HomeMy WebLinkAbout101105127 - PermitCiO 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 #: {01105127
Pin #: 65273
Proiect Address: 2657 N Larchmont Avea
Assessor's Parcel: 39641 1-36 Lot: 7
Unit:Bldg: Address Range.Suite Range.
Zoning: RlBlock: NA Tract: 4226 Historic: No
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: i:l r i t r ' ji ,i, 0':i ,j t-i,'',
Description of Work: Construction of an lCC rated aluminum patio cover. ICC ESR-I953
Planning Gonditions:
owner: Becky Brrn
Addre$: 2657 brEhmont Avo. pddress: 4375 Pr'do Rd f108 Address: 3,t11 lvrllnt PLcd
s.nta An.. cA 92705 coron., ca 92E60 LYI{CHBURI}i vA 245d-3
Phone: (714) 2353600 Phone: {s5l) s2o{65a Phone: ,I, IiI ii''
Tenant stale Lic #: Eo7o29 ricense #: C68139 ' I 'il. ' .
r Lic Type: c-36, B Architecl /
Bus- Lac*: 53ao Deshner: . ,
WorkeG Compensation lnsurance: Addross: i , .ll
Cani€r: Falb L.k. Flreand Casualg Comf
Polict fl: FLA007S7702 Phone: ':: '. : :li. r !
Erpires: o1to1t2o21 License #:
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Patio Cover
Patio Cover
SFD w/att Garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320163J
Patio: 441
T l.Area:
Yards Req'd:
Valuation: $4,410.00
0if ice: {:TYH Trons*: 16Acct*: Ref*:
R,- pt*;Ltslit+712 LI/ 3/2u?u
Transnct i on Totql
I I r-rli,tl [,
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
Arias, Fernanda
Le, Tung
Chavez, Dave
Date: 1110312020
Date: 1110312020
Date: 1110312020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07775002
07776002
0 77760 0 2
07776002
07776002
07775002
57607
53600
57770
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
BIdg. Stds. Revolving
General Plan Update
lssuance
$194.04
$1 89 63
$4 0s
$1.00
$23.79
$s9.30Fire lnsp. Req'd No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 s1600
01116002 51601
01116002 51612
01 1 16002 s3600
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.
$23 79
$2s3 34
$1 00
$189.63
$4 05
Fee Total:
Paid to Date:
Balance Due:
$471 81
$0 00
$qt 1 .81
lnspector MID#: 2020-162579
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BTJILDER DEL(}RATION
I hcreby afftrm undcr pcndty of perjury that I m excmpt frcm thc ContractoB' Liens kw for thc following qsn (54.7031.5
Busincss ard Pmfcssion Code): Any City or County which rcquircs a Jmit to @nstruct, alts, imprcvc. dcmlish or rclEir ay
strctu.q pritr to its issure, nlso rcquircs thc +plicant for such lrcmit to fib a sign€{ stalcrcnt that hc or shc is liensd pursuot
to thc Fovisions of $c Contractor's Liccnsd law (ChBptcr 9. Comrcing with Selion 7000 of Division 3 of the Busircss ud
PmfcssbnsCodc)orthathcorsheisexcmpttlrefmmrndthebesisforthcsllcgcdcxcmption. AnyviolationofseiionT03l.5byany
opplicant for ! pcrmit subjixts thc opplicant to a civil pcnalty of not morc lhs fivc hundrcd dollus ($50O).
_1, as owncr of thc proF,crly, or my employccs with wagcs as thcir sole compensation. will do thc work Bnd thc structure is rnt
intcnded or oft'crcd for sale (Scc.7044, Business and Profcssions Code: Thc Contractor's Liccnse [:w does not apply to an owner of
the propcrty who builds or inrproves lhcrcrrn, and who does such work himself or herself or thmugh his or hcr own cmployces,
providcrl lhat such improvcrncnts arc not interdcd oroffcrcd for salc. lf, howercr. the buiUing or inqrrovcnrcnt is soH within one )rcar
of comphtion lhc Owncr Buildcr will have thc burden of proving that hc or shc did not build or improve thc propcrly for thc puryxrsc of
salc).
-1.
as owner of thc property, am exclusivcly contracting with licenscd contractors to construct thc pro.icct (Scc. 7M4. Business
and Protbssion Codc: The Contraclor's Liccnsc Law docs not apply to an owncr of progrcrty who builds or improves thercon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to the Contractor's Liccnse taw).
--l
arn cxcmpt undcr Section-. B. & P.C. for thls rcas<ln.
llirlt': ()rrttcr.
IVORKIiILS' COI\I I'ENSATION
DECLAIIA'I'ION
I hcrcby aflirnr undcr pcnalty of prjury one of thc following dcclarations:
-_l have and will maintain a Ccrtificatc of Consent to Self-lnsurc for workcrs' comlrcnsation, as providcd for by Section 3700 of thc
l;rbor C-odc. for thc perfornuncc of thc work for which thc pcrrnit is issucd.
_l have and
thc work lbr
will rnaintain workcrs'tnsuralre. &s by Section 3700 of the labor Code, for the performance of
is issucd.conrpcnsation carrier atxl nunrbcr ire:
rD
Policy ,a /-/-L/
_l ccrtify that in thc pcrformarrce of the work for which this pcrmit is issucd. I shall not employ any pcrson in any rnnner
so as to bccomc subjcct to thc workcrs' compcnsation laws of California. and agrcc that if I should bcconrc subject to thc
workcrs' compcnsation provisions of Scction 3700 of thc l-:bor Codc. I shall. forthwith comply with thosc provisions.
WARNING: Failurc to sccurc workcrs' compensation covcragc is unlawful. and shall subict an to ancl
civil fines up to onc hundrcd thousand dollars ($100.0001. in addition to the cost of compensalion,thc
Scction 3076 of thc l-abor Codc. intcrcst and
D I
I hcrcby aflirrn undcr pcnalty of prjury thal I arn liccnsed of Chaptcr 9 (comnrncing with Scrtion 7000) of Division 3
of thc Busincss and Professions Codc, and my licensc is in full force and effert.
0Liccnse
t
I hcrcby sffirm unlcr Fnaltyof tE]jury that thw is a construction lending agercy for thc pcrforme of thc rcrk for which this Fmit is
isrued (Sa. 3097, Civ. C.).
lxndcr's Nam:
lrndcr's Addrcss:
APPLICANT DFCI ARATION
I hcrcby afl-rm undcr lrcnalty of ;rcrjury one of thc following dcclarations:
Dcmolition Pcrmits-Asbestos Notification Fedcral Regulations (Title 40. Part6)
-Requircd
l,ctter of Notification
lbdcral rcgulations rcgarding asbcslos rcnnvularc nol uplllicable to this project.
statc that thc atnve irrfornurtion is
atxlve
Applicant or
propcrly for
Pernritee nunle
this
purposcs.
and hcrcby
I agrcrc
./,3k)thc
Set Backs
Forms/Steel/Holdowns ?YT
Erection Pads
UFER Ground
SLAB Floor
S u bf loo r/VenUI ns u latio n
Roof Sheathing
Shear Wall
Frami ao
Insulation/Enerqv
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL tLl t1 lu D**x,/
Certificate of Occupancv
Notes, Remarks, Etc.
2)+:)a
v
Rev. 08-07-201 5
rln*Vo Dfh^b
I all City and County
and