HomeMy WebLinkAbout101104807 - PermitCity 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 #: {O11O48OT
Pin #: 78281
Proiect Address: 423 N Linwood Avea
Assessor's Parcel. 398-393-10 Lot: 21
Unit:Bldg: Address Range:Suite Range:
Zoning. RlBlock. NA Tract: 319 Historic: No
Building Use Single Family Dwelling Occupancy: R-3, U 1st FL Area:Patio:
Job Type: Reroof Conslr Type: V B 2nd FL Area: T.l.Area:
Nalurcofwo*: Reroof Code: cBc 2ol9 Oiher Areas: yards Reqd:
Existing Bldg. & use: sfd wratt garage Flood zone: x{502320276J caege Area: vatuation: s7,ooo.oo
Proposed User * of Stories: Tolal
Doacription of work: Inetall new lay€r of comp over .xirllng layer of comp. Handouts glven. REROOF DOES OT |]{CLUDE UNPERIIIITTED PATIO
covER BETWEEI GARAGE E ]'AlN DWELLING' Botchi:8669r - 9/stJ/2n2n I0: ofi(,.,,i:.]ir'i
0f'f i ce : (:TYH Tr nn s*: 49 tof
a.
Planning Conditions:
Owner: LOURDES OCEGUERA
18 9
Tr0nsoct i on Totn I
LOURDES O(:EGUERA
P,t, ildirrs
Lrl I 16102- 5l6tJ l lJUu-
Genernl Plctn UpdqLe Fee
lJl I l6lJlJ2- 5 I 6lJlJt-tt-tt-t-
P'l ds Stds Revo1v ing
Lrt I l6tlrt2- 5l6lzutJlt-
Il icrof iIr & Docunents
tf l 1 I 6t-ttl2- 5777t-ttrt-tu-
Uisn
C(:+ : ****r*r*r*rx6 I 49
1:?
$433 .41
$4(14.58
$23 .79
$1-[t[
$4.u5
$433 .+2
Aubh+:tl3tJt4,t
Contractor: Owner-Builder
Address.
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires.
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
t
Address:
Phone:
Tenant:
423 N LINWOOD AVE
Santa Ana, CA 927014326
(7141 3604640
Planning Approval By:
Plan Checked By:
Permit lssued By:
1
NPDES Insp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd.
Landscaping lnsp. Req'd
Gomez, Pedro
, Julie
Date: 0913012020
Date:
Date: 0913012020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 77760 0 2
07776002
07775002
07776002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
Fee Total:
Paid to Date:
Balance Due:
$34s 28
$4.05
$1 .00
$23.7e
$5e.30
$433 42
$0 00
$433.42
No
No
No
No
Fire Insp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No 01116002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
No
No Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permit rs suspended or abandoned for a period of 360 days after
the time the work is commenced.
$23 79
$404 s8
$1 00
$4.05
lnspector MID#'. 2020-1 61846
t
lr
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathing le'lq.2o
Shear Wall
Framing
Insulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL tt/2ru 5ry<
Certificate of Occupancy
Notes, Remarks, Etc.
I hcrchy aflirm undcr lEnalty of Frjury lhat I am cxcmpl from thc Contraclos' Lilrnsc Law li)r thc followiryr rcovm (Scc.70ll.5
Rusi[css afid Profcssiu Culc): Any City or County which rcquircs a fErmit kr lIrnstruct. altcr. improve, demrlish or rcpai any
sIructurc, lmor to rls is$uancc, also rcquircs thc applicmt for such IErmil k) tih a signcd slalemnt lhat hc or shc is licctrsd Jrursulnt
to thc pmvisions o[ lhc Grntractor's Liccnsd llw (Ch{pts 9, Commcreing wilh Section 7000 of Division -] of thc Busincss and
PntbssionsGxlc)orlhathcorshciscrcmptthcrcfromandthcbasisforthcallcgcdcxcmption. AnyviolationofsethnTO3l.5by{ny
applicant l(rr a Frmit suhj@ts thc applicant to a civil pcnalty of nu m)rc than fivc huftlrcd dollus 1$5fii).
.LD. a, o*rcr uf thc prupcny, or my cmployes with waScs as thcb slc compcnsation, will do thc wuk axl thc slruturc is nol
incnlcd or ollcrcd lirr slc (Se.7O44, Busincss and Prolbssions C(xlc: Thc Contrack)r's Liccnrc hw d(rcs not apply to an owncr ()f
thcpnlFny whobuikls()rimpmrcsthccrn,erdwhod(Essuc'hur*himsclforhcrslforthrcughhisorhcrowncmphyccs,
providcil that such imprcrcmnts rc mt itrtcftlcd or()llbrcd fi)r sb. If, horcvq, thc building or impKlwmnt is sokl within one 1rcu
olcomphlion, the Owncr Buills will hrrc tlE budcn oflrovilg that hc or shc dil nrl huill or ihprovc thc pn IEty for lhc purF s oI
sab).
-l
as owncr ol'thc pn)Frly. am cxclusivcly conlract irrg with liccnsctl contractors l() construct thc prl.icct (Scc. 7044, Business
and Prrrtbssirxr Codc: Thc Contractor's l-iccnsc Law docs not apply lo an owner of propcrty who huilds or improvcs thcrcon,
and wlxr contracts lirr such projects with a Contractrlr(s) licenscd pursuant to thc Contractor's Liccnsc Law).
-l
amcxcmpt unrlcr Scction_, B. & P.C.'imo^r", 7l Sol )a 20 ()rrlrer:
rvo n r s ns' co\*srx*tffilr
DECLARATION
I hcrchy al'l'irm undcr Jrcnalty of pcrjury onc of thc folkrwing dcclarations:
_l havc antl will mainlain a Ccrtilicatc ol'Consent to Sclt-lnsure lilr workcrs' comlrcnsation, as pnlvidcd tor by Scction -17fi) of thc
Labrlr Crxlc, lilr thc pcrlirrmancc of thc wrlrk fbr which thc pcrmit is issucd.
-l
havc anrl will maintain workcrs' comJrcrtsation insurancc, as rcquircd by Scction -1700 of thc Labor Codc, for thc Jrcrlilrmancc of
the work lbr which this Jrermit is issued. My workers' compensation insurancc carricr arxl Jxrlicy numbcr are:
Pohcy Numtrcr: Expires:
;!Qt ccnity rtrat in thc JErlormancc of thc work for which this lrcrmit is issucd, I shall not cmploy any JErson in any msnncr
so as k) hocom subject Io thc workcrs' comFnsation luws ofCalifornia, and agre lhat if I should bccorc subjert to lhc
wotlcrs'cl)mpcnsationpnrvisionsofSelion3T0OofthctrtrrCulc. Ishall,tbrthwithcrrmplywithllxr*pnrviskrns.
WARNING: Fdilurc k) scurc workcrs'(omlrcnsation covcragc is unlawful, and shall subjcct an cmploycr kr lriminal JEEltics aftl
civil lincs up to onc hundrcd thousand dollars (S100.Uru), in addition to ths cost of comJrcnsation. damagcs as provirled lbr thc
Scction 3076 of thc l.atxrr Cule, intcrcsl and attorncy's t'ccs. ,4 -,
o*", 7 /zolzoLo Appricanr: @-4'\
I,ICENSED C()NI'R,\CTOR
I)ECI,ARATION
I hcrcby al'lirm undcr Srcnalty of perjury that I am liccnscd undcr provision of Chaptcr 9 (comrncncing wit h Scction 7firu) of Division -l
of thc Busincss and Prol'cssions Codc, and my liccnsc is in full lilrcc arxJ clfcct.
Licensc Class: Liccnsc Nunrbcr:
W
I hcrcby aflirm undcr JEnaltyof Frjury lh{t lhqc is a constructirn hnding agcrey li)r Ihc Jrcrfomncc (rf lhc work lirr which this Frmit Ls
issued (Scc. 3097, Civ. C.).
I-cndcr's Namc:
l,cndcr's Addrcss:
APPLICANT DECLARATION
I lrcrcby all'rm undcr Jrcnalty of perjury onc of the tblkrwing dcclarations:
Demolitiorr Pcrmits-Asbestos Notification Federal Rcgulations (Title 40. Part6)
_Rcqu ircd lrttcr of Notilication
_l ccrlily that thc l'cdcral rcgulations rcgarding ashcstos rcmovalarc not applicablc kr this projcct.
ccrtily that I luvc rcatl this application aml statc that thc abovc inlirrmation is corrcct. I agrcc to comply with all City and County
rlrdinanccs and State Laws rclating to building arxl hcrchy autlxrrze reprcscntatives of this City and County to cntcr uJxrn thc
ah,ovc mcntioncd pnr;rcrty lirr insJrcctirlrr
Applicant or Agent
Pernritee nanre (
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