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HomeMy WebLinkAbout101102276 - Permit( E Proiect Address: 3025 S Thornton Sta Unit:Bldg: Address Range:Suite Range: Zoning: R1Assessor's Parcel. 412-272-14 Lot: 38 Block: NA Tract. 8462 Historic: No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSectron: (714)647-5853 Permit #: {O11o.2276^ Pin #: 60635 r-$l Building Use: Single F.nlly Owolllng Occupancy: R-3, U 1st FL Area: Patio: Job Typer Rsroof Consl. Type: V B 2nd FL Area: T.l.Areal Nature ofwork Reroof code: cBc 2oto other Aaeasi yards Req,d: Existing Bldg. & use: sFo wratt car.ge Flood zone x{602320259J caEgeArea: v.tu.tion: ,B,3so.oo PDposed Use: # of Slories: Tobt: Oe8crlptlon of Wo,k Tea. off exilting .oof male al and lnatsll new conp 3hingle loot natedel. lnslall 2 ply 3OE folt underlayment and Owsns Comlng 51, year comp ahingloa. 26 aqua.ra. Handout givon. Planning Conditions: Engineer:Ac,:b*: Ref*: ll:11 ftcpt*:uZglLtSSg Ll/l?i2tti? 2z Tr onsoct i on Tot o I t4 1 llAddress: Owner. Address: Phone: Tenant: Sharon L. Kirk 3025 S. Thornton Street Santa Ana, CA 92704 (7141 376-3197 Contractor: Sudduth Construction dba ( Address: 1010 N Batavia St #F Orange, CA 92867 Phone: (7141 633-361 I State Lic #: 847279 Lic Type. B, C-39 Bus. Lic #: 318989 Workers' Compensation lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 9077388 Expires. 03/01 12020 iudduth Construct ion dbn Gurtr- Phone: License #: Architect / Designer: Address: Phone: License #: Bu i ld ins ul I 160CI?- 5l6t-t1[t[t[t- Elds Stds Revolv i ns r_t1 I 16rrCIZ- 5161!urrrr- Genergl F'10n Updste Fee Ltl I t6rt02- 516ttrt0r-rt-t- Il icrof i lm & 0ocuments rrl 1 161102- 57770lrttlt- T f.l (.h o,_k fr?934.9 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 Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Graham, Jeffery Chavez, Dave Date: 11119/2019 Date: Date: 1111912019 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 0 7776002 07776002 0777600 2 0 7776002 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update I ssuance4k' 57607 57770 57672 s7600 57607 Fee Tota!: Paid to Date: Balance Due: $333 06 $3.91 $1 00 $22 es $57.20 $41812 $0 00 $41 8.12 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 permitis suspended or abandoned for a period of 360 daysafter the time the work is commenced. lnspector MID#: 2019-155981 01 1 16002 51600 01116002 51601 01116002 s1612 01 1 16002 57770 $22 95 $390 26 $1 .00 $3 e1 BUILDING. INSPECTOR RECORD DATE ID/SIG.COMMENTSSITE.WORK Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl ns u lation Roof Sheath Shear Wall Fram I nsu Ext./lnt. Lath Brown Coat lVlason Pool Fence T-Bar Handi Final ineer Final Flood Zone Certif . -at-FINAL Certificate of Occu EtcRemarks I hcrcby affirnr undcr Jrcnalty of Frjury that I m cxenrpt lh)m the C(rntract(E' Liccns Law for thc lolltwin8 reasn (Ss.7031'5 Busincss and Profcssion Cqlc): Any City or G)unly which rcquircs a pmit to conslrucl. altc( impfltvc. dtmollsh Qr rcpaiI ily structurc. lfirr b its issuancc, also rcquircs thc applicant lirr such Frmit k) lile a signcd statcmnt thal hc or shc is liccnsd pursuant t0 thc pNisions of thc Contrack)r's Liccn$d Law (Chaplcr 9, Commcncing wilh S@tiotr 70U) of Division J of the Busincss and pnlfcssion$ Gxle) or lhat hc or shc is excmpt thcrcfrom and thc basis for lhc rllcgcd cxemption. Any violati(in of Scrion 7!.1 I 5 by any appticant li)r a pcrmit subjcts thc applicant kr a civil pcnalty of not morc thar fivc hundrcd dollils ($500). _1, as owncr {!f lhc prulEny. or my cmpkryccs with wagcs as their sole compcnsation. will do thc work anl lhc stmtrc is ftrl intwJc.! oroflcrc,lluslc(Sa.ZtXl.gusincssanrlPrufcssionsC(xlc'lhcConlractor'sLiccnskwd(Esnotapplykranowrcrof thc prrlE.ty wlxr buills or imFovcs llrcFu. ur.l who d(rs such urrk himsclf or her*lf or thnrugh his or hcr own employccs. p..ri!",Ith"tsuch impRrvorcntsenotintcdq!orollbrqlli)rsab. lilxtwcvctlhcbuillhgorim1mrcrcnlissldwithinoncycd of conrpbtkrn, thc Owncr Buillcr will have thc burdcn of pruvin8 lhal hc or shc did ttrtt buil.l or imprcrc the p(rttIly lbr thc purJxrs of slc), _1. .s owncr of thc pmlrcny, an cxclusivcly conlracting wilh liccnsed conlrack)s to conslrucl lhc PrcFd (Se. 7044, Busincss ml ProlbssimCo,lc:TheContractor'sLiccnscLawdocsnolapplytrmownerofprolErtywhobuildsorimprovesthcrcon, and who cotrtracts for such pmjets with a contmck (s) liccnrcd pursuant b lhe contrackrr's Li@ns Law). -[ am cxcmpt under Sali(rn-' B. & P.C tbr this rcason' lVO RK I.]RS' CONI I'ENSA'I'ION I)F]CI,AI'A'I'I0N I hcreby affirm under pcnalty of pcrjury onc of thc tbllowing dcclarations: _l have arxl will maintain a Ccrtifrcarc of Conscnt to Selt-lnsure frrr workcrs' comJrensation. as providcd lilr hy Section -1700 of the Latxlr Crxlc, lilr thc pertbrmance of the work for which thc pcrmit Ls issucd' -I haveanrlwillmaintainw6rkcrs'comJrcnsationinsurancc.as rcquiretlbyScctionlTfi)ofthcLahorC<ldc'tirrthcpertormanecof thc work lilr which this Jrcrmit is issuetl. My wtlrkcrs'insurancc carrier antl Sxrlicy number arc: -.3,-/* 2A Itrlicy -l ccrtity thtl in the Jrcrlormance of thc work lirr which this Jrcrmit is issucd. I shall nol cmpltty any lrcrson in any manncr ol'Calililrnia, anrl agrce that if I shoukl beconrc subjccl to theso as lo bcconrc subjcct to thc workers'contJrcnsation laws wrlrkcrs' conrpcnsation prlvisiotts of Scclion -17fi) of tltc I-alxlr Crxle, I shall, lirrthwith contply with thosc pr<lvisitlns. WARNIN(): [jailure to sccurc wgrkcrs' conlpcnsation c()vcragc is unlawlirl. and shatl suhjcct an employer ttl criminal pnaltics and civil lincs up to onc hurtdrcd thrlusand rltllars ($1fi)'Ofi)t. in Scction -1076 of thc Latxlr Ctxlc. intcrcsl and attorncy's t'ccs. aridition to thc cttsl ttf crlmJrcnsation. damagcs as providcd ftlr thc F I hcrchy all'irnr undcr pcnalty ol'pcrjury lhat I ant liccnrcd uttrlc-r prtlvision 9 (comnrcncing with Scctkrn 7000) of Division J 6f thc Busincss and Prul'essions Code, and my liccnse is in t'ull tirrcc arxl cll'cct. I-iccnsc .L o 727 CONSTRUCTION LENDING AGENCY I hcrcby allirm under Fnalty of lErjury that ttrc irum.rnr"tim hnding agcncy for thc Jrcrfomncc of lhc work for which lhis lmit is issued (Ss. 1097, Civ. C.). knder's Name: a l.endcr's Addrcss: APPLICANT DECI.,ARATION I hcreby all-rnr under Jrcnalty of pcrjury onc ol'thc lilllowing dcclarations: Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations 1'titlc 40, Part6) -Rcqurcd Lrttcr of Nrltllicatkln _l cerrily that the l'ctlcralrcgulations rcgruding ashcstos rcnxrval arc nol applicablc to lhis prtlject. 6**,that I havc rcad this application ard stalc thal lhc atxrvc inlirrrttatiolt rlrdinanccs and Statc Laws rclalLrg to huilding ctlnstructitln.authorizc atxrvc mcnlioncd propcflY ltrr Applicant or Agent d_. Penrritee nanre is crlrtccl. I agrcc ttl comPlY r reprcscntalivcs of this CitY with all City and CourttY and county ttl cntcr uJxrn lhc l. u^", '//- /?-/7 *,",, //^ /?-f Eo t-+,ooCLo.EGtr a-rFtroo.c l (u l- (U(u3E'GoLE' LG'oI .c lo.-oe-+, t,trGELotl -E'o+, -o ,CLEoo.9e-+,oG-I EEgE rl .b t\(, 8=( a bBih tB r tt \ S o' \ eto3Et Tr r U l- €*F .L \t. g rb fl . 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