HomeMy WebLinkAbout101102093 - Permitcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: {O11O2O93
Pin #: 57874
Proiect Address: 509 N Sunset Sta
Assessor's Parcel: 007-312-13 Lot. 13
Unit:Bldg: Address Range:Suite Range:
Zoning C2Block: NA Tract: 1341 Hrstoric. No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R.3, U
VB
cBc 2016
x-0602320257J
1
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation:$8,000.00
Description of Work: New roof mounted solar panels. Per Residential Photovoltaic Checklist.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
FERNANDO AGUIRRE
509 SUNSET ST
Santa Ana, CA 927032855
(7141 454-5403
Contractor: Vivint Solar Developer
Address: 9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
Phone: (562) 942-1270
State Lrc #: 973756
Lic Type: B, C-10, C-39, C-46
Bus. Lic #: 345470
Workers' Compensation I nsurance:
Carrier: American Zurich lns Co
Policy #: WC5096013
Expires'. 1110112020
Vivint Solar Developer
Eric Curtis
9847 Pioneer Blvd.
Santa Fe Springs, CA 90670
(s62) s42-1270
Engineer:
Address.
Phone:
License #.
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By:
Date. Misc. Receipt.
Date: Misc. Receipt:
Date: 11tOT tZOl g Misc. Receipt:
Subject to Field.
No
No Account#
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$4s0 00
$1.00
$0.00
, Teri
NPDES lnsp.
PWA lnsp. Req'd:
Plannrng lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51601
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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.
Fire lnsp. Req'd:
Police lnsp. Req'd:Total
$450 00
$1.00
$451 00
$0 00
$451 .00
lnspector MID#: 2019-155598
01 1 16002 51612
BUILDING. INSPECTOR RECORD
SITE.WORK DATE lDEFI,COMMENTS)
Set Backs u ti
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUI n su Iatio n
Roof Sheathing
Shear Wall
Framing
Insu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T'-Bar
Handicap Ree.
Deputy Final Report
Engineer Fina! Report
Flood ZonqCertif
/? \a,Utc- l/./il1^/2-/?t?Zc Al 7
FINAL /z-// -/ 7 /Z (-,e../F,rAg il)7,
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDER DEL(:ARA'I'ION
I hoeby affirm unde pemlty of perjury lhat I an exempt from the Conlrsctom' I-icere t{w for thc follorving remn (Ss.7031.5
Busincs and Profssion Code): Any City or County which requira a pmnil lo coNtruct. alt6. i!trprovq dmolish or rcpair uy
structue, prior to its isuuce, also requirs the a;rplicmt for such pennit to file a signed statmot thal hc or shc is licosed pmumt
to the provisions of the Contmclor's Licenscd Law (Chapts 9. Commcncing with Sction 7000 of Division 3 of the Busins md
Prof6sionsCodc)orthathcorshcisexemptthqefromildthcb6isfortheallcgcdcrqrpion. AnyviolationofSetiotrT03l.5byany
applicant for a pmit subjcts thc applicant to a civil penalty of not more thil lil e hun&ed dollils ($500).
I. as orvner of the property. or my employees rvith u'ages as their sole cornpensation. w'ill do the work and the structure is not
intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's [-icense La*'does not apply to an owner of
the property rvho builds or improves therqrn. and rvho does such work himself or herself or through his or her orvn ernployees.
provided that such improvonents are not intended or offererl for sale. Il. hos'ever. the building or inrprovemenl is sold w'ithin one ytrr
of complaion. the Or*'ner Builder u'ill have the burden of proving that he or she did not build or improve the propoty for the purpose of
sale).
_ _1. as owner of the propoly. am exclusively contracting rvith licensed contractors to construct the project 1Sec. 7044. Business
and Profession Code: The Contractor's License Larv does not apply lo an os'ner of property rvho builds or improves thereon.
and u'ho contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's l-icense Larv).
-lamexemptunderSection-.B.&P.C.forthisreason.I)ate: Owner:_ __
IVORKERS' COIII PENSAI'ION
DECLARA'I'ION
I hereby affirm under penalty of perjury one of the follorving declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for rvorkers' cornpensation. as provided for by Section -1700 of the
Labor Code. for the perfonnance of the work for which the pennit is issued.
.-_.1 have and rvill rnaintain rvorkers' compensation insurance. as required by Section .1700 of the Labor Code. for the po'flonnance of
the rvork for which this permit is issued. My rvorkers' cotnpensation insurance carrier and policy number are:
('an'ier:___
l'olic't Nrrrrtller :!ixpircs:
-- I cerril"y that in the perforrnance of the rvork for rvhich this pennit is isstrecl. I shall not ernploy any person in any rnanner
so asto bec'omesubject tothervorkers'compensation larvsof California. and agrcethat if lshould beconresulrject tothe
n'orkers' conrpensation provisions of Section -1700 of the l-abor Code. I shall. fiorths'ith complv rvith thosc
WARNING: Failure to secure rvorkers' cornpensation coverage is unlaw'fiul. and shall sub.icct penalties and
civil fines up to one hundred thousand dollars lll to the cost of as provided for the
Section -3076 of the Labor Code. interest and
Drte:
I hercb."- affirrn under penalty of perjury that I under provisicrn of ('hapter 9 rvith Scctiun 7000) of l)ivision .1
of the llusiness and Professions Code. and is in full force and effect.
c\t>Nunrhcr:
,,r" ,670*t \ lo1 lt q v
I hercby affirm under pnalty of perjury that
issued (Sec. -1097. Civ. C.).
Lendcr's Nanre:
lending agency for the of the rvork for rvhich this pennit is
l.endcr's Address:
APPLICANT DECLARA'TION
I horby aflinn under penalty of perjury one of the follou,ing declarations:
Dernolition Pennits-Asbestos Notification Federal Regulations ('l'itle 40. Part6)
__Required Letter of Notification
this llxr.icct.
I agrer to cornply rvith all City and County
and ('ounty to enter upon theof this ('ity
LDare:tt, lo1 lf?
w
Frs
! colify that
application and state thal the ahrve inltrrrnation is
Lau's relating to building construction. and hcrcby aulhorizc
llrovc propefly for
o