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HomeMy WebLinkAbout101103558 - PermitPermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Project Address: 1201 N Daisy Ave Unit:Bldg: Address Range: Assessor's Parcel: 405-104-05 Lot.22 Block: NA Tract:1899 Historic: No Suite Range: Zoning: Rl cify of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927O2 Building Permit #:lfJ1l03558 Pin #: 43342 Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area Job Type: Reroof Constr Type: V B 2nd FL Area Nature of Work. Reroof Code: CBC 2019 Other Areas: Existing Bldg. & Use: Flood Zone: X-0602320144J Garage Area Proposed Use: # of Stories: Totat Description of Work: Tear off existing, resheath, and install 2 squares of comp and 24 squares of built-up roofing Planning Conditions Patio: T lArea: Yards Req'd Valuation:$6,566.00 Owner: Address: Phone: Tenant Steve Tlaseca 1201 N. Daisy Ave. Santa Ana, CA 92703 (7141296-s846 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: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No NiA - No Balance N/A - No Balance N/A - No Balance Date: Date: Date: 04/30/2020 Subject to Field: Misc. Receipt. Misc. Receipt: Misc. Receipt: 07776002 07776002 o7776002 07776002 07776002 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance s7607 57770 57672 57600 57607 $333.06 $3.91 $1.00 $22.95 $57.20 web_user No No No No Account#Total Every permit issued shall become invalid unless lhe 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 ls suspended or abandoned for a period of360 days after the time the work is commenced. lnspector MID#: 2020-158760 Fee Totat Paid to Date: Balance Due: $418.12 $418.12 $0.00 BUILDING. INSPECTOR RECORD Flev. 0B-07-201 5 SITE.WORK DATE ID/SIG COMMENTS owNuR lrull,t)t:R t)ul.cARA'IloN IherebyaffirmundcrpenaltyofpcriurythatIamexenrptfronrtheCuxractos License[awforthefollowingreasn(S(.?0J1.5 llusiness and Prolcssion Code): Any Cily or County which rcqutcs 6 lrcrmit l(t construcl, allcr. irnprove, dcrnolish or repair any slructurc, prior b its issuancc. aLso rcquircs the applicailt ti,r such pemit o file a si8ned $tatercnl that lE or shc is licefuEd pursuanl to lhc provisions ol-thc Conrracor's l.iccnscd l,aw (Chaptcr 9, Commcncing wilh Section 70([) ol Division 3 ol the Business and ProlessionsCode)orthatltorshcisexempltherclionrandllEbasisfbrtlEallegedexenrptiur. Anyviolati(mofSeclionT03l.5byrny npplicant lbr a pefinit subjects lhe rpplicant to i civil penilty of not morc thiln fivc hundrcd dollars ($5U)). _1. as owncr o, thc prolEfly, or rny emplovees with wagcs as thcir mlc cornpcnsation, will do lhc work and thc stfflurc i$ mt iilcRled or offered for sale (Se.7Ol4. Business and Prcfessions Codc: The Conlrrck)r's License Law does nol apply lo an owner of thepmpcdy wlnhuildsorimprovesthereil.andwl$dNssuchworkhimselforhcrsclforlhrouShhisorlErownemployees, proridcdrhalsuch improvcrrcnls@mtintcndedorolTcrcdlbrMlc. lt.hoccvcithcbuildiagorimprovemnlissUwilhinoncyee of conqrletirm. the Owner Builder will hdve thc burdcn of proviD8 lhat lE or she did Dot build or ifipmve the pmpdy for lhc puqnse of srlc). _1, as owncr of thc propcfly, am cxclusivaly conlracting wilh licenrcd conlraclors 10 c_onslruct the pmject (Scc. 7(N4. Business aill PDlissbnCodeiTheContractrr'sLicenseL6wd@snotapplytoanownerofprofrnywhobuildsorimprovesthercon. and who coilmcts for such projects with a Contractor(s) liccnscd pursuul to lhe Cootractor's Licensc Law). _l anr excmpt utrder Sectirln-. B & P ('. l'rrr this reasrrt. lhler- \YORKtIILS' CONIPENSATI()N DECLARAToN I h!'rcby atllrm undcr pcnahy ofpcrjury onc ofthe Ii)llowing declarati()ns: _lhaveurlwill maintainaCerlificateofconsenttoSclflNureforworkers'conrpensation,as pruvidedforbyS.ction3T00ofth. tntx)r Codc, for lhe perforrorce of thc work lbr which lhc pfrmil is i\sucd. _l have and will maintain workars' conrpcnsalion insurance, as required hy Seclion 3700 of thc Ilhor Cbde, for thc perfommc of rhc work lirr which this pcrmit is isswd. My workcts' compcnsation ifl\urancc caricr i{xl f)licy numbcr mel Policy Nuiltber: l'lxpircs: _l ccnity that in thc pcrlornrancc of thc work for which this pcrmil is issucd, I shall not cnrploy uny person in any nrmner so as to bccom suhjcct lo lhc workcrs' compcnsation laws ofcalilorilia. atrd agrec thd if I should bccorre suhjccl to the worliers'compen\ationpruvisionsofSectionlT0OofthcLahorCodc,lshall,fonhwilhconlplywithlhosprcvisions. WARNING: Failurc to $cure workcn'compensattrn covcrdgc is unlawful, and shall subject an cmploycr to friminal Fnahies und civil lines up b onc hundred thousand dollars (S100,(Xn), in addition lo lhe cosl ofconrpens{tion, damrgcs !s providcd for lhc Scction 3076 ofthe tabor Code, iNerest and attomy s fce\. I)nlc:_ LIC'ENSED CONTRA (--TOR DECLARATION I hcreby allirm undcr pcnaky ofpcrjury lh.t I .m licensd undcr provi$ion ol'Chaplcr 9 (cornmncin8 wilh Scction 7fin) ofDivision l of rhe Business and Profcssions Code. and mv liccnsc is in full forcc md elfcct. [-iccnsc Cliss:-l,iccnsc Nurnher: Dstc - Contraclor: CONSTRIIC'TION I,I.]NI)ING A(;1)NCY I herchy allirnl under [rcnahy of pcriury lhnt there is a con\rnrctbn lcrxlilg r8ency li)r the Nrfomunce of the work ti)r {hich this pemlit is issucd (Scc. l()97, Civ. C.). l-cnder's Nililre: lxnder's Address: APPLICANT DECLARATION I My aflimundcr pcnalty of pcrjury onc of thc following dclaations: Dcmlilion Permits-Asbestos Notification Fcdcral Rcgulalions (Titlc 40, Pan6) _R.quircd [rttcr of Notifi calion _l cdili thit rlrc fedcral regulatioro rcgarding ashcslos rcmval aE nol applicablc to lhir prcirt. _l cdify that I havc rad this application arxl stalc that lhc abovc infomlion is corcct. I a8r€ to comply with all Cily aftl County orlinanccs and Statc kws relating lo hoiHing constructio[ arxl hereby authori4 r.prcsntativcs oflhL City 8nd County lo cnlcr upon thc above ftnlt)ned proprny lbr inspedion puqnses. ADDlicent or Apmt Sisnatuft: I)alc: Prmlle nEme (Drlnl): Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathino Shear Wall i.td 7 a9iat U/vf)Dtnnzz-# 8< Framinq t, lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif tt FINAL lSlr l?a ,Dtm c n-fi dq Certificate of Occupancy I vv Notes;Remarks, Etc. t't' -,.-SANTA ANAJII}ffi Planning & Building Agency 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA92702 (714) 647-5800 www.santa-ana.oro Smoke & CO Alarm Affidavit I This document moy be found at... http://www.santa-ana.oro/pba/ (please use a black or blue ink ball-point pen) Project Address:l2;}l 0- Daisv Ave Permit Number:101103558 Property Owner:Sleve Ttaseco. Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential buildings. California ResidentialCode (CRC)Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define the required locations. nBoth boxes below must be checked: ICarUon monoxide atarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. E[Smot<e alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, 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 10 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 be functio lcheck onel ctor Pro Owner NOTE: This seff-certificotion is only used for projects thot offect the EXTERIOR of the strudure. This process is opplicoble ONLY to projects where dccess to the interior of the dwelling by a Santo Ano lnspedor is not required. Have this completed form and the iob-card readily available on final inspection! Lice Signoture:/)Date: