HomeMy WebLinkAbout101105083 - PermitProject Address: 2517 W Huckleberry Rd Unit:
Assesso/s Parcel: 101 -121-04 Lot: 38 Block: NA
Bldg
Tract: 1369
Address Range:Suite Range:
Zoning: RlHistoric: No
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 #: {O11O5O83
Pin #: 22589
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Code: CBC 2019 Other Areas:
Existing Bldg. & Use: Sfd w/att garage Flood Zone: X-O6O2320144J Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: Tear off comp and apply comp to sfd and attached garage. Handouts gir"n.{{
Patio:
T.l.Area:
Yards Req'd:
Valuation: $9,000.00
Planning Conditions: Sheathing and fascia to be replaced as needed.
Owner:
Address:
Phone:
Tenant:
Antonio & Elva De Santiago
2517 W Huckleberry Rd
Santa Ana, CA 927062104
(7141 336-1 558
Contractor: J DFConstruction lnc
Address: 201 Gemini Ave
Brea, CA 92821
Phone: (7141 526-1 120
State Lic #: 956749
Lic Type: B, C-20, C-39
Bus. Lic #: 340898
Workers' Compensation !nsurance:
Carrier: Falls Lake Fire and Casualty Comp
Policy #: FLA00086504
Expires: 0811512021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
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
Fire !nsp. Req'd:
Police lnsp. Req'd:
No
No Account#
Gomez, Pedro Date: 1012812020
Date.
Date: 1012812020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 77760 0 2
07776002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Verduzco,
57607
57770
57672
s7600
s7607
$345.28
$4.05
$1.00
$23.79
$59.30
Total
Flood Zone Cert. Req'd: No
Every permit issued 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 permit rs suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-162455
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23.79
$404.58
$1.00
$4.0s Fee Total:
Paid to Date:
Balance Due:
$433.42
$0.00
$433.42
I
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcreby aftrm under Jrcnalty of Jrcrjury that I am cxcmpt fronr the Contractors' Licensc l,aw for the following rca.son (Sec.7031.5
Busincss arrd Profession Code): Any City or County which rcquires a prmit lo construct. allcr. improvc, dcmolish or re;uir alry
structurc. prior to its issuance, also rcquires thc applicant for such grcrrnit to filc a signed stalemcnt that hc or she is liccnrcd pursuant
to the provisions of ttre Contractor's Liccnscd Law (Chaptcr 9. Commcncing with Section 7000 of Division 3 of the Business and
Profcssions Code) or that hc or shc is cxcmpt thcrcfrom and the basls for thc allcgcd excmption. Any violation of Section 7031 .5 by any
applicant for a Jrcrrnit subjc'cts rhc applicant to a civil pcnalty of not more than five hundrcd dollars (5500). I
_1. as owncr of thc proprty. or nry cmployccs with wages as thcir solc compcnsation. willdn thc work arxl thc su,s*turc is rxrt
intcndcd or offcrcd for salc (Scc.7044. Busincss and Profcssions Codc: Thc Corrtractor's Liccttsc l,aw d<lcs not apply to an owner o[
thc proJrrty who builds or improves thcrcon. and who docs such work hinrsclf or hcrsclf or through his or her own cmployecs,
providcd that such inrprovcnrcrrts arc not intcndcd orollercd lbr sale. If. howcvcr. lhc buiHing or inryrrovcnrnt is sold within onc )anr
of conplctiorr, thc Owner Buildcr will have thc burdcn of proving that hc or shc did not build or intprovc thc property for ttrc purprsc of
sah).
-1,
as owncr of thc property. amexclusively cotrtracting with liccnscd contractors to construct thc propct (Scc. 7044, Busirrcss
and hofcssion Codc: Thc Contractor's Licensc Law does not apply to an owncr of propcrty who builds or improvcs thereon.
and who contracts for such projects with a Contractor(s) liccnscd pursuant to the Glntractor's Liccttsc [aw).
_l am cxcmpt under Sc'ction-, B. & P.C. for thls reason.
Date:_
WORKERS' COMPENSATTON
DECLARATION
I hcrcby alfirni undcr pcnalty of pcrjury onc of thc lbllowing dcc'larations:
_l havc arxl will rnaintain a Ccrtificatc of Conscnt lo Sclf-lnsurc tbr workcrs' compensation. as providcd for by Scction 3700 of thc
3700 of thc Labor Codc. for thc pcrformarce of
arxl policy nurnbcr arc:
Policy M
_l ccrtity that in the pcrformancc of thc work for which this pcrmit is issucd. I shall not cmploy any pcrson in any nulnncr
so as to bccornc subjcct
workcrs' conqrcnsaliorr
to thc workcrs'compcnsation laws of Califonria. and agrec that if I should bccomc subjcct to thc
provisiorrs of Section Code, I shall. forthwith conrply with those pnrvisions.
WARNIN(i: Failurc lo sccurc workcrs'covcragc unlawful. and shall subjcct an crnploycr to criminal pcnaltics and
civil fincs up to one hundrcd thousand dollars irr to the cost of compcnsation. danragcs as providcd for the
Scction 3076 of thc l-:bor Codc, interest and fecs.
,,r"10-zg,'aff^
I hcrcby atllrrn undcr pcnalty of pcrjury that I arn liccnscd undcr
of thc Busincss and hofcssions Code, and my liccnsc is in full
9 (cornrncncing with Ser"-tion 7m0) of Division 3
aml eftect.
License Nunrbcr:
q5o7 q?
o*",Jo - z8- 4c
I hcrcby affirm undcr pcnalty of perjury that thcrc is a construction
issucd (Scc. 3097. Civ. C.).
agcrrcy for the performrurce of thc work for which this permit is
lrnder's Namc:
knder's Addrcss:
APPLICANT NECLARATION
I hcrcby affirm undcr pcnalty of pcrjury onc of thc following dcclarations:
Donolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
_Rcquircd L*ttcr of Notification
-l
ccrrify Ihol thc fedcml rcgulations rcgarding osbcstos rcm)valare ret {pplic{blc to this pmjNt.
lAJccrrify rlar I havc rcad this applicotion ild statc thot tlE abovc informtion is corccl. I agre to comply with all City and Counly
brdinan@s and Statc bws rclilting to building constructiotr ud hcrcby outhoria rcprcsntstivcs of this City and Crunty to cntcr utDn the
above rncnlioned propcrty for .ztr-UQ
Applicant or Agenl
Pernritee na[ne (orint):rre 9a \rv1 tAa Q, )e a
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/VenVl ns u latio n
Roof Sheathino t/ '/(" '.k)7 wro(//l yrlve,Y(
Shear Wall
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
ltlasonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Engineer Final Report
Flood Zone Certif
It.t , tt
FINAL llll6l'Lo upq@r 7,W
Certificate of Occu
Notes, Remarks, Etc.
Rev. 08-07 -201 5
,
Eo
a-{JooCLo.E
I
(Etr
l-t+
rgog.C
lG
a-
(UG.>
,a
rHol-E'
t-
(E(,I
-c
lo
.q
o-t
r+,E'
trGEl-ota
rE'o{.
,gCLEoo.9-c*,oGI
SEgE
it
-*.
\
(r
B=u
r
bEih
i
cr
)
\so'
=
c
q.
,
o=E:
1-
€*F
_ii.
grb
fl
.
E
G'
q,
Ef
fs
fi
H
'[
HAq
,
\\oq
,
\€!iHT
t'
$oi
.
.3
o
.L
{r
,
\Ei
E
EE
S
TE
E
ta
8.
3
E'
;
E
HE
E
2g
g
t-oC3oPl-oo-ot-o-
trl-o.t
-
,
()
(u
l-4-
tCo(JE(uvtco(J={(,q,
,
,-
rf
.
\,
Y
E
.8
€
:.
_
H
i
a=
f
--
tr
1
E
Y-
E
1y
O-
-E
Er
r
n
=E
o
."
E8
*
P
'=
f
f
i
.9
t
-
Z
.,
.,
;
f,
o
t
r
P
gi
iF
"
,I
h:
Ee
E
c
Er
n
E
bo
6
EE
Ei
t
;
n!
€r
3
EE
Er
P
*
.E
E
E.
E
E
.E
;
!=
E
I
xr
Y
.
)
z
o,
+
EE
6
E€
oq
o
j
o
EE
#i
s
5i
F;
:
t
.a
-
:
IZ
=s
=
E#
8E
:
tr
.g
O
ro
=
-c
c
ro
-o
L)
.
t
_
,
=
H-
;
:
E.
g
-c
'=
u
ro
cE
."
'
r
f
,
E
PE
.
E:
#
I
Eu
HI
.,
EF
fE
,
r
o
EE
a=
P
'=
o-
U.
Eb
fr
[
!
s,
€.
'
;f
i
f
i
s
{E
;;
E
F
a€
H
e
cu
'=
rn
r_
P
il
.
"
fi
T
*
g
P=
q
A
E
E
d
E
,"
UE
I
I
=A
s
E#
e
tr
Tr
.o
"{
-
t
)
;
EE
:+
3
f
^e
5
3
$
E
e
-,
8
nP
+;
E
s
f
;E
=s
f
O
4
-
'
c
c
f
E
=
i
u
=E
+
e;
E
E
6F
t
r
-'
E
:
.o
E,
C
=
=;
s
+E
:
E
E
^
^
[
E
:
E
I
E
r,
os
iE
€E
:
t
H
+
;
q
E
EE
f
*o
H
E
d
E
q
;!
"-
.i
;
;
e[
;
5g
F
;
i
I
EE
EE
*
I
I{
*
E
E
l
E
I
?
=
5.
,
ei
r:
f
;
;g
gE
=
E;
4
E
=L
)
r
;E
E
3
tE
;
&-
s
qp
h
;
E
E
;
'=
(
uE
fi
=
:
I
Et
!
E;
i
E
r
EE
E
I
E
EE
g
1f
f
E
f
f
E
E
g
iE
g
E
;!
€E
r
t
Ei
E
-
e
;
F
-.
E
s:
E=
*
E
{
ff
[
&
A
EE
;
S]sq/
.{
\c
JJart;
(-
\
(
t\>l
ooVC=s
\,
a))
ald
,J
+J{Y__
t
ID-i
li
ltIJ
sYq-
\9tqs
"
+doaCoo=
Il1
I
r-
,
,
l
l*ff
i
)I
aool-
lfE+,oo
r-
ol-o-
Uo-c
lE5z.=El-o(L
uotr=otroCLol-
IL
lbo*toG'
l-+,coo
gs
:l
El
B
E
I
I}
3
I
l
*,
8E
'U
t
E
oE
EL6{
\oab\xSEP6
ET
.S
H
oE
qo
E
oE
tr
o
t-
F(
J
\(U
(
)
Is
0c\
\I:i;
{r
,Bo),4
aaq,
,\St,trsBl
ar
\(a
==
=
4
==
--
-
-FE