HomeMy WebLinkAbout10197024 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana', CA g)tOZ Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7'14)647-5853
Permit #: {O{97024
Historic: No
Pin #:
Suite Range:
Zoning: R3
1
Project Address: 519 E Pine St
Assessor's Parcel: 404-081-09 Lot: 12
Unit:Bldg: Address Range:
TTact: PS&BLEEADDBlock: B
Building Use: Single Family Dwelling
Job Type. Revision
Nature of Work. Revision/Solar
Existing BIdg & Use: SFD w/att Garage
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2016
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Tota!.
Patio:
T.l.Area.
Yards Req'd.
Valuation: -
Description of Work: Revision to #101961 1 8. Change in layout only. No size increase. Field verify.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Maria Valenzuela
519 E. Pine St.
Santa Ana, CA 927016027
(7141 326-8485
Contractor: Star Sun Solar LLC
Address: 12966 Euclid Street, #550
Garden Grove, CA 92840
Phone: (7141 530-8777
State Lic #: 1008302
Lic Type: C-10
Bus. Lic #: 363540
Workers' Compensation Insurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9169581
Expires: 1112112018
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, Dave DC.
Date:
Date:
Date: 0711612018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
$0.00
No
No
No
No
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days afterifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 2018-142657
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby allinn uMcr pcnnlty ot pcrjury lhal I am cxcmpl fftnn lhc C(nilraclors' Lkcns lnw for thc following rcason (Scc.7031.5
Busittcss and Profcssiqr Codc): Any Cily or Counly which rcquircs a Jrnnil to @nstruct. allcr. imprcve, demolish or rcplir any
rlruclurc. Jrk)r kr ils i$sunncc. also rcquircs lhc applicanl for such pcrmit lo filc a signed statcrcnl that hc or shc is liccnscd pursuanl
to lhc pmvisi(ilrs of lhc (:onlraclor's l,iccnscd law (Chnplcr 9. Commcncing with Scction 7000 of Division 3 of lhe Business and
Profcssions Codc) or th{t hc or shc is cxcmpt thcrcliom and lhc busis for thc ullcgcd excmplion. Any violation of Scctiotr 70-1 I .5 hy any
applicuot li)r a lrcnDit suhjccts thc applicant to 0 civil pcnalty of not nhrc than five hund.cd dollars (S500).
-1.
as owncr of lhc propcrly. or my cnlployccs with wages as lhcir solc cotnpensalion. willdo the work and thc struclurc is lxrl
intcltclctl ()r otl'crcd lbr salc (Sct.7()44. Busincss and hofessions Code: The Contractor's Liccnse Law docs not apply to an owner o[
lhc pnrpcrly who builds or irnprovcs thcrcon. and who clrrcs such work hirnself or hcrsclf or through his or her own cmployccs.
providcd that such irnprovenrcnls arc nol inlcnclcd or olTcrcd for salc. ll. hou,cvcr. thc buikling or irnprovenrcnt is sold within onc ycar
of conrphlion. thc Owncr Buiklcr will have thc burdcn of proving lhat hc or shc did not build or improvc thc propcrty for thc purprseof
salc).
-1.
as owner of thc proJrcrty. am cxclusivcly contracting with liccnscd conlractors to construct thc project (Sec. 7044. Busincss
and Pnrfbsshn Code: Thc Contraclor's l-iccnsc Law docs not apply to an owncr of proJrcrty who builds or improvcs thercon.
and wh<l conlracls lirr such projccts with a Conlraclor(s) liccnscd pursuant to lhc Conlractor's Licensc Law).
-latlrcxcmplundcrSection-.B.&P.C.forthisrcastln.I)ale:Orr ner:
WORK FRS' COIITPENSATION
DECLARATION
I hcrchy ufl'irnr undcr pcnalty of prjury onc of thc following dcclarations:
-l
havc arxl will mainlain a Ccrlificatc of Consent lo Self-lnsurc for workers'comlrcnsation. as providcd for by.Section 37fi) of thc
lahr Ctdc. for lhc Jrcrfirnnance of thc work frlr which thc pernrit is issued.
-l
havc and will ntuintaitt wrtrkcrs' contpcnsal ion irtsurancc. as rcquircd by Scct ion .17fi) of the Labor Code. for thc Jrcrfornuncc of
tltc wttrk lirr which this pcrrnit is issucd. My workcrs' compcnsation irrsurancc carricr and prlicy numbcr are:
Policy Nunrbcr: Expircs:
-l
ccrlity lhal in thc pcrfrrrmattcc of thc wrlrk lbr which this pcnnit is issucd. I shall not enrploy any person in any mflnncr
so astohccotttcsubjccttothcworkcrs'cornpcnsalionlawsofCalifornia.andagrcethatiflshouldbccomesubjccttothc
workcrs' cotnpcttsal ion provisions ol' .Scction 37(X) of thc Lrhrr Coclc. I shall. l'orthwith cornply with those provisions.
WARNIN(i: Failurc lo sccurc workcrs' cornpcrrsalion covcragc is urrlawlul. and shall subjcct an cmploycr to crinrinal Jrcnaltics and
civil lincs up lo onc hturdrcd thousancl dollars ($l(ru.(XI)). in addition to thc cost of cornpensation. damages as provirletl f'or thc
Scction 3076 of thc l-atxrr Codc. intcrcsl tnd altorncy's t'ccs.
l)nlc:_ Applicant:_
LICF'NSEN CONTRACI'OR
NECLARATION
I hcreby alllrlrt undcr pcnalty of pcrjury lhal I anr liccnscd undcr ;rrovisiorr of Chapler 9 (colnmcncing with Section 7m0) of Division 3
of thc Busirtcss and Profcssiorts Codc. and rny liccnsc is irr l'ull torcc alrd elfcct.
Liccnsc Class: l,iccnse Nunrber:
l)nle:Contraclor:_
CONSTRUCTION LFNDING AGENCY
I hcrchy allirm undcr pnahy of pcrjury lh{l thcrc is a cuslrudhn hnding agcncy for thc lcrfonruncc ofthc work for Bhich lhis lErmit is
issucd (Scc. 3(fr7. Civ. C.).
ltndcr's Namc:
kndcr's Adrlrcss:
APPLICANT DT'CLARATION
I hcr,-by allrrnr undcr Jrcnalty of pcrjury onc of thc followirrg dcclarations:
Dcnm l il ion Pcrnrit s- Asbcstos Not if'icat iolr Fcdcral Regu lat ions (Tit le 40. Part6 )
-Rcquirctl
kllcr of Notilication
-l
ccilify thal thc fcdcralrcgul8lions rcgfrling ashcslos rctnovalarc nol applicablc lo this prcjcct.
-l
cenify lhal I havc rcud this application and stslc lhil thc *nvc informtion is corccl. I agre lo omply with oll Cily and County
onlinanccs und Statc taws rclatingi io huilding construction. and lgJry authorize rcprcsntatives of this City and Counlyto entcr u[nn thc
atnvc mnti(rncd nmrcrtv for insmtim numrcs. Z/-
ApprrcsnrorAsenrsr*r,,u*,.{
t-t
L *,., 'O1 [tt lotOlt
Permitee name (prirr), Y- +Ntl tlO
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nt/l n s u lat ion
Roof Sheathing
Shear Wall
Framing
lnsulatio nlEnergy
Drvwall
Ext./lnt. Lath
Brown Coat
N/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
--a-=aFlood Zone Certif .EXPtr ErJ
aral
JUL I, I ctab t
FINAL -ro rA q,R 366.007
Certificate of ncy EAruw \r'-wvr --
Notes Remarks Etc.