HomeMy WebLinkAbout10191985 - PermitCity of Santa Ana 20 Civ ic Center Plaz a (M-19), Santa Ana , CA 9 2702 Building Permit #: 10191985
Permit Counter: (714) 647-5800 Inspection Requests: (714) 6 6 7-2738 Inspector Section: (714) 647-58 53 Pin#: 58098
Project Address: 3417 S Timber St Unit: Bldg: Address Ran ge: Suite Ra nge:
A ss essor's Parcel:
Building Use:
Job Type:
410-161-11 Lot: 23
Single Family Dwelling
Reroof
Nature of W o rk: Reroof
E x isting Bldg. & Use: SFD w/att Garage
Propo sed U se :
Blo ck: NA
Occupancy:
Constr T ype:
Code:
Flood Zone:
# o f Sto ries:
Tra ct: 7002
R-3, U
VB
CBC 2016
X-0602320278J
2
Historic: No
1st FL Area: 0
2nd FL A rea: 0
Other A r e a s: 0
Garage A rea:
T otal: o
Z onin g: R1
P a tio :
T.I.Area :
Yards Req'd:
Valuation: $8,000 .00
Description of Work: Reroof original house to match new addition. Replace existing comp shingle roof with new light weight flat tile roof. ***ICC #1647***
~~--vJ ~-~.
Planning Conditions: All materials to match existing. Replace any damaged eaves, rafters & fascia .
Owner: Tracy Tran
Addres s: 3417 S. Timber
Co ntra ctor:
Addre ss:
Master Construction & Deve
1228 Village Way #A
Santa Ana, CA 92707 Santa Ana, CA 92706
Phone: (7 14) 334-3170 Phon e: (714) 568-5444
Te·nant: State Li e #:
Li e Type:
532153
B
Bu s. Li e #: 347001
Workers' Compe nsation In sura nce:
Carrier: State Fund
Policy #: 1965180
Expires : 05/31/2017
Pl anning Approval By:
Plan Checked By:
Permit Issu ed By:
Esca mill a, Manny Date: 01/30/2017 Mi sc. Rece ipt:
V Date: Mi sc. Rece ipt:
Z uni ga, Alli ssa Date: 02/13/2017 Mi sc. Rece ipt:
NPDES ln sp. Req'd: No Subject to Fie ld :
PWA lnsp. Req'd: No
Pl annin g ln sp . Req'd: No
Fire ln sp. Req'd: No
Police ln sp. Req'd: No A ccount#
Landscaping ln sp. Re q'd : No Flood Zone Cert . Req'd: No
E very permi t issued shall become in valid unless the work on the site authorized by
s uch p ermit is commenced within 180 days after i ts 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.
0 111 6 002 5 1600
0111 6 002 51 601
0 111 6002 5 16 12
Inspector MID#: 2017-134 146
Engin eer:
A ddress:
Ph one :
Li ce nse #:
Architect I
DesiQner :
Address:
Ph one:
Li cense#:
Total
$20 .56
$34 9.76
$1.0 0
:2/13/2017 ID: t·lGt,f.:C:: r:
~ ~ ..n. ,. ,-,r, ,{ -.
. ' ....... ". -
Acct-~: Ref::=: 1019198:.::
;~('.P '(. :} ~ 01 755758
rr,ansa(.:f; i c .... totG.r.
2/13/2017 1:59 PM
$37:l.32
Master C0n;truction & DeveloPM
Gr::n,"2ra_ Plt\il )01:rGe Fee
0111b002-~1600000-
P..u i l ,:, in~-
01 J. Li002-"51601000-·
BlG~ Stds ~~~vo~vi,1~
llL.L:.OO::!-""iC:,J.2000·
l'lus~c:' Car~
:c:~:;_;'.~«~~ trfrt~0163
0 11160 02 51601 Permit F ee
0 1116002 51 6 1 2 Bldg . Std s. Revolvin g
0 111 6 002 5 1600 Gene ral Pl an Update
0 1 1 160 02 5 1 601 Issuance
Fee Tot al:
Pa id to Dat e:
Balance Due:
.P -~
'.?· '.1. " .... '
$2 98.5 0
$1 .00
$20.56
$51 .26
$37 1 .32
$0.00
$371 .32
BUILDING-INSPECTOR RECORD
SITE-WORK DATE ID/SIG. COMMENTS OWNER HU I LUE ll IJ ELl'A llATIUN .
I hereby .i ffin n under pc11nlty of pcijury thnt I run cxempl fro m t he C'ontrnctors· License Lnw for the fo ll owing m1snn (Scc.7031.5
Set Backs Ousi r1css and Profession ('ode): A11y City or Com11y which requires a pcrtnil to co ustrucl . .ihe;.--.·. i111 pro,·e. dc1_nolish or repa'ir any •
structure . prio r 10 its iss11n11cc. nlso re<J uires lhe npplirnnl for sui:h pcrmil tn file a s igned stalcment 11ml he cw she.: is lin:ns ed pursuant
Forms/Steel/Holdowns to the provis ions o r the C'o nt rnc1or's Licensed Lm,· (rlmp1cr 9. Co1111nenc.:i11g wit!, Sect ion 7000 n f Div isio11 ~ nf 1hc Busin ess anU ...-
Erection Pads Professions Code) or thal he or she is exempt therefrom ,md the basis for the nllcgcd exemption. A11y vit1 btion nf Scrtit111 70 ) 1.5 by any
.tp plicant for i1 per m it subjt-cts tht": appl ic ;mt to n civil pe1ia lt y o f 1ml n mrc tha n live hundred do ll ars ($500).
UFER Ground _i. as owne r o ft he prope11y. or m y cmployct..-s wit h wngL-s as the ir sole compcnsntit'n . will do the \\·Ork rind the structure is 1101
SLAB Floor intended o r o ffered for s.-1le (Scc.7044. B usiness nnd ProfcsslC1ns Code: T he Contrnctor·s License Law docs nm :ipply to m1 cm11cr of
the p ro pel1y who builds o r impro,·cs thereon. a11 d who docs such wo rk him self or herself o r through h is o r her (1wn emplo~n·s.
Subfloor/Vent/lnsulation --provided that s u ch im pro\'emems arc not intended or o ffered fo r s.1lc. If. howc,·cr. the building o r im pro,·cmc11t is :mid ,, ith i11 llllC year
Roof Sheathinq l:>f~/1 ? -uPl\-L .,... #-~ o f rn111pk.1io n. the Owner I3uiklt.;r will h.1Yc the burden u f proving that he or she <lid ll~Jt build o r i111 pn1Ve the pwpC-11) for tht.: pt fflXlSC o f
' . ., --,--,-, sale).
Shear Wall I I ~ \JU \:../
_1. as o wner o f the propci1y. am e~clusivcly co11tract ing wit h lic ensed contr:iclo rs lo cuns1ruct the pn1j t.."(I lSeL·. 7(),1 1. B11c:iness
Fra ming rmd Pm flX'lKln Code: The C'ontrnc\or's L icense Law docs nol :ipp ly lo nn owne r nf pn~pcrty who bu ilds or imprt'l\'eS !hereon.
rmd w ho contrncts for s uch projects wit\1 n Contmctor(s) licensed purs11:i nt to the C onl rncto r's License 1.nw).
lnsulation/Ene rav _1 am C.'(em pt under Set:t ion . 0 . & P.C for this f'CilS(l ll.
Drywall Date : Owner:
Ext.lint. Lath -wuiii,r-:iiS'c-0 ~1,,ENSA Tl(lN --
DEC LARA TI ON
Brown Coat I hereby nfli n n 1111dcr pt.·nnlty o f pctjuryone of th e follo wiug dccl:irnl io ns:
Ma sonry _I h:we m1d w ill nrni11 1rtin ;-, Ce11ificnte o f Consent to Self-Insure for worker s · co1npens .11 ion. :is prcw idcd fo r by Sc..•1.:l it111 .1700 of the
Pool Fence Lnbor Cod e. for the per fonn:incc oft he wor k for which the permit is issued.
T-B ar _I have and w ill m aintain workers · com peusnt io n insurnncc. ns required by Scction 3700 of the Lab-Or Code. for t he p1.:IIOnnan cc o f
lhc work for w hich this permit is issued. M y wor kers· t:ompc11sa1io11 ins u rance Cilrricl' a nd pulky number nrc:
Handicap Req. CatTicr: ' .'.7~7b ~UN'Z>
De puty Final Report Po licy Num ber:~/ o/6 S-I' c50 -I b ... 'L?c:>t'?_ Exp ires:
Enqineer Final Re port _1 certify th:ll in the performance of the w ork fnr whic h t his pcrmi1 is issued. l s lmll not cmplliy rmy pr r son in any m mmcr
Flood Zone Certif. so ns lo become s ubj ec t lo 1hc work ers ' cornpc usalio n la ws ofC'nlifomia . nml agree that if l should become s uhjcct lo the
workers' compc11s alion p rovisit1ns o f Sceti'1 n 3700 n f lhc Lalx.1r Cude. I s hall. fm1 hwi1h com ply wi1h thcisc pnwisi(lns,
WARNI NG: r-ai lurc to secure \\'orkers' co mpcnsnlion C0\·erngc is unlawful. a nd s hall su~jcc l :111 employer 10 n im inal penalt ies and
/'.:\ c iv il fin es up lo one hu ndred tho usand d nllnrs ($100.000). in addi1inn to the cost nf co111pcnsation. d a urng cs as p ro\'idcd fo r the
Section 3076 or the Lnbor Code. interL-SI nnd ,mornez -S.
FINAL b .... 2-2-17 k .. \LtJ ,;Y 0 ·,· ~ ~
-Dntc: 2 /1,3 /f / Applic,11 ~ ~
Certificate of Occupancy '-"" 1 I c S EU C T R,\CTU II
DEC LARATION
Notes, Remarks, Etc. I hereby affirm under penalty of perjury t hat I nm li censed u nder provision of C h apter I} {cnmmcnciug with Sect iC'ln 7UUO) C'l f Oivision 3
or 1hc B usiness and Pro fessions ('od e. nnd my license is in fu ll fo rce and cfft!1.:t. -
l3, 5~ 2-t5.3 Lic e nse Cl;~ :z:ense Num ber:
Onie: zlt.~f-1? Conlrllz 0 1) X }// --t
l,;Uf'/ST IIU!,;TIUN LEN DI NG AGENCY
I hereby affirm undcr pen.lit )' of pc1jury 1ha1 1here is a c(lnStruct ion lending agenc y for 1hc performance of1hc work fi1r whid, this pcnnit is
issued (Sec. 3097. C'iv. C'.).
Le nder·s Name:
Lcndcr·s Ad dress:
Al'l'LIC ANT DEC LARATIO N
I ht'lt.--by aflin n under penally of pe1j11 ry o ne or 1he following declrtrnl it,11s :
Dem olit io n Per mits -Asbestos Notificat io n Federal Regtllntions (T itle 40. l',1116)
_Rt.-q uircd Letter of Notification
_I ce11ify thm !he fcdcrnl regulations rcgnrding .lSbt..-sH,s re1mwnl .ire 1ml ri pplicnblc hi th is projcc1.
_I cenify that I ha ,·e r ead 1h is .1pplic;1tirn1 and s1nte that 1hc :ibo,·e inform:ttirn1 is con ctt. I agree to rnmply with a ll C it) ;md County
ordin;i ncL-s and Sta le Laws rcla ti11g to b11ild i11g co nstructio n. and lu;.·rcby nuthorizc rcpt"cscnla tiv(,'S uft his C ity n11d C\1u11ty Ill t:nler upon the
above ment io ned p ro pc11y for insp cc ·o n purposes.
-llale:-3/{_? r!tt2 A1i plicantnr ,~gcn1 Signn~
· P<'rmitcc mime (prin t):
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