HomeMy WebLinkAbout10188750 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 10188750
Pin #: 9O238
1.l\a
Proiect Address: 618 S Rosewood Ave Unit:Bldg: Address Range:Suite Range:
Zoning: R1Assessor's Parcel:010-283-',t7 Lot: 56 Block: NA Tracl 1470 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 2013
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $32,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: lnstal! solar panels
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Fidel & Delia Quezada
618 S Rosewood Ave
Santa Ana, CA 927034518
(714) 393-7858
Contractor: Verengo lnc
Address: 20285 S Western Avenue, #i
Torrance, CA 90501
Phone: (7141744-69'11
State Lic #: 935263
Lic Type: B, C-10
Bus. Lic #: 328493
Workers' Compensation lnsurance:
Carrier: STARR INDEMNITY & LIABILITY C
Policy #: 1000001259
Expires: 1010112016
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Verenso Inc
Enb,:hi:33340 - 3/29/2t'-tt6 ID: FL0PEZS
tll f i ce: CTYH Tr.ons*: 4S 1 rif 2Acct*: Re[*: lt:rl8ti7i[l
t(,:pti:0151?361 * 3/'i9/2t-t16 10:?9 An'Ir'onsq,:t ion 'Iobul $61?.71
P,u i ld ing
Lrl I 160112- 516111ll0rl-
Blds Stds Revolvins
Lrl1l6ut'2- I1612u00-
I [:L Chectr rJ25596
$5lttt.
'Jr.l
i2 " rr0
$619.71
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
w Hernandez, Kathy
Date:
Date:
Date: 03/29/2016
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$s00.00
$2.00
$0.00
$502.00
$0.00
$502.00
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Landscaping lnsp. Req'd
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 or abandoned for a peiod of180 days after
the time the work is commenced.
01 1 16002 51601
01 1 16002 51612
$500.00
$2.00
lnspector MID#: 2016-127756
BUILDING. INSPECTOR RECORD
\
SITE.WORK DATE !D/SIG.COMMENTS OWNER IIUILDER DEI,CARATIoN
I hcrcby lllirm undcr pcnahy ofpcrjury lhat I on cxenlpt liom lhc Conlrack)rs' [,i(ensc Law for thc lblkrwing rcilson (Scc.70.]l:i
Busincss ond Profcssion Co.lc)r Any Cily or County which rcquircs n pcflrit k) coilstrucl. rllcr. inrprovc. dcnx)lish or rcpilir rny
slruclurc. priork) its issunrcc. also rcquircs the applica[l for such fErnril lo lilc a signed stalcnEnl lhal lrcor shc is liccil\cd pursuanl
k) lhc p()visioils of lhc Conlraclor's Liccnsed I.aw (Chapler 9. (i)nilncncing wilh Secli(rn 7{X)0 of Division 3 ol thc llusincss
ProltssionsCo(lc)ortharltorshciscxctrrptthcrclioman(lthcbisi\forlhcallcgedcxcilrplbn. AilyviohthDo,SccrionT0.ll.5by
applicaill li)r a Frmil subjccls lhc appliciltrt k) a civil pcnrlty of nol nlorc lhan Iilc hundrcd dollars (S5(X))
ilild
rD'l
-1.
as owncr of lhe profrcny. or nly cmpl(,yccs wilh wrgcs !s thcir solc conrlEnsali(rn. willdo lhc s()rk and thc stmturc is ilol
irilcn(lcd orolltrcdf(rrsalc(Se.7(X4.BusincssandProfcssiotrsCodc:'IhcCoDlraci)r'sl-icenscLawdocsnolrpplyloanowncrof
the pDlrf,y who huilds or improtcs tlrcc)n. and who d(Ec such \t)rt him\clfor hcrsclfor through his or hcr owtr cnrpk,)ccs.
providcdthutsuch irnprcvcnf,ntsmnotincndcdorolleredl-osille.ll.howcvcr.tlrchuildingorin[rovcnEntisroldwilhi,roncyct
ofconplclion. thc Owilcr Buildcr will huvc thc hurdcn ofproving tlui lrc or shc did ml huih or inrprorc the proFny lbr tlt purfDs of
slc).
_1. as owner of thc propcrty. am cxclusivcly conlr{clirUt with Iicc[scd coillnck)rs k) con\lrucl lhc projccl (Scc. 7{H.1. []u\iilcss
and Profcssion (hdc: Thc (-'onlractor's Liccnsc [-aw docs not apply lo an owncr ofl()pcily who builds or inlprovcs lhcrcon.
rnd who conlmcts for such projccts with a Conlractor(s) liccilscd pursuilnt k) lhc Contraclor's Liccnsc lilw).
I xrn cxcrnnl undcr Scelioil . R. & P.C. li)r lhis reason.
I)a1c ()wner:
WORKERS' COMPENSATION
DECI ARATION
I hcreby allirm under pcmlly of pcrjury onc of lhe following declarations:
_l have and will truintain a Certillcalc of Conscnl lo Sclf-lnsure for workcrs' cornJrcnsali(nr, as providcd for by Section -1700 otthc
Labor Codc. for the pcrformancc of thc work for which thc pcrnrit is issued.
kllf,raveundwillm0inlaitrworkers'compcnsationilsurance.as requircdbySection3T0OoflhcLaborG)dc.lbrthcperli)rmanccof
'thc work for which this Jrcrmit is issucd. My workers' com[rcnsation insurancc caricr nM F)licy numhcr arc:
N /1a//
Pol icy to DD oo(>t o
_l ccnily thrt iil thc pcrli)rmdnce of thc work lbr which this ncrmil is issued. I shnll not crnpk)y nny pcr\on ir tny trranncr
so rs k) bcconE suhFct k) lhe sorkcr\'conrpcnsation laws ofCalilbrnir. nn(l agrcc thrt if I \houkl h(corm suhjccl t) llE
workcrs' cornpcnsrtion provistnrs ol Scclion .17(n ol lhc l-abor C'odc. I shall. lixlhrvitlr conrply wilh tlrrsc provisions.
IVARNINO: l:ailurc to scurc workers'compcnsation covcragc is unlasful, and shilll suh.icct an cnrpkrycr r) (Tinli[0] lrcnahics and
civil llnes up to onc huildrcd thousand (lollurs (Sl00.UX)). in additioI t(, lhc cosl ofcoirpcnsalion. thnugcs as providcrl lbr thc
Scction -1076 of the Lahor Codc. inlcrcst and otk)rmy s fccs.
,",", 7l*t I t {' - n**ti4lit*ihilJi /.y
I herchy aflirm undcr pcnillty of pcrjury lhat I anr liccnrd undcr provision of Chrptcr 9 (cotrnrrcncinE with Scction 7(xX)) ol l)i{ision 3
of lhe Business and Piolcssiurs Code. and trrv liccnsc is ilr lull lbrcc lnd clfccl.
Liccnsc
l)atel
fi L-to *r,rr*, o) i{L( 7z'
1 tt,Contrector:[J 4v )-/
CONS'IRUCTION LFNDING AGENCY
I hcrchy affirnr undcr ;rcnrlty of pcrjury thst thcrc is a c(illslrucli(,n lending flgcncy for thc pcrfornuncc of thc wrilk f(,r which this permit is
issucd (Scc. 3097, Civ. C.).
Lendcr's Namc:
Lcnder's Arldrc\s:
I hercby iliimundcr pcnrtry of pcrjury onc or,n" hffiffiffi
Defrrlitkrn Pcrmits-Asbcslos Notification Fcdcrul Rcgulalions ('Iitlc 40. Part6)
p$4Rcr;uircd t*tcr of Notifi calion
lLt
""rf
ify rtot ttc lcdcral rcgulations regsdirg ashesbs r€moval arc not apFrlicablc lo this pr)jecl.
fll ccrtify rhal I hovc rcad this applicution und state thal thc utx)vc iillbrmiltion is corcct. I agrcc lo comply
ordimnccs Bnd Statc hws rcluting to building conslruclion. 0nd hcrchy autlxrrlz rcprcscntativcs oflhis Cily
dtxrve rrcnti(,ncd propcny for inspcctt)n purF)scs. ,/
AppricanrorAsenrs,r***, D\ //t a -Y , Dare:)
Pemrremnrerprint, Y*-t N 6 "7vfv
wilh All City and C()unty
xtrd Coutrly lo cnlcr ulnn lhc
Izlu
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framino
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Reo
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
t,.,qh-76-lia I UL IL\)
F!NAL 4)<L1-r V
Certificate of
Notes, Remarks, Etc
#7 \
*,,SANTA
NA/,ffi
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
SantaAna, CA92702
(714) 647-s800
www.santa-ana.org
RESIDENTIAL
PHOTOVOLTAIC
CHEGKLIST
sol-01 cBC 2013
Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only
lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and
sign the certification section below. A copy of this form shall be attached to each of TWO sets of plans, of
minimum 11" x 17" size. lf answerinq NO to anv of the questions. plan check shall be required.
Project Address:[(r t (osro,cao rt*
Contractor Company Name:
Contractor License Number:
Yn rt*-{ /- ,-z So u-A r(
YES/,NO1 EItr
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Are the following applicable to the proposed project?
\Mll the PV system layout'provide the required three-foot wide clear access pathways
per Section 605.1'1 of the California Fire Code, and is this shown on the roof plan?
Will the PV system be installed on a roof having only one roofing layer with no
overlays?
Will the PV array be flush mounted to the existing roof so that the plane of the
modules (panels) are parallel to the plane of the roof?
Will the PV system weigh maximum 4 pounds per square feet or less?
Will the PV system be installed where the modules do not overhang any roof edges
(such as eaves, gabled ends, ridges and hips)?
Will the PV system be installed with a space of 2" minimum to 10" maximum between
the underside of modules and the surface of the roof?
Will the PV system be installed without using any ballast system or counter-weight
system?
Will the anchors be installed with a maximum horizontal anchor spacing of 6 feet
and is this maximum horizontal spacing shown on the plans?
Will the minimum 5/16" lag screws be installed with a minimum of 2-112 inch
embedment into roof rafters (with pre-drilled holes) and is this minimum embedment
shown on the plans?
Are ALL the structural pages of the plans stamped and signed by a California
licensed professional engineer? (including project specific site plan, PV layout,
anchorage spacing, anchorage details and manufacturer's PV support information.)
I certify under penalty of perjury. undqr the laws of the
Print Name:\[n*1, I- F V fah
' "." i .
State of
ignature:
iforn is true:
Phone Number:
EmailAddress:
Rev: 11/19/20'15
0 o r 5 Date:i5r7
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