HomeMy WebLinkAbout101107346 - Permit (2)City 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 #: {O1107346
Pin #: 45909lz,(
Project Address: 519 E Pine St
Assessor's Parcel: 404-081-09 Lot: 12
Unit:Bldg: Address Range:
Tract: PS&BLEEADD Historic: No
Suite Range:
Zoning: R3Block: B
Building Use:
Job Type.
Nature of Work:
Existing Bldg. & Use.
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/det Garage
R-3, U
VB
cBc 2019
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $15,000.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstaltation of roof mounted PV system. Worksheet attached to plans.
0
Batch # : 6t tt t63
0f f ice: (:TYH
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[''tcpti s 03357696
'7 /26/21121
I'r'sn si : 23
Ref *:
ID: flmorct I esl
lsl'I
101 107344
Planning Conditions:7/26t21r21 ?:34 An
Owner:
Address.
Phone:
Tenant:
Maria Valenzuela
519 E. Pine Street
Santa Ana, CA 92701
Contractor: Sunrun Solar
Address: 20512 Crescent Bay, #108
Lake Forest, CA 92630
Phone: (818) 563-0529
State Lic #: 750184
Lic Type: A, C-10, C46
Bus. Lic #. 340287
Workers' Compensation lnsurance:
Carrier: Liberty lns Corp
Policy #: WA764D4/.5522020
Expires: 10/01 12021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
Vivint.Solar
James Matthew Walsh
3301 N Thanksgiving Way, #500
LEHI, UT 84043
c73567
Vivint.Solar
James Matthew Wal,rsh
3301 N Thanksglving Way, #500
LEHI, UT 84043
$51 1 .-i
Auth+:1r26568
A'iEr'8.t *t[
I
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
Chavez, Dave-=, et
Date:
Date:
Date: 0712612021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$450.00
$60.7s
$1.00
$0.00
$51 1.75
$0 00
$st 1.75
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$450.00
$1.00
$60.75Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs 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.
lnspector MID#: 2021-167635
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hueby alfirm unds pmalty of perjury thd I m qmpt from thc Contracto6' LiccN Law for thc following reen (Se.7031,5
Busin6s ud Prof6sion Codc): Any City or County which rcquire a pcrmit to @nstruct, allq, improve, dqnolish or rcpofu my
structuq prior to its issumcc, also rcquire thc eplicilt for such psrmit to filc a signed statmot thst lE or shc b lictrcd plBant
to thc prcvisioE of the Contmctor's Liccmcd liw (Chaptq 9, Commcncing with Sation 7000 of Division 3 of thc Buinru ud
Profsions Code) or that hc or she is cx@pt thqcfrom ud thc bssis for the allegcd exmsion. Any violation of Sdion 7031.5 by ily
applicantforapemitsubjststhc applicanttoacivilpcnaltyofnotmorcthmfivchundrcddollm($500).
-1.
as owncr of the property, or my employees with wages as their sole compcnsation, will do the work and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of
the progrerty who builds or improves thcreon. and who does such work himself or herself or through his or her own employees.
provided that such improvonents are not int€nded or offered for sale. I[, however. the building or improvemcnt is sold wilhin one year
of cornplaion, the Orvner Builder will have the burden of proving tha he or she did not build or improve the propoty for the purpose of
sale).
-1.
as owner of the prcpcrty. am cxclusively contracting with licensed contractors to construct thc project (Sec. 7U4, Business
and Profcssbn 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) licaued pursuant to the Contractor's License law).
-IamexemptunderSection-,B.&P'C.forthisreason.Date:--
WORKERS' COMPENSATION
DECLARATION
I hereby alTirm under penalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' cornpensation, as provided for by Section 3700 of thc
Labor Code. for the perfonnance of the work for which the pernrit is issued.
-l
have and will maintain workers' compcnsation insurance. as required by Section 3700 of the l.abor Code, for thc performance of
the work for this pcnnit is compcnsation insurance carrier and policy number are:
a.
o
Policy
_l certify that in the perforrnance of the work for which this permit is issued, I shall not employ any pcrson in any manner
should become subject to theso :ls to becorne subject to the workers'compensation and agree that if I
rvorkcrs'provisions of Section 3700 of the Labor I shall.those provisions.
WARNING:to secure workers' compensation unlawful.to criminal peiultics and
civil fines up to hundred dollars ($100.000).
and attorney's fees.
to the cost of damages as provided for the
Section
a
I hereby affirm under
of the Business and
penaltyof perjurythat I arn 9 (cornrnencing with Section 7000) of Division !
Code. and rny license is in full
t-
License
1/
I hereby affrrm under pcnalty of perjury that thcre is a
issued (Sec. 3097, Civ. C.).
lending the performance of the work for which this perrnit is
Lender's Name:
I-ender's Address:
APPLICANT DECLARATION
I hotby aflinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Fedcral Regulations (Title 40, Part6)
.--Requ ired l-rtter o f Notilication
_l certi& that the federalregulations asbestos removal are not applicable to this project.
the aklve information is correct. I agrec to comply
rrepresentativs of this City
with all City and County
and
above nrcntioned property for inspection
Applicnnt or Agenl
Pcrnrilee nanre
and hcreby authorize
b
enter
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Venul ns u Iatio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drnrvall
Ext./lnt. Lath
Brown Coat
Jvlasonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
rl ,/t
FINAL U 1 7 DIVII,Z5 t
Certificate of Occupancy 'l I I
Notes, Remarks, Etc.
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