HomeMy WebLinkAbout101105188 - PermitProiect Address: 2517 S Townsend St-a- -
Assessor's Parcel: 412-24445 Lot: 60
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 8345 Historic: No
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O5188
Pin #: 47330
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-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $t 5,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Daacription of Work TrO exlstlng roof and inatrll new comp ahingle rcof to SFD with atteched garage, ltro.g€ room and patio covar. Replace
3he.thingrplywood aa noeded. Hand out givon. Auth on file.
Plennlng Conditions: Repalr and ioplace eave3, t 3cia,.nd refre.E.3 needed.
Owner:
. Address:
Phone:
Tenant
Ramon Machuca
2517 S Townsend St
Santa Ana, CA 927045528
(e4e) 92s-2es8
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #.
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
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 lnsp. Req'd: No
Khang, Kathy
Zuniga, Allissa
Date: 1111012020
Date:
Date: 1111012020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 77760 0 2
07776002
0 77760 0 2
07776002
0777600 2
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$345.28
$4.05
$1 .00
$23.79
$se 30
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
Accournt#Total
Every permitissued shall become invalid unless the workon 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#: 2O2O-1 62689
$23.79
$404 58
$1 .00
$4.0s Fee Totat
Paid to Date:
Balance Due:
$433.42
$0.00
$433.42
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirrn undcr pcnalty of pcrjury that I am cxcnrpt from rhe Contractors' Licensc law for the following rcasofi (Scc.7031.3
Busincss arxl Prof'cssion Code): Any City or County which rcquircs a pcrmit to construct. altcr, improvc. dcmolish or reprir any
structurc. prior to its issuance, also rcquircs thc applicant for such pcrmit to filc a signcd statcmcnt lhat hc or shc is liccnscd pursuant
to thc pl'ovisions of thc Contractor's Licenscd Law (Chaptcr 9. Commcncing with Section 7000 of Division 3 of thc Busincss and
Profcssions Codc) or that hc or shc is cxcmpt thercfronr and thc basis for thc allcgcd cxcmption. Any violation of Section 703 L5 by any
applicant for a ;rcrmit subjccts thc applicant to a civil penalty of not morc than five hundrcd dollars ($500).
_1. as owncr of thc Foperty, or my employccs with wagcs as thcir solc compcnsation. will do the work and thc stnrcture is mt
intcrxlcd or offcrcd for salc (Sec.7M4. Busincss and Pnlfcssions Codc: The Contractor's Licensc law docs not apply to an owncr of
thc proprty who builds or improvcs thcrctrn. and who does such work himself or hersclf or through his or her own cmployecs,
provided that such improvcnrcnts arc not intcndcd or oflbrcd for sale. lf, howcvcr. the building or inqrrovcnrcnt is sold within onc ycar
of cornphtioru thc Owncr Buildcr will havc thc burdcn of proving thal hc or shc did not buikl or improvc thc proprty for ttrc purgrsc of
salc).
-i.
as owner of thc proprty. am cxclusivcly contracting with licenscd conlractors lo construct thc project (Sec. 7044, Busiltcss
and Profq;sion Code: Thc Contractor's Liccnse Law docs n<lt apply to an owner of propcrty who huilds or improvcs lhcrcon.
and whc contracls for such pojccts with a Glnlractor(s) liccnscd pursuant to the Contraclor's Licensc Law).
_l am cxempt undcr l]lhis rcason.
DF'CLARATION
I hercby alfirrn undcr penalty of pcrjury onc of thc following dcclarations:
_lhavcarxlwill nuintainaCertificatcofConscnttoSclf-lnsurcforw<lrkcrs'compcnsation.as providedforbySection3T00ofthc
I-.abor (bdc. for lhc pcrfornuncc of thc work for which the pcrmit ls issucd.
_l havc and will rnaintain workcrs' comlrcnsation insurance, as rcquircd by Section 3700 of lhe Labor Code, for the pcrformance of
thc work for which this pcrmit is issucd. My workcrs' compcnsation insurancc carricr and policy number arc:
Policy Numbcr: Expires:
_l ccrtify that in the pcrformarrce of the work for which this pcrmit is issued, I shall not cmploy any person in any nurnncr
so as to bccomc subjcct to thc workers' cornFrcnsation laws of California. and agrcc that if I should bcconrc subjcct to tlrc e
workers' corrqrcnsation provisions of Scction 3700 of the l-abor Code, I shall. forthwith comply with those provisions.
WARNING: Fhilurc to securc workers' conrpcnsation coveragc is unlawful. and shall subject an cmployer to criminal Jrcnalties and
civil fincs up to onc hundrcd thousand dollars ($100,000), in cost of compcnsation, damagcs as providcd for thc
Section 3076 of thc kbor Crxle. intcrcst arxl
Orr"
I hcrcby affirrn undcr pcnalty of pcrjury that I arn liccnscd Chaptcr 9 (commencing with Section 7000) of Division 3
of the Busincss and Profcssions Co<le. and my licensc is in full forcc and effect.
Lrcense Class: Liccnsc Nurnber:
Date:_
W
I hcrcby allimr undcr Jrcmlty of pcrjury thal thcrc is a @nstruction lcnding agercy for thc trrfolffie of thc work for which thls lEmit is
issucd (Ss. 3097. Civ. C.).
[.cnder's Narne:
[-cndcr's Addrcss:
APPI ICANT DECLARATION
I lucby affrrm undcr penalty of pcrjury one of thc following declarations:
Dcmolition Permits-Asbcstos Notification Fedcral Regulations (Title 40. Part6)
-Rcquircd
l.cttcr of Notification
_l ccrtity that lhe tbdcralrcgulations rcgarding asbcstos rcnxrvalarc nol applicable to this prrtject.
' I certify that I havc rcad this application and state that
ordinanccs and State [-aws rclating to building
etxrvc rrrntioncd property lbr
Applicant or Agent
l'ernrilee nnnle
thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl ns u latio n I
Roof Sheathinq lr/z{zs Dfr+tr,
Shear Wall (
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL lzl llU D*#C,
Certificate of Occupancy
Notes, Remarks. Etc rl ,-
I J
Rev. 08-07 -201 5
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