HomeMy WebLinkAbout101103494 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Building
'ai
Permit #:1O110,349{
Pin #: 83658 I
Project Address: 1314 S Poplar St
Assessor's Parcel: 109-273-13 Lot: 38
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA T.act1574 Historic: No
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 2019
x-0602320257J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $9,152.00
0
Description of Work: lnstall solar panels
Planning Conditions:
t Owner:
Address:
Phone:
Tenant
lrene Ramirez
1314 S Poplar
Santa Ana, CA 92704
17141376-2461
Contractor: Vivint Solar - lrvine
Address: 1500 White Rd #A
lrvine, CA 92614
Phone: 1552l.942-1270
State Lic #: 973756
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 345470
Workers' Compensation I nsurance:
Carrier: American Zurich
Policy #: WC509601305
Expires: 11lO1l2O2O
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
.{r
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: O4t1Sl2O2O Misc. Receipt:
Subject to Field:
Account#
01 1 16002 51601
01116002 51612
01116002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total
Paid to Date:
Balance Due:
$450.00
$7.82
$1.00
$0.00Hernandez, Kathy
PWA lnsp Req'd: No Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
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,s suspended or abandoned for a period of360 days after
the time the work is commenced.
No
Total
$450.00
$1.00
$7.82
$458.82
$0.00
$458.82
lnspector MID#: 2020-158614
BUILD!NG. INSPECTOR RECORD
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SITE.WORK DATE ID/S!G.COMMENTS OWNlrlR BtIILI)I.lR l)lll,CARA'l'ION
IhcrebyaffirnlunderpenahyofpcrjurythatImcxemptfron)lheContrack)N LicenseLawforthefollowingrcdson(S.c.7031.5
llusincss rnd Prolession Code): Any City or County which requires a lrrmil to construct, aller, ihprove. dcrmlish or (-pat any
slnrclure. pri(tr &) its issuance. also requires the applicanl tbr such pernrit tr file a signeil statcrcnl lhat lE or she is licefl€d pursuanl
h thc provisions o[ thd Contractor's Liccnscd lrw (Chaptcr (r. Comrncncing with Scction 7(Xx) of l)ivision 3 ol lhe Business and
Profcssi()nsCode)orthalheor\heisetempttherefromandthehasisfortheullegedexenrption. Anyviolati(nrofSectimT0Sl.5byany
rpplicnntforifEnnitsubjectsthe rpplicanttoncivilpenillyoInotmorelhanllvehundrcddollnrs($5{x)).
_1. ar owncr ol th! profDfly, or my cmployecs with wagcs as thcir slc compcnsation, will do the work ard lhe strctw is mt
intended orofferedforsle(S('.?(X.{.BusinessandPmfessionsCuIc:TheConlmcbr'sLiccnsckwdesnollpplyloailownarof
rheprcpeny wlx)fuild\oritrrprovestlErcD,ilxlwlDdoessuchworkhimselforlErsell'orthroughhisorherownempbyees,
providcd lhat such irnproverftnts arc nol inlcnded or ollcrcd for sale. Il. howcvcr. thc building or improvcmnt is sld within onc )tr
ofconrpletiur, the Owner Builder will luve the burden ofpmving thal lE or she did fitr buill or impmve thc ptr)Fdy for the purFrc of
salc).
_1, as owner ofthe propcily, am exclusively contractin8 with licensd conlraclos to conslruct llE prcject (Sec. 7(N4, Busincss
ard Rulessi(llCode:TheContractor'sLicenscLawd(,esnotapplybanownerofpropenywhobuildsorimproveslhereon.
and who contrags lirr such projccls wilh a Contmclor(s) liccnsd pursuml ro lhc Conlractor's Liceilc [jw).
_l an) exempi utrder Section-, B. & P.C. fbr this reason.
\Y()RKl,llls' ( ()Nll'!lNSA l'l()N
t)[.( t.,\ItAl't()N
I hcrcby allirm under Pcnallyof periury onc o[lhc tollowing dccltrations:
_lhaveandwillnaintairraCertiticateofConselttuSelt:lnsuref(rrworkers'conrpensation,as FrcvidedforhyScctionlT00ofthe
Lrhor Codc, for lhc pcrformancc oflhc work lbr which thc permit is issucd.
_lhaveandwillmaintairworkers'compcnsrlioninsurance,as requiredbySecli(n3T00ofthcLaborCode,forlheperfomunccof
thc work tilr which lhis pcrmit is issu('d. My workcrs' conrlrcnsdion insurilncc caricr rwl grlicy nunrtrr ruc:
Policy Nunrber: Exptrcs:
_I ccnily that in rhc pcrLrmance ol thc work for which this pcrnril is is$uc(I, I shall not enrploy any pcrson in uny manner
s as to trcoilE subjecl to thc workers'cotrrpcnsrlior laws ofCalilbrnia. ard agrcc lhnt il l should bccom suhlcct to thc
workers' .onrlEn\rtion provi\ions of Sectiotr 3700 of th€ Latpr (bde, I shrll, fo(hwith comply with rhos pmvisions.
WARNING: Fdilurc to sccurc workers'compcnsation covcBgc is unlawful, and shall subjccl an cmploycr lo oiminal lrcMIi:s ud
crvil lincs up to one hundred thousatrd dollirs (Sl(X).(XX)), in rddition to the cosl of conrpensation, damges as provided for the
Section 3076 of the titx)r Code. intercsl and atbrcy's iees.
I,ICENSED CONTRA('T()R
DI]CLARATION
I hcrchy al lifln undcr pennlty ot pcrjury lhat I arn Iicensed undcr provision ol Chaptcr 1) (cornrrcncinS wirh Sccrion 7Un) oI Division ]
of the Rusrrcsr and Profcssions Code. afrl mv liccn\e is in tull lbrcc md eftad.
[-rccnsc \,".M.._
CONSTRUCTION I,I.:NI)ING AG}]NCY
I hereby atlirm under pnally {)fperiury that lheae is a cotrslnrclinr leildilg agency tor the perfornunce ofthe work tbr which this Frnrit is
issucd (Scc. :1097, Civ. C.).
lcild(r's Nurc:
lrndcr's Ad(lress:
APPLICANT DECLARATI0N
I hereby affmr under penahy of perjury one of the following declarations:
Demolirron Permits-Asbestos Notification Federal Regulations (Tirle 40, Pan6)
_Required kiler of Nolification
_l ccnily that the federal regulalioN rcgffding asbestos renxrvrl rrc nd rpplicable k) rhis proicrr.
_l ceaify lhal I luvc read this applicalion and stalc lhal lhc ah)ve i[fornmlion i\ corecl. I agr@ to comply with rll City nnd County
ordir)atrccs atrd Strte liws reL[ilg to building corstrudi(n\ atrd hereby authorize representatives of this City and County b enler ulDn the
abovc mcnlioncd propcny for inslcction puqnss.
Applicxnt or Ag(il1
P(mllec namc {print):
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
lt/asonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
Rey. 08-07-2015
l)ale
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I(o(loYlnl
BUILDING- INSPECTOR BECORD
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-f(oity rhl I hrn ut fir.rili.dbi d, {r. &d ltEdor. oIr6br rll Cil.v ilto CoumyMlffi6lStr?l.mrat tlru
oh^{ Be1nd ,ou'.''y f(
,ippll(rd d .{$ril u
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
_framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
l\,4asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Cerlif
Uz L,Z-4 rLL Z'7ft .--.l
FINAL
Certilicate of Occu
Etc
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COMMENTS
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