HomeMy WebLinkAbout10190132 - PermitCity of Santa Ana 20 Civic Center Plaza (M-1 9), Santa Ana , CA 92702 Building Permit#: 10190132
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 Pin#: 36343
Project Address: 3417 S Timber St
Assessor's Parcel:
Building Use:
Job Type:
Nature of Work:
410-161-11 Lot: 23
Single Family Dwelling
Addition
Addn-1st/2nd Floor
Block: NA
Occupancy :
Constr Type:
Code:
Unit: Bldg :
Tract: 7002
R-3, U
VB
CBC 2013
Address Range:
Historic: No
1st FL Area: 128
2nd FL Area: 192
Other Areas:
Suite Ran ge:
Zoning: R1
Patio:
T.I.Area:
Yards Req'd:
Existing Bldg. & Use: SFD w/att Garage
Proposed Use:
Flood Zone: X-0602320278J
Garage Area: Valuation: $45,000.00
# of Stories: 2
Total: 320
Description of Work: Extend kitchen area on 1st Floor. Extend existing 2nd floor master bedroom/bathroom area w/new walk-in closet on 2nd Floor.
Planning Conditions: All materials to match existing.
Owner:
Address:
Tracy Tran
3417 S. Timber
Contractor:
Address:
Master Construction & Deve
1228 Village Way #A
Phone:
Santa Ana, CA 92707
(714) 334-3170 Phone :
Santa Ana, CA 92706 ~~1
(714) 568-5444 (,, Vf I
Tenant:
State Lie#: 532153 "''
B 71=>tJ1 11lf Lie Type :
Bus. Lie#: 347001
Workers' Compensation In surance:
Carrier: State Fund
Policy #: 1965180
Expires: 05/31/2017
Planning Approval Byd. ~N( An Date: 07/25/2016
Plan Checked By: \ ~ JI, Zac Date: 11/02/2016
Permit Issued By: / rodowski . Teri Date: 11/02/2016
NPDES lnsp. Req'd: No Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
PWA lnsp. Req'd: No Fire lnsp. Req'd : No
Planning l nsp. Req'd: No Police lnsp. Req'd : No
Landscaping lnsp. Req'd: No 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 180 days after its issuance.or if the work authorized
on the site by such permit is suspended or abandoned for a period of180 days after
the time the work is commenced.
Inspector MID#: 2016-130238
Account#
01116002 51600
01116002 51601
01116002 51612
01116002 57770
0890100 1 24000
Engineer:
Address:
Phone:
Li cense#:
Architect I
Desi!:lner:
Address:
Phone:
License#:
68295
Total
$20.56
$761.26
$2.00
$38 .50
$5.85
Ba tch0 :36103 -11/2/2016 ID: NGARCIA
0frice: CTYh Trans~: SO 1 of¼
Ac ct::::: l~ef~: 101901:32
Donald J.l lnm.aJill &Associates.
Donald J . Inman
01116002 53600 Plan Check Fee
01116002 57770 Microfilm Reco rds
08901001 24000 SM IP -Category 1
01116002 51612 Bldg . Stds. Revolving
01116002 51600 General Plan Update
01116002 51601 Issuance
Fee Tota l:
Paid to Date:
Balance Due:
12.00
$5 .. 85
i c-t.. qc
$1 ,104.00
$38.50
$5.85
$2.00
$20.56
$51.26
$1,932.17
$1 ,104.00
$828.17
BUILDING-INSPECTOR RECORD
SITE-WORK DATE ID/SIG. COMMENTS O W NER BUILDER DE LCARAT IO N ~
I hereby affirm under penally o f perjury that I am e.'<empt fro m the Contractors· License Law for the foll owing reason (Sec.7031.S
Set Bac ks L --/ 116/l,,b /J. nt/1'\-. ~ Busi ness and Profossion Code): Any City or County which requ ires a JX.11ni1 to construct, alter, improve. deu.10 \ish or rcpa;r an y :
Forms/Steel/Hold owns i/· ~, -=c.A -~ / u ___.)
structure. prior to its issuance. also requires th e npplicant fo r such pe rmit to (iJc a signed statement that he or she 1s lice nsed pu rsuant
' to lhe provisions o f the Contractor's Licensed Law (Cha pter 9. Commencing with Section 7000 of Division 3 of the Business and
Erection Pads Professions Code) or th at he or she is exempt therefrom n nd 1hc basis for the alleged exem ption. Any violat io n of Sect io n 703).5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred doll ars ($500).
UFER Ground _I. as owner of the propc11y. or my employees with wages ns 1heir sole co111pe11snt ion. will do the work and the stn.icturc is not
SL.AB.. Floor -intended or offered for sale (Sec.7044, Business and Professio ns Code: The Cont ra ctor's License Law does not apply to an owner of
pubfloor}'Ve nt/lnsulation 01/03//7 ~ ~o__}
the property who builds or improves thereon. and who does such WOl'k hi mself or herse lf or through his or her own employees.
.Ao) prov ided that such improvements are not intended or offered for sale. If. however. the bu ilding or improvement is so ld within one year
Rbof v;';e athinQ'~hl ~ ~r J r, i
of complclion. the Owner Builder will have the burden of pro,~11g that he or she did no t buil d or improve the property for the purpose of ... n sale).
Shear Wall L,...,-' ~I \.JI' I I/ _j:: rtf-Ll''~ I _I. as owner o f the property. am exclusively contracting with li censed contractors 10 construct the project (Sec. 704 4. Business
Framinq ~ 310 1/<J~ C"l r46/17 A12...tUI---M'ML. and Profession Code: T he Contractor·s License Law does not apply to an owner o f property who builds or impro\'es lhcrcon.
and who cont racts for such projects with a Contractor(s) licensed pursuant to the Contractor·s License Law).
Insulation/Energy I f'a'-i 1 1/./rre~J ~,.1 ,,,,..,,,,,,,
J I/ _I run exempt under Sec tion . 8. & P.C. for this reason.
Drywall 31 "1 ,, 'N'-J ~ ~I -vv /q,~ Ont e: Owner :
Ext/Int. Lath ~ 14 1{1 M !~:,.; \...:.,,"' WQ llKF.R~' !;;OMl'ENSATIQ N
DE(;LARA TIQN
Brow n Coat !. -{0'--17 y. ~jq I hereby affirm under penalty o f perjury one o f the fo llowing decla rations: . -· .J' cfe/o-'tc * J-711-1 1 ~ 't:bJ't ') J~ C, ~ (7~ _I have and w ill maintn.in a Certi ficate o f Consent to Self-Insure fo r \VOrkers· compensation. as provided for by Section 3700 of the ---
Pool Fence --Labor Code. for the perfonnance o f the wo rk for which the pen11it is issued.
T-Bar _I ha,,c and will ma intain wor kers· compcnsa1ion insurance, as required by SL"ttion 3700 of the Labor Cude. for the pt,i·fonnancc of
the wo rk for whic h this pcnnit is issued. My wo rkers· co1npcnsation in surance carrier and policy number are:
Handicap Req. Carrier:
Deputy Final Report Po licy Number: Expires :
Enqineer Final Report _I ccn ify that in the performance of the wor k for which thi s permit is issued. I shall not employ a ny person in any man ner
Flood Z o ne Certif. so as to beco me subjccl to the workers' compcns.ition laws of Californ ia. and a!,\rce that if I should become subject to the
worket·s' compensa tion prov isions of Sect ion 3700 of 1he L1bor C'odc . 1 shall. forthwith comply wit h 1l1osc p1·ovisions.
WARNING: Fai lure to secure workers' compens.ition coverage is unlawful. and sha ll subject an emp loyer to crim ina l pena lt ies and
((\ civil fines up to one hundred thousand do
1
:[~compensm ion, damages as prov ided for the
. Section 3076 or7;Labo r_Codc, (nt erest and atl om 's recs.
FINAL (11-;i.2--1 I )(. \r.JJ,61 Dalee .// J,/fL A1 · 1, /2 1/J/J ~
Certificate of Occupancy V V I :~ LI C E NS ED C •~"n Ar ·roR --
........_ DEC LA RATIO N
Notes , Remark s, Etc. I hereby affirm under penalt y o f pe1jury that) am licensed under provision o f Cha pter 9 (commencing wilh Section 7000) of Div ision 3
or the Business and ProlCSs ions Code. and my license is in full fo rce and effect.
License Class: I 1 ;,,,..,c-,. ~umber:
.1,1/9/41:.. Ctt§ ~ /1 /l A /l Date:
{ ( -
.O NS~'rlON L{NDI NC A;EN:;; l,/ Vt!,/ I
I hereby affirm under penalty o f perjury that ther e is a constniction lending ngcnc y for the pcrfonnance of the work for which this pennit is
issued (Sec. 3097, Civ. C.).
Le nder's Name:
Lender·s Address:
A PP LI CANT DECLARAT ION
I hereby affinn under penalty of perjury one of the fo llowing. declarations:
Demoli1ion Perm it s-Asbestos No tificalion Federa l Regulat io ns (Title 40. Part6)
_Requi red Lener ofNotilication
_I certify that the ft.·ch:ra l regulations regarding asbes1os rem ova l are not ap pl icable to this project.
_I tify t at I have read 1his application and stat e that the above infon nation is co1Tecl. I agree to comply wit h all Ci ty and County
ordinan d State Laws relat ing: to bu ild ing construct ion. and hereby authorize representatives o f th is City and Count y to enter upon the
above me ned property for inspection purposes.
~/2z//t_ Appli cnnl or Ai ti gnaturc : 77:)t' ~ V V Da l e:
Permitcc ; ~ Cf;f)/9,,44
.... ,.. ...,_ ........ ·-,