HomeMy WebLinkAbout101103105 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:101103{05
Pin #:24234
Proiect Address: 2126 N Linwood Avea
-
Assessols Parcel: 396-071-18 Lot: 36
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 5690 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Sfd w/att garage
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
l!(,1,' il.v r.l!r.1iltl
iti.,ii:: i.iitl
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l.r L, .--.
Planning Conditions: Repair & repaint any damage for window trim, stucco, eaves, facsia, rafters as needed.
Occupancy:
Constr Type:
Code:
Flood Zone.
# of Stories:
R-3, U
VB
cBc 2019
x-06023201 63J
2
Patio:
T.l.Area:
Yards Req'd:
Valuation: $12,000.00
? / 12./'jt1?17 It nitii
5, r ir(rfiPf+: l0tltl
/1?/?tt?it 11.4P,
t74+.1Iol ti 1
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
6or in Frripert ies dbn De*ignuot
Owner:
Address:
Phone:
Tenant:
RodrigoA&ElidaChavez
2126 N LINWOOD AVE
Santa Ana, CA 927057135
(7141714-9619
Contractor: Garia Properties dba Desigr
Address: P.O. Box 1063
Brea, CA92822
Phone: (626) 893-5396
State Lic #: 1011908
Lic Type: C-36, B, C-39
Bus. Lic #: 373426
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Co
Policy #: 9262610
Expires: 101'1812020
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I(:l- Check ?1175
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Gissel
ki, Teri
Dale: O211212020 Misc. Receipt:
Date: Misc. Receipt:
Dale: o2l12l2121 Misc. Receipt:
Subject to Field;
No
No Account#
01116002 51601
011'16002 51612
01116002 57770
07775002
07776002
07776002
07776002
07776002
57607
5777 0
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1.00
$22.95
$57.20
Fire lnsp. Req'd:
Police lnsp. Req'd:Total
Flood Zone Cert. Req'd: No 01116002 5.t6OO
Every permit issued shall become invalid unless the 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.
$22.95
$390.26
$1.00
$3.91 Fee Total:
Paid to Date:
Balance Due:
$418.12
$0 00
$418.12
lnspector MID#: 2020-157713
Description of Work: Tear-off & apply composition shingles. Handout given.
BUILDING- INSPECTOR RECORD
Rev. 0B-0rr-2015
S!TE.WORK DATE ID/SIG.COMMENTS owNI,tR BtiIl,])t;R I)t],t,cARA iloN
IherebyaffirnrunderpcnaltyofperiurythatImlexemptfronrtheContraclos Licenselnwforthefollowingrcr5on,(Sec.7031.5
llusincrs and Prolession Code): Any Cily or County which rcquires a Jrcrrnit lo construct, aller, improve. dcmolish or rcfnir any
struclurc. prior k) its issuance. also equircs lhe applicanl tbr such peroril to fik a sigrcd slalercnl lhal he or she is liccred pursuanl
to thc provisions of the Contraclor's l,iccnscd law (Chaptcr I, Commcncing with Scction 7fiX) ol l)ivision 3 ol thc Busincss and
ProttssiorsCodetorthatlNorsheiscxenrpttherehonlandtlEhlsisl'ortlEallegedexenlptiur. AnyviolatiulofSectionT03l.5byany
ilpplicAnt for a pcrmit subjccts thc applicanr to r civil peDaltyofnot rmrc than five hundrcd dolhrs ($5(D).
_1. as owncr ol lhc profrny. or my cmplovccs wilh wages as lhcir solc compcnralion, will do thc work ard lhc strelurc is mt
irilefuhd or offercd for slc (Sa'.7(X.{, Busincss and Pmfesskns Code: TIE Coillrdck}r's Liccn* hw d@s not spply to an owncr of
thcpmpcny whobuildsorimproveslhermil,udwhodoessuchworkhimsclforhcrselforthroughhisorherownemployecs,
provid!'d lhat such irnpNverrcnrs ffc mt inlcnded or ollc(1d lbr sle. ll, however. lhL huilding or inprovcrent is sold wilhin onc yctr
ofconrplction, the Owrer Buikler will havc th. burden of prcvin8 tlu{ IE or she rlid u builJ or inrpmvc thc prcFEny for thc purpo$ of
sale).
_1. rs owner ofthc propcny, am erclusively conlrrctin8 with licensed conlrsclos x) construcl llE pNject (Sca. 704.{. Business
and PnrltsskDCodc:TheContracktr'sLicenseLawdoesnotapplytounowncrofpropenywhobuild$orinrprovesthercor.
and who contracts for such pr(,iccts wilh a Contrack)r(s) liccnscd fursu{nl h lhc Conraclor's Liccnse Law).
-l
am crempt 0nder Section-. B. & P.C. ti)r this realon.
WoRKI.IRS' COM Pl:NSATIoN
DT]CLARATI0N
I hcreby at'lirh undcr pcnahy of pcrjury onc of thc lbllowing declaraliots:
{lhuveand*ill nuintainaCcdilicateofConsentrrSelfiln*treforurrkcrs'conrpensation,as p()videdforhySection3T00ofthe
LatDr Codc, for lhc perlbrrurcc oflhe work lor which lhc permil is issucd.
F:
hnvc'!il{lwilltr)rinlaitrw()rkcrs c(,npensali(}ninsurance,as requiredbySectitn3T00ofthe[-ahorCode,forthelErfornunrceof
work lbr this is isrucd. My compcnsation insurrncc carlicr el lx)licy nunrbcr uc:
lbliuv 0 '2-O
_l ccrity thar in thc pcrti)rnruncc ()[rhc work for which this pcrmit is issued. I shilll not cnrdoy uny lrrson in any manncr
*o as lo hccorrE suhjcct to thc workcrs' conpcnsation hws ol'Cali lon)ia, and agrcc lhrt if I slnuld bccorre subjcct lo lhc
worlcrs' conrpcnsotion provi\ions of Section 1700 of thc Labor Code. I shall, fonhwith conlPly with tho* provisions.
WARNIN(;: Iiililurc !) sccurc wrrkcrs' conlrcnsatrrr covcrrge is tDlilwlil, nn(l kr oiminrl pcnahics and
civil fincs up lo onc hundrcd thousand dolhrs ($l{x),(xn),darmgcs as providcd for thc
Seer()n ll(176 of rhc tjlatr (i)de. irterest,^"Jlt?lL
I l)lt('t.AR.\t t()N
I hcrcby al lirm undcr tx:nalry of pcrjury lhal I am liccns!'d undcr provision o, Ch8plcr 9 (.ornrrcncin8 wilh Scction 7fiX)) ol Division 3
of rlc Rusincss and Profcssions C(xlc. fll my liccnsc is in full lirrce iuxl clfect.
Liccnsc
/,2
I heRby aflirnr trnder JEnaIy ofperi!ry tlrat there
issucd (Scc. 1097. Ci!. C.).
lf,ndcr's Nnnrc:
a8eilcy perfomarrce of rhe work fbr which this pcmrit is
lJndcr'r Addrcs\:
APPI,ICANT DECI,.{RATION
I hercby atrmr under p€nslly of perjury one of thc following declur{tiols:
DenDlitiorr Permits-Asbeslos Notification Fctlcral Regulatiorrs (Title 40, Part6)
_Required lJttcr of Notificution
_l cedity that tlrc fbdcralregulatirDs rcgddinS rstrsbs rcnx)valile nor applicable b rhis prcjer.
bn is correcl. I ilsr@ to conrply with rll Cily and County
Applicunl or Agctrt
aril
aulhorize representalives ofthis City and County b eillea uF)n the
Set Backs
Forms/SteeliHoldowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
fttlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL ,.L.i-Zo *?lo,
Certificate of Occupancy
Notes, Remarks, Etc
( a[ier