HomeMy WebLinkAbout101102817 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit #:1tJ11o2417
Pin #: 5O170PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853AJ
Project Address: 1715 W Loretta Ln Unit:Bldg: Address Range:Suite Range:
Zoning: RlAssessor's Parcel: '10'l-052-07 Lot: 56 Block: NA Tract: 2887 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Window C/O
SFD w/att Garage
Occupancy.
Constr Type
Code:
Flood Zone:
# of Stories:
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:$12,000.00
Total ID: qmr:rctlr:r,ll
1 crt'1
IrJtIt-r;18I7
t1:33 AH
t2:r I' t9
Description of Work: Window change out. (10) windows, like for like. Contractor letter of authorization on file.'.-.\ttll't(ll5r. 77
Ref i:
Planning Conditions:
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l rsnsscI i on t 0tui
i:t ctcy Lr.r r >v
Engineer l,;tJOEfl LOIl$Cf'Ut:t Iuil .tllL
Owner:
Address:
Gerardo H & Martha Torres
1716 Loretta Ln
Santa Ana, CA 927061328
(714) 906-524s
Contractor: RydenConstructionlnc
Address. 11612 Knott Avenue, Unit 1i
Garden Grove, CA 92845
Phone: (714) 373-0011
State Lic #: 981264
Lic Type: C-36, B, C-10, C-20
Bus. Lic #: 345918
Workers' Compensation lnsurance:
Carrier: Norguard lnsurance Group
Policy #: RYWC045853
Expires: 05/05/2020
Address:
$??3. 73
$:J?.9:.
$1 . ult
$3.91
$?i 1 . ii,
Phone:
Tenant:
Phone:
License #
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iog Srcis Frevuivirrs
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i':I'0i I im * Dr-,uumerrL=
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r.i [.irecx i,ioi'-iti
Architect /
Desioner:
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
Arabe, Jill Dale. 01l'1312020
Date:
Dale: 0111312020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
0LLL6002
0L776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$3.91
$1.00
$22.95
$s7.20
Chavez, Dave <)y"
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
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 permitis suspended o r abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
0't116002 51612
011160Q2 57770
$22 95
$223.73
$1.00
$3.91 Fee Total:
Paid to Date:
Balance Due:
$251.59
$0.00
$251.59
lnspector MID#: 2020-157029
utt(.H rHH
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS oWNER BUILDER DELCARATION
Iht'rcbyall'rrmundcrpcnaltyofperjurythatIamexcmpttiomthcContraclors l-iccnscLawforthcfrrllowingrc0sn(Scc.70.ll.5
Busincss tnd Pnrfbssi<lr C<xlc): Any City or County which rcquircs a lErmit lo construcl. allcr. improvc. dcmolish or rcpair any
stntcturc,pri()rtoits issuancc,alsorcquiresthcapplicanllorsuchfrcrmilt)lilcasiSncdstatenEnt lhathcorshcisliccnscd fursuant
k) thc provisions of thc Contractor's Liccnsed kw (Chantcr 9. Commcneing wilh Scclion 7fi)0 of Divisi()n .l of thc Busincss and
Ptl)lbssions Codc) or thtt hc or shc is cxcmpt lhcrcliom and thc hasis li)r thc allegcd cxcmption. Any violation of Scction ?0.1 I .5 by any
applicanlli)rapcrmitsilhjectsthc applicanlloacivilPcnaltyofnolmorethanlivehundrcddollars($5U)).
_1, as owilcr of t hc proFrty. or my cnlpk)yccs with wngcs as lhcir solc conlltnsalir)n. will do lhc work an(l the strucluc is n(il
ililcndcd or ()llcrcd lilr salc (Scc.T044, Business nnd Proltssrrns Crxlc: l'hc Conlrack)r's Liccnsc l;lw docs not apply kl an owncr of
thc pr)Fny wkl huilds or inrpnrvcs thcB)n. anl wlx) dcs snch work himsclfor hcrsclfor through his or hcr own cnrployccs.
providcd that such inrpll)vclrcnls trc trot ililcndcd oroftcrc(l li)r salc. It. howcvcr, thc huilding or irnprovcmnl is sol.l wilhin riltc yctr
(,1 complclRrr, the Owncr Buiklcr will htvc thc burdcn ofprovurS that hc or shc did not build or improvc thc pn)lEdy li]r lhe puryx)se of
srlc).
_1. as owncr o[ thc propcrly, aD cxclusivcly c()ntractirUl wilh liccnscd conlrack)rs i) construct Ihc frcjcct (Sec. 7044. Busincss
and PrutLis\iil Codct 'l hc Contrack)r's l-iccnsc Law docs nol apfly k) an owncr ofpropcrly who huilds or improvcs lhcrcon,
and who contracts t()r such pojeets with a Glntracbr(s) licenscd pursuanl k) lhc Conlrack)r's Liccnse [.aw).
I am cxcnrDt unrlcr Scctiur-, B. & P.C. lirr this rcason
TVORKI]RS' CONIPENSATION
DECI.ARATION
I hcrchy al l ir nl undcr pcnally ol pcrjury one oI lhc lollowtrr8 dechrrti{rls:
_l have url will maintair a Ccniticatc of Conscnt b Scll:lnsurc lbr workcn compcnsation, as providcd tbr by Scction 3700 of thc
t,atx)r Colc. lbr thc pcrlbrmancc of lhc work for which thc pcmit is issued.
Ar;anrl will nrairrlain workcrs corrpcnsatiul Scclion -l7U) of thc hbor Codc. ti)r thc pcrli)rmancc of
li)r which tht( pcrmil is issucrl. My ca[icr imd F)licy numhcr dc:
,/q/)AI'olicy /t,
-l
ccnily that in lhc frcrlbrmancc of lhc work li)r which this pcrnrit is issucd. I shsll n(i cmpkry any ;rcrson in
so as b hceomc subjccl b thc workcrs'cr)nrpensrtir)n laws olCalili)rnia. and agrcc lhal il I should hcconE subjcct k) thc
workcrs' compensrti()n provisirills of Scction -1700 of thc l.atx)r Corlc. I shall, Ii)rthwilh comfly wilh lhosc provisi(nls.
IVARNIN(I: Fiilurc k) sccurc w()rkers'eonrpcnsrlion covcragc i\ unhwlul. anJ shall subjccl an cmphycr k) dimintl lrcmltics and
civil lines up to onc hundrcd thousanJ rlollars ($100.U)0),'
Scctiur .1076 of thc l,ntDr Codc, inercsl Md alk)rrcy s l-ccs.
i(ldition kr lhc cosl ()l'compcilsalion, (lanrages is providcd fi)r thc
I
l)1..( 1..\l{,\ Il()\
I hcrcby rllirm und('r lrcnally ol pcrjury lhat I anr lccntd undcr pntvision 9 (commcn!ing with Sculion 7(XX)) ol t)ivision ]
ol lhc Busincss rn(l I'roltsstrns Codc. ild nly liccnsc is tr) lull l'()rcc dhd clli'el
/?
al.i(('nsc
t
I hcrcby alfirrn undcr Frcnalty of Frjury that llrcrc is a consltuction lcnding atlcncy for thc pcrfomancc of thc work l(rr which lhis lErmit is
issucd (Scc. 1097, Civ. C.).
hndcr's Namc:
kndcr's A,ldrcss:
APPLICANT DECLARATION
I hcrchy allimr undcr lrcnalty ol pcrjury onc ol lhc li)llowin8 dccl$ali{ils:
Dcilxllition Pcrmits-Ashcskrs Nolilical(m Fedcrdl Rcgulali(ns (Titlc 40. Part6)
_Rcquircd Lcllcr ol Notilicrlion
_l ccilili lhal thc lcdcral rcSulations rcgudinS asbcslos rcmovilltrc nol lpllicahlc k, this p(ice t.
with all Cily and Cr)unty
rnd CounlY n) cnlcr uFx)o thc
Applicant or Agent
Pcnnilee ntrnc 4
l)alc: i t- tT-)o
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq (o h/^^trt/J 1-2J-/}'.tt;flr D
lnsulation/Energy (./
D-rywall /A
€xt)tnt. Latr 7-L)-n w+t0 \
Brown Coat U /\I
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 6/t/t co )
Certitic'ate of Occupancy I t
Notes, Remarks, Etc.
)