HomeMy WebLinkAbout101104878 - PermitProiect Address: 1316 W Seventh Sta
Assessor's Parcel: 405-073-12 Lot: 5
Unit:BIdg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 662 Historic: No
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714).647-5853
Permit #: {O11O4ETE
Pin #: 2EE72
Building Use:
Job Type
Nature of Work:
Existing Bldg & 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:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $+,200.00
Occupancy.
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: Tear off existing roof materiat and repair sheathing as needed.
Handout given.
Planning Conditions:
Total:
lnstall new comp shingle roof material. Owner-Builder form on file.
Owner.
Address:
Phone:
Tenant:
Jose Oliveros Madrigal
1316 W Seventh Street
Santa Ana, CA 92703
(7141 7s1-6353
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 #:
i
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd.
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Chavez, Dave <, ?,
No
Gomez, Pedro Date: 1010712020
Date.
Date: 1OIOT 12020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 7776002
07776002
07776002
0 77760 0 2
07776002
Permit Fee
Microfilm Records
BIdg. Stds. Revolving
General Plan Update
lssuance
s7607
57770
57672
57600
s7607
$34s.28
$4.05
$1 00
$23.7e
$5e 30
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd. No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,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 MID#: 2020-1 61992
$23 79
$404.58
$1 00
$4 0s Fee Total:
Paid to Date:
Balance Due:
$433 42
$0 00
$433.42
,
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl ns u lation
6b2fu1Roof Sheathing lo,tW,9 tt\
Shear Wall
Framinq
lnsu lation/Enerqv
Drywall
Ext./lnt. Lath
Brown Coat
[\/asonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Engineer Final Report
Flood Zone Certif.
frt
FINAL t0'9$'77)IW,ffIOA W6
Certificate of Occupancv
Notes, Remarks, Etc.
?,
OWNER BUILDER DELCARATION
I hcrcby aflirm undcr Jrcnalry of Jrcrjury that I am excmpt liom lhc Grntracture' Liccns liw li,r thc following rcasD (Se.70-11.5
Busilrcss arrl Prolbssion Gxrc): Any City or County which rcquircs o [rcrmil t(t c(rnslruct. altcr. improvc. dcm)lish or reFir any
structurc, ltrirr to its issuaer, als(, rcquircs Ihc applicant for such JErmit to tilc a sigrcd strtcnEnt lhat he or slrc is liccnsd pusuanl
lo tlrc pmvisions of thc Gnnractor's Liccnscd Law (Chaptcr 9. Commcncing wilh Seliur 7000 of Division -l of thc Busircss and
Prulbssiom Codc) or that hc or shc is cxcmpt thcreliom atrd thc hasis firr thc ollcgcd cxcmp{ion. Any violltion of Scctktn 7OJ 1.5 by any
lpplicatrr for tr pcmit subj@ts thc {pplicant k) a civil pcnalty of nd morc th{r livc hundtcd dollus (5500}.
Mu*r", ofihc prupcny, or my cmploycc$ with wa8rcs as llrctr slc compcnsation. will do ltrc wort uxt thc tlrutrc is not
/ rntcnrlcrl or offcrcd f(n salc (Se.?044, Busincss and Pnrfcssions Ctxlc: Thc G)ntrack['s Liccns Law il(rcs not apply to an owncr of
thcpn)Fny wlxrbuildsorimgn)vesthcrq)n,aulwh)d(Essuchm*himsclforhcrrclforth()ughhisorhcrowncmployccs,
providcd lhat such impn rcmnts rc frrt intcnlql orollbBl fu sab. Ii horcvcr, thc buillirg or impn)rcmnt is $)ld within ('nc ycu
ol'comphlirn, thc Owrcr Buillq will haw thc burdcn o[ Inrving that lrc or shc dil mt bui!.i or itrWovc lhc prcFrty for thc purJxrs of
uh).
_1, as owncr ol'thc profrcrty, amcxclusivcly contracting with licenscd contractors to conslruct thc projcct 1Scc. l0{"d, $usivlgss
and Pnrt'esskrn Code: Thc Contractor's Liccnsc [-aw dtrcs not apply to an owner of proJrcrty who builds or improvcs thcrcon,
and who contracts tirr such projc-cts with a Contractrlr(s) liccnscrl pursuant to thc Contractor's Liccttsc taw).
_l am ttttr.lcr & P.C. lirlthis rcas()n.
Policy Numbcr: Expires:
e L s
I hcrcby aft'irnr undcr ;rcnalty of Jrcr.iury onc of thc tirlkrwing dcclaratlons:
_l havc arxl will nuintain a Ccrtiticatc of Conscnt to Scll'-lnsurc firr workers'comJrcnsation, as pnlvirlcd lilr by Scctiott 37fi) of thc
Lahor Ctilc. lirr thc Jrcrlirrmancc of thc work lirr which thc pcrmit is issucd.
_l havc and will maintain workcrs' cornJrcnsation insurancc. as rcrluircd hy Scct ion 37fi) of thc l-abor Codc, tbr thc grcrtttrmancc of
thc work krr which this pcrmit is issucd, My wrx'kcrs' c()mlrcnsation insurarrcc carricr and Jxllicy number arc:
%!(k^\r rn^in rhc lrcrti)rmamc of thc work lor which this lErmit is issucd, I shall not cmpkty any lrcrsotr in any manncr
/so as to hccrrm suhjcct to lhc workqs' com1Ensation laws ()f Calilbmia, anrl agrcc lhat if I slouLl bocom suhjctl b thc
workcrs' comlrcnsation pmvisions of Scclion 3?U) of thc bhrr C(xlc, I stEll, l'orrhwith crrmply wilh thorc pnrvisions.
WARNING: Failurc to scurc w()rkcrs'comlEns.tion coveragc is unlawful. and shall subjet an mploycr to oiminal Jrcmltics and
eivil fincs up to orc hundrcd lh(rusand d(rllars (S100,fiX)). in addition b thc cost of comlEnsalion, damScs as Fovidcd Ior tlrc
Scction ]076 ol'thc Lahlr Crxlc, irttcrcst and attorncy's l'ccs.
Date: t /C> '6 7 -Z a l\
\
I hcrchy alllrm undcr Jrcnalty of Jrcrjury that I am licenscd under pnrvision of Chaptcr 9 (commencing with Scctiolt 7000) of Division -l
of thc Busincss and Prof'cssions Codc, and my liccnsc is in lull firrcc uxl cll'cct.
,
Licensc Class: Liccnsc Number:
Date: Contraclor:
W
I hcrchy allirm undcr lrcnaltyof Frjury that thcrc is a c(rnstructbn hnding agcncy for thc lErformaDcc ofthc work li]r which this Frmit is
issucrl (Scc. -1097, Civ. C.).
lrndcr's Namc:
Lcnder's Addrcss:
APILICANI.DECI.AEAIPN
I hcrd,y allim undcr IEnalIy of Frjury onc of thc following dcclarations:
Dcm)litt n Pcrmits-Asbc$tos N(trification Fcderal RcSulatiotrs (Titlc 40, Pan6)
-Rcquir.d
t ttcrof Notilicalbn
-l
cedily thal lhc lbdcral rcgulatioN rcganting asbcsbs rcm)val arc Bil .pplicablc to this prujet,
?4r rnnl havc rca'l rhis slplicrtion url state that thc ahrvc infomthn is corot. I a!re k) q)mply with rll City arxl County
ordimNcs atv.l St0tc kws rclaling to building construction, a!r.l hercby authorir rcJrcsntalives of this City and County to cnlcr uJxtn the
atxrvc mcntioncrl proJrcrty tirr
-d 7oApplicant or Agent
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