HomeMy WebLinkAbout101107755 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714\647-5853
Permit #: {O11o^7755
Pin #: 64526
8fu,
Proiect Address: 1334 S Van Ness Ave- -a- -
Assessor's Parcel:013-1 13-21 Lot: 9
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: 13 Tract: 352 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar - Additional panels
SFD w/det Garage
R-3
VB
cBc 2019
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage ,Area:
Total. '
Patro:
T.l.Area:
Yards Req'd:
Valuation: $S ,248.00
Occupancy:
Constr Type:
Code:
Flood Zone.
# of Stories:
Description of Work: Additional panels to existing roof mounted PV system. Total under 1Okw
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Lupe Guzman
1334 S. Van Ness
Santa Ana, CA 92707
(7141 616-2e13
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, C-46
Bus. Lic #: 345470
Workers' Compensation I nsurance:
Carrier: Liberty
Policy #: WA764D445522020
Expires: 10/01 12021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Vivi
James
3301 N
LEHI, UT
c73567
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving Way, #500
LEHI, UT 84043
#500
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Frre lnsp. Req'd. No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Chavez. Dave
Q C,
Date:
Date:
Date: 0812412021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds Revolving
07776002 57500 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$89 10
$0 00
$0 00
Account#Total
01 1 16002 51601
01116002 57770
$450 00
$8e 10Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
$539 1 0
$0 00
$s39.10
lnspector MID#'. 2021-168348
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION
I haeby affim unda pmalty of pojury thal I m cxcmpt from thc Contracton' Licruc tiw for thc following rwn (56.7031.5
Busines md Prcfcsion Codc): Any City or County which requirs a pcmit to coNlruc1, alt6, improvc denolish or repair uy
structuc. prior to its issumcc. also requirc thc applicilt for such pcrmit to file a signcd statmfit thar he or shc is licqEcd pmwt
to thc Eovisiore of thc Contmctor's Liccnscd taw (Chapt6 9. Comcncing with Setion 7000 of Division 3 of thc Bsins ud
PrcfcsionsCodc)orthathcorshciscxmptthsc{romildthcb6sisforthcallegcdcxmflion. AnyviolatiotrofSctionT03l.5bymy
applicant for a pcrmit subjets thc applicut lo s civil pcmlty ofnol more tha fivc hundrcd dollds ($500).
_1, as owner ofthe property, or my employees with wages as their sole compensation, willdo the work and the structure is not
intcndcd or offered for sale (Sec.7M4, Busincss and hofessions Code: The Contractor's License [,aw does not apply to an owner of
the properly who builds or improves theron. and who does such wort himself or herself or through his or her own employees.
provided that such improvonents are not intended or offered for sale. If. howerrer. the building or improvernent is sold within one )car
of complaion. the Ovrner Builder will have the huden of proving tha he or she did not build or improve the propoty for the purposc of
sale).
-1.
as owner of the propefiy. am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Business
and hofcssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licersed pursuant to the Contractor's License Law).
-l
am exempt under Section-. B. & P.C. for this reason.
WORKERS'COMPENSATION
DECIdEAIIAN
I hocby aflim undo pcnahy ofpo'jury onc ofthc following delaatioro:
-l
havc ud will mintain 8 Ccnificate of CoMt to SclfJrcurc for work6' compcnsdion. 6 providcd for by Sction 3700 of thc
Labor Codc, for the pgfomce of thc wo* for which the pqmit b issucd.
NE havc and will maintain works' compcmation imurance, a rcquircd by S*tion 3700 of the labor Codc, for thc pofomucc of
thc work for which this pcmit is isued. My work6' compensation irormce mie md policy numbo rc:
cria: UtL*r\v\.-
Policy W-{]@Lt to' t' zl
$21 ""nify tfr"t in the poformancc of thc work for which this pcrmil is issued, I shall not flploy any pmon in any manr
rc s to b€come subjet to thc work6' compffiation laws of Califomia, md agrc tha if I should becomc subjct to the
work6' compeetion pmvisioro of Scction 3700 of the l2bor Codc. I dtsll, fonhwith comply with thorc prcvisioro,
WARNING: Failurc to sw workm' compcnsation covaage is unlawful, od shall subjet il mploys to qiminal pquhics ud
civil fina up to onc hun&cd thoMd dollffi ($100.000). in addition to the cost of compcmtion. damags s providcd for thc
attorney's fees.
O,'\<r-j
I hcrcby affrrm under penalty of perjury that I arn liccnsed 9 (cornmencing with Section 7000) of Divisioir 3
of the Business and Professions Code. and rny license is in full force and effect.
License C Nurnber:
q13.1 5v\/l 4r
CONSTR,UCTTON LENDING AGENCY
I hmby affm und6 poalty of pcrjury that thqc is 8 comtrudbn lording agocy for thc pofomcc of thc wrk for which this psmh b
i$ucd (Ss. 3097, Civ. C.).
l:nds's Nme:
Lender's Address:
APPLICANT DECI.ARATION
I hodry affm undq paalty of prjury onc of thc following dclestions:
Dcmolition Pmit&Asb6tos Notification Fedml Regulations (Titlc 40, Pan6)
_Rcquircd lEltq of Notificdion
-l
cdiry that thc fcdqal rcgulstio$ rcgsding sbetos moval re not applicablc to this prcjct.
l9.otiry tf,* f n"u" rcad this application ild state thal thc abovc infomatior b coret. I sgre to @mply with all City ild County
ordimc6 md Stste laws Elrthg to building co$tructior\ ed hdcby authorize rcTrffitativB of this City ild County to @tq upon tlE
above mentioncd propedy for
Applicant or Agent
Pernritee nAnre
O-ea-r-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUl nsu lation
Roof Sheathing
Shear Wall
Framing
!nsu Iation/Energy
Dnnryall
Ext./lnt. Lath
Brown Coat
Jt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif n
-fz(XA ,+HJs{tt .1.[fl-2'))RYLB{)Ur\
FINAL 1-0vzl hlY[/rN
Certificate of Occupancy V \L/
Notes, Remarks, Etc.
Contracto r, Vl
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