HomeMy WebLinkAbout101102941 - PermitProject Address: 1319 N Louise St
Assessor's Parcel 405-271-15 Lot: 16
Unit Bldg: Address Range:Suite Range:
Zoning: RlBlock NA Tract: 765 Historic No
City of Santa Ana 20 Cavic Center Plaza (M-19)' Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests. \714) 667-2738 lnspector Section: (714)647-5853
Permit #: 101102941
Pin #: 7379tr{
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work: Partial Reroof Code: CBC 2019 other Areas
Existing Bldg. & Use: SFO w/det garage Flood Zone: X-0602320144J Garage Areal
Proposed Use: # of Stories:
Totat
Description of Work: Partial reroof Wt.o.-Remove and apply TPO to flat area, sheathing to remain/handout given
Patio:
T.l.Area:
Yards Req'd
Valuation: $15,000.00
Planning Conditions:Botch;:54r:t75 - 1/2?,, ?t-t?it IDl H(
Ownerl
Address
Phone:
Tenant
Jose Leon
1319 Louise St
Santa Ana, CA 92706
(714) 351-2563
Contractor:
Address:
Owner-Builder
Engineer
Address:
Arct+: Rel+: 1111 1
Fcpti:t1t2893452 - I /27 /2lt2t1 111?.
Tran sact ion Total $41S.
,ls.-e Leon
6ener.q1 Plon Ljpdnte Fee
u1116002- 5l6r:r[rlfl]0-guildine
n11160U?- i16r.11(((r-
B.ldg Stds RevoIv ins
r:rt 116n0?- 1161200u-
li icrof i lfi & Docurents
r-'i 1 1 1 6r:rj2- 5777U01:ttr-
Architect /
Desiqnerl
Address:
Phone:
License #
C(:+ i xxrrr*r****l(ll
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp Req'dl
Landscaping lnsp Req'd
Graham, Jetfery
Hernandez, Kathy
Date O1l27l2O2O
Date:
Dale: 01l27l2O2O
Subject to Field:
l,4isc. Receipt
NIisc. Receipt
NIisc. Receipt
0 777600 2
0117600 2
o 7776 002
0 7176002
07776002
51607
57770
s7672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1.00
$22.95
$57.20No
No
No
No
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cerl. Req'd: No 01 1 '16002 5't 600
01 1 16002 51601
01 1 16002 51612
01116002 57770
$22.95
$390.26
$1.00
$3.91
Account#Total
Every permit issued shall become invalid unless lhe wo* on the sile authorized by
such permit is commenced within360 days altet its issuance,or ifthe wo* authorized
on lhe site by such permit is suspended ot abandoned fot a pe od of360 days after
lhe time the wo* is commenced
lnspector MID#: 2020-157358
Fee Total
Paid to Date:
Balance Due
$418.12
$0.00
$418.12
Phone;
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
Phone:
License #:
BUILDING. INSPECTOR RECORD
SITE.WORK IDiSIG.COMMENTS oWNER B('II-DI]R DIIt,CARA'IIoN
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Businc$ lrt Prot$n,n Cdc): Any Cily or Counry whi.h rcqutes r pcrnil ro consrrud. q. imrnx?. d.n!,li{h or lcp0n ,iy
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Prcresions Codc) .r rhlr hcorshc hexcmpr rhcrelionnod rhc 6!\is i,rlhc rllcgcd cxcnprtn' AnyvnnrrinofS..ri,nT0ll.5byni)
rmli.anr roi r !.rmir sxbjc.rs rh. rttlicinr tu r .i!il Fnalrt of nor mft rhu nrc hutrdrcd dollu\ (S5U)).
l.trs.wncrolrhcFor.y,ormycrplotdcswnh*nscsairhcn$b..hp.sdn,willdorlfwork0Jl(lrhcslMruEi\nor
inlcnl.t or oft,cd for slc ( SN.7O44. lrusinc$ atrd Pmltssions Codc lnc ('onrrocrois Liccose l !e docs nor amly h an oqn& or
rh. pn,lEny *ho hoilds or imF)ws rhcmr. dd {ho drs skh uorl hinr€lf.r h.klf oi rhough his.r hcr own cnDloyccs.
pnvidLrl rh8r \nch intPmlcnrnh urc nor i' cndcd .r oficrcd fd sk Il hpcrd. lhc hoildin8 or itr{,Nrmnr is soh wilhin orc ,!u
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'/ ti fh,ls\tutrCuJc Thr Cuntrr.l.r\ Ltr!tr)c Luw tlo.\ troi applyb rn.sicr oi Ffl'pcarwho builds or nnfruves rhcrcoo.
rtrd qho conrEd s nn such loj.cr \ wirh ! ConrEdd, lic.n*-d nursurnr r. rhc Conrrtn\ l-iccnsc l iw)
t/u o O o**.
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-ExPies
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of rhc Busircs trnd Pn)fc$ionr Cod.. rl nry lic.n{ i\ in tullf(tr c Md cffLri.
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isiu.d (S( l097,Civ C)
AITUIAII.DI,CLAIT )X
I hcrcty lflinn u ndcr Fnnlly ol rcrjury onc oftlE follosing dccl,rorions
l)cmrilion Pcnnils-Asb.stos Norilic.lion FcdcrulRCEUhrn)ns (Tirlc4r. Pan6)
-Rcqutcd
Lcllcr ol NorifEalion
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rhrc rn'in c,lnror.ny tnr irntrri, r
rhd rhcih,\c inhrnuri{n, i\.orccr I alrm h comply wirh all Ctry rnd Cuunry
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EA
*,,, Vt?/tott
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq
Shear Wall t-ZQ -2-
Framing
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonr v
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL C'tt- 2,o fE..P l=,
Certificate of Occu pancy
Notes, Remarks, Etc
tA
DATE
-l
adcrcdpr udcr Sr1n,n-.
cMi.r
-
L.ndcr. Addrc*:
-
appri.sn, or uo' si*m,'Fi+
""-u**.",0n",, ,J6?
I
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.org
APP-13 CBC 2016
Dear Property Owner:
An application for ng it has been su
specified at
NOTICE TO PROPERTY OWNER
r name sting rself as uildea o pro rty improvements
We are providing you with an Owner-Builder Acknowledoment and lnformation Veriflcation Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder.
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this
form to us at our offlcial address indicated. An agentofthe owner cannot execute this notice unlessyou, the property owner,
obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
jU t. t understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build-
i6g permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an
Owner-Builder, may be held liable and subject to serious financial rjsk for any iniuries sustained by an unlicensed person and
his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I
am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop-
erty.
^\Jl_Z t understand building permits are not required to be signed by property owners unless they are responsible for the
-construction and are not hiring a licensed Contractor to assume this responsibility.
CL3. I understand as an "Owner-Builde/' I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
\,
9LO. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total
value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employer" under state and federal law.
d=-0. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com-
pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac-
tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract
with a licensed general building Contractor.\
U-t U. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan-
fiIi67 personal injuries sustained by any subsequent owne(sj that result from any latent construction defects in the workman-
ship or materials.
in
l, g. I understand I may obtain more information regarding my obligations as an "employef'from the lnternal Revenue Ser-
vr6e, the United States Small Business Administration, the California Department of Beneflt Payments, and the California Divi-
sion of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1 -800-
321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.
lL ,o
Er.tv l"g
dress:
I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
all n fi a nct ly responsible for propos construction act ity at the fol owing ad-
IL ,,
Fppr,""ur
lL ,,
fri6pro
. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
e laws and requirements that govern Owner-Builders as well as employers.
I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
vided on this form.
Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a
license, the Contractors' State License Board may be unable to assist you with any flnancial loss you may sustain as a result of
a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for you to understand
that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifying
whether or not those Contractors are properly Iicensed and the status of their workers' compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned
to the agency responsible for issuing the permit. i/ote; A copv of the propertv owner's driver's license. form notariza-
or other verification acc the ,s b the
property owner's siqn atu re.
Signature of Property Owner Date 27 ?o
Print name of Owner
AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder
Permit for my project.
Scope of Construction Project (or Description of Work)OO ?
>/C
Address of Authorized Agent:A" U Tzzq
L
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy
Date 7 .,> 47t
Print Name of Owner
Note: A copy of the owner's drivels license, form notarization, or other verification acceptable to the agency is re-
quired to be presented when the permit is issued to vefify the propefty owner's signature.
Pro.iect Location or Address:
Name of Authorized Agent:
.t 9on
Phone Number of Authorized Agent:
Property Owneis Signature:
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa-ana.orq
INSP.O2 20'J3 CRC
This document moy be found ot...htto://www.santa-ana.orq/oba/
(P/ease use a black or blue ink ball-point pen)
Project Address:\5lq Lou',s( 9* . 9,,nlq A"a ( L cl??o[
Permit Number:rDtlo.ZlQ\ ?\NIfr?37q(
Property Owner:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
bu ildings.
California Residential Code (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 R314.3.3 define
the required locations.
A soth boxes below must be checked:
l.lf.Carbon 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.
,J
XSmoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
r'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 pro.iect. lfurther 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
ma n ufactu rer's instru ns.
lcheck onel Licensed Contractor Property ner
NOTE: Ihis sef-certification is only used for projects thdt dffect the EXTERIOR ol the structure. This
process is opplicable ONLY to projects where occess to the inte or oI the dwelling by o Santa Ano
lnspectot is not required.
Dote:2,/ tyzpzoSignature:\t--
I
Have this completed form and the job-card readily available on final inspection!
*,SANTA
NA,',iffii
Smoke & CO
Alarm Affidavit
Contractor:License #: