HomeMy WebLinkAbout101100935 - Permiti city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspectron Requests: (7141667-2738 lnspector Section: (714)647-5853
Building Permit #: {O11OO935
Pin #: 84035N
Project Address: 2221 S Rene Dr
Assessor's Parcel: 408465-09 Lot 10
Unit:Bldg: Address Range:Suite Range:
Zoning: R1
\
\
Block: NA Tract: 2207 Historic: No
Building Use:
Job Type:
Nature of Work.
Existing Bldg & Use
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/det garage
Occupancy:
Constr Type:
Code:
Flood Zone'
# of Stories:
R-3, U
VB
cBc 2016
x-0602320259J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd.
Valuation: $9,548.00
Description of Work: lnstall (14) roof mounted solar panels. Per checklist.
Planning Conditions:
Batch*:5119? 7/31/2r:Ig0lf ice: CTYH Trcrnsi: 96
Arri !: E,of'*:
ID: Hfirtrlt(:IAIof'3tl'rt tfr-r0-lcl
Owner:
Address.
Phone:
Tenant:
Gustavo Valencia Lopez
2221 S Rene Drive
Santa Ana, CA 92704
(7141 3e6-8561
Contractor: Vivint Solar Developer
Address: 9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
Phone: (562) 942-'1270
State Lic #: 973756
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 345470
Workers' Compensation I nsurance:
Carrier: American Zurich lns Co
Policy #: WC5096013
Expires'. 1110112019
Vivint.Sd[pt* : it?'ltt--t3lil7',,'.,/"i.[.,,';ii-i :[';: .i I r-ri.i ;'i i
James fUktgmnrVtlf ntr '[ut n.l. i,.i. : :iii ,' , ,].
n',1,,'L lhfljif ' u r ?,,YY " t'= t,fl ?;, ; ;,
Engineer:
Address:
Phone:
License #.
Architect /
Designer.
Address:
Phone:
License #:
Bu i Id ins
C73567rr I 1 161'L'2-
ti I cis Sbd s
u11161102-
Fl icrofilrn
Lrlll6rrLr2-
I (:L (:h eclr
516Lll t-tt-tt-t-
Revo 1v i rr s
5 I 61 zLuJLr -
& Documen l, s
177 7t-tttt-t0-
661 5
$450. utj
$1.lJlJ
$1??"u3
$1r?S7 .76
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Amsden, Julie
Date:
Date:
Date: 0713112019
Subject to Field
Misc Receipt:
Misc Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07775002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total.
Paid to Date.
Balance Due:
$450 00
$1 2e 03
$1.00
$0 00
$s80 03
$0 00
$s80.03
Account#Total
01 1 16002 51601
01116002 51612
01 1 16002 57770
$4s0 00
$1 00
$1 29 03Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2019-153303
a
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OIVNER BUILDER DEL('ARATION
I herelry amrm undq pqalty of perjury that I m qempt fipm lhc ContracroE' l-icmsc larv for thc following rql (Str.7031.5
Businos and Profosion Code): Any City or County $hich requirs a Jumit to conslruct. altq. improvq dcrnoli#irr repair arly
struaue. prior to ils issumce. also rcquire thc applicant for such pennit to file a signed statmmt that he or shc is licmsed psuml
to the Fovisions of the Contractor's Licensed Larv (Chapts 9. Commencing with Sation 7000 of Division 3 of the Busines and
Pref*sions Code) or that hc or she is cxmpt thcefrom and lhe basis for the allcgcd crmption. Any tiolation of Seclion 7031.5 by any
applicantforapennitsubjststhe applicanttoacivilpenaltyofnotmorcthanfivehun&cddolltrs($500).
l. as ow'ner of the property. or my employefs $'ith wages as their sole cornpensation. s'illdo the rvork and the stntcture is not
intenderJ or offered f<lr sale (Sec.7044. Business and Professions Code: 'l-he Contractor's l-icense Larv does not apply to an orvner of
the properry rvho builds or improves therqrn. and rvho does such work hirnself or herself or through his or her orvn employees.
provided that such improvonents are not intended or offcrd for sale. lf. hos'ever. the building or improvernent is sold rvithin one yeru
of cornpletion. the Orvner Builder rvill have the burden of proving that he or she did not build or improve the propeny for the purlnse of
sale).
,
_ I. as owner of the property. atn e.\clusively contracting u,ilh licensecl contractors to construct the projecl (Scc. 7044. Business
and Ptofession Code: 'l'he Contractor's License La*, does not apply to an ow'ner of propeny u'ho builds or itnpro!'es thereon.
and rvho contracts for such projcrcts rvith a Contracto(s) licensed pursuant to the Contractor's License Larv).
_ I am exetnpt under Section--B. & P.C. for this reason.
Dale:_0wner:_
tt'bnxl:tts' t'<int pr.ns,t t lon
l)li('1.,\R,\'l'loN
I h6eby aflirm unds penalty ofpajuryone ofthe follorving dclrations:
- I hale md uill maintain 8 Ccrtificate of CoNflt to Sclf-lnsurc for rvorkm' compostion. o povidcd for by Sation 3700 of thc
tibor Code. for the pafomancc of thc wort for which the pmit is issued.
*Jrave and will maintain workm' compensation ireurancc. 6 requircd by Sslion 3700 of thc Labor Code, for thc pafomance of
'the work for which this pcmit is isued. My workm' compensation insurilcc caris od policy nurnbo uc:
,^*,, AWLv I Lara ?VVlLUr
r9li"r*u.uo,lAfL S(J 1t rct? - - ----E-on*,1t / t /-nl.
&caity tt xin thc pcrformance of the work for which this pqrnit is issued. I shall not ilploy any pqson in 8ny mnns
Kfu-io beorne subjct to thc workqs'mmpensation laws of Califomia. md agc that if I should becomc subj(t to the
rvorkm' ompmslion prcvisiom of Setion 3700 of th. tabor Codq I shall. fonh$ith comply with tho* prcvisions.
\!'ARNIN(J: [:ailure t() sccure \\'orkcrs'to crirninal peflalties and
civil fines up to one hundred thousand as provided for the
Section -1076 of the Labor Code. interest and attorney's fees.
3t 4
I hereby a{Tirm under penalty of per.iury that I arn licensed under 9 (cornmencing rvith Section 7000) of Division 3
of the Business and Professions Code. zurd nry license is in full florce and effect
License Class:_Cto _ l,icense Nurnber:4?j7€?
,*",-3PU!4 Contracro,,-V tVt-taf- So\d,L
CONSTRUC'I'ION LENDING AGENCY
I hmby affirm unde poalty of psjury that thqe is a coNtruclion loding aSency for lhe pqfonnuce of the rvork for rvhich this pcrmit is
issued (Se. -1097, Civ. C.).
Lcnde's Name:
Lender's Adclress:
A PPLICANT DEC LARA"I'ION
I hereby aflinn under penalty of perjury one of lhe follorving declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Pan6)
-Required
l-etter of Notification
_ _l corify that the federal regulations regarding asbestos rcrnoval are not applicable to this project.
is correct. I agree to comply rvith all ('ity and ('ounty
I representatives o[this City and County to enler upon the
above mentioned property for
Applicnnt or Agent
Permitee name (print): _
ancl state that the ahove
r)a,e 7rc1 [n
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI ns u I atio n
Roof Sheathing
Shear Wall
Framing
Insulation/Energy
Drwvall
Ext./lnt. Lath
Brown Coat
[/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Flnal Report
Flood Zone Certif
FINAL q [Fh zo Dfvvan,n.wY/
Certificate of Occupancy lr -'
t I
Notes, Remarks, Etc.
(