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Home My WebLink About101102135 - PermitProject Address: 820 S Van Ness Avea Assessor's Parcel: 010-243-13 Lot: 12 Unit:Bldg: Address Range: Tract: POLYTECHNIC VILLA Suite Range: Zoning: SD40Block: 17 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 #: 1O11O2t35 pin #: so77t.l Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area: Nature of Work. Reroof Code: CBC 2016 Other Areas; yards Req,d: Existing Bldg. & Use: sfd w/det garage Flood Zone: x-0602320276J Garage Area: Valuation: Proposed Use: # of Stories: Total: Description of Work: Reroof house & detatched garage - remove existing, install new sheathing & comp shingles. Handouts given. '' ;r'" ''l' "' $4,000.00 Planning Conditions: Replace eaves & fascia as needed ttf f ire: (:TYH A -- L I r lr'nn s+: ?g O^fl. I Owner: Address: Phone: Tenant: Jose Jual Del Rio Meza 820 S VAN NESS AVE Santa Ana, CA 927015507 (7141 884-0283 Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: Rcpt*:112901283 lI/1/?1r19 1:1? Tronsorrtion Tobctl $419. Jose Juol DeI R io lleio Bu i Id ing Lll 1 160Ct2 - 51 6rt I 0(tu- Genernl PIqn Updqte Fee t:t1 1 l6Ll02- 5l6ttu0tttt- BIdg Stds Revolv i ns Lrl I 1600?- 516120ttt-t- 11 i cr of i ln & Oo,:umen t s rr1 1 16LrU2- 377 70rrt-rrt- V iso r. {. !: ITIT* TTT TTI} 7 19.q Arrlhl:ft??? Planning Approval By:Guevara, Jerry Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd Fire Insp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Date: 1110512019 Date: Date: 1110512019 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 07776002 07776002 57607 57770 57672 57600 57607 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance $333.06 $3.e1 $1 00 $22.95 $s7 20 Amsden, Julie Landscaping lnsp. Req'd 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#: 201 9-155660 No No No Account#Total 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 $22.95 $390 26 $1.00 $3.91 Fee Total: Paid to Date: Balance Due: $418.12 $0.00 $41 8.12 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hqeby allirm unda pemlty of perjury that I an cxempt from lhc Contrilton' Licw Lars for thc following rcmn (Ss.703i.5 Buinss md Profesion Code): Any City or County which rcquira a pmit to coEtruct, altq. imprcve, dcmolish or repair my structue prior to its isuancc. also rcquirc thc applicant for such JEmit to file a signed statmqt that hc or shc b licosâ‚¬d pmumt to the provisiore of the Contractor's Licord Law (Chapt6 9. Commcncing with S*tion 7000 of Divbion 3 ofthe Busins md Prefe$ions Code) or that hc or shc is cxmpt thscfrom and lhc basis for the allcged crmpion. Aoy violation of Scc{ion 7031.5 by atiy applic-ant for a pqrnit subjsts thc spplicml to a civil pcmltyof not morcthu live hundrcd dollas ($500). ftlr* owno ofthc prcpeny. or my cmployo with waga r their rcle compruation. uill do rhe lvork atrd ttt gnrtuc b rct intoded oroflH for elc (Se.7044. Busin6s ild Prcf6ioN Codq Thc Conlractor's Licme law doe not apply to M own6 of thc popcrty uho builds or imptovs th6@n. md sho d6 such *ork himsclf or hmclf or thrcugh his or ha own cmphyc. provided Ihat such imprcvflflts m mt intoded or ofli:ql for sle. lf, howryq. the building or imprcvcrcnt is sld within one )w ofcompleion. thc Orvnc Builds rill have the burd6 ofprcving Ihd he or dE did not boild or iqrovc thc tropqty for tlE purposof sle). - l. as owner of the property. iun exclusively contracting rvith licensed contraclors to conslruct the proiect (Sec. 7044. Business and Profission Code: The Contractor's License Las' does not apply to an o$'ner of propâ‚¬rty who builds or improves thereon. and who contracts for such projects with a Contractor(s) licensed pursuant to the (-ontractor's License [,arv). _l arn B.&Ibr tlris I)ll[:Or"na.\\(), DECLARATION I hereby affinn under penalty of perjury one of the follorving declarations: -l have and rvill maintain a Ccrrificatc of Consent to Self-lnsure for workers' compcnsation. as provided for by Section -3700 of the Labor Code. for the performance of the work for which the pennit is issued. -l have and will rnaintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the perfonnance of the rvork fcrr rvhich this pcrrnit is issue<t. My workers' compensation insurance carrier and policy numk are: Carrier:- Policy Number:_ -Expires: - &{f cenify ttat in thc perfomance of the work for which this permit is issued. I shall not qnploy any pmn in any mune s 6 to bccomc subj$t to the workffi' compmsation laws of Califomia. and ag@ that if I should beome subjet to the rvo*m' compwttrn prcvisions of Scaion -1700 of lhc Labor Code. I shall. forthrvilh comply s ith tho$ previsions. WARNING: Failure to sure workm' compensation covmge is unlarvful. ud shall subjet an mploye to qiminal penaltis and civil finc up lo o0a hrndrd lhoMd dollffi ($100,000). in sddition lo the cosl of compensation. dmag* o providcd for thc , Section .1076 Labor Code. intercst and attorney's fees. I hereby affirm under penalty of the l]usincss arrd Professions Code. and rny license is in [ull force and eflect. License Nurnber: ('onlractor: CONSTRUCTION LENDINC AGENCY I hmby affm undo penalty of pedury lhd th@ is a congruction lcnding agocy for the pcrfomce of the work for shich this pqmit b issued (Ss. 3097. Civ. C.). Lendd's Namc: Lender's Address: APPLICANT DECLARATION I herebry aflinn under penalty of perjury one of the follorving declarat ions: Dernolition Perrnits-Asbestos Notification Federal Regulations (I'itle 40. Par16) _ Required Letter of Notification - lcotirythatthefedoalregulationsregrdingasbestosretrnvaltrenotapplicabletothisprcjst. LLt cqtify rtar I have read this application ild statc that the above infomation is coust. I agrre to comply wilh all ('ityand County arrdinancs and State la$s rclating to building connrudion. ild hqeby authorize reprGotatils of this City ud County to 6tq upon the above mentioned property for inspection purposes. Appticnnr or Asenr sisnrrrr"'-\Q6( ._\L)Q!\ -Dg [ -AY2 pernriree nnme trrin,l, JOS- -r-@ 3b- - -oate: f f tslu- Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground \ SLAB Floor Su bfloor/VenUI nsu lation Roof Sheathins lLf lul 4 tr L(n )r \U Shear Wall t I Framing Insulation/Energy Dryruall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif t^ FINAL //?c/ /zD n Certificate of Occu Notes, Remarks, Etc. License Class:_ Drte:_