HomeMy WebLinkAbout101108144 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests. (714).667-2738 lnspectorSection: (714)647-5853
Project Address: 2628 N Santiago St Unit:Bldg: Address Range:
Assessor's Parcel: 003-032-01 Lot: 2 Block: NA Tract: 705 Historic: No
Permit #: {O11O8 144
Pin #: 81
Suite Range:
Zoning. Rl
Building Use:
Job Type:
Nature of Work.
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Solar
Solar
SFD w/ garage
R.3, U
VB
cBc 2019
x-0602320163J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $17,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: lnstall new roof mounted solar PV system. Per PV checklist.
Planning Conditions:
a
Owner:
Address:
Phone:
Tenant
Jan West
2628 N SANTIAGO ST
Santa Ana, CA 927061729
(7141 552-2s57
Contractor: Sunrun Solar
Address. 2500 White Rd, Suite A
lrvine, CA 92614
Phone: (818) 563-0529
State Lic #: 750184
Lic Type. B, A, C-10, C-39, C46
Bus. Lic #: 340287
Workers' Compensation I nsurance:
Carrier: AMERICAN ZURICH INSURANCE C
Policy #: WC614287600
Expires: 10/01 12022
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner.
Address:
Phone:
License #:
c88783
EV Engineering
Eugene Munyanziza
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Date: Misc. Receipt
Date: Misc. Receipt
Date: 1OtO4tZO21 Misc. Receipt
Subject to Field:
No
No Account#
01116002 51601
011 16002 51612
01 1 16002 57770
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$450 00
$60 7s
$1 00
$0 00
Fire lnsp. Req'd:
Police lnsp. Req'd:Total
Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd. No
Every permit rssued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,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.
$450 00
$1.00
$60.7s
$51 1 75
$0 00
$51 1.75
lnspector MID#: 2021-1692 16
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl n su latio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drynrvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL F,v"ra L,I t4 0an1 Anrcl ,n SXAM .>v\
Certificate of Occu 2
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I haclry affm undo penalty of pcjury thst t m qmpt ftom thc Conttrtots' Licre lrw for thc following wn (5*.7031.5
Buincs sd Prcfesion codc): Any city or Couty which rcquirc a pcmit to @Btruct, alto, imprcvq danolish or rcpeir uy
structue, Fior to its ismcc. also rcquiE thc applimt for such Frnit to filc a sigircd srarmQt thal hr or slE b licdsod plNrd
to thc provisioN of thc Contmtor's Liccnscd t,w (Chapt6 9, Comocirg with Sctiotr 7000 of Divisioo 3 of thc BNiK ed
PrcfcsioB Codc) or thst hc or sh€ is qmpt thq€&om ud thc bdb for thc alcacd cxmption. Any violation of Scdioo 7031.5 by my
applicilt for 8 pcmit subjcts thc applicut to a civil pculty of not morc thu fivc hun&cd dollus (5500).
-1,
u oms of thc proFrty, or my mployG with wag6 6 thcir $lc @mpertsdion. will do tlE mrk ad thc srudrc b rct
intqrdcd or offcrcd for salc (Se.7044, Bwin6s md Profeiom Codc: Thc Contrctor's Licre l:w doc not apply to u ow of
thc ptopsty who builds or imptov6 th@G ed who do6 ruch wrt himclf or hwlf or thrcugh his or hc om qnploye,
prcvid€d that such imprcmts rc rct inodod or olfqod for glc. lf, howo. thc hrilding or imporcnant b mH vithh oDc )ar
of complrbD. thc OM6 Buiklr will lurc thc hudo of prcving M hc or shc dil rct hriH or inForc thc popary frr the p4os of
slc).
-1,
6 om6 of thc pIopqtn m ucluivcly ontraclirg with licascd conuactoF to cons{ruct thc pojel (Se. 7044. Buine
atd PDftssbn Codc: Thc Contraclor's LiccN Law doB rol apply lo u owtro ofprcpcrty who builds or imprcvc thson.
and who ontmcis for such Fojets with 8 coilracto(s) liccrEcd pm@t to thc Contraclor's Licffi hw).
-l
m cxmpt udq Serion-. B. & P.C. for this rcen.
I)o t a.{ lt, rr or.
WO RI(EtrIS' COM PENSATIO N
DECLARATlON
I hereby alfinn under pcnalty of poju.y one of the following declarations:
_l have and will maintain a Ccntificate of Consent to Self-lnsure for workers' comporsation, as provided for by Section 3700 of the
for the performance of the work for which the pcrrnit is issued.
t
and will rnaintain workers'3700 of the l^abor Code. for the performance of
for t\is ls and policy numbcr are:
!-2,(
Policy
-l
certi$ that in the pcrformance of thc work for which this permit is
so as to become subject to the work€rs'compensation laws of California,
workers' compensation provisions of Section 3700 of thc Labor Codc. I
I shall not employ any person in any manner
that if I should become subject to the
with those provisions.
WARNTNG: Failure to workers' compcnsation coverage is and shall criminal pcrralties and
civil fines up dollars in the cos of for the
Sc.ction and
I hereby affrm under penalty of pcrjury that I am licenscd with Section 7000) of Division 3
of the Business and Professions Code, and my license force
License 1
I hereby affrm under penalty of perjury that there is a
issued (Sec. 3097, Civ. C.).
lending performance of the work for which this pcr-mit is
lrnder's Name:
l,cnder's Address:
APPLICANT DECLARATION
I hercby affinn under penalty of pcrjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Lctter of Notification
asbcstos rcmoval are not applicable to this project.
state that the above with all County
Permitec name
construction,
I agrre to
and to tugrn the
-J
an
that the fbderal regqlations
certi$ that I have read this
and Statc [:ws relating to
property
or Agent
t,
hhtl
qtQ\
ttel.-Tl / l-'rrYo -:sunrvN,rs
eUV r:) r *, ^ 90di6 VSn Vf, GUV rtu:S tS oilequ;S 8e9fs+ugs Jo fin It prrxrf )rurp|r:r iru uo rrloq Frlunol.rgrl.goox
llscur ol uy]os Nnullns ol uolrp?!roqln? ruert $r1y1 uEr ,t
ftaz , o IJo0 ';11. : 1r.. l,\, .,t r,, IOAIAJAU
UNJUNS
t
=-iJ.
=-'---
F':
-,
tiE 1-
=-=--=-
==z--
!
o
ST\r3a
0o
trat\\.
-ra-\rSa
aoSo\
No
a
s.ooo
=-oqt
!
q,
Nonooo
=fox
|;iti
l$glEEHg
,L9jatd
+po
g8
rr+
N)o
(,
t=6- A'$a.taooR
SI8s$TgT
$-*rebrl aLu=Fa.oa Fi\.:\:{xuo
tr=
3. 16
sli
la
ls
ld
Id,!=
IPlol-rlo!--tolololl--
oo
=F}-oo
F}o.
T-ot,of
o{
=o-
1'o-3
-ar+zc
3cro.
T-obroo+
CL
CL
-loo
9
-
S,\J
U
troo
=ao
F
lrrr;11:FBr)Eq$FIil*i f aA ir dig E ;dindilriSgllgfi[*flE
-c-t=(r==tr1 f! Vt OJn(DruFlcrf
3r3+EiE
i1 sri I iE *5':g
oJ f,6q=tg:F[t]A [ +E *
--+r :l OicOoaiq E3s ";+ =ilfi ., +o ,1
6r:=re'2Po16=cL,-= r = 3 a = i=p "
= F gr o I =.
A c :r = t-t o 5 \; d, E E a -'., q E6 i. =;- I:[atsl =i+l i*;g9gEEE gill 3$ *saiI;{i : tcg hx 6=:
-t;gf s3 H
:-At Hg io.l :f ot A':. + r I..E flgf *a i fr il i
=g;
q 6' a o-'+ Ail .oe3-o gi € E{ Ff
=q6-B *d P ;= r; A4=i *B $ i4 =H
gi = P g 3 o ril wo- rttr* 3l 3 T[ H[ dJ sq -r (D o vt lo' !x= avt o .1 o, a A ='
L..rA bEE} E € o-€ o-.,' ?;i.? d =' o 58- t
ooq o o
,At1-€o(1F
oSoY
=oo
f
VIoo-
(^)o
fc+
o)oe+o
-t
-0
-toEo-te+
o{
=o
-t
=B 2
rE3q;.=
A'a h
iES
iE$
F}UOA.Eo
€'.=1
3i$'hoo-\\oE
IB
ES
$RO.a
=BqR
6' st
$i}H
s. I
SB
=.oS\tasl€i;'loa
-Fl.-.rGI\Eiil
b'i*
-AI
o
i+5
-aa
oo
3E'-o
F}o
CL
{ro-3
o
=CL
r+-.Jo
brocr!oo-CL-oo
CL
-a-
qt
g.
eq,
ET-o
of
==qr_
-a3oE'oo3o
=
(a
\rQSa
F)
ah\\o
aa
-\
oaFio
\,
\
\\\,\
\E
l-)
a
I