HomeMy WebLinkAbout102103995 - Permit (2)Project Address: 2006 W Trask Ave
Assessor's Parcel: 101-561-06 Lot: 34
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 3834 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g2702- uilding
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:1O2{03995
Pin #: 8{ 122
Building Use
Job Type
Nature of Work:
Existing BIdg & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
SFD w/att Garage
R-3, U
VB
cBc 2019
x-0602320144J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd.
Valuation, $t 0,000.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
Description ot Work: NIV - Tear olf e{sting roof mate.ial and install comp 6hingle. Liks for liks. GAF Timeberlino. Owne.-Buildar form on file.
Planning Conditions:
Owner:
Address.
Phone:
Tenant
MAUW OEUNG
2006 TRASK AVE
Santa Ana, CA 927061355
(s62) 243-5211
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
tr
b
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA !nsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Chavez , Davegt Q'
Date: 0710712020
Date:
Date: 0710712020
Subject to Field:
Soto. Ricardo Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 777 60 02
0 77760 0 2
07776002
07776002
07776002
07776002
0777600 2
57507
57770
5760 7
57607
57672
57600
57607
Permit Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$34s.28
$4.05
$1 04 26
$261.96
$1 .00
$23.7e
$se.30
Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the workon the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
lnspector tvrD#'. 2020-1 59967
No
No Account#Total
01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 57770
$23.79
$770.80
$1 .00
$4.05 $799.64
$0.00
$799.64
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.}. COMMENTS OWNER BUILDBR DELCARATION
I hcrcby affirm undcr pcnalty of prjury that I am cxempl from thc Contractors' Licensc law for lhc following reason (Scc.7031.5
Busincss aml Profcssion Code): Any City or County which requircs a pcrmit to construct. allcr. improvc. demolish or reJxrir any
structurc. prior to its issuance, also rcquircs thc applicant for such Jrcrmit to filc a signcd slatcmcnt that hc or she is liccnsed pursuant
to thc provisions of thc Contractor's Licenscd l-aw (Chapter 9. Conrmcncing with Scrction 7000 of Division 3 of thc Busincss and
Prol'cssions Codc) or that he or she is excurpt thcrcfrom and thc basis for the allcged cxemption. Any violation of Scction 7031 .5 by any
applicanl for a pcrmit subjects thc applicant lo a civil penalty of not morc thm fivc hundrcd dollars ($5001.
_1. as owrrcr of thc propcrty. or my cmployces with wages as their sole comgrcnsation. will do the work and thc structue is not
intendcd or olTcred for sale (Scr.7044, Busincss and Profcssions Code: Thc Contractor's Liccnse law docs not apply to an owner of
the propcrty who builds or funprovcs tlpreon. and who drrcs such work hirnsclf or hcrsclf or lhrough his or hcr own employees,
providcd that such imJnovcrncnts are not intendcd or offercd for sale. If. howcrrcr, thc building or inprovcnnnt is sold within one )aar
of complction thc Owncr Buildcr will have thc burdcn of proving that tE or she did not build or improvc tlrc property for tlrc purynsc of
salc).
_1. as owncr of thc propcrty. arn exclusivcly contracting with licen:;cd contractors to construct thc projcrct (Sec. 7W, Busittcss
and Profession Code: Thc Contractor's Liccnse Law does not apply to an owner of propcrty who builds or inrproves thercon.
and who contracts for such projccts with a Grntractor(s) licensed pursuant to thc Contractor's Liccnse [aw).
-l
am excnrpt undcr Section-. B. & P.C. for
Date: f :+-?p?D,
I hcreby alTirrrr undcr pcnalty of perjury onc of thc
_l havc and will maintain a Ccrtificatc of Conscnt to Sclf-lnsurc for workers'compcnsation. as providcd for by Scction 37fi) of thc
labor Codc. for thc pcrfornurncc of the work for which the Jrcrmit Ls issucd.
_l havc and will maintain workcrs' compcnsation insurancc, as rcquircd by Section 3700 of the L:b<lr Codc, for the pcrlbrrnance of
thc work for which this pcrmit is issucd. My workers' conlpcnsation insurancc camicr and policy nuntber arc:
Policy Numbcr: Expires:
_l cerlify that in the pcrformance of the work for which this permit is issued, I shall not cmploy any person in any manner
so as to bccomc subjcct to the workers' compcnsation laws of California, and agrce that if I should bcconrc subjcct to ttrc
workcrs' compcnsation provisions of Section 3700 of thc [:bor Code, I shall. forthwith comply with those provisions.
WARNING: Failure to sccurc workers' comlrcnsation covcrage is unlawful. ard shall subject an cmploycr to siminal Jrcnalties and
civil fincs up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. danrages as providcd for the
Scction 3076 of the [-ahrr Codc. intcrcst and attorncy's fccs.
Date:-f M ,
I hcrcby nfllrrn under pnalty of pcrjury lhal I am liccnscd of Chapter 9 (contmcncing with Scclion 7Un) of Division 3
of the Busincss and hot'cssions Codc. and nty liccnsc is in tull and cffcct.t
License Class: License Number:
I ):rle:
W
t hcrcby afrirm ufflcr lEnalty of Frjury rhat th@ is tr consirudion lcnding 8gcrcy for thc pcrforrucc of thc work for which this tEmit ls
is$cd (Sm. 3097. Civ. C.).
[-cndcr's Namc:
Lcndcr's Addrcss:
APPLICANT NECLARATION
I hocby alfirm undcr pcnalty of perjury one oI thc following dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
-Rcquircd
lrttcr of Notification
-.r. I ccrtifv that therT_ r
ilAtccrtify thar I have
fcdcralrcgulations regarding asbcstos renx>v:rlarc not applicablc to this projcct.
read this application and slatc that the atxrve
ordinanccs and Statc laws relating to building
ahove nrntioncd propcrty for inspection
Appliornt or Agenl
Permitee neme tprintl: tK --
lhe
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu latio n
Roof
Shear Wall
Framing H / -1(- ?e Lc-.t*-fjtaa T2/)
lnsulatio nlEnerqv
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
I I ,Al ^n2
FINAL r tfft;]u hroU-ltt w'{ot
Certificate of Occupancv I
Notes, Remarks, Etc.
4
Rev. 08-07 -201 5
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