HomeMy WebLinkAbout10198529 - Permit (2)EProject Address: 1600 W Mvrtle St
Assessor's Parcel 010-053-14 Lot: POR 5
Unit: B Bldg: Address Range
Tract: PLAZA RANCHOBlock. NA Historic: No
Suite Range:
Zoning; R1
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAS27O2 Building
Permit Counter: (714\ 647 -5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{98529
Pin #: 14219
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Church & (2) SFD
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2016
x-0602320257J
Oescription of Work: Tear off existing roof material and install new comp shingle roof material
1st FL Area: Patio:
2nd FL Area: T' l'Area:
Other Areast Yards Req'd: 0@0
Garage Area: Valuation: $6,647.00
Total:
23 squares. Handout given. Owner-Builder form on file.
Planning Conditions: Repair damaged fascia, eaves, and rafters as nsedod.Bctrh+t47144 - 1l/29/1rJ13 lbt l.Rtl
Owner:
Address:
SANTA ANA FREE METHODIST CF Contractor
1600 w MYRTLE ST Addressl
Santa Ana, CA 927034410
Phone:
Tenant
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Architect /
Deslgner:
Address:
6enerRl. t
r-r11160!:r2-
P.u ild ins
i-rl116i-Jr'r2-
BIds StdE
r:r1116Lri?-
lon Updot e
113(t0r:r0-
i 1 6tt 1 0tfl:t -
R'i:vo lv in9
51612r:r[0-
Ref+:
29 /',ittl9
$
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^NA FqFE NTTHIII)J5I (:FUI
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Owner-Builder
Engineer
Address
R':pt+:02461692 - ll
Tronsoct ion Totql
A|t ii+ r lI?9 7i
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
Soto, Ricardo
Chavez, Dave<?e
Dale:1112912018
Date.
Date:1112912018
Subject to Field:
Misc. Receipt
NIisc. Receipt
Misc. Receipt
$320.50
$1.00
$22.O8
$55.04
07776002 5160I Permit Fee
07776002 57572 Bldg. Slds. Revolving
07776002 s1600 General Plan Update
07776002 51601 lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every peftnit issued shall becomo invalid unless the wo* on the sile authotized by
such permit is commenced vtithin 180 days aftet ils issuance.or if the wo* authoized
on the site by such permit is suspended ot abandoned lot a peiod of 180 days after
the time the work is comfienced.
lnspector MtD#. 2018-148022
No
No
No
No
ffi Account#Total
01 1 16002 51600
01 1 16002 51601
01 't 16002 51612
$22 08
$375.54
$1.00
$398 62
$0.00
$398.62
Phone:
License #:
Phone:
License #:
Fee Total:
Paid to Datel
Balance Due:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing &?r)
Shear Wall
Framing
lnsu latio n/E ne rgy
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 7 ),{,Uq,
Certificate of Occupancy
Noles, Remarks, Etc
''terCz
!
.fl^t q .r,\: t
,!-r'aa{- n{ -;,r\te( r *
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OWNER BUILDER DELCARA'IION
I hrcb, allm undo t nalr, of psjuty ln l I en cxonpr 6on the Contd.roB Lic.ns. Law lor rh. aollowin8 lmn (SE 701 I 5
Btrsi.Gs and Protsion Codc): Any City or Counly Fhi.h ..rlut6 , ponir io .o.edcl, all6, improve dsn0l6h or rqrir ey
srruclue, pnor ro irs isudcc,.lso r.qlird thc applicd aor such Fnni lo lileo sisn.d slalool lhal h. or shc b h. anEd puqlel
lo the provisioas oflh. Contlcro.s Lic.nsed Lrs (Chapls 9. Condencin! wnh Sdrior 7000 oaDivisio. I ofrh. BusinN Md
P.ofcsioos Code) or rhal hc or sh. 6 d.nB thdcfton Md rhe bsis fdr rhe allescd crmplion Any violalio. of sdion 7011 t bt any
applicad tor a p.f,nn subj.* lhe applicetlo.civilpcnaltyofnol mor.lha live hundr.d dolltr! ($500).
./rlrll*oqneo,rhcpoptn).J,r)rnploy€q h sau6 s,h.tr q.lc compcnlar'on. (rlldn rh.$orl dnd rh. $dR s mr
'iirddal orolT6.d iorel.(Sc 70aa. D6m6s d ftnl6sioB Cod€ -lt€ cont,ctor s Li.6* tjs do6 Dot apply lo oNnaoI
lh. I'lpsly wto boilds ot inIrov6 thdon, dd who ddB n(h *.r{ hnns.lf or h*lt or rireush his or hn oM cinPloy6.
prolid.d rhar su.b inpmvddc € not intaddlorofidcd aor eL.Ii howss. tlEtuiBins or ilErelqein i5$kl whhinonc rs
ot conplerion. lh. O*n€r Builde will h,vc $. brd.n olprovi.s thd lE or $c dld nor tuild or improlc $c ,.oDsry InI l,\. A4or ol
l. s oNns oath. propsly. m qclBivcly conlra.lins w h licft.d coimdos io onnrud lh€ prcjcl (Sc. 704'1, &tros
and hnr.ssbn Codc: Thc Conlracrols Lic..s. Law dos nor appl, ro.nown6 olprop€ny $ ho builds or inprov6 thdsn.
and who mnlracls lor ch prcjecc wnh a Connldo(, lics.{ pu6@r $ rhe Conlrcclois Lt.M tiw)
I dn c\cnrpr uMd Stcr-//-2A-/F
I hdcby amm unds pd.l'yotpdjury on ofdc louowint dclffartuN
I havc md rill mainrain a Cslificalc oaco.scnt ro S.lfihsur. ior worl.6 onrp.nsarion, s prcvid.d lor by serion l?00 o t lhc
tibo. Cod.. for $. pdfomecc ollhc $o* lor {hich lhc pqnit is ttu.d.
_, h.veand*illnai .in work.G .omp.6.r ion insuranc.. s ,.quircd by Sd ion l70o of thc ljboi cod.. for lhc psfonlocc of
ltu \ork lor which rhi! pdnir is iasuol My wo,k6i cornpqHlion iNurance coio atd policy .u'nbd dq
$o.k6' conpqsarion povirioB .f sdion 1700 oarhc rjbor Codc. I $all. fonh*ilh cotnly $i'h rlD$ Pmvisions\\ RNlNc Failr€ ro su4 \orkc6 conp.nsaion corqale is unlaNful.
civil fitr6 up 10 one hund,.d lhou$d doll6 {5100.000), in addi
inrffir dd altom.y s lia
,'
I hccby rnm lndd p.nalty o i Ftuy thal I on licssqj ufld6 provisio. olch.prd 9 (
ol th€ Busin* d Profsio.s Cod., ad ny licm. i. in lull forcc od eildl
ins Nirn Seclion 7000).rDirisi.n l
Liceo* clas
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Nuotd:
D.te Conar.cto.l
APPIj(IANT T)ECI {RATION
I hg.tv arm undq pdalry oi pdjury o.c oarh.lollotrin8 ddlatarions:
Denoliion P(mirs-Asb6ros Nolificalion Fcdqal R.gularions (Tnl. 10, Pd6)
-R€quncd
kll6 of Noli6cnion
u4;iB thar rhc r€dcral rcsu l.r io$ aBedins ab6ros mno$l arc nol npplicablc!o
, ageto conply wilh all Cny 3Jd County$ar I rEv. r.ad rhis 0rplicdion.nd slarerhar thc
f'rltr,rtrres r Slrrc Lrtrs'.1.[i:]! t) lrrldr i!6 ofthis Cnyud Counlt ro mrd trtnn fi€
abole mcnlnrncd prcFny ntr
Applicnnr or ,{t$r Signrturc
n*.r- *."U.,r,, K "". !11a4-/tr
II
r
UFER Ground
tz
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rh0r in the Dsfonnanc. oflhe Nork tor *hichlhis r€mn ii Esucd. I sh.ll nor
caliralcllQNrlNDldclcrdcl
I hrcby ,mm und.r Fnalt, olpslury tlni ln6c is a coNtruclion leadins dscncy aor rh. pdfonn c.oflhcsort for stkh rhi! Fftir ir
Gsucd (S(.1097. Civ. C )
L.ndd'! Addrs.
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