HomeMy WebLinkAbout101104616 - PermitCity 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 #:1O1{04616
Pin #: 65200
Project Address: 934 S Kilson Dr
Assessor's Parcel: 01 1-083-20 Lot: 5
Unit Bldg: Address Range:Suite Range: d
Zoning: RlBlock: A Tract:466 Historic: No
Building Use: Singlo Family Owelling Occupancy: R-3, U lst FL Area: Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area:
Nature ofwork Reroot Code: cBc 2ol9 OtherAreas: yards Reqd:
Existing Bldg. & use: Sfd dd.t garage Flood Zone: X..0602320226J
proposed use: # of stories: Garage Area valuation: $8'500 00
Total:
DescriPtion of Work Reroot house & detatchod ger.g. - remove comp & flat rcof E replace with now comp shingles E oew torch down on flat roof.
Handouts giv6n.
Planning Conditions:I Owner:
Address
Phone:
Tenant:
ROBERTO PRIETO
934 S KILSON DR
Santa Ana, CA 927016048
(7141742-9164
Contractor: Smart Home Solutions
Address: 7212Paseo Del Rio
Los Angeles, CA 90040
Phone: (714) 321-7790
State Lic #. 242949
Lic Type: B, C-2, C-39
Bus Lic #: 349287
Workers' Compensation lnsurance:
Carrier: State Comp lns Fund
Policy #: , 9278377
Expires: 0G12012021
Engineer:
Address:
Phone:
License #:
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By
NPDES lnsp
PWA lnsp. Req'd
1. Planning lnsp Req'd:
Landscaping lnsp. Req'd
Graham, Jeffery
Amsden, Julie
Date: 09/10/2020
Date:
Date: 09/10/2020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
57600
5760L
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
$345.28
$4.05
$1.00
$23.79
$59.30
$433.42
$0.00
$433.42
No
No
No
No
No
No Account#
Fire lnsp. Req'd:
Police lnsp. Req'd 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 within 360 days after its issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
01 1 't6002 51600
01 1 16002 51601
01 1 16002 51612
011',t6002 57770
$23.79
$404.58
$1 00
$4 05
lnspector MID#: 2020-161395
Architect /
Desiqner:
Address:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/S!G COMMENTS owNuR lrt,il,l)ul{ t)ut.cARA'I'I()N
I hereby tffirnl undcr peDilty of perjury that I nn) exempt frcm tlrc ContracloN' l-icense l-aw for the following reason (Sec.70Jl.5
llusincss 0nd Ptolcssi()n Codc): Any City or County which rcquircs a Jrcrrnit !) conslnrcl, altcr. irnprove, dcrnolish or rcpair any
slructlrc. prior k) irs issuance. also requircs the applicanl lirr such p€rmit lo frle a signed slillcmenl lhfit he or she is licensed pursuont
to thc nrovisionr ol'th+ Conlractor's l,iccnsed l-nw (Chaptcr 9. Comrnencing with Scction 7(xx) ol l)ivision 3 ol lhc Busincss and
ProtessionsCode)orthutheorsheisexenrptthcrclionrandtlEhasistbttlEallcgedcxenrnti(il1. AnyviolationofSeclion?03l.5byrny
rpplicrnl for r pcnnil subjecls the npplicanl lo a civil perrihy oI not rmre thrn five hundrcd dollnrs ($5(x)).
_1. as owncr ol'thc pro[Eny, or my employccs wilh waScs as thcir $le compensation, will do lhc work and llE slrclure is mt
intefthd or offcrcd for ule (Se.7(X.1, Busincss ond Pmfersions Code: Thc Conlractor's l-iccnrc ljw does nol spply lo an owncr of
the pmlEny wk) builds or itr{,mves tlMm[ ilrl wlp d(Ds s$h work himself or hcrself or throu8h his or her own employes.
pror idcd rhat slch impn)vcrrcnts &e mt interxlcd or olTcrcd for sb. Il. howevcr. lhc buildiog or in{trevcmil is sB wilhin onc }tfi
ofconqrlctirn, the Owrcr Buil]er will have thc burdcn ofpruvin8 llu{ he or she did not build or impmvc 0rc prepeny for th. puryn* of
sb).
_1. ils owner ofthe prope(y, am exclusivcly contrscling with licensil conlraclors lo con\lruc1 llE pmject (Sec. 7044. Business
and l\rrlbssiruCoclc:TheCoiltractor'sLiceD\e[,awdoclnotapplytoanownerofpropertywhohuildsorimproveslhereoD.
nnd who conthds lbr such projccls with a Contraclor(s) liccnscd pursuail (, llf,i Conlraclor's Liccnsc Law).
-l
am crcmnl undcr Section-. B. & P C. for lhis rea\on.
A--...
W()RKllRS' COI\lPl:NSA'l'l()N
DECLARATTON
I hcrcby rlllrmundcr pcnahyof pcrjuryonc of lhc lbll(,wing dcclaratioilsi
_l have and will nuintain a Cenilicate ofconscnt b Self-lnsurc for workers'compensati()n, as povided for bySection 3700 oflhc
Latxrr Cnlc, for thc pcrformrce of the work lor which th! permit i\ Lssued.
and will ntairilrin workers' conrpensali{)n inrurancc, as required hy Sectiul 3700 of the Lxhor Code, for the perforDrance of
lor whlch this pcrnril is issucd. My w(,rkcrs' conrpcnsati()n insurancc catricr ilnd Ix)licy ntrDhcr uc:
7 6 - zr'zl
_l ccf,ifi thar in rhe lErformance of rhe work for which this pcrmil is issued, I shall not cmpby any person in aoy lMnct
$ as to becom suhjcct to lhe workcrs' comlrnsalion laws of Califomia, and agrcc thnt if I stbuld tEcorc subjrcl to the
wodiers' conlrEn5ation provisions of Section 1700 of thc tibor Code, I sttsll, fonhwilh comply wilh lhoe prcvisioB.
\YARNINC: Frilurc lo sccurc workcrs'conrlEnsali(,n covcnlgc is nn(l shnll suhjrcl an cnrphrlcr to minal pnaltrs aml
civil lines up to onc huildred lhousand dollars (Sl(x),Uxl).
Seclion 1076 ofrhE titx)r Code, interest and alk)mcy's fecs.
the cosl of compcnsition, damges as providcd for the
{u,,",?nu- 7
I,I(-]]NSI,)) C( }NTRA('ToR
I)I.]('I,ARATI()N
rm licflrsed undcr l)n)visi(rn ol Chipt.rI hcrcby aliiiln und!'r pcnally ofpcrjury thal I 9 (cornrrcncing wilh Section 7000) of I)ivision 3
of lhc Busiocss and Prcfcssiom Corle, ml my license is in full fore and cffect.2{zf"r
CONS'I'RI)CTION I,T]NI)INC AGI.:NCY
issucd (Scc. :]o97, Civ. C.).
Lcildl'r's Nrnrc.
-
lrntltr's Addrcss:
AII!!$NLDEEIAEA'IION
I hcrcby uffmr under pcnahy of perjury onc of thc followinB dslarat ions:
Denelition Permits-Asb€stos Notification Fedcral RcSulations (Title 40, Pan6)
-Requtcd
lJtt.r of Notification
regarding ashcst)s rcnx)val {re nol ilpplicrblc lo lhis proiecl.
thnl the nbove informnlion is correcl. I xgrcc lo comply wilh nll City rnd County
und herebyauthorize represerxalivcs ofthis City and County to enler uF)n tlE
,ror", ?-Co- 4
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq 4ll,tl"d D ke9?
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
J\4asonry
Pool Fence
T-Bar
Handicap Req \
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
t.
FINAL
Certificate of
Notes, Remarks, Etc.
/
a
I
Rev.0B-07-2015
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