HomeMy WebLinkAbout101102130 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O21 30
Pin #: zos($r/
Project Address: 2013 W Summer Wind
Assessor's Parcel:412-221-40 Lot. 67
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract. 7711 Historic. No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
Job Type: Miscellaneous Constr Type: V B 2nd FL Area
Natureof Work: DeckWaterproofing Code: CBC 2016 OtherAreas:
Existing Bldg. & Use: SFD w/ att garage Flood Zone: X-0602320259J Garage Area
Proposed Use: # of Stories: Total
Description of Work: Remove and replace waterproofing system on existing deck with new. ***ICCTESR #2505".
Patio:
T.l.Area:
Yards Req'd
Valuation:$6,250.00
Planning Conditions:
Bnbch*:5?86?
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Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
Total
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Rcpt* : 02gu 11166 I
Trnnsoct, isn Totctl
All Fr'ool Declls Inc
Genernl Plnn Updctl"e
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Owner:
Address:
Trevor Resurreccion
2013 W Summer Wind
Santa Ana, CA 927047133
(562) 537-1097Phone:
fenant
6,;Tt +11 13
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 lnsp. Req'd: No
Contractor:
Address:
Phone:
State Lic #
All Proof Decks lnc
8502 E Champman Ave Ste t
Orange, CA 92869
(714I- 2s3-3330
982450
Lic Type: B
Bus. Lic #: 374265
Workers' Compensation I nsurance:
Carrier: MID-CENTURY INSURANCE COMP
Policy #: A09488303
Expires: 1z2a!2o19 License #:
Graham, Jeffery
Zuniga, Allissa
Date: 1110512019
Date:
Date: 1110512019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0777600 2
0777600 2
077760 02
07776002
07775002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
57770
57672
s7600
57607
$166.s3
$3.e1
$1 .00
$22 95
$57 20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
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.
$22 95
$223.73
$1 00
$3 91 Fee Total
Paid to Date:
Balance Due:
$2s1 .59
$0 00
$251 .59
lnspector MID#'. 2019-155645
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BUILDING. INSPEGTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I heeby allirm undq pcnalty of perjury that I m excmpt from the Contrsctoc' Licose Lau' for thc following rNn (S6.70-t 1.5
Busincs and Profsion Codc): Any City or County rvhich require a pcmil to construct. alt6. improvc. doolish or rcpair my
strucluq prior to its isuilcc. also rcquic thc applicant for such pcmit to lile a signcd statmot thal hc or she b licmscd puEuilt
to the prcvisions of tlE Contraclor's Licos€d Law (Chapts 9. Commcncing u'ith Sction 7000 of Division I of thc Busincs ild
Prcfesions Codc) or that he or shc is exmpl thqcftom md thc basis for thc allegcd exmption. Any violation of Sarion 70-11.5 by any
applicant for a pcrmil subjets the applicmt to a civil poalty ofnot more thm five hundrcd dollm ($500).
_1. as owner of the propc'rty. or my employe€s with wages as their sole compensation. rvilldo the rvork and the structure is not
intendgJ or offered for sale (Sec.7044. tsusiness and hofessions Code: The Contractor's License Law does not apply to an owner of
the property rvho builds or improves thereon. and who does such wort hirnself or herself or through his or her own employees.
provided that such improvanents are not intended or offered for sale. l[. horvever. the btrilding or improvement is sold within onc year
of cornplaion. the Orvner Builder rvill have the burden of proving that he or she did not build or improve the propo'ty for the purpose of
sale).
---1.
as owner of the propoty. arn exclusively contracting witlr liccnsetl contlactors lo constnrct the project (Sec. 7044. Business
and hofiession Code: I'he Contractor's License Larv does not apply to an owner of propcrty who builds or improves thereon.
and rvho contracls for such projects rvith a Contractor(s) licensed pursuant to the Contractor's License Larv).
-lalnexenlptunderSection-.B.&P.C.forthisreason.
I)atc: On'ner:
WORKERS' CONT PENSATION
DECLARAI'ION
I hereby affrrrn under penalty of perjury one of the follorving declarations:
_l have and rvill rnaintain a Certificate of Consent to Self-lnsure for u'orkers' compensation. as provided for by Settion 3700 of the
labor Code. for the performance of the work for which the petmit is issued.
_l have and rvill rnaintain workers' compensation insurance. as required by Section -1700 of the Labor Code. for the pa'formance of
the rvork for which this permit is issued. My rvorkers' compensation insurance carrier and policy number are:
Can'ier:
Policy Nurnber:_Expires:
___l cerlify that in the performance of the work for which this perrnit is issued. I shall not ernploy any person in any manner
so as to become subiect to the rvorkers' compensation laws of California. zurd agree that if I should become subject to the
rvorkers' compensation provisions of Section -3700 of the Labor Code. I shall. forthrvith comply rvith those provisions. .,
WARNING: Failure to secure u'orkers' cornpensation coverage is unlarvful. and shall subiect an anployer to criminal penalties antl
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. darnages as provided for the
Section -1076 of the l-abor Code. interest and attorney's fees.
Dete: Applicant:
LICENSED CONTRACTOR
DECI.ARATION
I hereby affinn under penalty of perjury that I am licenscd under provision of Chapter 9 (cornmencing with Section 7000) of Division 3
of the Business and Profcssions Code. and my licerrse is in full force and effect.
License ('lass:
Date:
License Nunrber: _
(lonlractor:
CONS-I'RUC1'ION LENDING ACENCY
I hreby affirrn under fmatty of perjury that thqc is a construclion len<Iing agency for the pofonnmce of the work for which this lmnit is
j5sued (Sec. 3097. Civ. C.).
TLender's Narne:/
Lender's Address:
APPLICANT DECLARA'I'ION
I hereby affinn under penalty of perjury one of the follorving de<larations:
Dernolition Perrnits-Asbestos Notification Federal Regulations (Titlc 40. Pafl6)
_Required Letter of Notilication
_l certify that the federal regulations regarding asbestos removal are not applicable to this project.
-l
ccrtify thal t havc rad this application ild statcthat thc above infomation is corccl. I agrc to comply with all City and County
ordinancB and State Laws rclaing to building construction, ffd hcrcby authorizc reprMtativc of this City md Couoty to @tq qnn tlrc
abovc mcntioncd prcperty for inspstion purpos6.
Appllcrtrt or Agst SiSnslurc:_ Ihlc:_
I'ernt ilcc niunt, (prirrt ):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Venul nsu Iation
Roof Sheathins
Shear Wall
Framing ll- 8-|o,iEg,J lcri
lnsulation/Energy n
DOnruall l,n \
Lath l-1241 b'lll"t
EI-wn Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
,
FINAL 7
Certificate of
Notes Remarks Etc.
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