HomeMy WebLinkAbout101104703 - PermitProiect Address: 2209 N Wriqht St
Assessor's Parcel: 396-051-06 Lot: 3
Unit:BIdg: Address Range:Suite Range:
Zoning: RlBlock. NA Tract: 4968 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 1.Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O47O3
Pin #: 92333
Building Use: Single Family Dwelling
Job Type. Solar
Nature of Work: Solar
Existing Bldg. & Use: Sfd w/att garage
Proposed Use:
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio.
T.l.Area:
Yards Req'd:
Valuation: $17,215.00
Description of Work: lnstall roof mounted solar panels. Per checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Layne Bukovskis
2209 N Wright St
Santa Ana, CA 92705
(7141 335-7648
Contractor: Vivint Solar - lrvine
Address: 2500 White Rd #A
lrvine, CA 92614
Phone: (951) 496-2292
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Com pensation I nsurance:
Carrier: American Zurich
Policy #: WC509601305
Expires: 1110112020
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone.
License #:
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving Way, #500
LEHI, UT 84043
c73567
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp.
PWA !nsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Amsden, Julie
Date:
Date:
Date: 0912212020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57601 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$4s0.00
$101 .25
$1 .00
$0.00
$5s2.25
$0 00
$552.25
No
No
No
No
No
No Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450 00
$1 00
$1 01 25Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-1 61640
a
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/S?G..,.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loo r/VenUI ns u Iatio n
Roof Sheathing
Shear Wall
Framing
lnsulatio nlEnerqy
Drvwall
Ext./lnt. Lath
Brown Coat
J\Iasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
ffiood Zone Certif.I 2t
{lUUTtnqC o t',2et YUo{otg'\,
0 t" A.&rCFINALtt7n
Certificate of Occupancv t
Notes, Remarks, Etc.
DIiI,CARA'I'I()N
I hcreby affirm undcr pnalty of pcrjury that I am cxcmpt from the Contractors' License law for thc following reason (Sec.7031.5
Busincss arxl Profcssion Ccxlc): Any City or County which requircs a pcrmit to construct. ahcr, improve, demolish or repair any
structurc, prior to its issuance. also rcquires the applicant for such pcrrnit to file a signcd slatement that hc or shc is liccnscd pursuanl
to the provisions of thc Contractor's Licensed kw (Chaptcr 9. Commcrrcing with Scrction 7000 of Division 3 of the Business and
Professions Codc) or that hc or she is cxenrpt thcrcfrom and thc basls for the allegcd cxcmption. Any violation of Scction 703 I .5 by any
applicant for a 1rcrmit subjects thc applicant to a civil pcnalty of not morc than fivc hundred dollars (S500).
__1. es owncr of thc prof,crty. or my employees with wagcs as thcir solc comJrcnsation. willdc, thc work ard thc stnrturc is not
intendcd or offcrcd for salc (Sc.c.7044. Busincss and Professions Code: The Contractor's Liccnse law d<res not apply to an owncr of
the propcrty who builds or improvcs thcreon and who does such work himself or herself or through his or hcr own employecs.
providcd that such imlnovcnrcnts are not intcndod oroffered for salc. If. however. thc building or ingrrovcnrcnt is sold within onc ysr
of complction, lhc Owncr Buildcr will havc thc burdcn of proving that hc or she did not build or improvc thc proprty for thc purpose of
salc).
_1, as owncr of thc propcrty. am cxclusivcly contracting with liccnscd contraclors lo conslruct the projcrct (Sec. 7U4, Busirrcss
and Prrofc.ssion Code: Thc Contractor's Liccnsc Law docs not opply to an owner of property who builds or intproves thercon,
and who conlracts tbr such pojccts with a C-ontractor(s) liccnscd pursuanl to thc Contraclor's License l-aw).
-l
am excmpt undcr Scction-. B. & P.C. for this reason.
Dale:--__ Owner:_wonm
DECI ARATION
I hercby affirm undcr penalty of pcrjury one of the following declarations:
__l have and will maintain a Ccrtificate of Conscnt to Sclf-lnsure l'or workcrs' compcnsation. as povided for by Section 3700 of thc
Labor Codc. for the perfornrancc of thc work for which thc permit Ls issued.
$9,uu" r',,t 3700 of thc Lrbor Codc. for the pcrfornrance of
thc work for and policy nurnbcr arc:
tro b0 \\/tlzo
that in the pcrfornurcc of thc work for which this permit is issucd. I shall not enploy any person in any nnnner
so as to becomc subjcct to thc workcrs' compensati<ln laws of California. and agrec that if I should bcconrc subjcct to thc
workcrs' compcnsation provisions of Section 3700 of thc l-abor Code. I shall. Ibrthwith comply with thosc provisions.
WARNING: Failure to sccurc workcrs' compcnsation coverage is unlawful. and shall subjcct an cnrploycr to crirrrinal pcnalties and
civil fincs up to one hundrcd thousand dollars ($100.fin). in addition to thc cost o[compcnsation. darnagcs as providcd f<rr thc
Scction
Date:_
intercst and attorrrcy'sq
I hcrcby afllrnr unclcr perralty of pcrjury that I am liccnscd 9 (conurcncing with Section 70m) of Division 3
of the Busincss and Profcssiorrs Code, and my liccnse is in full force and effcct.
Licerrse o Nurnbcr:€bv\o\r
W
I hcrcby amrm undcr lEnrltyof Frjury thor therc is a construction lcnding a8crcy for thc pcrformc of the work for which Ihis Frmit is
issued (Scc. 3097, Civ. C.).
lrndcr's Narrrc:
[-ender's Address:
APPLICANT DECLARATI(TN
I hocby aflirm undcr pcnalty of pcrjury onc of thc following dcclarations:
Demolition Pcrmits-Asbestos Notification Fcderal Rcgulations (Titlc 40. Part6)
-Requircd
l-cttcr of Notifrcation
_l certify that the fcdcral rcgulations rcgiuding asbcstos renroval arc nol applicablc to lhis projcrct.
that I have read this applic'ation and state that thc akrvc information is concct. I agrc.c to comply with all City and County
ordinanccs and State [-aws relating to building construction and hcrcby authorizr reprcscntativcs of this City and County .cntcr ulnn thc
above nrentioned property for
,\pplicanl or Agettt
Pernritee name
q LL LO
Rev. 08-07-201 5
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Applicant:
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