HomeMy WebLinkAbout101102935 - PermitProiect Address: 5336 W Ballast Avea
Assessor's Parce!: 108-587 -07 Lot: 25
Unit:Bldg: Address Range.Suite Range:
Zoning: RlBlock: NA Tract: 4559 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01102935
Pin #: 58845
Building Use: sinqle Famlly Owelling Occupancyr R.3, U 1st FL Area 66 Patio
Job Type: Addition Consh Type: V B 2nd FL Arca: T.l.Area
Nalure ofwork: AdditionrRemodel code: cBc 2019 other Areas: yards Reqd:
Existing Brdg. & use: sfd wrstt garage Frood zoner A-0602320252J GaEge Area: Varuetion: l,l2,ooo.oo
Proposed Use: # of Stodes: ToEL 68
oo3cription of Wo*: Add now bathroom and c6ala new entry. Romovo noFb6adng wall ln kltchen along with countar iBland to expand kilchen and
living ruom alla6.
Planning Condltion6:All matedal. to m.tch .xbling.
Owner:
Address:
P hone:
Tenant:
Nam Tran
5336 W BALLAST AVE
Santa Ana, CA 927041870
(7141 417-7023
Contractor: Landing Construction Groug
Address: 13882 Summerwood Pl.
Garden Grove, CA 92844
Phone: (7141 337-9238
State Lic #: 963678
Lic Type: C-35, B
Bus. Lic #. 375908
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9016669
Expires: 0710912021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Duc Van Tran Designer
Duc Van Tran
16436 Vernon Street
Fountain Valley, CA 92708
(7141 713-3597
Designer
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping Insp. Req'd: No
Fire lnsp. Req'd. No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Khang, Kathy
CSG Consultants
Verduzco, Viof.t.$
Date: 0112712020
Date: 0312612020
Date: 0712012020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07775002
077760 02
07176002
0 77760 0 2
077760 0 2
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
Genera! Plan Update
lssuance
74057
Total
57607
53500
57770
57672
57600
57607
Fee Total:
Paid to Date:
Balance Due:
$300.00
$300.00
$24.30
$1.00
$23.7e
$5e.30
$708.39
$300.00
$408.39
Account#
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#'. 2020-1 57337
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$23.79
$35e.30
$1.00
$24.30
SITE.WORK DATE ID/SIG.COMMENTS OWNER BI.'ILDER DELCARATION ,
I hcrcby affirnr undcr pcnalty of prjury that I am exempt from the Contractors' Liccnse [:w for thc following reason (Scc.7031.5
Busincss and Prot'ession Codc): Any City or County which requircs a pcrmit lo construct. ahcr, improve, dcmolish or rcpair hny
structurc, prior to its issuancc, also rcquircs the applicant for such permit to frlc a signcd staternent that hc or shc is licenscd pursuant
to the provisions of the Contractor's Licensed I":w (Chaptcr 9. Commcncing with Scrtion 7000 of Division 3 of thc Business and
Profcssions Codc) or that hc or shc is excmpt thercfrom and thc basis for the alleged excmption. Any violation of Section 7031.5 by any
app-licant for a perrnit subjects thc applicant to a civil penalty of not nrorc lhan five hundred dollars ($5001. .r
I l. u* owncr of thc property, or my enrployecs with wagcs as thcir sole compcnsation, will do the work and thc sErrcturc is not
rntcndcd or offcrcd for sale (Sec.7044, Busincss and Professions Code: Thc Contractor's Licensc l-aw does not apply to an owncr o[
the propcrly who builds or improves thcrcon arxl who does such work himsclf or hcrsclf or lhrough his or her own employces.
providcd thut such imgnovenrents are not intcndcd or offcrcd for salc. If, howe'rcr. thc buiHing or inprovcrrnt is sold within one yciu
of comphtiorr" thc Owrrcr Buildcr will have thc burdcn of proving that hc or shc did not build or improvc thc pnopcrty for thc pur;nsc of
salc).
{_,,as owncr of thc propcrly. ant cxclusivcly contract ing with liccnscd contractors to construct thc propct (Scc. 7044, Busincss
Profcssit>n Codc: Thc Contractor's Liccnsc Law docs not apply to an owncr of propcrty who builds or improvcs thcrcon,
who conlracts for such projccts with a Contractor(s) liccnscd pursuant to the Contractor's Liccnsc kw).
and
and
DECLARATION
I hcrcby affirm undcr pcnalty of pcrjury one of thc following dcclarations:
{ , nou"und will rnaintain a Ccrrificate of Conscnt to Sclf-lnsure for workcrs'compcnsation. as povidcd for by Scctbn 3700 of the
Labor Codc, fbr thc grcrformancc of thc work for which the pcrmit is issued.
il nor"and will nraintain workers' compensation insuruncc. as roquircd by Section 3700 of thc Labor Codc, for thc performarrce of
thc work for which this pcrmit is issucd. My workcrs' comlrcnsation insurance carrier and plicy numbcr are:
ulat
_l ccrrify that in the Jrerforrr,ancc of the work for which this perrnit is issucd. I shall not cmploy any I .'person ln Bny manner
so as to bccomc subjcct to thc workcrs' conqrcnsation laws of California. rurd agrec that if I should beconrc subjcct to thc
workers' conlpcnsation provisions of Section 3700 of the labor Codc. I shall. forthwith cornply with those provisions.
WARNING: Failurc lo scure workers' compcnsation covcrage is unlawful. and shall subject an cmploycr to criminal pcnaltics and
compcnsation. danuges as provided for thecivil fincs to onc hundrcd thousand dollars ($100,000). in addition to thc cost of
Scction Labor Codc. intercst and attorncy's fccs.
LICENSED CONTRACTOR
nncl-ArtATIoN
am licenscd under provision of Chaptcr 9 (comnrncing with Sc.ction 7000) of Division 3
my liccnsc is in full force and efTcrt.
I hcrcby alfirnr undcr penalty of pcrjury that I
of the Busincss and hofcssions Codc. and r
Liccnsc Nunrbcr:
W
I hcrcby flirm udcr Fnalty of pcrjury that therc is a conslruction lcnding agcmy for lhe pcrformcc of thc work fo] which this Frmit is
issucd (SN. 3097. Civ. C.).
Lcndcr's Narrrc:
[-ender's Addrcss:
APPLICANT DECLARATION
I hacby allirrn undcr pcnalty of pcrjury one of the following dcclnrations:
Dcnrolition Pcrmits-Asbcstos Notification Fcderal Rcgulations (Title 40, Part6)
y' n"quirca
-{l ccrtity that lhc fcdcnlEgulations rcgrrding ssbcstos rcmvslrrc rct applicablc to this prcj$t.
jl ccnify that I havc read this opplication ard starc that ftc abovc informtion is corecl. I ogre to comply with all City snd County
ordinares and Stutc [:ws rclating ]o building conslrction, ild hercby authoria rcprcsentaliws of this City and Counly to cnler upon thc
abovc rrrcntioncd proprty tbr inspcction purposcs.
Applicant or Agent
Prrnrilee nirnro
Set Backs I
Forms/Steel/Holdowns I -?#7 '{)
Erection Pads
UFER Ground
SLAB Floor
Subf Ioo rlV enV Insulation
Roof Sheathinq
Shear Wall
Framinq 4t 'a170 D*+6q
lnsulation/Energy q 'LYlau)Dfr,td',r
Drywall q rzfflZo PffYT ?,
ltglfintllath 1,qo Dt tr67 lo/7/.ru Df{Ty-Y-(
BroilfnCoat lgra-Mr,LL t,q v qla)Dtr#&,toltoltn Dffiffi
[\Iasonry I
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
I J -a
FINAL 7
Certificate of Occupancy
Notes, Remarks, Etc.
-l
BUILDING. INSPECTOR RECORD
Rev. 08-07 -201 5
,
)
/t4/ /ol2)
B. & P.C. for lhis rcilson.
Contractor:_
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