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HomeMy WebLinkAbout10588809 - PermitI ffi)1 ' City of Santa Ana 20 Civic Center Plaza (M-1e), Santa Ana, CA s2702 "r,,linn, kut,PermitCounter:(714)647-5800tnspectionRequests:(714)667-2738lnspectorSection:(714)647-5853 Permit #: {O5888O9 Pin #: 1945{ Proiect Address: 206 E Fourteenth Sta Assessor's Parcel: 398-133-09 Lot: 1 Unit:BIdg: Address Range: 206-212 " Tract: GOODWTN'S ADD. Historic: No Suite Range: 206-212 E. 14th Zoning: SP3Block: G Building Use: Fourplex Occupancy: R-2 1st FL Area: Job Type: Alteration Constr Type: V B 2nd FL Area: Nature of Work: N/V - Stairs Code: CBC 2013 Other Areas: Existing Bldg. & Use: 4 Unit Apartment Flood Zone: X-0602320163J Garage Area: Proposed Use: # of Stories: Total: Description of Work: Change from Contractor to Owner-Builder - Replace stairs/repair siding as req'd Planning Conditions: Patio: T.l.Area: Yards Req'd: Valuation:$0.01 0 Owner: Address: WS Estates, 35 (7 1 92660CA Contractor: DKH Construction & Roofinr Address: 8823 Stamps Road Downey, CA 90240 Phone: (562) 927-8048 State Lic #: 955785 Lic Type: B, C-39 Bus. Lic #: 344038 Workers' Compensation I nsurance: Carrier. National Liability and Fire lnsuran( Policy #. A9WC7001 14 Expires: 1213012016 Engineer: Address. Phone: License #: Architect / Desiqner: Address: EgEcntiJOOrt .t/ O Ll LlJLcl lUr rLurE At,l 0f (' i ce 3 CTYH Tronsi : 2?9 I tlf 3Accti: Rel*: fttg$g809 Rcpti:tlt5?175(r 3/31 l2flI6 4:45 PlI Tronssct i on Totol 1L79.01 DKH ConsLruct i on & Roof i ng IncPhone: Tenant: I*,'"i .'+r. ,$Fr Bu i ld ing 01 1 16002- 516010tt8- lloster Csrd (:Ci : rrrtrt r rrrr r. 7993 t59 . $l tl7g. ot Auth*:9(r033F'o Planning Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd. No Planning lnsp. Req'd: No Landscaping Insp. Req'd: No Fregoso, Vince Mazarji, Zac Chavez, Dave<2Q' Date: 03/31 12016 Date: 03/31 12016 Date: 03/31 12016 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: Phone: License #: Total 07776002 57607 Change Owner/Contr 07776002 s7672 Bldg. Stds. Revolving 07776002 57600 General Plan Update Fee Tota!: Paid to Date: Balance Due: $59.67 $0.00 $0.00 Fire lnsp. Req'd. No Police lnsp. Req'd: No Account# Flood Zone Cert. Req'd: No 01 1 16002 51601 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days afterifs issua nce,or if the work authorized on the site by such permitis suspended or abandoned for a period of 180 days after the time the work is commenced. $59.67 $0.00 $59.67 lnspector MID#: 2015-122342 $se 67 Newport vD '{ D' I $'ar o BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby affirm undcr penalty of JErjury that I m erempr fmm thc Conlracton' Liccnsc liw for thc followin8 rcasn (Scc.?o-l 1.5 Busincss urxl Profcssion Codc): Any City or County which rcquircs a Jrcrnil to conslruct. altcr. inprovc. dcitolish or. rlir any struclurc. prior lo its issuancc, ulso requires thc opplicanl for such Frmit to filc I signcd statemnt thal hc or she is liccnsd pursuanl to Ihe pmvisions of thc Contractor's Licctr*d kw (Chapler 9. Commcncing wilh Section 70U) of Division 3 of thc Busincss rnd Prcfcssions Codc) or lhot he or shc is cxcmpt thcrcfrom ond thc hasis for thc allcgcd cxcrrption. Any viohlion of Sstion 70.1 I .5 by an, applicanlforuFrmilsubjelslhc upplicantloacivilpcnallyofrolmrcthanfivchundrcddollars($5(x)). _1. as owncr of the property. or my empk)yees with wagcs as thcir sole conrpcnsalion. willdo lhc work atd thc stnrcturc is txrl intendcd or ()fl'crcd for sale (Sec.7B4. Busincss and hofcssions Codc: The Contractor's Liccnsc Law docs nol apply to an owncr of the prcJrcrty who builds or improvcs thcrctrn. and who d<lcs such work himself or hcrsclf'<tr through his or hcr own cnrployccs. providcd that such irnprovements arc not intended or ollbrcd for sale. lf. howcvcr. thc huilding or itnprovctncnl is sold within onc ycar of complctiorr. thc Owncr Buildcr will havc thc burdcn of proving lhat hc or she did not buikl or improvc thc proprly for thc pur1nrc of sale). vLl. as owncr of thc proFrcrty. am exclusivcly contracting with licensed conlractors lo construct the pr<lject (Scc. 7U4. Business and hofcssbn Code: The Contraclor's License Law docs not apply lo an owncr of proJrcrty who builds or improvcs lhercott. and who conlracts for such projects with a Contractor(s) liccnsed pursuant lo lhe Contractor's Liccnse Law). _l arn excnrpt undcr B. & P.C. lirr this rcilson. tlrrn"r,)(Date: l vl l)1,:('1,,\R,\'l'l0N I hereby affirm under penalty of prjury one of the following dcclarations: _I have and will maintain a Certificate of Consent to Sclf-lnsure for workers' compcnsation. as provided for by Section 37fi) of the l.abor Code. for thc performancc of the work for which the perrrrit is issucd. _l havc and will maintain workers'comJrensation insurancc. as required by Section 3700 of the labor Codc. for the performance of the work for which this permit is issucd. My workers' compcnsation insurancc carricr and plicy numbcr arc: Carrier: Policy Nunrber: Expircs: _5!ecttify that in the perfornmncc ol'thc work for which this perrnit is issucd. I shall rtot cmploy any pcrson in any lnatltlcr so as to hcconrc subjcct to thc workcrs'conrpensation laws of (-'alifornia. and agrcc thal if I should bcconrc suhjccl to thc workcrs' comlrcnsation provisions o[.Scction 3700 of thc Lltxrr Codc. I shall. forthrvith cornply with thosc provisions. WARNING: Failure to secure workers'compensation covcragc is unlau'ful. and shall subjcct an ctttJlloyer to crirninal pcnaltics and civil fincs up to onc hundrcd thousand dollars ($lm.mO). in addition to thc cost o[conrpcrtsalion. dattmgcs as providc'cl for the Section 3076 of the Latnr Codc. I I hercby allirnr undcr penalty of pcrjury that I arn liccnscd undcr provision of ChaJrtcr 9 (ctuttnrcncing with Sectiott 7firu) of Division 3 of the Busincss and Profcssions Codc. and my licensc is in full ltrrcc and cffcct. Liccnse Class: Liccnse Nuntbcr: Date:_Conlmclor: W I hercby aflirm undcr lEnalty of perjury that therc k a constructhn lcnding s8ercy for the pcrforromc of thc work for which this Jrcmil is issucd (Scc. 3(x)7. Civ. C.). L4ndcr's Nlmc: lrnder's Adtlrcss: APPI ICANT DECLARA'TION I trcreby alfirm undcr pcnalty of Jrcrjury one of the following dcclarations: Demolition Pcrmits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Parl6) -Rcquired Lcttcr of Notificalion -l ccrtify that tlrc fcderal rcgulslions rcgarding asbcstos rcmval arc nol applicshlc to lhis pmjcct. I -l ccrtify that I have rcad lhis applicstion snd state thal thc ahlvc infomtion ii coE(|. I agre ro comply with all Cily and Counly ordinares and Stotc kss rclating to building construction. ilxl hcrcby authorizc rcprcsnt&livcs of this City ond County lo cnls ufnn lhc abovc nrcntioncd pr()pcrly tbr inspcctirlrr # ,rr". ,772r f tlApplicnnt or Agertt ^.fr tl Permltee nome (e,iil): F 'L ,+-,J .t\ +-'l 4 .f'd ^/ / Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/Venvl nsu Iation Roof Sheathins Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonrv Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif FINAL Certificate of Occupancv Notes, Remarks, Etc. - u vl* "*", % f ut lt ).