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Home My WebLink About10191671 - PermitC ity o f Santa Ana 20 Civic Center Plaz a (M -19), S anta An a, CA 92 702 Building Permit#: 10191671 Pe rmit Counter: (714) 647-58 00 Inspection Requests: (7 14) 6 6 7-2738 Inspector S e ctio n: (714) 6 4 7-5853 Pin#: 91362 Project Address: 1318 N Garnsey St Unit: Bldg : Address Range: Suite Ran ge: Assessor's Parce l: Building Use: Jo b T y pe : Nature of W o rk: 398-581-14 Lot: 23 Single Fami ly Dwelli ng Reroof Reroof Block : A O ccupancy: C o nstr Type: C o de: Ex isting Bldg. & Use: 4 UNIT APT W/DETACHED CARPOI Fl ood Zone: P ropose d Us e: # of Storie s: Tract: 395 R-1 VB CBC 2013 X-0602320144J Hist ori c: No 1st FL Area: 2nd FL A re a: Other A reas: Garage A r ea: T ota l: Z oning: R3 Patio: Tl.A rea: Yards Re q'd: O@O Valuation : $10,500.00 Description of Work: TIO existing comp shingle and install with new comp sh ing le to apartment bu ilding only. Replace sheathing. Total of 20 sqs. Hand out given. Planning Conditions: Repair any damaged fasci, eaves, rafters, wood members, etc . Own er : ROBERTO MITCHELL Address: 223 N BROADWAY Santa Ana, CA 927014862 Ph one : Tenant: Contra ctor : A ddress: Phone: St ate Li e #: Li e Type: Bus. Li e #: ALLEN-DE ROOFING/DRYW 5416 VALINDA AVENUE Rancho Cucamonga, CA 91 ' (909) 851-8363 599041 C-9, C-39 364157 Workers ' Compen satio n In surance : Carrier: State Fund Po licy #: 9048043 Expi res: 08/01/2017 Pl an nin g A pprova l By: Plan Checked By: Perm it Issued By: NPDES ln sp . Req 'd: G uerra, Pamela Z uni ga, A lli ssa ~ No Date: 12/20/2016 Date: Date: 12/20/2016 Subject to Field : Misc. Receipt: Misc. Rece ipt: Misc. Rece ipt: PWA ln sp. Re q'd: No Pl an nin g lnsp . Req 'd: No Landsca ping ln sp. Req'd: No Fire ln sp. Req'd: No Police ln sp. Req'd : No Flood Zo ne 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 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. Inspector MID#: 2016-1 33567 Accoun t# 01116002 51 6 0 0 0111 6002 5 16 01 0 111 6 0 02 5 16 12 Enginee r : Add ress: Phone: Li cense #: A rchitect / Des iqner : Address: Phone: Li cen se #: Total $20.56 $34 9.76 $1 .0 0 Batch=:::36702 -12/20/2016 ID: LROSALES Off ice: CTYH Trans=::: 6 1 of 2 Acct~: Ref=::: 10191670 RcPt=:::01692468 -12/20/2016 8:49 AM Transaction Total 1742.64 ALLEN-DE ROOFING/DRYWALL CONTR General Plan UPdate Fee S20.56 n1 11 Ann?-~t6 nnooo- Fee T ota l: Pa id to Dat e: Balance Due : $371 .32 $0.0 0 $371 .32 SITE-WORK DATE ID/SIG. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/Vent/lnsulation Roof Sheathino z.f gf 17 GtJ-e Shear Wall Framina lnsulation/Enerov Drywall Ext./lnt. Lath Brown Coat Masonrv Pool Fence T-Bar Handicao Rea. Deoutv Final Report Enoineer Final Reoort Flood Zone Certif. I I FINAL Certificate of Occuoancv Notes, Remarks , Etc. GUILDING-INSPECTOR RECORD COMMENTS I OWNER BUILDER D ELCARATION I he reby affirm under penalty of perjury that I run ex.empt from the Contractors· License Law fo r the following reason (Sec. 7031 .5 Business and Profession Code): Any Cit y or County which req uires a pennit to construct. alter. improve. demolish o r repair any stnictu.rc. prio r to it s issuance. also requires the a ppli cant for such pennit to file a signed statement that he o r she is licensed pursuant to t he provisi ons of the Contractor's Licensed Law (Chapter 9, Commencing with Sectio n 7000 of Division 3 of the Business and Professions Co de) or that he or she is exempt therefrom and the basis for lhe alleged exemplion. Any violation o f Section 703 I .5 by any applicant for a pennit subj ects the applic ant 10 a civil penalty o f n ot more than fi ve hundred dollars ($500). _I. as owner of the property. o r my employees with wages as their sole compensation. ,viii do the work and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does no t apply to an owner of the propeny who builds o r impro ves thereon, and who docs such work himself or herse lf or through his o r her own employees. provided that such improvements are not intended or offered for sale. If. however. the building or improvement is sold within one year of completion. the Owner Builder will have the burden of proving that he or she did not build o r improve th e propct1y for the purpose o f sale}. _I. as ownerofthe property, am exclusive ly contracting w ith licensed contractors to construct t he project (Sec. 7044. Busi11css and Profession Code: T he Contractor's License Law docs no t apply to an o wner of pro perty who builds or improves the reon. and who contracts for such projects with a Co ntracto11s) licensed pursuant to th e Contractor's Li cense Law). _I run exempt under Sectio n ________ . B. & P.C. for this reason. Date: __________ Owner:. _______________________ _ WORKERS' COMPENSATION DECLARATION I he reby affirm under penalty of perjury one o f the fo llo wing declaralions: _I have and w ill maintain a Certificate of Co nsent to Self-Insure for workers · compensatio n , as provided fo r by Section 3700 of the Labor Code, ror the perfonnance of the wo rk for which the pennit is issued. _I have and wil l maintain wo rkers' co mpens ation insurance. as required by Section 3700 of1he Labor Code , for the perfonnance o f the work for which this pennit is issued. My workers' compensation insurance ca1Ti cr ru1d policy number arc: Carrier: ] r olic yNumber: ~ 9@0® Ex pires: --B'-----'--/ -----'--/1'---- _I certify that in the perfonnance o f the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' com pensat ion laws of California, and agree that if I should become s ubj ect to the workers' compensation provisions of Section 3700 of the L1bor Code. I shall. forthwi th comply with those provisio ns. WARNl NG: Failure to secw-e workers' compensation coverage is un lawful. and shall subject an employer 10 criminal penalties and Section 3076 of the Labor Co de. inter~! and attorney'\ fees.:,-JI .# . civil fmcs up to one hundred thousand d o llru-s {$100.000).;uin add iL . o :zhc cost'lco pcnsation. damages as provided for Lh e Date: 12.-ZQ -/{; Applicanl:.,.e... v ~y.,cc:........:=c:::,.+--4=--=-...::.u;,A----=------ L l'"ENS ,~ O NTRA".T~ ( DEC LARATION_ / I hereby artirm under penalty of pe1jury that I am licensed under provision of Chapter 9 (commencing wit h Section 7000) o f Division 3 of the Business and Professions Code. and my license is in full force an d effect. License Class:: ______ --,------,--U~r .. / ~ .I Date /2 -w~ (<o Co nt rac~7 "7,' /J A I~ -~N"TR'"~NDIN22y I hereby affirm under penalty of perjury that there is a cons1ruction lend ing ag6ncy Jr· the pc..·-rformance of t he \vor k for which th is pennit is issued (Sec. 3097. Civ. C.). Lender's Name: _________________________ _ Lender's Address: _________________________ _ APPLICANT DECLARATION I hereby affinn under penalty of perjury one of the following declarations: Demo li tio n Permits-Asbestos Notirication Federal Regulatio ns (Title 40, Part6) _Required Leiter of Notification _I certify that the federal regulations regarding asbestos removal a.re not applica ble to this project. _I certify that I have read tlus a pphcat1on nnd state t hra?t)t the ~ above, information 1s cmn:ct I agree to co mply w11h all City and Coun ty ordmances and Stale Laws rcl~~\lng to 01_1stnnon, d eby au1horize r epresentalives ofth1s C 11y and County to e nter upon the above mentmned prope1ty for mspe ion purpo '·/_J .J Applicrml or Agent S ignntur q -~ I~ Date / 2 -2£}-( b Pcrn1itecname (11rinl)J-$ 1{/ ,{ C£,e:1Jb1;; r V o/4 Au~ 1 Be f ·rvlf'iJ.J). CA.t ~v'\" \ or )V\ff!'clfo( TI7 ~ l)J-<eH .J-D Planning & Building Agency 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org Smoke & CO Alarm Affidavit INSP-02 2013 CRC This document may be found at... http://www.santa-ana.org/pba/ (Please use a black or blue ink ball-point pen) ;VfT Permit Number: O{'JIG7 Property Owner: Contractor: License#: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential buildings . California Residential Code (CRC) Section R314 .1 and 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 l ocations . .o"\\soth boxes below must be checked : Car 6 on monoxide larms: Are installe outside of each sleeping area i n the immediate vicinity of edrooms and also on each level of the dwe · quired in bedrooms with gas-fi red appliances (i.e . hot water heater, cooktop, furnace} or a fireplace . l;Slsmoke alarms: Ar ~a t i ed i n~ roo~ used for sleeping, . ach hallway outside of a sleepin 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 l ife 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 be en in sta lled in compl i ance with the governing Codes and have been tested t e-ftl-· na l. also, hereby certify that I will retest th e alarms per the Signature: (check one) Property Owner NOTE: This self-certification is only used for projects that affect the EXTERIOR of the structure. This process is applicable ONLY to projects where access to the interior of the dwelling by a Santa Ana Inspector is not required. Have this completed form and the job-card readily availabl e on final inspection!