HomeMy WebLinkAbout101106652 - PermitProject Address: 801 S Susan St
Assessor's Parcel: 14/.522-07 Lot: 37
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract 9535 Historic: No
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests'. (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {01106652
Pin #: 7
Building Use.
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar w/battery backup
SFD
R-3, U
VB
cBc 2019
x-0602320256J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $t 7,865.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
0
Description of Work lnstallation of roof mounted PV to roof with existing system.
Bqtch*:5?4lI 6/3/ZUZu ID: ELIZABE TIPlanning Conditions:
Ownpr: ROSE GRIGGS
Address: 801 S SUSAN ST
Santa Ana, CA 927042314
Phone: V14l B3g-1 223
Tenant
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' Compensation lnsurance:
Carrier. Liberty
Policy #: WA764D445522020
Expires. 10/01 12021
Engineer: Vlvint
James
Address: 1800 W Blvd.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
LEHI, UT
(8771
C73567 P,u i ld ins
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$4:i[t, [l
$137,7
flr339,[t;
Authi : Lttt3232
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
:r,::1 l,ff
07776002 57507 Permit Fee
07776002 57770 Microfilm Records
07716002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
Date:
Date: 0610212021
Date: 0610312021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$450.00
$137.70
$0.00
$0.00
Fire lnsp. Req'd:
Police lnsp. Req'd
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 afterifs rssuance,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#: 2021-166085
No
No Account#Total
01 1 16002 57770
$4s0.00
$1 37 70
$587.70
$0.00
$587.70
r.TVI
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATTON
I hcrcby afTirm undcr lEnally of pcrjury that I m cxctrrpt frcm thc Contraclon' Lkcnsc ljw for thc following rcamn (Se.7031.5
Busincss lrd Profcssion Codc): Any City or County which rcquircs I lEmit to snstruct. ahcl improre. demlish or rcpair any
strucnrrc, prior to its issumc, ds rcquircs thc applicmt for such IErmit to lilc a signcd stalcrcnl thtrt hc or dre is licens4 pursmt
lo Ihe prcvisions of the Contraclor's Liccn*d taw (Chaptcr 9. Comrencing wilh Sstion 7000 of Division 3 of thc Busircss ud
PrcfcssionsCodc)orthathcorshciscxcnrptthcrcfrcmandthebrsisforthcallegcdcxcmption. Anyviolationofs$tionT03l,5byany
applicont for a lErmit subjccts lhc applicanl to a civil pcnally of nol mrc than five hundrcd dollars (3500).
_1, as owncr of thc propcrty. or my cmployecs with wagcs as thcir solc conqrcnsation. will do thc work and thc structurc Ls not
intcndcd or ot'fcrcd for salc (Sc-c.7044, Busincss and Profcssions Codc: 'I'he Contractor's Liccnsc Law docs not apply lo an owncr of
thc proprty who builds or improves thcrcon, arxl who docs such work hinrsclf or hersclf or through his or hcr own employccs.
providcd that such irnprovenrcnts arc not intcndcd or otTcrcd tbr sah. lf, howcvcr. thc building or improverrcnt is sold within one ycar
of cornplction, thc Owner Buildcr will havc thc burden of proving that hc or shc did not build or irrprovc the proprty for the purJnsc of
salc).
_1. as owncr of thc propcrty. am cxclusivcly contracting with liccnsed contractors lo construct thc projcct (Scc. 7U4, Busincss
and hrofcssion Codc: Thc Contractor's Licensc Law does not apply lo an owncr of progrcrty who builds or improves lhercon,
and who contracls for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnsc t aw).
_l anr cxcmpt undcr Scction_, B. & P.C. for this rcason.
WORKERS' COMPENSATTON
DECI ^ RATION
I hcrcby affirm undcr penalty of perjury onc of the following declarations:
_l havc and will maintain a Ccrtificatc of Conscnt to Self-lnsurc for workcrs' conrpensation. as provided for by Scction 3700 of thc
for thc grcrformancc of thc work for which thc pcrmit ls issucd.
will rnaintain workcrs'3700 of thc l^abor Code, tbr the pcrformancc of
this pcrnrit i.s and policy nurnbcr arc:
I
I t
Policy
-l
ccrtify lhat in thc pcrlbrnmnce of thc work for which this is issucd. I shall not cmploy any pcrson in any manncr
so as to bccome subjcct to thc workcrs'compensation laws of and agrcc that if I should bcconrc subjcct to thc
workcrs' cotnpcnsation provisions of Scction 3700 of thc Labor I shall. forthwith conrply with thosc provisions.
WARNING: Failure to sccurc workcrs' conrpcnsation unlawful. and shall
civil Iincs ul)thousarrd dollars to lhc damagcs as providcd for thc
Fintcrcst and
I hcrcby affirrn undcr penalty of pcrjury that I arn 9 7m0) of Division 3
of thc Busincss and Professions Code, and my in tull lirrcc iud ct't'cct.
7q
W
I hcrcby affirm undcr pcndty of pcrjury that thcrc is a construction hnding agcncy for thc Fsforroncc of thc work for which this Frmil is
issucd (Se. 3097, Civ. C.).
[rrtder's Nanrc:
APPI ICANT DECT ARATION
I hcrcby affirm undcr pcnalty of perjury onc of thc following declarations:
Dcrnolition Pcrrnits-Asbcslos Notification Fcdcral Rcgulations (Titlc 40. Part6)
_Rcquircd lrttcr of Notification
rcnxrvalarc not applicable to lhis project.
I agrcc to City County
representativcs of this/
Applicant rlr Agenl
I'crrrritcc nanre
thc atnvc with
?
upon thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl n su I atio n
Roof Sheathing
Shear Wall
Framing
lnsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancv
Notes, Remarks, Etc.
to criminal penaltics and
Date:
[,cndcr's Addrcss:
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