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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.