HomeMy WebLinkAbout101102126 - PermitProject Address: 2409 W Hood Ave
Assessor's Parcel: 407 -11 1-31 Lot: 48
Unit.Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1347 Historic: No
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City 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 #: 1011o,212c^
Pin #: 7'ltt(\
Building Use:
Job Type:
Nature of Work:
Exrsting Bldg. & Use:
Proposed Use:
Description of Work
Single Family Dwelling Occupancy: R-3 1st FL Area:
Solar Constr TYPe: V B 2nd FL Area:
Solar Code: CBC 2016 Other Areas:
sFD Flood Zone: x-0602320257J Garage Area:
# of Stories: Total: O
lnstallation of roof mounted PV system. Worksheet attached to plans. All fees paid on #10'l'102126...
Patio:
T.l.Area:
Yards Req'd:
Valuation: $t 5,000.00
LL/ 4
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Stehpany Roblada
2409 W HOOD AVE
Santa Ana, CA 927043542
(7141 395-231 1
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. 11lO1l2O2O
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving Way, #500
LEHI, UT 84043
c73567
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving Way, #5fi)
LEH!, UT 84043
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Chavez, DaveYa
Date:
Date:
Date: 1110412019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57500 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$4s0.00
$3.e1
$1.00
$0.00
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No Account#
Flood Zone Cert. Req'd: No 01 1 16002 51601
01116002 51612
01 1 16002 57770
Total
$4s0.00
$1.00
$3.91Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterits issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
lnspector MID#: 2019-155639
$4s4 91
$0.00
$454.91
D
BUILDING. INSPECTOR RECORD !a
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARA1ION
I hoeby alfirm undo panalty of Jn'jury that I fln excmpt ftom the Contrac'to6' Licere lrw for lhc following reen (5(.7031.5
Businss ud Profession Code): Any City or County which requirc a pernit lo costruct. alt6. improvq demolish or repair my
structu€. prior to its isumce. also requirB thc applicot for such pennit to file a signcd statmot that hc or shc b licdE€d pmuet
to lhe provisions of the Contmctor's Licensed Law (Chaptq 9. Commencing with S(tion 7000 of Division 3 ofthe Busine od
ProfcsionsCode)orthatheorshcisex.mptthacliommdthcbasisforthcallcgcdcxmption. AnyviolslionofSrcrionT03l.5byany
applicant for a pqmit subjrcts thc applicant to a civil penahy of not more thu livc hundrcd dollas ($500).
- --1. as o\r'ner of the prop€rty. or my employees with rvages as their sole compensation. willdo the rvork and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: 'fhe Contractor's License Law does not apply to an orvner of
the proper'ly w'ho builds or improves thermn. and u'ho does such work hirnself or herself or through his or her orvn employees.
provided that such improvetnetts are not intended or offercrJ for sale. lf. hos'ever. the building or improvetnent is sold rvithin one year
of cornpletion. the Orvner Builder rvill have the burden of proving that he or she did not build or improve the properry for the purpose of
sale).
-1.
as o\.!'ner of the propeny. arn exclusively contracting with licensed contraclors to construct the poject (Sec. 7U4. Business
and Proftssion Code: The Contraclor's License Larv does not apply to an owner of property rvho builds or improves th€reon.
and wlto contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
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am exempt under Section-. B. & P.C. for this reason.
Dnte'__ Owner:_
WORKERS' COMPENSATION
DECLARATION
I hereby alTirm under penalty of perjury one of the following declarations:
--.1
have and will maintain a Cerrificate of Consent to Self-lnsure for workers' cornpensation. as provided for by Section 3700 of the
Labor Code. for the performance of the work for which the pernrit is issued.
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have and s'ill maintain rvorkers' compensation insurance. as required by Section 3700 of the labor Code. for the performance of
the work for rvhich this pennit is issued. My workcrs' compensation insurance can'ier and policy number are:
c*,i*,-' ,kY\( r ;<qr\ > U y';c|., tr-:- ot\lI /Lc
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certify that in the perfonnance of the work for which this permit is issued. I shall not employ any person in any manner
so as to become subject to the rvorkers' compensation larvs of California. and agree that if I should become subject to tlre
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply rvith those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an ernployer to criminal penalties and
civil {ines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. darnages as provided fcrr the
Section 3076 [-abor interest and attornq,'s fees.
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I hereby affirm under penalty of perjury that I am licensed Chapter 9 (commencing w'ith Section 7000) ofpivision -j
of the Business and Professions Code. and rny license is in full force and effect.
LicenseCturr' ' ( /o ,q)i)-Q
l q
contracto ,Dare: t | )
---T-_
q.
CONSTRUCTION LENDING AGEN(]Y
I hercby aflirm undo pcralty ofpsjury that lhse is a coBtructiod lmding agmcy for the pedonnance ofthe rvork for uhich this Ismit is
issued (Sec. 3097. Civ. C.).
l.ender's Name:
Lender's Address: _
APPLICANT DECLARATION
I hot{ry affinn under penalty of perjury one of the follorving declarations:
Dcmolition Permits-Asbestos Notification Federal Regulations (I'itle 40. Pafl6)
_ _Rec;uired Letterof Notification
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certify that the federal regulations regarding asbestos renroval are not applicable to this project.
!M certify that I have read this application and state thar the above infonnation is correct. t agree to cornply
ordinances and State Laws relating to building construction. and hereby authorize representatives of this City
u'ith all City and County
and County to enter upon the
ffi::H:il"i:
permitee nnnre (prinr):f, -@n LCI-Ua4aL -Dere,.lf/7lq
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Venul ns u lation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Dryruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/t I \
FINAL /',/tti /ztl ,-)*7 /
Certificate of Qccupancy /,\J
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