HomeMy WebLinkAbout101101331 - PermitPermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Addressi 2518 W Sixteenth Sta
-
Unit:Bldg: Address Range:
Assessor's Parcel:1 98-1 34-03 Lot: 18 Block: NA Tract. 8947 Hisloric: No
Suite Range:
Zoning: R1
@ City nf Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Building Permit #:1O1{01331
Pin #: 83738
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 2016
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$18,590.00
0
Description of Work: lnstall an additional (26) roof mounted solar panels to roof with (25) existing.
Planning Conditions
Owner:
A$dress:
Tenant
Henry Tran
2518 W Sixteenth Street
Santa Ana, CA 92706
(714!.878-1123
Contractor: VivintSolarDeveloper
Address: 9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
Phone: (5621942-1270
State Lic #: 973756
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 345470
Workers' Compensation lnsurance:
Carrier: American Zurich lns Co
Policy #: WC5096013
Expires: 1'|.10112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Vivint.Solar
James Mbtthew.Walsh
3301 N Thahksgivirrg Way, #500
LEHI, UT 84043
c73567
: llltll:l
2U 1? ! I-t1
iL rt-tj.(t
.f!
Ir
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Ahansian, EU/'
Zuniga, Alliss\
Date:
Date:09/30/2019
Dare. 0212412020
Subject to Field:
07775002 57607
07775002 57770
07776002 57572
0L11.6002 51600
Perrnit fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
Misc Receipt:
Misc. Receipt:
Misc. Receipt:
$450.OO
$54.74
$1.00
$22.95
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01116002 51600
01 1 16002 51601
01116002 51612
01116002 57770
Account#Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permit rs suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2019-154125
$22.9s
$450.00
$1.00
$54.74 Fee Total
Paid to Date:
Balance Due
$528.69
$0.00
$s28.69
BU!LDING. !NSPECTOR RECORD
Rev. 0B-07-201 5
SITE.WORK DATE ID/SIG.COMMENTS owNt]R BUtt,t)t]R t)t:l,cAlrA'ItoN
I hereby allirnr under penalty of pcrjury that I am exempt from lhe Contra.los' License Lrw for thc following rcasn (Scc.7031.5
Busincss and Profcssion Code): Any City or County which requircs a Frmit h conslruct, rlter. irnprove, dcmlish or rcpair any
s(ructrrre, pri()r k) irs issuancc. also rcquics the applicant tbr such pernit k, file a signed slalemnt lhat lE or she is liccnsed pua$anl
to thr pmvisions of lhc Conlraclor's Liccnsed law (Chaptcr 9. Comrncncing with Scction 7(Xn of l)ivision 3 of the Business and
Prolessi()trsCode)orthatlEorsheisetempttherefrcnrandtlEb&risfbrlheallcSedexentpti,n. AnyviolationofsectionT03l.5byany
applicanl for ! pcnnit subjccts th€ applicant to a civil per)xlty of nol rmre lhun fivc hundrcd dollilrs ($5(n).
_1. a\ owner ollhe prolEnv. or my cmployecs wilh wagcs as lhcir $lc compcnsation, willdo thc work ard thc strcturc is mt
irlenrjed oroffcredforsdlc(Sa.7(N4,BusinessandPmfessiorsCodc:TheConlraclor'sLicenseL6wdoesnolrpplyloanownerof
thepfi)pcny wlnbuildsorimprovesthersn,andwhodoessuchworkhinrsellorherselforthroughhisorherowncmployees.
providcd that such imprcvcmnts dc rel intcndcd orollctud for salc. Il. howcvcr. thL huilding or itrprovcrmnt is sld wilhi, onc yctr
of conpletion, lhe Owftr Buikbr will luvc lhc burden ofprcvin8 llH lE or she ditl xl buill or impmve thc pmfrc(y for tlE purtr)s of
ulc).
_1. ns owncr ofthe propcily, am exclusivel), contrilctinS with licetrsed contrrclors to conslruct thc preject (Sec. 7(X4. Ru\ine\s
and Pblassrnl(i)de:'['heConrraclor'\Liceilseliwd(,esnorapplybanowncrofpropcrlywhobuildsorimpr)vcsthcrcon.
and who crtrnrxcts lor such prr)iacls with a Conraactrr(s) liccn\c(l pursurnt kr rhc Coilrnctor's Liccnsc Law).
-Ianrelcnrptundcrseclion-.B,&P,C,lirrthisreason,
WoRKl.lRS' (l()MPtINSATI()N
D1:CLARATION
I hcrcby allirm undcr penaly of pcrjury one of lhc ti)llowin8 dcclarari()nsi
_lhaveandwill nraintahaCertitlcdteofConsenttoSelt:lnsurcforworkers'compensation,as prrvidedforhySection3T00ofthe
Lahor Codc, for lhc perlormncc ofthc work lbr which the permil i\ issucd.
[2r]have and will mainrain workc6' compcillation inruiancc, as requiled by Scction 3700 oflhc tihor Codc, for rhe pedomh-c of
lhc work tbr-which lhis permit is issucd. My workqs' compcnsation insurancc caricr affl [rlicy number ue:
At-rz-riCQy. /-rr iCt
_l cenity thar in rhe pcrlornunce of rhc work for which Ihis pcrmit is issucd, I slull not cnrploy any 1lrson in any nunfii
so as lo bccorE suhjecl lo thc workers' compcNltion laws ofcalilbnlia. and aSrce thar if I slnuld hccorr- subjcct to thc I '
workcrs' compensution provi!ions ofSection 3?00 oflhe Labo, Cbde, I shall, fonhwirh conply with thu* prcvisions.
WARNINC: Failurc k) scurc workcrs'conlpcnsation covcrrgc is unlnwful. and shall subject an employcr to 6imir4l pcMltics and
compcnsation, drrm8cs as(rrovirled for theIcivil lirrcr up to one hutulred thousand doll.rs ($100,(XxD, in rddition to the cosl of
Sectt)n -1076 ofthe Latx,r Co(le, iil€rest an(l atk)mcy s
Dut",-212 !1ll o l) ani g
I herchy allifln und.r pcnalty of pcrjury lhat I arn liccnsd Chrptrx 9 {cornrnen.ing with Sccrion 7000) ol l)ivision l
of rhc Busidcss and Prcfessions Code. md my liccnsc is in full lbre and effecr.
I
Licensc C2 Nurnbcr'
tru",-.4:-L-51-q-(hnlruclor:.vi vi n1-S orq. r
CONSI'RI,]CTION I,ENI)ING AGI]NCY
I herchy attrnl undcr ltoalty of p€riury thai there is r construct ioD lcrxlLlS aScNy li,r I hc perfr)munce of the work tbr which tllis n€rrnit i\
issucd (Scc. .1097, Civ. C.).
Lcndcr's Nrrnc:
[-cndcr's Addrcss:
APPLICANT T'ECLARATION
I hecby affml under penalty of pcrjury one of thc followinB declarations:
Deft)lilion Permils-Asbestos Notiflcation Fcderal RcSulation$ (Title 40, Pan6)
-Requted
ktter of Notificdtion
_l ceaify lhar lhe federalregularions regudinE xsb€sbs rcnrcval rre not applicahle k) this proFct.
W U4r, ,nn I havc rcrd this application afil sratc thal th. above infomilion is core{. I ngre to comply with all Ciry and Counly
ordirEDCes rnd Strle Laws reLtilg trt huildiDg constructi<u ord hereby autlDrize raprerilalives of this City and County to cnter ulpn the
atx)vc nrcntioncd l}ropeny for t; ,_,2Applicsnt or i\gcnt
l'rnDitec nanrr
puqxlscs.
c .S
Q4-eu
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
ltrlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
/t
F!NAL /,a/;zn nz W?r )
Certilicate of
Notes, Remarks, Etc.
n,,,.rn",.u",, L,( r 5DQae.d[3 ,^,,',",, ll/(lZo