HomeMy WebLinkAbout101104780 - PermitProject Address: 1905 W Meriday Ln
Assessor's Parcel: 405-091-37 Lot: 37
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1925 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)'667-2738 lnspector Section: (714)647-5853
Permit #: {O11O47EO
Pin #: 20,422
Building Use: Single Family Dwelling
Job Type: Reroof
Nature of Work: Reroof
Existing Bldg & Use: Sfd w/att garage
Proposed Use.
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
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: $5,000.00
D$criptlon of Work: R.roof house E .tt ch.d g.rrge - in.t ll (l) l.y.r comp rhlnglea ove. (l ) oxiating lay€r comp 3hingl.3. H.ndouts glven
Planning Conditions: Repair damaged rafters, eaves & fascia as necessary
Owner:
Address:
Phone.
Tenant:
Linda M Chavez
1905 W Meriday Ln
Santa Ana, CA 927063224
(7141 836-6es7
Contractor
Address.
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #.
Architect /
Desiqner:
Address:
Phone:
License #:
TEIiEFOf
tllt6lll:12
iurldins
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd
Soto, Ricardo
Amsden, Julie
Date: 0912812020
Date:
Date: 0912912020
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
07776002 s7607
07776002 57770
07776002 57672
07776002 57600
07776002 57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceq,
$345 28
$4 0s
$1 00
$23 7e
$5e.30
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#Total
Landscaping lnsp. Req'd
No
No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-1 61773
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23 79
$404 58
$1 00
$4 05 Fee Total:
Paid to Date:
Balance Due:
$433 42
$0 00
$433.42
t\
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION
I hcrcby affirm undd pcmlty of Jrcrjury thd I am cxcmpt firm thc G,ntrackr6' Liccns Law lbr thc following rcaurn (Se.70J1.5
Busincss ad Profcssion Cu.lc): Atry City or County which rcqutcs a ;rmit kr construcl. altcr. improvc. dcmrish or rclair my
slructurc. lrior to its issuoncc. alsb rcquircs the spplicsnt for such Ismit to fih a sigrcd slalcnEnt lhal hc or shc is liccnsd pusuant
k) thc [x]visions of lhc Cotrractor's Liccnscd Law (Chaptcr 9, Commcncing with Setion 7fi)0 of Division -l of thc Busincss and
Prot-cssiurs Codc) or that he or shc is exempt thcrcliom and the basis for thc allcgcd cxcmption. Aly violotion of Setion 703 1.5 by any
applicantraJErmitsubjetslhc applicanttoacivilpcnaltyofn(rtmorclhanfivchundrcddollus($5fi)).
Y-'.Kkturrc propcny, or my employccs with wagcs as rhcir slc clmlEnsation, will tlo thc work uxl thc strxlurc is rut
inteulcd or ollcrcd firr sah (Sa,7(X4, Busilcss and P(rfcssions Culc: Thc Contractor's l.iccns kw d(xs not alply to an owncr of
thc [rr)IErty wtf,, builds or impn ws thc8n\ arrl wlx, d(Es such wlrk himsclf or hcrsclf or thrcugh his or hcr own cmphyccs,
pruvidcd that such imlrcwrenls e nrt intculcd or ollbnl ti]r eh. If, hrwcrcr, thc building or imlf,orcrcnl is sld wilhh orc ]r{
otcomplction. lhc Owncr Builhr will haw thc burdcn ofFoving that hc or shc did mt buihl or inqrow thc preJvry for thc pur[{)$ of
slc),
_1, as owncr of thc pn)lrcrty, am exclusivcly contracting with liccnscd conlraclors lo construct thc pnrjcct (Scc. 7(X4, Busincss
and Rrltbsskm Codc: The Contraclor's Liccnse Law docs not apply to an owncr of pro[rcrty who builds or improvcs thercon,
and who conlracts lirr such projecls with a Contractur(s) liccnscd pursuant to thc Conlractor's Liccnsc kw).
-IamcxcmptundcrScction-'B.&?C.fbrthisreas0n'o^,". Q' tol'zrl
"rr
DECLARATION
I hercby al'lfum under pnalty ol'prjury onc ol'thc lirlkrwing dcclaratiotts:
_l havc and will maintain a Ccrtilicatc of Conscnt kl Sclt'-lnsurc lilr wrlrkcrs' compensation, as providetl for hy Scction .17fi) of thc
latxrr Culc, lilr thc Jrcrlirrmancc ol'thc work firr which thc Jrcrmit is issucd.
_l havr: and will maintain workcrs' comJrcnsation insurancc, as rcquircrl by Scction 3700 of thc Lahor Codc, lor thc Jrcrftlrmance of
thc work ftrr which this pcrmit is issucd. My workcrs' conllrcnsation insurancc carricr and Jnlicy numbcr arc:
that in thc pcrtirrmancc of thc work tirr which this Jrcrmit is issucd. I shall not employ any pcrson in any manncr
subject to thc workcrs'comSrcnsation laws of Calililrnia, and agrce that if I struuld bcconr suhject to thc
workcrs' conrpcnsation provisions of Scction 37U) of thc l-atxlr Ctxlc, I shall, tilrthwith comply with ttxrsc provisions.
WARNING: Failurc to sccure workcrs'comJrcnsation covcragc is unlawtul, and shall subjcct an cmploycr to criminal grcnaltics and
civil lincs up to ollc hundrcd tlrousand dollars (S100,m0), in additionlo thc cost of compcttsati<ln, damagcs as providcd tirr thc
Scction 1076 of thc lahrr Ctxlc, intcrcst and attorncy's l'ecs.
Datet q'-?1 '2c'
DECLARATION
I hcrchy atlirm undcr pcnalty of prjury that I arn liccnsed under pnrvision of Chaptcr 9 (comnrcttcing with Seclkrn 7firu) of Division 3
of thc Busincss and Pnrfcssion.s C<lde, and my liccnsc is in tull tilrcc and cll'cct.
Liccnsc Class: Liccnse Numbcr:
Contractor:
W
I hcrcby aflirm utrdcr JEmlty of perjury that thcre ir s q)mtructhn hrling a8crcy for th. grrfomme of thc work fur which this lEf,nit is
issucd (Scc. 1097, Civ. C.).
bnder's Namc:
l.cndcr's Addrcss:
APPLICANT DECLARATION
I trcrcby afiirm undcr Jrcnalty of pcrjury onc of thc tillluwing dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcderal Regulations (Titlc 40, Part6)
-Rcquircd
lrtter of Notillcation
ahovc mcntioncd propcrty lor insJrcction
with all City and County
and County to cnter ugxrn thc
q'11-zc>
Applicant or Agent
Penrritee rlAnre
tlt I)ate:
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nt/l ns u latio n
Roof Sheathinq
Shear Wall
Framing
Insu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
--
FINAL [/,KA (-/*Nflo> v,t7
Certificate of Occupancv
Notes, Remarks, Etc.
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