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: