HomeMy WebLinkAbout10197447 - PermitE
Assessor's Parcel:001-281-05 Lot: 53
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Trccl 2122 Historic. No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit#:10197447
Pin #: 7O73O
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Planning Conditions:
Single Family Owelling
Reroof
Reroof
Residential
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320144J
'l st FL Area
2nd FL Area
Other Areas
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:$20,000.00
Description of Work: Reference #10196773. Providing additional supporting information related to reroof scope of work in reference to correction notice
from inspector. Underlayment, installation of 3" polyiso insulation. An engineering structural analysis was provided.
Rcpti:ts24A14L7 -
Tronsact ion Totol
tl
Owner:
Address
Phone:
Tenant
GlenM&JulieStroud
1617 W Santa Clara Ave
Santa Ana, CA 927061804
(714) 835-7691
Contractor: Handley Development lnc dl
Address: 403 W 21st Street
San Pedro, CA 9073'l
Phone: (310) 831-7663
State Lic #: 404931
Lic Type: C-39
Bus. Lic #: 343989
Workers' Compensation lnsurance:
Carrier: California lns Co
Policy #: 8265699701
Expires: O1lO1l2O19
Palos Verdes Engin€ering ,John Schuricht
550 Deep VAlley Dr.
PALOS VERDES'FENINSIJEAIOA 90274
(310) 541:5055
2391
lri,rl
'j
Engineer
Phone:
License #
Phone:
License #:
$1, !_l
Architect /
Desiqner:
Address:
Planning Approval By:
Plan Checked By:
Permat lssued By:
]lPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
71409
$222.16
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd; No 01116002 51600
01't16002 5'1601
01 1 16002 51612
$22.08
$55.04
$1 .00Every pemit issuod sha bocofie invalid unless the wo* on the site authoized by
such permit is commenced within 180 days aftat its issuance,ot if the wo* authoized
on the site by such pemit ts suspended ot abandoned for a peiod of180 days after
the time the wo* is commenced.
lnspector MID#: 2O18-144'lO3
Fee Total
Paid to Datel
Balance Oue:
$300.28
$222.16
$78.12
Project Address: 1617 W Santa Clara Ave
Address:
Date: Misc. Receipl:
Ahangian. Kathyn- Dalet 1010212018 Misc. Receipl
Zuniqa. Attissa ltr\v Date. 1OlO2t2O18 Misc. Receipt:I
Subject to Field:
Total
07716002 53600 Plan Check Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 sI600 General Plan Update
07776002 51601 lssuance
Account#
BUILDING- INSPECTOR BECORD
COMMENTSSITE-WORK DATE
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsu lation
/az4ff IRoof Sheathino 4 tolw'lw
Shear Wall
Framinq
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Beport
Enqineer Final Report
Flood Zone Certif .
I
>12/l//Y 1nA i*Itt
Certif icate of Occupancy .,Iv ln r',-
Notes, Remarks, Etc
pl
OK, fr 121)
OWNEf, BUIr,DI,II DELCAIATION
I trr.by arinn undcr ri.nrlry or n rury rh$ I d.rcnDr ionl rhc Contr.rors Liccnsc lf,w tur rhe n'lbwirr {'$n (sc' 70115
Irusincs ud Pi(,rcsin Codc) Any citt or Counry *hich rcquir.\ n Fnnir h consrtu.r. arrcr inrProlo dcmolth 'tr rulun dnv
srdcrurc, trid kr irs i\stx.... als. nquircs lhc lppli.mr rur str$ Ennir t,lllc, rrtnc.l slilcnEm rhar h.orshc i\ Ii"nscd lunu{nl
kr rhc p('!isi,,r\ of rhc Cotrrrcrois Lic.n*d tis (Clrprcr L Connncrcirg wirh S..ridn 7t)tro ot Divtion :1 oI rhc Bu\nr\s rnd
ProlcssnrN Codc)nrrhlr hcor\hc iscxcmpr lhcrcaronmd rhcharh lbr lic all.gcd cxcnipri{rn Any violari'n ofS*rion 70:ll 5bv!'v
atlliconr lor aFrmir subjcch Ihc uptlica.d. uciviltcnlllyoinor 'noru
rhrtr livc hundrcd dollrrs 13500)
,. r\ ouncr ol rhd ptuFdy, or nry cnrPbys\ *irh sr8cs as rhcir v,lc ..trrlEtrs0tion. *ill do rrE wor* and rh' $mrw h n
i'nmdcd or ofic!.d ld srlc ( SN.?(N4- Busirrc* Md Pmfcsstuns Codc Thc Conlrucroi s Li..nsc L1r docs nor aPlly lo an o*ns of
rlx F)If,ny whJ builds.. inl,ord rtrm.. lrd who dms stch so* himsclfor hfi*ll or rhn'ugh hk or hcr osn enPloltcs
frevdcn rhar \uch inpturtn.nrs @ ,i, c td or.ficFd lbr {lc ll horcv.'. rh. hxiLling.r impowrrc nstsirhinoR}rtr
;r.ompl,:rion. rhc o$;r Buildcr willMvc rlE tDrdcnorpn,virr8 lhd h. or \hd dil nor buiH or inDmrc rc PNPcnv ror rhc PUrr'{ or
-1.
!sowncrorrh.Ircpcny, amcx.lu\ilclt.ontlcrirrg $irh licci*d .onlrrroF b con(dd rh. I)Iojmr(scc 7Or4. Bn'inr\\
rnd Pnrlassi.n Codc:;ft; Cotrtrclu s Liccnsc t-tw 'locs mr applrro anow.cr oflliPc v*h. buildr or n!!tuvc\ ther'n-
nnd sho oorfldsn, such projcck wirh ! G)nlmdod s) liccnscd Pununl r. rh. C.nrdols Lic.nrc b*).
I rncx.nrfl trndcr scc(iL)
D.re' Oen.r.wonxris'coupns,rrttix
DECI.Af,A.IIIIN
I hccby afilrn undcr lenrh, of Frjury om of lhc follo*ing delnr(n'ns
-l
hsw and will'MinllinaC.din.ar.ofConscnllo Sclllnsurc lor wolkcn .onF.sarion. as l/.lidcd forbvSccrk'n 1.7 rorrhc
t bor Codc. id tt[ p.rrbmm. of th. wo* tot which thc Pedh i! issucd
-lhawmdwillmli
ain workeB compcns ioniosutunc..ns rcquiEd bv selio..UOo otrhc tibor Codc
'or
rh' P'rfornunce or
rhc wort lbr which this ncmir ir isscd. My worksl .onp.ns ion iflruotuc fficr otn policv numh.r ec:
- O P-r t>P-.s pn. ^t I^ < 5VL
2_(.b \-\- ?-(, \ q
1LI.. '1!rhrr 'n
rhc Nrt"rnrxnlc ,rrrhc trnrl rnrshtrhlhisPcflnir is i\srd l shrll nor tmflov,nvFrvnr i'r riv [trmr
o 0st' hfton- \uht .r k, rh. workn comFns riotr hws olCrlilt,nrir. dntl !8rce rhar ifl shoul! t'con* suhi'tl lo rti
workcn dnn ds[ion Imvhbns of S..rio. ]700 ol rlN I rtin C(xlc. I sl'"111. [onh] h mmflv s irh rho* lnlision\
IYARNINC: ii'ilurc k, sccu'e s.rtc6 .onrpcisnrnnr .otrr03c is trnl qful. otr.l shrll subiccr irl ctrrPloFr ro dn nrl ,cnrhics nntl
civil 6n$ up b otrc hundrcd rhorBid dollur 1S100,(X in lddnn ro lhc con ofco.rp.nsoltun. d mScs rs lrovidL{ Lr $c
scdi(r lll?6 otrhc tltn (iic. inrcrc( rnd rr
Dare - \@ - 1-ZqB 1
DEILA8AIIgN
I hcrchy0lnnund(ptn.lryofpcrjuryihd, tr lctrsdunncrPn)!is6n.lChtlrcr9t..nnncncing{irhS"!tunTolxDorl)ivi(htrI
of rhc Busircssrnd Pmfc\sion\ Codc. and dr li.cnsc s in lulllnr..andcllccr.
c-j1-3I
CONSTRII(]TITIN LEND!N(i A(iENCt
I hcrcby.lim u.dcr Fnrllyolpcrju'ylhd lhc'c is,.oNruclion ].ndirl! n8cNy li)r ihc Flfunnlnce ollhc *oll li)' which lhil..ani is
issucd (se :r097,civ. c )
! Addrc\
-
APPLICANT DI'(]t AR\1'ION
lnDuBLr Fnrlr, of pcrjury onc of rh. Llb$ira dc.irlr6.\
Dc'n,lirion PcrnitrAshcdo\Ndifi.dion ltdcrrl Rcgtrlnrions(lirlcJl) PM6)
,l.qutrcd L.rrcr oi Norillori(trr
lccnilyrhrr rhc l.dcrrlrcEul!rn,i\nArdiraashc(o\rcDxrnlrc tr rnPpli. hl. rr rhis Pri!.cr
thdr I h,v. rcad rhis {rli.lrion rt slrlc lhrlrh. fi)vc nriomuri,m ir.omcl.l aE e t,.onrrlv $ilh sll cir, a'd Coutrlv
,nlnxN.\ rtr(l Srn. t.ns\nlri'i! I hxildrnp.on(rucrt,n.,rxih.rcbyanlhorirrrcflcsctrllrivcsofihisCiry{.dGnrnrytocntcrupon
ll)v. nrcnri0nc,lfr,tr y tur
,\pplir.nr or,\!.tr1 Sianaltr u,,., to 2- ?9r8r={2- ',
tal
ID/SIG.
FINAL
llvv,{ lun'a \rt"7 pw
{
D,r.' \O--a -\g
I