HomeMy WebLinkAbout101102830 - PermitAssessor's Parcel 408-312-09 Lot: 9 Block: NA Tract: 1907 Historic: No
City'of S:;nta Ana 20 Civic Center Plaza (M-19), SantaAna, CAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{ 102830
{6Pin #:971
Building Use:
Job Type:
Nature of Workl
Existing Bldg. & Use:
Proposed Use:
Single Family Owelling
Solar
Solar
SFD w/att garage
R-3, U
VB
cBc 2019
x-0602320257J
1 st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Areal
Yards Req'd
Valuation: $15,000.00
Planning Conditions:
B(t.h+t53945 -
0la i(e! CTYH
li ,t+: r:r?864674
t/ 13/21-t2tt ID: C(:UELLAR
Trone+i 9? 3 0l lReli: 1[1lr:l:;S.lr:r.. 1,r13729211 3:+6 Ft'l
T.nn(drl idd Tdldl *9P1
'ar
Owner:
Address
Phone
Tenant
M & S Builders
18750 Oxmard St #463
Tarzana, CA 91356
(855) 931-3333
Contractor: M $S Green-Power Energy I
Address: 18750 Oxnard St #403
Tarzana, CA 91356
Phone: (855) 931-3333
State Lic #: 1038283
Lic Type: B
Bus. Lic #: 374A29
Workers' Compensation lnsurance:
Carrier State Fund
Policy #; 9238677
Expires: 0912512020
Loyd W Marlin Engineering + I .LoydWMartin i ':
2510 W 2i7th St. Suite 206
Torrance, pA 90F05
(310) 464.1m4I .,, r. .,. r, ,
C58724 ;l ' rl
Engineer:
Address
Inc d
Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
$45[. t:to
$l . l:t0
fi66,47
6?83. ?rj
Planning Approval By:
Plan Checked Byl
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'dl
Landscaping lnsp. Req'd
Hernandez, Kathy
Date:
Date:
Dale 0111312020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
$4s0.00
$66.47
$1.00
$0.00
07776002 51601 Permit Fee
01776002 5777O Microfilm Records
01776002 57572 Bldg. Stds. Revolving
01776002 57600 Genetal Plan Update\'rtNo
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permil issued shall become invalid unless the work on lhe site authoized by
such permit is commenced within360 days after its issuance,or if the work authorized
on lhe site by such perfitt is suspencled ot abandoned fot a period of360 days atler
the ume the work is commenced.
lnspector MID#: 2020-157050
Fee Total
Paid to Date:
Balance Due
$517 .47
$0.00
$517 .47
01 1 16002 51601
01 116002 51612
01116002 57770
$450.00
$1.00
$66.47
Proiect Address: 1806 W St Andrew Pl Unitl Bldg: Address Range:Suite Range:
Zoning: Rl
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Description of Work: lnstall solar panels/auth on file
BUILDING. INSPECTOR RECORD
DATE tD/slG.COMMENTS OIVNER BUtI,DOR DEI-(]ARATION
I h.rcby dfftrm tr, cr tcniry ol pcrjury rhar I d .r.hrr rn,m rhrtont..ro,ilNn{ litr nr rhc tollowmS E.nxr.(S( r0]I 5 '
Bunncss inl Pn,{asn,n C{i]c): Atry c(y Dr Counry whth rcqnrrcs a p.rmir i, cunndd. dlrcr. imt'flrrc. dcmoli\h 'r rI'Jn ,ny
srNcrurc. prut' r '$uancc,.ho rcqurcs lhc appli.anr tu. surh p.mnr k) l,h d \ilncd n.lcmnr rhal lro, \h. r Ii..n*J Naulnr.
k, thc p&vnn,ns of rhc Co.kr(kt r Li..nwl Lrw lch. cr 1). Commcnuine wirh S&rtun 7tlo0 nf Oivision I ol rhc Brtrtuss anJ
Pru&\sn,ns CdL)orrhd lr orshc is cxcmpl llrrcltufl aftl rhcl'ain nn rh.,llcscd.rcm bn Anyviohlinulseroh7011.5by,ny
amhca tur r lcrmil nrhjals lM aprli.atrl lo acilrl|fnrlryornol nucrhan lilc hundre'l doll&s (S50o)
-1.
$ ow.cr orrhc t'()tf,ny, or mycmploy.ci wirh warcl rs rhcn n c oml]€nsaln4 *ill Jo ttE wGk.nd rlE *BrN is Bn
inrc cd or oliiL{ ior elc (S(,7t}44, Buiincs md Pof.ss$ns CL{c: Th. Conkrcror's La.ns ljw J{rs nor ipFlv n' an owmr of
rhe pruFny wh) bdills or in\srrcs rlrmm. aJrl *k! &xs seh mrl hinscll or hct*lf or rhruueh hn or ncr o*n .nplovccs,
I(rvid.J thar such inpovcmm e d [lcnlcl ororLEl lor srlc ll hoErc., rh. ttrilmSor iqnlvcm s$ldY hinorcyce
of compLri4 rhc owncr Bxilkr wdl hrw th. bur&D of poving lhrl k or \b. diit nor buili or iryrovc lhc l)nllary fdr th. ttu{rJs of
-1.
ns dwncrordr popcny. rnc\clu\ivcly.onlractog wirh l i.cnse!.1 conl r&ros k, mnirucr lh. lolc.l (Sec.1044, BusiM<
and PnncsihAdc:'llt Co.krcrors Ltcnsc L.w
'l@s
nol lplly ro d.wn.r orr.P.(y qki tuilds or inptuv* rhcrcor'
lnd wlrJ urnra.h inr ]u.h l,()jc.h wnh.6nrEclo(r) lic.n{d pusu l lo the G'nrradois l-a.n{ h* )
l,m.r.mhrunJc.Scllbn .B & P.C k{rhtsrc,tnn
WOR(FLS' (-'OI\IPENSATION
ASEL^XAIION
I hcrc$y 3ffff1u dcr pcnalry ot Frjury.nc.lrh. f(nn,wr18 Jc.larrlins:
-!
hrvr anJ w'll nuinrr rCcnrlicrrcolConsenrbS.llrlnsrrc ntr workcr'conrncneton, as Pn,vdcJ ii,rt'ySccrion 1700ofrhc
lrnltr C.xk. ntrrhc pcrfdm.,f,e.l rhc wori r{, *hf,h rhe p.mir r $kJ
[:hav. rtrdwill maitrrsin vod.6' on'p..s.oon rsutafrc..s
work ror which lhisl}.mirh i$ucJ. My wolkcr' oml*trsrr
rcquircJ by S.d ion l70O .l rhc Labor G),1c. fttr rbc J)crfome! ol
a'ltrt'o'tryNmt.rm:"*,", Slatc !^fl l/A
aLa +q 7a z)
-l
c.dity rhd o ihc p.rLrrmnuc oirhc work lor vh'.h rhN rcnnir rs i$u.,1. I shrll nor cnploy rny Pcron n rn, nan..r
s) N to h.d,m s,bisr lo ric wolkcs' comrcnsaron hws ol Calibrnil an,t lg(c rh{ il l slDull tr$nc bl.dbrlf,
workcri .omocnsar ion !('!ir$N of Sccnon 1?00 oi rhc lihtr C&lc. I \h l, lorlhrilh confly qirh rMr lln)viurs
WARNING: Iidrltrr. r) r.ur. w(trkcr'conrcnsartr'n rovchlc N unlrw !ftl shdl suhier m cBploy., to dmin.l FEli.r r.d
.ivrl ftrcs up.ro onc hun'lEd rnou\M't doll&s (S,00.00O). itr adJiri,,.on of comFnsarbo, natuscs as |rovidql for rhc
s..L.n 1o7n ll rh. [hur cuic
,",..dlt"/zo
lnl.sn"ndrt.flrv.sl,c.s
,,'".Jm trhdcr Nn.lly oi pcrjury I har I an lic r tn'vrlk)n orChrflcr I (commncing *irh S.clir 7{{D) ol Divnn'n l
of rhc Bosircss and Porcrsions C]lrdc, &n my li.cnsc n in [ill rd( ,nl cilEt.
[oZtz y.
7<)
I hcrc$y altirmutulcr p.nalry orFrjfiy rrtd rl'crc t i cotr
's\u.J
(S.c. 1097. Crv C.l.
irn bndinr lSctr y tur thc ncrtomaE-^c oirh. work hr qhrh rhk lEmrir !!
AIIUCAILIECIAf,AIION
I tlrc6, .llim undcr pcnall, ol pcrjury oft of rh. lnllowtn8 dcclirrl nns
Dcnknniotr Pcirnih-Ashcslos Norilicarioi F.d.r.l Rc8ulll6rs (Txle 41, Pd6)
Rcquirc,j l,il{oi Mnific,rir.
-l
c.nrfy rhdr th. fcJ.rrl r+ulariur rcSadioS rsl*ior d.$val a. dr amlrihlc t rhl prujd
S .cn,iy rh l lmvc ErJ rh,\ xprl'utoi dtul nrrc I ih)vc irltnmti,,n rcoftccr I rlrcc t, uo,nply wirh dl C[ydtrd Counry
onlrnnucsanl Stalc Laws rckriry 6bu'ldiq con{
,lsvc mnl tr)N.d ,rn'pcny nx irspccrion purp*s
,\oDln.{nl or Arcnr Sim{tur 'a hec,"a
rcFrcscnr ivcsolrl'nCnyand
13 d
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Subf looriVenVl nsulation
Roof Sheathino
Shear Wall
Framinq
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
I\4ason ry
Pool Fence
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
,17- I
FINAL 2ldlzo Dk{l)n.ilsq
Certif icate of Occupancy lr
Noteq, RBmarks, Etc. I2l*24rl I
SITE.WORK
Forms/Steel/Holdowns
T-Bar
Lrklr''r Nanc
-
tin,l.i. ,4 lJrc*'
-
f--r
0L/13/2O2O
M&SGreenPower
Energy 18750 Oxnard St.
M&S rarzan4 ca. s13s6
Green power energy 8s5-e3r-jjj3
Authorization to pull, apply, and secure
Business Licenses and Building permits
To Whom it may concern,
l, Shiran Pilo, the president and corporate officer of M & S Green power Energy lnc., California
state Contractors license number - 1038283, do hereby appoint and authorize all names in the list below
to apply for and pull business licenses and building permits on behalf of myself and on behalf of my
company, M & S Green Power Energy lnc.,
Mia Rondone
Mena Habeb
Rustam lsiev
Claudie Feretti
Tamirla n Kh atsiev
Sincerely,
Karen Farrar
Debra Foster
La nce Olson
Marvin Mendoza
Federico Mecias
Sasha lnternational
5h iran Pilo
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE S 11S9
A notary public or other officer completing this certiflcate verifies only the identity of the individual who signed the
document to which this ce.tificate is attached, and not the truthfulness, accuracy, or validity of that document.
*I
Planning & Building Agency Smoke & CO
Alarm Affidavit
20 Civic Center Plaza Ross Annex
tNSP-02 2013 CRC
This document moy be lound ot... htto://l n^nv.santa-ana.orq/pba/
(Please use a black or blue ink ball-point pen)
Project Address:VAG u\t 5t. kiu:xn.6 *
Permit N umber:
JU6Nrr0 \t. Mhf.lt lvtPA
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ildings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
4\ sott, boxes below must be checked:
E[Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
Esmoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that lwill retest the alarms per the
ma n ufactu rer's instructions
ll-'P'n
lcheck onel tr Licensed Contractor roperty Owner
NOTE: Ihis sef-c ertilicotion is only used lot projects that dlled the EXTER//OR ol the sttucture. This
process is opplicoble ONLY to projects where occess to the inteior ol the dwelling by o Sontd Ana
lnspector is not required,
Signotute:Dote:fuf*+^Yt >.
Have this completed form and the job-card readily available on final inspection!
*-SNTA
NA-'ffi
P.O. Box 1988 (M"19)
Santa Ana, CA 92702
(7141 647.5800
v/ww.santa-a n a.oto
Property Owner: