HomeMy WebLinkAbout101102310 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 V, A Building Permit #: {O11O23{O
Pin #: {7059
Proiect Address: 3721 S Timber St- -a- -
Assessor's Parcel: 410-062-14 Lot: 36
Unrt:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 6433 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Patio Cover
Patio Cover
SFD w/att Garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Owner-Builder
R-3, U
VB
cBc 2016
x-0602320278J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio: 350
T.l.Area:
Yards Req'd:
Valuation: $9,500.00
O6cdption of Work: Now 350 rq ft .tuch.d .lumlnum aolld patio cov.r, ICC * 2676. Own.r-Buildor lorfi on *- * * D u F L r c A T E *. .ir. +: .
Ilot.h+r53123 - 11/11l?019 I0: l;;Al:r
Planning Conditions:
Owner.
Address:
,^ Phone:
Tenant:
Afturo Renteria
3721 S. Timber Street
Santa Ana, CA 92707
Contractor:
Address.
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone.
License #
carl Putn&ffF}EU2811357 lL/2li?t-tl? 3:::r:i [-'i',
Carl Putnfimn soct i on Tot n I $+oS . ,,:rfi
3441 lvvlink Place
LYNcH'8ffi6:,ta Ifffsr i n
Genernl Flon Updnte Fee ',,,C68139 Lt1 I 1,5r-r02- 516ur-rurJlr-
P.urldins
3:1 ExrrHffi PE[;; nlftixil;
34/.1 lvyli0lt PIaqqZ- 5161lrrur_r-
LYNCHBTTBG, IIA SCSgt
Lr 1 I I 6t_uJ2- 53,5[rr_rrJr:n:t-
I'l i ,:r crf i 1m & Documen t s
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
$ 1 5t.l .
pr,
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
So, Anson
Chavez, Dave _-n*-
Fire lnsp. Req'd:
Police lnsp. Req'd
Date: 1112112019
Date: 1112112019
Date: 1112112019
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
o77rcorili$ffg**FFfr*tfiff3ij,i:,
Hu f r-r,i :; .i$J E0 0o
07776002 s3600 Plan Check Fee $143.50
ot776ow6#Frc r\,fitloff/frlR#drald\ I H rq ,,,r $3.91
07776002 s7672 Bldg. Stds. Revolving $1.00
07776002 s7600 General Plan Update $22.95
No
No Account#Total
Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
$22.95
$1 50 00
$1 00
$143.s0
$3.91
Fee Total:
Paid to Date:
Balance Due:
$321 36
$0.00
$321 .36
lnspector MrD#'. 201 9-1s6063
PermitCounter: (714)647-5800 lnspection Requests: (714).667-2738 lnspectorSection: (714)647-5853
BUILDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION
I hocb affirm und6 pcnalty of perjury lhal I m exmpt frcm the Conlracto6' LiccN taw for thc following r@n (Sft.7031.5
Busins ad Prof6sion Codc): Any City or County rvhich rcquire a pornil to construct. alt6. improvq donolish or repair uy
structuc. prior to its isuacc. also rcquirc thc applicilt for such permit to filc a signcd statmot that hc or shc ir licos€d pmuot
to thc prcvisioN of the Contractor's Licemed Law (Chapt6 9, Commencing with Setion 7000 of Division 3 of thc Businss md
PrcfessionsCodc)orthatheorshciscremptthqefromildthcbsisfortheallegedermption. AnyviolationofS€1ion70-1l.5byany
applicantforapennitsubjetsthc applicilttoacivilpcnaltyofnotmor€thmfivehundrcddollds($500).
I L-L * omo of the propcny. or my employc wilh wag6 6 thcir sle compeBtion. s,illdo thc wort ad thc structre b nol
''iil-qded oroffrcdforslc(Se.7044.B6iosildhofeiomCodqThcContraclor'sLicorc[awdo6notEplytoilomsof
lhc prcpsry rvho tuilds or imlrcvc th@n. od who do6 such uort himself or hmlf or thrcugh his or ha orn mploye.
provided that such improvomts rc not inqdcd or oflqcd for slc. If. ho*ao. the buiHing or improvmot is rcH within one )s
ofcompktiou the O*ns Builds will have thc hrdm ofproving that hc or she did mt build or improvc thc popoty for tlE purpos of
slc).
-1.
as owner of the plopetly. am exclusively contracting with licensed contractos to construct the project (Sec. 7044, Business
and ttofession Code: 'I'he Contractor's License Larv does not apply to an orvner of property who builds or improvcs thereon.
and who contracts fior such projects with a Contractor(s) licensed pursuant to the Contraclor's License Larv).
_l am exempt und€r Section_.for this reason.
,^,",_.,, /-2, /, q 0wner:}{-
I hercby affirm under pcnalty of pojury one of the follos,ing cleclarations:
----l haveandwill maintainaCerlilicateofConsenttoSelf-lnsureforworkers'conrpcnsation.as providedforbySec'tion3700ofthe
Labor Code. for the perfonnance of the u,ork for rvhich the perrnit is issued.
- -l have and u'ill maintain rvorkers' cotnpensalion insurance. as required by Section -3700 of the Labor Code. for the perfonnance of
the u'ork for u'hich this p,ermit is issued. My rvorkers' compcnsation insurance carrier and plicy number are:
Policy Number:--[ixpires:
lb ,rtity tt xin the psfomancc of the work for which rhis pqmit is issucd, I shall not mploy any penon in any mmno
$ c to trccome subjet to lhc work6' compqslion laws of Califomia. and 89rc that if I should baomc subjet to thc
so*ffi' compeffition prcvisioro of Seoion 3700 of thc l:bor Code I sfull. fo(hrvith comply with tho* prcvisiom.
WARNTNG: Failure to surc uorkm' compf,etion covoagc is unlasful. md shall subjst o mploF to qiminal pcnahis ud
cilil fine up lo onc hun&ed thoMd dollm ($100.000). in addition to lhe cosl of compwtion. dmag6 I proiidcd for thc
Section -1076 of the Labor Code. interest and attorney's fees.
. tl
l)1,,('1,,\RA'l'loN {
I hereby affinn under penalty of pcrjury that I arn licenserJ under provision of Chapter 9 (commencing rvith Section 7000) of Division -i
of the Business and Professions Code. and my license is in full force and eflect.
License Class:_License Number:
Date:---_('onlrnctor:
CONSTRUCI'ION LENDING AGI]NCY
I hereby affmn unde pcnahy of psjury that th6€ is a constructkrn lmding agency for thc pafomace of the $ork f<rr rvhich this pemrit is
issued (Sec. 3097. Civ. C.).
Lender's Name:
Lendcr's Address:
APPLICANT DECLARATION
I hetfoalfm unde poalty of pcrjury onc of thc following dclrations:
Demolition Pqmits-Asb6tos Notification Fcdqal Rcgulations (Titlc 40. Put6)
-Rcquired
trtte of Notificalion
-l
cqri& thst the lidqal rcgulatioru r€Bilding abctos rmoval ue not spplicable to this prcjet.
4lf"otity Ita I havc r@d this application md slatethat lhe above infomalion is corcct. I agrc to comply rvith all City and County
ordinatrc6 ad Stale taws rclaing to building conslruclion. ed hscby authorizc reprMtative of this City md Counly to mtq upon thc
I'enrriree nnnre (prinr): t Ail U fO lcl
r)nrc: D tr ffi / ,q
Set Backs
Forms/Steel/Holdowns
Erection Pads
LJFER Ground /r'
SLAB Floor 1
S u bfloor/VenUl n s u Iatio n
Roof Sheathing
Shear Wall
Framing
!nsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report /l ,
Flood Zone Certif r*.,
FINAL lza e -t?O6tt{lat
Certifi cate of Occqpg rlrcy
Notes, Remarks, Etc.
-