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HomeMy WebLinkAbout101102121 - PermitCity 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 #: {0110.2121 Pin #: 9905! Project Address: 3809 S Timber St Assessor's Parcel: 410-062-19 Lot: 31 Unit:Bldg: Address Range:Suite Range: Zoning: R1Block: NA Tract: 6433 Historic: No Building Use: Single Family Dwelling Job Type: Alteration Nature of Work: Wall Demo Existing Bldg. & Use: SFD w/att Garage Proposed Use: 1st FL Area: 2nd FL Area: Other Areas: Garage Area. Total: Description of Work: Remove partial wall between kitchen and dining area. Wall to be verified to be non load-bearing & not a shear wall. Planning Conditions: No additional square footage proposed. Occupancy: Constr Type. Code: Flood Zone'. # of Stories: R.3, U VB cBc 2016 x-0602320278J Patio. T.l.Area: Yards Req'd: Valuation: $9,000.00 J Owner: Address: Phone: Tenant: DAVIDV&JOMINTZER 3809 S TIMBER ST Santa Ana, CA 927074950 (7141 812-8012 Contractor: California First Remodeling Address: 4157 W sth St Ste 228 Los Angeles, CA 90020 Phone: (2131 277 -1738 State Lic #: 1027042 Lic Type: B Bus. Lic #: 368840 Workers' Compensation lnsurance: Carrier: Hartford Casualty lns Go Policy #: 22WECAA4XK1 Expires: 0711212020 Danny Chaaya PE Danny Chaaya P.O. Box 46341 Los Angeles, CA 90046 (310) 210-2t10 c45555 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA Insp. Req'd: No Planning lnsp. Req'd: No Gomez, Pedro Chavez, Dave No Pa;' Date: 1110412019 Date: Date: 1110412019 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt F. Heidari 07776002 07776002 07776002 07776002 07776002 07776002 Permit Fee Subject to Field Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance 57607 53600 57770 57672 57600 s7607 $166.s3 $166.s3 $1 1.73 $1.00 $22.9s $57.20Fire lnsp. Req'd: Police lnsp. Req'd: No No Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permit rssued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs 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 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 53600 01 1 16002 57770 $22.95 $223.73 $1.00 $166.s3 $1 1.73 Fee Total: Paid to Date: Balance Due: $42s.94 $0.00 $425.94 lnspector MID#: 201 9-154944 t lcco BU!LDING. INSPECTOR RECORD t SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DET,CARATION I hocby aflirm undr pamlty of pcrjury that I m cxempt from the Contracto6' LiccN Law for the following r@n (Sa.7031.5 Businss ud Profession Codc): Any City q County which rcquirs a pmit to co$trucl. alt6. improva dernolish or repair my structuc. prior to its issuacc. also rcquirs thc applicilt for such pemit to filc a signed statmcnt that h€ or shc b licffed pmumt to lhc provisions of thc Contractor's Licmscd law (Chapts 9. Commocing wilh SEtion 7000 of Division 3 of thc BNins ild Profsiorc Codc) or thar hc or shc is crmpt thcefrom od thc basis for lhc allcged cxmplion. Any violation of Sfirion 70.11.5 by anv applicantforapennilsubj6tsthe applicanttoacivilpenahyofnotmorethantivchundrcddollrs($500). _ _1. as o\!'ner of the propreny. or my employees \r'ith \!'ages as their sole compensation. s'ill do the rvork and the structu€ is not intcnded or offered for sale (Sec.7044. Business and Professions Code: The Contraclor's l-icense [.au' does not apply to an orvner of the property rvho builds or improves thereon. and rvho does such wo* himself or herself or through his or her orvn employees. providd that such improvonents ate not intended or offered for sale. lf. horvever. the huilding or improvernent is sold u,ilhin one year of cornpletion, the Owner Builder will have the burden of proving th.t he or she did not lmild or improve the propoly for the purpose of salc). __-1. as owner of the properly. am exclusively contracting rvith licensed conlractorc to conslruct the pro.iect (Sec. 7044. Business and hofession Code: The Contraclor's l,icense l-arv cloes not apply to an o$,ner of propcrty rvho builds or irnproves thereon. and rvho contracts for such projects rvith a Contractor(s) licensed pursuant to the (-onlractor's l.icense l.as'). -l am exempt under Section-- . B. & P.C. for this reason. Owner:___ \},ORKERS' CONI PENSA'tION DE(:LARA'tION I hcrcby affrrm under penalty of pojury one of the follorving declarations: --l have and rvill maintain a Certificate of Consent to Self-lnsure for workets' compensation. as provided for by Section 3700 of the Labor Code. for the perfonnance of the rvork for rvhich the permit is issued. _-l have and rvill maintain rvorkers' compensation insurance. as required by Section -1700 of the Labor Code. for the perfonnance of ___l cerril-v that in the perforrnance of the rvork for rvhich this permit is issued. I shall not ernploy any person in any manner so astobecomesubjecttothervorkers'cornpensationlarvsofCalifornia.andagreethatiflshouldbecomesubjecttolhe n'orkers' compensation provisions of Section -1700 o[the Labor Code. I shall. forthrvith cornply rvith thosc provisions. WARNING: Failure to secure workers' compensation coverage is unlas'ful. and shall subject an crnployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the #;T'4"1";"lf' :-;"", n== ===,, I hereby affirm under penalry of perjury that I am licensal *,,t* p"*'ttt"" "f Clrapter 9 (commencing rvith Section 7000) of Division l of the Business and Professions Code. and rny license is in full florce and effect. !D License Number: t lL I o?.rn d2.I -icc:rtse oarc,l YO\l 4| (lontrnctor'-L CONS'I'RUCTION LENDING AGENC}' I hmby affim unds penalty ofpctjury thu thae is a construaion lending agcncy for thc pofomnncc ofthc $ork for ufiich this pennit is issued (Se'c. 3097. Civ. C.). Lender's Name: Lender's Ad&ess: APPLICAN'T DECLARA'I'ION I hercby aftirm under penalty of per.iury one of the follou,ing declarations: I)enrolition Perrnits-Asbestos Notification Federal Regulations (Title 40, Par16) -_--Required Letter of Notification ^ --l cqriry that the fedoal regulations rcguding mbetos removal re not applicable to this prcjct. Wn* r^^rl have red this applicarion ed srarc that the abore infomation is corcct. I agrc to @mply with all cityand County ordinancc md State lanvs rclating to building construction. ud hqebyauthorize rqrffitativc of this City and Countyto mtd uponthc abovc motioned prcpeny for impction purpos. Applicant or Agent Signature: L-I)nte: -ll-U)A I I l'erntiteename(printl: K ftr N)9y CInAY+ t Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/VenUl nsu lation Roof Sheathinq Shear Wall Framing lnsu lation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif I FINAL rc Certificate of Notes, Remarks, Etc + Dnte:__ -) lAA.rr,tYl,/a)