HomeMy WebLinkAbout101102163 - PermitCity otlsanta 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 #: {O110.21 63
Pin #:28o4q'l
Proiect Address: 1447 S Townsend Sta
Assessor's Parcel. 407-05147 Lot: 18
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 2704 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Fourplex
Reroof
Reroof Apts
4-Unit Apt with Det Carports
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-2
VB
cBc 2016
x-0602320257 J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $t 3,500.00
Do.crlptlon of truo.k T..r-oft t .pply 38 .qG ot compo.ltlon shlnglo., H.ndout glyen.
8ot€h+::2?16 - 1L/7/2n1, il) .. . .ttfficet CTYH Trons+: 37
at"nntnn
"on.',,on",O*tt
Or."n* *",",."ro,"no on.. "" n"--. a , fl15!ll"r*rrr, ,rrlilii, llj, ii.Engineer: Trsns(ction Totot f,,i,t. LOwner: Ralloao Apaatmenta Conlreclor: I{avaarc Ranovadon & Com
Addr6s: la47 S Town.€nd Addr6sE: l85m Rodmlr Addresr: NRvonro ftenovotion e Constru.t
S.lltl An., CA g?04 L. Pu.ntr, CA gl?rl,l
phoo6: (?t/r) s/rt.oro2 phono: (323) 22s6s.7 :ITr _ tililfi}rl'El.ffii3i: '*
Tsornt Rrrton. apt slste Lic*: 8r8al7 uoen3e t: suiraing
LIc Type: B Ar"hieA/ nllt6[02- tt6r]1000-
Bus. Lic*: 3712OG De.idndj glds itde ft€volvine
wofter.'compe*aton rnsurance: rua,"". illlflii; i'fflll;r,canier: Ex.mpt il 11680:- 877700tr1,-Poliq*: Pnone: VrEqExpires: Uceme#: (rt+!**r***r*r***lar3 Aurhi: i,rj i
Planning Approval By:
Plan Checked By
Permit lssued By:
NPDES lnsp
PWA Insp. Req'd
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Teri
Fire Insp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Date: 1110712019
Date:
Date: 1110712019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
57600
s7607
Permlt Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$333 06
$3.e1
$1 00
$22.95
$s7.20
Account#Total
Every permitissued shall become invalid unless the work on the site authorized 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.
01 1 16002 s1600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$22.e5
$390.26
$1.00
$3.e1 $+t 8 12
$0.00
$41 8.12
lnspector MID#: 201 9-1557 12
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUlnsulation /.?,
Roof Sheathing / Z // '// r I trL./lt /L'L/
Shear Wall ,
Framing
lnsu !ation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Poo! Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t/FINAL fiLJ(L / z /zo/ ry
Certificate of Occupancy
Notes, Remarks, Etc.
owNER BUTLDER DEI"CARATToN
I hqeby aflirm undtr poalty of p€rjury that I m cxcmpt from rhe (ri)nrrados' LL'ee tanv for the foll<rwing rcmn (5(.7031.5
Businss md Prof6sion Code): Any City or County rvhich requira a pomit to construct. alts. improvq dcmolish or rfpcir 8f
structue. [rior to its isuance. also requirB lhe applicant for such pcnnil to file a signed stetemflt that he or shc is licensed puBuel
to the provisiom of the Contraclor's Licensed law (Chapts 9. Comrncncing wilh Strtion 7000 of Division 3 of the Businss ild
PrcfsionsCode)orthathcorsheiseremptthqefrommdtheb6sisfortheallegedcrongion. AnyviolationofScctionT03l.5byany
applicanl for a pf,nil subjets lhc applicant to a civil penalty ofnot morc lhan fir'e hundred dollus ($500).
-1.
as o\\'ner of the property. or my ernployecs with u'ages as their sole compensation. u'illdo the u'ork and the structure is not
intendrxl or offered for sale (Sec.7044. Business and I'rofessions Code: 'l'he Contractor's License Larv does not apply to an owner of
the properly who builds or improves thereon. and rvho does such u,ort hirnself or herself or through his or her orvn ernployees.
provided that such improvonents are not intended or offered for sale. lf. horvo,er. the building or improvement is sold rvithin one yeil
of cornpletion. the Ou,ner Builder will have the burden of proving tha he or she did not build or imJnove the properly for the purpose of
sale).
_1. .ts owner of the property. arn exclusively contracting rvith licensed contractors to construct the project (Sec. 7044. Btsiness
and Ftrrfussion Code: The Contractor's License Larv d<les not apply to an orvner of property rvho builds or irnproves thereon.
and who contracts for such projects rvith a Contractor(s) licensed pursuant to the Contractor's License Larv).
-lamexemptunderSection-.B.&P.C'forthisreason.
I)nte:Owner:_
WORKERS' CONI PT]NSA'IION
DECLARATION
I hereby affirrn under penalty of perjury one of the [ollowing declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of the work for rvhich the permit is issued.
_ I have and rvill maintain rvorkers' compensation insurance. as required by Section -1700 of the l-abor Code. for the perfonnance o[
the work ftir rvhich this pennit is issued. My rvorkers' cornpensation insurance carrier and policy number a'e:
C"rri.r, I
Policy *"^*,_Expires:
_l certi} that in the perforrrrance of the rvork for rvhich this permit is issued. I shall not enrploy any person in any manner
so as to bc'come subject to the workers' compensation laws of California. and agree that if I should becorne subject to the
rvorkers' cornpensation provisions of Section 3700 of the Labor Code. I shall. Ibrthrvith conrply rvith those provisions.
WARNIN(l: Failure to secure rvorkers' compensation coverage is unlau'ful. and shall sublect an onplo)'er to crirninal penalties and
civil fincs up to one hundred thousand dollars in addition to the cost of comgrcnsation. danages as provided for the
Section 3076 of interest and fees.
I hereby affirm under penalty of perjury I arn provision of Chapto'9 (cornrnencing u,ith Section 7000) of Division -1
of the Business and Professions Code. and nry license is in full force and effect
[.icense
Date:-License LC*---2-
I hereby aflirm under penalty of perjury
issued (Sec. 3097. Civ. C.).
Lender's Name:
there construction lending agcncy the po'fonnance of the work for rvhich this pcrmit is
Lender's Addrcss:
APPLICANT DECI,Afu\'tION
I herelry afftnn under penalty of perjury one of the follorving declarations:
Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Parr6)
_Required Letter of Notification
_l certify that the federal regulations regarding asbestos removalare not applicable to this project.
corify I this application and the above infonnation is correct. I agrec to comply rvith all City and County
State and hereby authorize
<_
Applicant or
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