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HomeMy WebLinkAbout101103574 - Permit (2)City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Building Permit #:1O1103574 Pin #: 80975PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714)647-5853 Proiect Address: 4910 W Seventh St Unlt:Bldg: Address Range: Assessor's Parcel:100-241-22 Lot: POR 24 Block: NA Tract:1078 Historic: No Suite Range: Zoning: Rl Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Reroof Reroof Occupancy: Constr Type: Code: Flood Zone: # of Stories: R-3 VB cBc 2019 A-0602320143J 1st FL Area 2nd FL Area Other Areas. Garage Area Totat Patio: T.l.Area: Yards Req'd Valuation: $509,400.00 Description of Work: Tear off existing, install 1800 squares of comp roofing Planning Conditions: Owner: Address: Phone: Tenant LANH LE 4910 W 7TH ST Santa Ana, CA 92703 (949) 7s0-9990 Contractor: Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Engineer: Address: Phone. License #: Architect / Desiqner: 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 web_user No No No No Date: Date: Date: 05/06/2020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 01116002 01116002 07776002 07776002 57607 5777 0 57672 57500 5L601 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance $333.06 $3.91 $21.00 $22.95 $57.20 Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No N/A - No Balance N/A - No Balance N/A - No Balance Account#Total Every permit issued shall become invalid unless lfie work on the site authorized by such permit is commenced within 360 days after its issuance,or if the work authorized on the site by such permit ls suspended or abandoned for a period of360 days after the time the work is commenced. Fee Total Paid to Date: Balance Due: $438.1 2 $438.1 2 $0.00 lnspector MID#: 2020-158808 I Owner-Builder v I BUILDING. INSPECTOR RECORD Rev.0B-07-2015 SITE.WORK DATE ID/SIG.COMMENTS OWNIIR llt,ll,l)l:R l)lll-L-,rRA'f lON IherebyaffirnrunderpenallyofperjurythatIanrexemptfronrtheContractoD Licenseljwforthefollowingrea$n(Ss.7031.5 lrusincss ilnd Prol'cssir)n Codc): Any City or Countv which requircs a pcflnit l() conslruct. allcr. irnprovc. dcrnolish or rulair any stRrcture. prior k) ils issurnce. also requircs the rpplicant tor sucfi p€rnlil (, filc a sigDed slaternetrt lhat lE or she is liceNed pursuant to (hc previsions ol'rhh ConlrActor's Liccnscd llw (Chaptcr 9, ComrnencinS wilh Scction 7(X) ol l)ivision 3 ol'lhe Busincss and P()fcs!iotrtCode)orthrthcorsheisexempttherelionraDdthebasislirrtlrcullegerJexenrptioD. AnyviolatimofSeclionT03l.5hyany ilpplicnnl for a pcrnit subjects lhc applicant to r civil pcrlrlty oI not ilFre lhrn fivc hundred dollrrs ($5{x)). _1. as owncr ol rhc pro[tfly. or my employces with wages as lheir $lc cornfEnsili()n, will do the work and the slreluc is mt iilcrf,lql orofferedforulc(Ss.?Ol.+,BusinessandPmfcssionsCodc:ThcConlrncDr'sLicen*Lawdesnotapplytoanownerof the prc[Ef,y wlm t{ilds or ir{rows thermtr ilxl who dcs such work hinrself or hers.lf or lkouSh his or her owil emrloyees. proYided rhat such impovcrrcnts ae mt inlcrdcd or olTercd lor sk. Ili howcvcr, lh. buiHing or inproverrnl is sU within one yeil ofconrplctirl thc Owrrcr Builder will have the burdcn ofpreving lhat he or she did not build or impmve the pmFfly for lhc purpoE of salc). _1, as owner oflhe [opcily. am exclusively conlracting with licensed conlr(ck)rs t) conslruct lhe projcct (Scc. 70.1.1, Business arxl PrrtlrsitlrCrxlcrTheCoiltraclor'\l-icetr\eLxwdoesnotapplytoan()wnerol'propcdywhobuildsorimpr(,vesihereoil. and who conlricls for srch proicls with a C()ntrrct)r(s) liccnscd pursurnl lo lhc ContrActor's Liccnsc t w). -Ianrexemptundetseclion-.B,&P,c,forthisreasoil.l)ater- WORKI.IRS' ('Oi\l PIINSA'Il()N I)I]CI-ARATIoN I hcrchy rll'irm undcr trrrrltv of pcrjurv onc {)l th.' lolh)wing (lcclarations: _lhaveardwill nuinlainaCertificateofconsenttoSelFlNurefo.woflers'compeNalion,as prcvidcdforhySection3T00ofrhc Labor Codc, for lhc lErformrcc of thc work Ior which thc permit i\ issucd. _l havc and will nrainrlio workers compensation insurance, as rcquired by Scclion 3?00 ofthc trbor Codc, for thc JErfomN of thc work lbr which this pcrmit is issucd. My workcrs' conrpcnsation insuruncc crfficr iuxl lblicy numhcr ilc: Policy _l ccnity that in the lEribrnunce of thc work for which this pcrmit is issucd. I shrll not employ any 1rcrs<rn in any manner $ as to bccorE suhjcct to the workers' compcnsation laws of Californir. and agree thlt if I slbuld tEcorE subject to thc worliers' conrJensation provisions of Scction 3700 of the trbor C'ode, I shall. fonhwith conrply with thos provisions. WARNING: Failure to scure workers'q)mfEnsali()h covemge is unlawlll. rnd shall subject ro empbyer k) qimindl lE@ltics md civil finesupbonchundrcdlhousanddollnrs(SI(X),UXD.inaddiriontothecoslofcompensation.damgcsasprovidedforlhc Section 3076 ofthe ljtx)r Cqle, interesl snd albrrEy's fces. Datc:_ I,IC-ENSED CONTRACTOR DECLARATION I hercby al'llfln undcr pcnahy of perjury tha( I am licen*'d under provision ol Chaprcr 9 (comrencing wirh Section ?fflC) ofDivision l of the Busincss ancl Prcfcssi()ns Code. affl nly license is in full forcc and ctilct. [-iccnsc Nunlrr: l)ale - Conlmclor: CONS'TRI.ICTION I,ENI)ING AGI]NCY I herby af firnr undcr Jrnaltyof perjury that there is a conslrucli<[ lcrdiDg aScncy for the perfomrce of the work for which this pemil it issucd (Scc. :l{)97, Civ C.). Lendcr's Nanrc: Irndcr's At[!rcss: APPLICANT t'E(:I,ARATIoN I hercby aflimr undcr pennlty of perjury one of the followirrB declarations: Dcnolition Permils-Asbcstos Norification Federal ReSulalions (Title.l0, Piln6) -Required kiler of Ndification -l cenify that thc fedcral rcgulatioN rcgading asbcstos rcnnvil arc not applicable to this prciei. _l cenify th.l I have rcarl this applicalion and slnrc thnl thc above in[ormalion is core.l. I ngr@ to comply wirh all City and County onlinances and State l-aws rclating lo building constructidL ard hereby authorize represcotalives ofthis City and Coutrty to enter utnn the at()ve rcnli()ncd prol--ny lbr inspcction puqx)scs. Appli(nnt or Agcnt I'rrmilee natrrr (odnl): l)xtc:_ Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsu lation Roof Sheathing 5 lslto ffiN)m 917 Shear Wall u I Framinq lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat lvlasonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif FINAL 6-z H A2)/Lc ,s t t24cs\ / Zry) Certificate of Occupancy Notes, Remarks, Etc. IT,.*SATITA ANAJIilil$ J Planning & Building Agency 20 Clvlc Genter Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA92702 (714) 647-5800 www. santa-ana.oro Smoke & CO Alarm Affidavit This document may be fuund at... http://www.santa-ana.org/pba/ (please use a black or blue ink ball-point pen) Project Address:4910 W 7TH ST., SANTA ANA, CA 92703 Permit Number:101 103574 Property Owner:LANH LE Contractor License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential buildings. California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define the required locations. Ago,L boxes below must be checked: EI Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. E Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be L lcheck onel Li nsed Contractor tr Property Owner NOTE: This seff-certificotion is only used for projeds thot ofled the EXilENOR ol the structure. This process is applicoble ONLY to projeds where occess to the interior of the dwelling by a Santa Ana lnspedor is not required. Have this completed form and the job-card readily available on final inspection! Signature:I'Date: