HomeMy WebLinkAbout101102049 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 uilding
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: { Ol 1O2O49
Pin #: 826\il
Project Address: 1924 S Bamdal St Unit Bldg: Address Range:Suite Range:
Zoning: R1Lot: 81 Block: NA Tract:2487 Historic: No
Building Use: Single Family Dwelling Occupancy. R-3, U 1st FL Area.
Job Type: Alteration Constr Type: V B 2nd FL Area:
Nature of Work: patio Enclosure Code: CBC 2016 Other Areas:
Existing Bldg. & Use: SFD w/Garage Flood Zone. X-06023202S7J Garage Area:
Proposed Use: # of Stories: Total: O
Description of Work: Demolish existing patio enclosure and construct a new Aluminum patio enclosure (IAPMO 115)
Patio.
T.l.Area:
Yards Req'd:
Valuation: $9,000.00
in its same place, same size.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Donald Hamlin
'1924 S Bamdal St
Santa Ana, CA 927044012
V t{) 5t1 - 9zo3
Contractor: Patio Warehouse lnc.
Address: 950 E. Katella Ave. Ste. 2
Orange, CA 92867
Phone:
State Lic #: 875966
Lic Type: B, C-61, D-03, C-8, C-29
Bus. Lic #: 351569
Workers' Compensation lnsurance.
Carrier: Liberty Mutual
Policy #: XWS59104195
Expires: lOlO'll2O2O
Engineer
Address:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
TJC & Associates lnc Structur
Terence J. Cavanagh
PO Box 2059
Folsom, CA 95763
s3107
TJC & Assoclates lnc Structural Engine
Terence J. Cavanagh
PO Box 2059
Folsom, CA 95763
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
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Graham, Jeffery
Ahangian, Kathy
Chavez, Dave
Date: 10/29/2019
Dale: 0112312020
Dale 0'112312020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receiptv_o-
Account#
73703
Total
07776002 51601 Permit Fee
07776002 53600 Plan Check Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 51601 lssuance
Fee Total:
Paid to Date:
Balance Due:
$166.53
$230.87
$86.02
$1.00
$22.95
$57.20
$564 57
$230 87
$333.70
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 of 360 days after
the time the work is commenced.
01 1 't 6002 51 600
0't 't 1 6002 5't 601
01 1 1 6002 51 6'1 2
o't116002 57770
$22 95
$223.73
$1.00
$86.02
lnspector MID#: 2019-155510
Assessor's Parcel: 408-093-04
'
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DI]I,CARATION
I hcrcby alllrm undcr pcnalty of lErjury thal I iln cxctrrl, liom thc Contrrckns' l-iccnse lnw fbr lhc lbllowinS rcrson (Scc.70-11:
Busincss and Proltssion C<xlc): Any City or Counly which rcquircs d pcrmil k) coilstrucl. rhcr. inrprovc. dcmolish or rcpuir any
rlruclurc. pri()r k) its issuuncc. also rcquircs thc applicant lbr such Jrcrtrrit lo filc a signcd rtatcrrcnl lhrt lrc or shc is liccn\cd pursu{nl
l(, thc provisions of thc Conlrilclor's l-iccnsctl Law (Chaptcr 9. Conrnrcncing with Scclion 7(NX) oI Divisioil 3 of thc Busincss,and
ProlcssionsCode)orlhnthcorshciscxcnrilthcrc,ionlilndlhchusislorlhcdllcgedcxctrrplion. AnyvidalionofScctirrnTo-il.5hyar.;
applicu0tlorapertrritsubjccts(hc applicantk)ilcivilpcnrllyofDoltrx)rclhanfivchundrcddollrrs(5500).
_1. ar owner of lhc profrcrly, or Dly cmployccs wilh wrgcs rs lhcir solc coilrpcnsalion. willdo lhc work and thc slrulure is D()l
intcndcd orofl'crcdfbrsalc(Scc.7()44.BusincssrndProltssionsCo(lcrTheC'ootruck)r'sLiccnscLilwdocsnotapllyk)ailowtrcrof
lhc prolErly who builds or improvcs lhcrmn. rnd who dcs such work himsclfor hcrsclfor IhrouSh his or hcr own cmployccs.
providcd th{t such inrprovcnrnls f,rc nol iilcndcd orofTcrcd lirr ulc. ll howcvcr. thc buikling or improvcrrrilt is skl wilhin onc ycar
ofconplctirl llE Owncr lJuiklcr will hlvc thc hurdcn of proving lhilt hc or shc di(l nol build or irnprovc lhe pn)pcrty li)r thc purJx)sc of
salc).
_1. as owner of thc propcny. flm cxclusivcly contracting wilh liccnscd conlrack)rs lo construcl lhe proiccl (Scc. 7()44. Bu{incss
ilnd l\)lission Codc: l he Contractor's Liccnsc Law docs nol apply to an owncr of properly who builds or iNprovcs thcrcon.
rnd who conlructs lor such projccls wilh a Corltracknls) licenscd pursuunl lo thc Contrnctor's Liccnse Law).
I rnr crcnrpl un(lcr B. & P.C. lbr lhis rcasoil.
l)ale:()$ner:
WORKERS' C(INIPENSATION
DECLARA'TI(IN
I hcrcby allirm undcr pcnalty of pcrjury onc of thc lollowing dcclaralions:
Il havc md will nuintain a Ccrlificate of Coilscnt to Sclf-lnsurc lt,r workcrs' conrpcnsation. as providcd ti)r by Scction -j700 ol lhc
llhor Codlz{lliihc pcrforililrcc (,f thc work for whi(h thc pcrmit is is\ucd.
ff,avc ancl will maintdin workcrs conrpcnsalt)n insurancc. as rcquircd hy Scction .17U) oflhc tihor Codc. for lhc perfortruoce of
lhc work li)r which lhis l^-rmit is issucd. My c()ntl)cnsilli()n policy nunrhcr arc:
L o
Policy a 55 lo J--)
_l ccrtily lhlt in thc pcrlbnnancc of thc work tor which this pcnnil is issucd. I shrll not enrpk)y dny pcrson in aily nunncr
so ns to bcconrc subjcct m thc workcrs' compcnsat i(,n lnws of Cdlili)rnir, an(l agrcc thut if I should bccotrrc subiccl t) th!
workcrs' conrfensiltioil provi\ions ofScction l7(n oIthc Latnr Codc. I shnll. lonhwith comply wilh tho$ pfi)visions.
WARNING: Failurc to *curc workcrs'conrpcnsalion covcraSc is unlawlirl. {nd shall subjcct un crnpkrycr b triminill pcnallics ud
civil lincs uf lo (nrc hundrcd thousund dollars ($lU).(XX)), in addilion k) lhc cost ofcoilrpc[siltir)n. (lrrnagc\ us prrrvitlcd for thc
Scction .1076 of ihc t-utxtr Codc. irilcrcst trnd alk)rncy's lics. ,a,2 , N i
Da(e-:? - ].a]-2- Appri,nr: * - 1A-, Wd ){L,-
LILTNSEII CONTRACI'OR 'DECLARATION
I hcrchy nlllrh under pcnillty of lErjury thnt I am liccnscd under provision of Chaplcr I (coDurencing with Scction 70fi)) oI Division -1
of lhc Uusinc\s rn(l Prof-essions Code- anrl mv liccilsc is in full lorcc aml ctt'cct '
l-iccnsc ,Nnnllrr:a I s 1L
n"r", ' /, )-j (irntrlclor: (
CONSTRUCTION LENDING A(;ENCY
I hcrcby alfirm under ;rnalty of pcrjury that thcrc is a conslruclioil lcndirrg agcncy tor thc pcrlortruncc of thc work for which this pcrmil is
issucd (Scc. 3097. Civ. C.).
llndcr's Natrre:
l-cnrlcr's Arlhcss:
APPI ICANT DECLARATTON
I lmjty allirm under penalty of pcrjury onc of lhe li)llowing dcclarations:
Dcm)lilion Pcilnits-Ashcslos Nolification Fcdcral Rcgulations (Titlc 40. Part6)
-Rcquircd
hllcr of Nolificslion
I ccnily lhal lhc fcdcrrl rclulxtionr rcgdding astEsk)s rcrnoval rrc Dot applicablc n) this projcct.^lr-7-[t ccrrlty rhrr I havc rcad lhi\ application and slatc lh{t thc ahovc infornution is corcct. I ngre to comply with all City and County
ordirranccs and Stale Laws rclating to building conslruction. and hcrcby authorizc/cprcscntativcs (,fthis City tnd Counry to cnlcr !F,n thc
ak)vc ilrcnti(,ncd propcfly for in\frcction purlnscs. ,/') A I
ApprcaDrorAgeDrs,*n",u*, X Z. VI[L}$--- Dur", , i ^J \)o
l'crnriler nnnre (prinl):l- untt'r-(o/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Vent/l nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lVasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
F!NAL *?z-u )^1 lor
Certificate of Occupancy
Notes, Remarks, Etc.
-l
INSP.O2 2013 CRC
This document moy be found at...http ://www. sa nta-a na.orq/pba/
(Please use a black or blue ink ball-point pen)
Project Address:/?2r' -S ^Eo.-t znt-
Permit Number
Property Owner: (,/
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC)Section R314.L and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
t\Both boxes betow must be checked:
frurAon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
(-t
Egroke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
'roo^, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be L0 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manufacturer's instructions.
lcheck onel Licensed Contractor Property Owner
NOTE: This self-certification is only used for projects that affect the EXTERIOR of the structure. This
process is applicable ONLY to projects where access to the interior of the dwelling by o Santa Ano
lnspector is not required.
Have this completed form and the job-card readily available on final inspection!
Signoture 2 Date ./d^ U --y'2 2f>
,--SANTA
ANA,'ii'ffii
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647-5800
www.santa-a n a. orq
Smoke & CO
Alarm Affidavit