrpl lhcrcfrorn and thc bmis for the allcged exemplion .Any violation of Scction 701 L5 by atry applicant for a pennit subjccls thc
applicant to a civil pcnalty ofnol morc than fivc hundrcd dollare ($500).
__1. as owncr oflhe prcpe(y. or my ernployces wilh wages as their sole compensation, will do the rvork and lhc structure is nol inlended
or offered for sle ( Sec ?044. Business and Prolessions Code The Contractor's License Law does nol .pply to an owner ofthe propc(y
rvho builds or tnproves thereon. and who docs such rvork himselfor herselfor through his or hcr own etnployees, provided lhat such
inrprovemenls are nol intended or offcrcd for salc. If. however. the building or improvement is sold wilhi! one ycar ofcomplction, lhc
Owner-Builder u ill have lhc burdcn ofproving that hc or she nol build or ilnprove for lhe purpose ofsalc)_
I I. as owncr ofthc propcdy. 8m exclusively cotrtracting wilh liccrucd contractors lo coulruct the projccl ( Scc. 7044. Busincss ud
I Prcfcssion Code. The Controclor's License law doe not apply to En owner ofpropeny who builds or improvs thereon , and who
conlracls for such proltrts wrlh a Contractor(s) Icensed pursuant to the Contractor's Ltcense [rw.).
I ;],""*"'
undcrs'crion & P.C. for lhis reason.
()$Der:
WORKERS COMPENSATION DECLARATION
I hcrcby amrm undcr pcnalty ofperjury one ofthe followinS decltratios:
lhavcsndwillmaintainaCcnific8tcofCoNcnttoSclr:lnsureforworkers conrpenetion,as providedforbySslionlT00ofthe
Labor Codc. for thc pcrfomancc of thc work for which thc p€mit is issued.
!have and will maintain workers' compenstion insurance, as requted by Section 3700 of the Labor Code. for the perfornunce of lhc
work for whrch thrs permit is issued My workers'conpensation insurance carier and policy numbe[ arc:
Policy N ,-rr,,",ll'l-41
$1001 or lcss)(T}lis seclion need nol be ifthe pennil is for One huf,drcd dollars I
f,l cenify rtrat in
becanre subtect to
the perfornrance ofthe rvork for this perrnit is issucd. I shall nol empby any person in any manner so as to
rfornia. and agree thal if I should become sublect to lhe workers'!he worlers
cornpensalion provisions ofSection -1700 of Code.comply h thosc pror'isions.
WARNING Farlure to secure workers'
fincs up lo one hundred thousand dollars
is unlawful. and shall subject nn employer to crilninal penalties aild civil
addilion lo lhe cosl ofcompensation. damages c providcd for the Seclion -1076 of
the tabor Code, interest and attorney s fees
LICENSED ('ONTRACTORS DECLARATION
I hercby afljnn under penalty ofperjury lhat I sm Iiccnscd undcr provision of Chaplcr 9 (commcncing with S(tion 7000) of Division -1 of
the Busincss and Profcssions Codc. and mv license is in lirll force and effect
Nunlber
,,r,c lO-tg- t4
I hercby aflim undcr penalty ofpcr.jury
issucd (Sec. -1097, Civ. C.).
Lender's Name:
a lcndiog agcncy for thc pcrfomancc ofthe work for which this pcrmit is
l,ender's Address:
APPLICANT'S DECLARATION
Dcrnolition Permits-Asbestos Notification Federal Regulations (1 itle 40. Pan 6)
Required Letler of Nolillcation
Icffify lhat regulations rcgarding asbestos removal are not applicable lo this project.
have read this application and slate lhat lhe abovc informalion is corcd. I agrcc lo conlply wilh all Cily and Counly
State lrws relating lo building construction. and hcreby aulhorize reprsentalivcs ofthis City and Counly to cnler upon the
property Ibrabove
or agenl
):
purI)oses.
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r.iccnse(.rrss: C4O Cto