HomeMy WebLinkAbout101100080 - PermitProiect Address: 4926 W Kent Ave
Assessor's Parcel: 108-373-08 Lot: 76
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock NA Tract 3528 Histonc: No
l3
City of Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, CASZ7OZ
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Building Permit #: 1O11OOO8O
Pin #: 27749at
Building Uss Slngle Family Dw.lling occupancy: R3, U 'lst FL Area 335 Patio: 314
JobType Addition Constr Type VB 2nd FLArea T.l.Area:
Nature ofwork Addn & patio cover Code: cBc 2016 Other Areas yards Req,d
Existing Btdg. & Use: sFo wratt garag. Flood zone x{6o2320255J carage Area vatu.uon: tt3,223.00
Prcposed Use: # of Stories: , ,o,r, 335
Doac.iplion of Work New bed.oomrlrathrcom addition: now attachad patio covar; new tanklas! wator ho.te. to be locet€d lnslde gal.go. Aulh on lllo.
Planning Conditions: All materials to match existing Bntch*;51?ill t;/t7i?r:r1?
0i f i ce: (:TYH Tr crn s.* : Ii?
Engineer: TMCEndr*i|r!lnc
Owner: THAO NGO Contraclor: Owner-Builder - Tiench !:E
Address: .926 w KENT avE Address Address. ;;il;ffi; '
S.nte Ana, CA 9271X1936 Anehehr lg,/li9n00i1
Phone: l7i4) 3a3{002 Phone: Phone: (714) 829'5053
Stater|c, License* 72924 .. , I :... ,
T.nant
Lic Type Architect / JpA. Jo6.rDhiplrbd E A!3oclate3
Bus. Licr: Desiqner: Jossph Ph.n "'
workers' compensalon lnsurance: Address: rzgzz r<;iiiueCtitle..carrier: ro,.tel'ititrili:tr iZtta 'Poricy#. Phone' 1ztr)d,.!fi$ "
Exeires: Li6ns€#: :irlilri,, ! , ,
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Arabe, Jill
:ff.:J:[:V
No
Date: 05/1 012019
Date: 0713012019
Date: 0810512019
Subject to Field:
0LLL6002 51607
07L1,6002 53600
0L776002 57770
08907001_ 24000
0L7L6002 51612
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg Stds Revolving
Account#
72579
Total
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$525 20
$610 04
$23 46
$5 62
$2 00
$22 9s
$s7 20
$1 ,246 47
$s86 41
$660.06
Every permitissued shall become invalid unless the work on the site authorrzed by
such permit is commenced within360 days afterits 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 MtD# . 2019- 1511 59
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01116002 51601
01116002 51612
01 1 16002 57770
08901 001 24000q\\\MSL5VvP
$22 9s
$582 40
$2 00
$23 46
$s 62
q ?.9.v3
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date
Balance Due:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COIVIMENTS OWNER BUILDER DNLCARATION
I herchy affirrn udcr pcnalty of lrcrjury lhal I dn cxcmpl fiom thc Conlrnclors' Liccns law for lhc following rcasn (Scc.70-11.5 .
Busincss srd Profcssion Codc): Any City or County which rcquires a lErilril to construct. altcr improvc. dcmlish or rcpir tny
slruclurc. prior to its issuancc, also rcquires lhc applicant for such Frcrmit lo filc a signcd slatcmnl that hc or shc is liccnsd pursu.nl
to thc provisions oflhc Conlractor's Licenscd Law (Chaptcr 9. Cotrtrncncing wilh Setion 7000 ofDivision 3 oflhc Busincss and
PrcfessionsCodc)orthrlhcorshciscxcmptlhcrcfromudthcbasisforthcallcgedcxcmption. AnyviolationofSethn?O3l.5byany
applicanl lor a pcrmil $uhjccts lhe applicant ft, o civil pcno[y of nol trorc lhan fivc hundrcd dollars ($50O).
_1. as owtrcr of thc property. or my cmployccs with u,ages as lheir solc conlpcnsalion. willdo the work and thc stnrturc is not
intcndcd or olTcrcd frrr salc (Scc.7(X4. Ilusincss and Profcssions Codc: 'l'hc Corttraclor's Liccnsc Law docs not flpply to an owncr of
the pmpcrly who huikls or intproves thcrmn. aml who rltrcs such work hinrself or hersclf or through his or her own employces.
providcd that such inrprovcrncnts arc nol inlcndcd orollbred for sah. ll. howcvcr. thc building or itnprovcment is sold wilhin onc yeiu
of conrplction. lhc Owncr Buildcr will have thc burrlcn ol'proving lhat hc or she did not huild or intprovc thc proJrrty for the purf)sc of
sah).
_1. as owner of thc propcrty. am cxclusivcly contracting with liccnscd contractors to construct lhc projcct (Scc. 7M4. Business
and Pnrfcssion Code: Thc Contraclor's [-iccnsc Law docs not apply lo an owner of proJrcrty who builds or improves thercon.
arrd who corrlracts lbr such projccts with a (lorrtraclor(s) liccrtscd l)ursuanl lo thc Liccrtsc l-aw).
I ant cxclntrl turtlcr
,-"r S lE-
B. & ['.C. forltt-
DFCLARTTTION
I hercby alTirrn undcr pcnalty of pcrjury onc o[ thc following dcclarations:
-lhaveandwill
maintainaCertificateofConscrrtto.Self-lrrsurcf'orrvorkcrs'comgrcnsation.as providedforbyScction3Tfi)ofthc
Labor Codc. frrr lhe Jrcrftrrmancc of the work for which the prrnit is issucd.
_lhavcandwill maintainworkcrs'cornJrcnsationinsurance.as rcquircdbyScctionlT00ot'thc[aborCode.forthepcrfornuncetlf
thc work for which this pcrmit is issued. My workcrs' compcnsali<ln insurancc carricr and Jnlicy numbcr arc:
Policy Numbcr: Expires:
_l certify that in thc pcrfornulrce oIlhc work lbr which this pcrrnit is issucrl. I shall n<lt cmploy any person in any lllilnncr
so aslo bcc<lrnc subjcct lo lhc workcrs'cornpcnsalion laws of Californiu. and agrce lhal if I should bcconrc subjcct to lhc o
rvrlrkcrs' conrpcrrsalion provisions o[Scction .]7(D of thc L:rhrr Ctdc. I shall. lirrthwith with thorc provisions.
WARNIN(l: I;tilurc to sccurc workcrs' cottt;lcnsatiolt covcragc is an cnrploycr l<l crirninal pcnatics and
civil lincs up to one hundrcd lhousarrd dollars (Sl(X).mO). in addition to cost compensation.lor lhc
Sccliott .l07(r ol allorncy's a
O^t", .. 8
I hcreby alfirnr undcr pcnalty of pcrjury that I arn liccnrcd undcr provision of Chaptcr 9 (comrncncing with Scction 7Un) of Division 3
of thc Busincss and Professions Codc. and rny liccnsc is in full fiorcc and cll'cct.
Liccnse Class: Liccnse Number:
Date: Contractor:-
W
I hercby affirm undcr pnaltyof Frjury thut thcrc is a consrruction hnding agcncy for thc Jufonmrcc of lhc work for which this Ismil is
issucd (Scc. f097. Civ. C.).
[f,ndcr's Narrc:
l.cndcr's Ad<lrcss:
A PPLICAN'I DECLARATION
I hereby aflirm under pcnalty of pcrjury onc of the following dcclarations:
Demolition Pcrnrits-Ashcstos Nolificalion Fcdcral Rcgulations (Titlc 40. Parl6)
-Rcquircd
Lctter of Notilicatkrn
_l ccrtify that thc f'cdcral rcgulations rcgarding ashcslos rcnxrvalarc not applicablc lo this pr<ljcct.
_l ccrtily thal I havc rcad this applicatiorr ancl state'that thc ahrvc inlirrrttatiott is con'ccl. I agrcc to cornply
ivcs o[ this City
with all City and County
and County lo cnler uJrcn thcorrlinanccs and .Statc [-rws relating and hcreby authorizc rcprcscnlat
abovc nrcrrlionccl propcrty tbr
Allplicarrt or,\genl ?k-)*rr,'A '9 ' 11
Set Backs
Forms/Steel/Holdowns D**C /tlt
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVI nsu lation
Roof Sheathinq \I I - raAtl fr)
Shear Wall \/uxl'-wI l-\---
Framing /\J
lnsulatio nlEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
JVlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.I
4.fta*".0,J I
lll J
-,FINAL ,24 )
Certificate of Occupancv \J \ \-/
Notes, Remarks, Etc.
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