HomeMy WebLinkAbout101100087 - Permit-^
Proiect Address: 3401 S Timber Sta
Assessor's Parcel: 410-161-06 Lot: 19
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract. 7002 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O11OOO87
Pin #: 986E8
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of work: New Bedroom/Bth/croset code: cBc 2016 otherAreas. yards Req,d:
Existing Bldg. & Use: SFD w/att garage Flood Zone: X-0602320278J Garage Area: Vatuation:
Proposed Use: # of Stories: Total: O
Description of Work: Convert (e) permitted family room to bedroom & add interior walls to create new bathroom & walk-in closet.
$15,000.00
P,crbrh+:5;lSt.t:i
0f i ice: (:TYH
I t-tl J I /
Ir'nrisiPlanning Conditions:
Owner.
Address:
Phone:
Tenant:
Robert Giannini
3401 S Timber St
Santa Ana, CA 92707
(7141 497-7714
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #.
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
R,rp t *: it279 915!
Tr0nso,:t ion 't t
Rohert G inFrr rl
AEH Design, lnc
n
tr.
._t
ct
J..fr_il-
rr Ur
2240 Raleigh Avenue
Costa Mesa, CA 92627
(562) 843-0276
_t r-t t-l -
l irrg
Ir-r[r-
Jfilen t 5
F,
Planning Approval By:
Plan Checked
Permit lssued
NPDES lnsp
PWA lnsp.
Planning Insp. Req'd:
Landscaping Insp. Req'd
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No
, Jerry Date: 08/19/2019
Date: 08/19/2019
Date: 10/31 12019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Account#
72581
Total
0777 Permit Fee
07776002 53600 Plan Check Fee
07776002 57770 Microfilm Records
08e07007 24000 SMIP - Category 1
07775002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$499.59
$461 .74
$19 5s
$1.e5
$1.00
$22.es
$57.20
$1,063.98
$444.32
$619.66
J
I
Kathy
Teri
No
No
No
No
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#: 2019-151456
01 1 16002 51600
01 1 16002 51601
01116002 s1612
01 1 16002 53600
01 1 16002 57770
08901001 24000
$22.9s
$556.79
$1.00
$17.42
$19.s5
$1.e5
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS 0\},N I]R I} U I I,I)ER DF]1.('A RA'I'ION
t heeby affirm unda poalty of po'jury that I an qcmpt ftom thc ContracloB' Licme taw for thc following rcmn (56.7031.5
Buincs and Prcfsion Code): Any City or County which rcquiG a pcrmit to construcl. altq. improvq dcmolish or rqhir my
struclwc, prior to its issuscc: abo rcquiE thc applicdt for such pcmit to filc a signc{ stalmot thal hc or shc is liccnsd pl$fft
to thc provisions of thc Contractor's Liccnrcd taw (Chaptq 9. Commencing with Sction 7000 of Division 3 of thc Busines md
Profsions Codc) or that he or shc is cxcmpt thqc,iom md the b8is for the allegcd cxcmption. Any violation 0f Sec{iolJo3l .5 by any
applicantforap€flnitsubjetsthe applicanttoacivilpcmltyofnotmorcthillivchundrcddollus($500).
-.
_1. m ownq of the property. or my cmployG with wag6 I thcir slc compensalion, will do the wort md lhc sttuclre b not
intaded or offdcd for sle (Sc.7044, Bwin6s ild Prcf6sions Code: Thc Contractor's Licosc Law do6 not .pply to il omq of
thc pmpqly who huilds or improE thqo& od rvho do6 such wrlt himsclf or h6clf or thrcugh his or hc om cmploycc.
providcd that such imp.ovmts @ not inloded oroflscd for slc. If. how6,6. lhe hrilding or improvmt is sld withh one )er
ofcomplction, thc Ownq Buikk will haw thc htrdm ofprovinS thd he or stre did not tuiH or imForc thc pmpqry ftr thc Ftrpo$ of
slc).
_1. as owner of the propedy. am exclusively contracting with licensed contractors to construct the project (Sec. 7M4. Business
builds or improves thereon,and I'>rofession Code: The Contractor's License Law to an owner of property who
and who contracts for such projects pursuant to the Contractor's License Law).
\
_l arn exempt under
floto.
I hereby afTinn under penalty of of the
_l have and will maintain a Certifrcate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
Labor Code. for the performance of the work for which the pcrmil b issued.
_l have and will maintain workers' comp€nsation insurance. as required by Section 3700 of the l-abor Code. for the performance of
the work for rvhich this p,ermit is issued. My workers' compensation insurance carrier and policy numhr are:
Policy Number: ExPires:
_l certi$ that in the performance of the work for which this pcrmit is issued. I shall not employ any person in any manner
so as to become subject to the workers'and agree that if I should become subject to the
$'orkers' compensation provisions I shall. forthrvith cotnply rvith those provisions.
WARNING: Failurc to secure
civil frnes up to one hundred
unlawful. and shall subject an anployer to criminal penalties and
to the cost of compensation. damages as provided for the
Section .1076 of the Labor Code.
9 (cornmencing w'ith Section 7000) of Division -3I hereby a(firnt under penalty of perjury that
of the Business and Professions Code. and my liceme is in full force and effect.
License Class: License Number:
l)irlt'. ('ttltlt':tclor
CONSTRUCI'ION LENDTNG AGENCY
I hreby afffm undq p6ahy of perjury that thoc is a comtruction lmding agocy for thc perfommcc of thc work for which this pamh b
issued (Sec. 3097, Civ. C.).
lrnder's Name:I
I-ender's Address:
APPLICANT DECLARATION
I herebry affrrm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notif-rcation Federal Regulations (Title 40. Pan6)
-Required
Lctter of Notification
t
I ccrrify that the regulations regarding asbestos reinoval are not applicable to this project.
I the above infonnation
ordinances hereby authorize
above mentioned
Applicant or
Pernrilec
I havc
(94<$/^/tP I
thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nU I n s u latio n
Roof Sheathinq
Shear Wall I t
Framinq n ,1 -l -?o Dfi+YN
lnsulation/Energy )c'/ ld t 2)\>ft*??
Drywa[-tc 2, I Dt+.+7
Ext ltn/tath ln /A)D*#-y
Brofrf,n Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL It tv 1r Dt{rv 7
Certificate of Occu pancy
Notes. Remarks, Etc.
( 'lttle t
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