HomeMy WebLinkAbout101107091 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O7O91
Project Address: 401 W First St
Assessor's Parcel:398-592-03 Lot: 14-29
Unit:Btdg
Tract: PARK
Address Range:
Pin #:
Suite Range:
Zoning: SD1Block: NA Historic: No
Building Use: Multi-Family (5 or more units)
Job Type: Solar
Nature of Work: Solar
Existing Bldg. & Use: Apartment BIdg
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-2
VA,VB
cBC 2019
x-0602320276J
1st FL Area
Znd FL Area
Other Areas:
Garage Area.
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $1 10,000.00
0
Description of Work lnstall 118 roof mounted solar on an apartment building
Bnt,ch* :6tr863 ? /24/2t.r?l
tlf f i ce ; tl YH '[r'crn s* : 4
Ar-r'l r: Ilof I r
I0: uv i ctor icrlof'I
I 11 I t r-r'7r'r(} IPlanning Conditions:
Santa Ana Senior Housing, LP
1 181 1 San Vicente
Los Angeles, CA 90049
(4241 372-s832
Santa Ana Towers
Contractor: Promise Energy
Address: 5338 Round Barn Blvd, Suitr
Santa Rosa, CA 95403
Phone: ( 4241 489-1 512
State Lic #. 978353
Lic Type: B
Bus. Lic #: 37831 1
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 91001 13
Expires: 0410'112022
Vinci & Astbbtdt&i41,i i:i.i3 yi't4i?t"t:i1 i?I:itl
JamesnfuXUieqfihbf i'l'r:uul illrt.ttr',
175 E Wilbur Road. Suite 103
rhous" nH' d$*5lbH'd1 dHO
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #.
FM
f f,:'
. '-t.-lOwner:
Address.
Phone:
Tenant
(805) 4sfra1QQ ir,s
5441 1 Lrlll6t.ttt2--
[i]dg Sbdg
tJ11l6t-ttl2"
I'l i cr'or i 1m
titll6rLrl:l--
tt L. ihecll
;'i l6tJ I tl[0 -
Revslving
:l t 6 l2utJlt-
& Documents
3l lTuufitl-
Lt 1 tttt86
Sl r 0t rtt. rJU
$5. t-t[t
544 ":;5
91 r 049.55
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Pezeshkpour, Ali
Ahangian, Kathy
Amsden, Julie
o
Date: 0912312021 Misc. Receipt.
Date. 09/08/2021 Misc. ReceiPt:
Date: Ogt24t2121 Misc. Receipt:
Subject to Field:
Yes
No Account#
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total
Paid to Date:
Balance Due:
$1,000.00
$44.5s
' $5.00
$0.00
$1,049.55
$0 00
$1,049.55
Fire lnsp. Req'd
Planning lnsp. Req'd: No Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued 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.
Total
$1,000.00
$s.00
$44.5s
lnspector MID#: 2021-167047
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUIIDER DEI,CARATION
I h6cby affm unda pcnalty of pcrjury that I m qmpt from thc Coilretos' Licw law for thc following wn (Se.7031.5
Buine fld Profeion Codc): Any City or County which rcquic a panit to @Ntrucl, alta, imprcvg <hnolirh or rcpair uy
structre, prior to its issuuce. also rcquirc thc applimt for such p6mit to fib a stocd statmot thar hc or slE b licqEcd plMt
to thc provieioE of thc Conirtrtor's Licmsed kw (Chapt6 9, Comming with S6tion 7000 of Divisirn 3 of thc BBin6 ed
Prcfsions Codc) or that hc or shc is qmpt thqcfrom ad thc b6is for thc allcgcd cxmption. Any viotatioo of Sction 7031.5 by uy
applicmtforapcmitsubjctsthc appticmttoacivilpcultyofootmorcthefivchundrcddollrs(t500).
_1, as owner of the propefiyr or my employecs with wages as their sole compauation. willdo thc work and the structurc is not
intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's Licensc Law does not apply to an owner of
the property who builds or improves theron. and who does such work himself or herself or through his or her own employecs.
providcd that such funprovanents are not intendcd or offcrod for salc. I[, howener, thc building or imp,rovement is sold within onc ]€ar
of complaion. thc Orvncr Builder will have the hrdcn of proving thd he or she did not build or improve the propcrty for the purposc of
sale).
-1.
as owner of the property, arn exclusively contracting with licenscd contractors to construct the project (Sec. 7044, Bwiness
and Pnofession Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licorscd pursuant to the Contractor's Liccnse Law).
-l
am exempt under B. & P.C. for this reason.
Date:_ Owner:
WORKE R.S' COMPENSATION
DECLARATION
I hereby affirm under peoally of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Sclf-lnsure for workers' compensation. as provided for by Section 3700 of the
Code, for the performance of
_l certi& that in the performance of the work for which this permit is issued, I shall not cmploy any person in any manner
so as to bccome subject to the workcrs'compeirsation laws of California, and agree that if I should become subject to the
workers' compensation provisions of Secrion 3700 of the Labor Code I shall. forthwith comply with those provisions.
WARNINC: Failure to secure workers' compensation coverage is unlawful, and shall subject an onployer to criminal penahies and
civil fines up to one hundred thousand dollars ($100,000). in addition to the cost damages as provided for the
Section 3076 Code, interest and attorney's fecs.
l)lc('t,All^'l'l()N
I hereby affrm under penalty of perjury that I am licenscd under provision 9 (commencing with Section 7000) of Division 3
of the Busincss and Professions Code, and my license is in full force and effcct.
Number:
q?B 3r5
Conrracror: ?zvtn I f€ €rlqrcq7W
I hrcby affm udo pcnalty of pcjury thst th@ is 8 @nstruc,tion lcnding ag6cy for thc pqforrmcc of thc rcrk fur which thb pqmit b
issucd (S*. 3097, Civ. C.).
Lender's Narne:
koder's Addrcss:
APPLICANT DECLARATION
I herfu aftirm undcr pcnalty of pcrjury one of the following dcclarations:
Dcmolition Pcrmils-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Required
Lettcr of Notification
with all City and County
Appficant or Agent
\Permitee nsme (print):
and to cnter upon thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nul n s u Iatio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry /
Pool Fence \
T-Bar
Handicap Req \
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL /0-(-2 I /Z C,a %2tl
Certificate of Occupancy
Notes, Remarksl Etc. t
(r ^-ri ^ -
\and policy number are:
Poricy*rr*r, {too-\\3 Expires: -
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