HomeMy WebLinkAbout10193413 - Permit (2)Proiect Address: 3302 S Woodland Pl
Assessor's Parcel: 410-193-07 Lot: POR 65
Unit Bldg: Address Range Suite Range;
Zoning: RlBlock: NA Tract: 7058 Historic. No
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: lO{934{3
Pin #: 18480
Building Use: Single Family Dwolling Occupancy: R-3, U 1st FL Area: Patio:
Job Type: Roroof 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, att garago Flood zone: x-0602320259J
Garage Area: valuation: $12,192.00
Proposed Use: # of Stories:
Totall
Description of Work: Reroof Wt.o.-Remove comp and apply Malibu Eaglolite Tuscon blend (5.7 ps0rlAPMO #1900 (ref. City of Los Angles RR #25021)
Planning conditions: Roplace sheathing, 3aves, and fascia boards as needed.
Owner:
Address
Phone:
Tenant
Contractor
Address:Address
Danny Tran
3302 S Woodland Pl
Santa Ana, CA 927073930
(714) 398-3840
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued Byl
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Guevara, Jerry Date: 07/03/2017
Date:
Date: 07/05/2017
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 5160I Permit Fee
07176002 57672 Bldg. Stds. Revolving
07716002 51600 Gene?l Plan Update
07776002 5160, lssuance
$308.52
$1.00
s21.25
$52.98\0\ernanoez, xatny
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd }! Account#Total
Flood Zone Cert. Req'd: No
Every peftnit issued shall become invalid unless tho wo* on lhe site authoized by
such pennil is commenced wilhn 180 days efter its issuance,ot it the wotk authonzed
on the site by such permil is suspended or abandoned for a peiod of180 days aftet
the tifie the wo* is commenced
lnspector MtD#. 2017-137164
$21.25
$361 .50
$1.00
Fee Total:
Paid to Date:
Balance Due
$383.75
$0 00
$383.75
Engineer:
01 1 16002 51600
01 1 16002 5160'l
01 1 16002 516'12
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDER DEI-('ANATIoN
I h6.by .mm un'16 p.nilty ot pc.ru!., rh l m crm from rh. ('onr-o6 l.icN l!* for lfic nrlkrq'in3 r@)n (st 70rl 5 -
Buin6 ! ft.iB]on Codcl A.) Cir' or Counry *h'ch Equtrd , Fhn ro codtud, .lrd. inpr.rr, &rmlLh nr EtEi !
irtudde Ffi ro nr isum.. .k r.q{,6 rh. rr?lrd tu.u.h Fmn b 6L r r(n d idom hn h. or slE i hcds.n puBdn
ro rh. Foririoc otrhc Con[acroa! l-ic..*d Llw (Chrprd 9. Conm.ncin! sirh sdb. 7000 .f Dirnh. ] ofrh. Brlind .nd
Prndnns (id.) or lhn tl or iri ir d6fl rlEr6om &d rhc bc. tu rh. ilLs.d cro$hn A.'\irbri'nofsdhnT0rrJb!.nr,
apFli(r Io..Frnisxbjd3rh..r4,li.anrrcd.i!ilpodlrrof.ormor.rhanfi!.hundr.d'l.ller(t500)
l, 6 o*E of th. FoFn\. or mt drhlG trrrh qaA6 6 thd $L NmFErix)a. *,ll <h rlE r(t lri rrE tur. it hn
inhJ.d o. olTd.n for sl. I se.70a4, Buiind Md l'nf*ti.N ('o& Th. ( onlracroi3 l,icaE l,.s do6 .ol tpply ro e o\m( or
rh.F.Flt $lb lu a or o4r.r€ EEI lrl rb &6 sh *o* hirelf o. h6rlf or rlFurh hF s h- orn opk'r6.
I,ovdld rhd su.h 'ryrcr!ffi e (1 idqd.d r o,I6.d for s]. lt lFu6q. rh. ixildI* or drF\.:d ir $ld $ ihm oft \6
oa.onyki)n. $. (){nd Bdildd will h.!t llr bnLn .f Fov'n$ lhd h. o. sh. did d tuild or i,rFoE th. pmrgty for lhc purrrrr ot
l. 6 o$ 6 oarh. FoFry. o .rcl6iv.ly codr.d iry r nh licar.d conrr&1ou kr $nrrud rlE r{rj..l (sR 70{.1, uEn6
ui h!rs$ Cod. ftc ( onrn<1.43 Lt.@ t r <kE tur rpglylo aosnd orr.p.nt$ho h,l.kor inpro\6rh66..
rnd who contmdr fo. s.h Fljclr snh r Cod6do(s) li.d!.d puBM lo rh. ('onlrodois L(m. l,wl
I m.\mDr untl6 S6'n n
DICI,ASAIIO!
I h6d .mm lndd FBh,_ of p.rjult otr ofllE folhq in3 .kttrdioB
Ihdv.s will minrrio . ( driaElrc of ( ols4t ro S.lf-lNur. tu rtrrtgr' conrHsdhn. 6 Ftrvi{H[o,hySdrio.]7(x)oirh.
h&r ( o&, fo. rhc Ffolllre. ot !n sort fcshihrh.Fmn n iskd
I h.r. .*l \ ill n!i.l!in s oi(6 (onpcMlion iNuam.. s r.rtuiEd bv s(l ion 1700 or rh. I it$r cod., for th. IEfotruc. oa
lh< rorl I[ trhth lhu Fnn i! isFd M) srn6 comF!.dir Burmc ctnq td Flry .unh( r.
I cdi8 rh.r mrh.!Erl-'rm!r.ofrh.$o fortrhichrhcFm B i33u.d. l shlll mr mrlolan, Fs,n'.rnlrdF
er a'o b..otu slhid ro rh. *olt6 NnFLt Inn hws of( olifornn. rnd lsc rhd ifl rh.uld tr.m..uhjd lo rlE
q. 6 coEFsr N. p.or siB ors.d ion 1700 of rh. ljru cqL. t,Elt. fonhq hNfrp[ |irhrhleF6aioB
WARNIN(; r.ilu,. ro cu. $0116 .on{.Mnin .ordl8. ir nh$n,|, .nd lholl sutjNl M dploys lo ciminil toilr6 ind
.n fiB up to or hun&cn lhou$.d thlh6 (tlm,fiD). rn
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CAIiIAICIIOIIIIDINCIGIA(I
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AITLICANLDISJAAIIAI
I hor!, afrn und6 p6.h! ot p.rltrry onc oI lhc nnltNin! dc lmrins
D.nn,liriJn PrdnsArlEno! Norifi.arhn lrdldal R.SUhtnrn! (t irl. 10. Pd6)
R(qur.d l-drd of Nonli.dion
I cqilfJ" rhd rh. f.d6il..3ulnio6 caadiry a3tEros,6(xald. mrqDht,$k n\ rhh JroJ.d
I (diar rhd I hr. r6d rhir .ptlk.hn d.rhdth.ah.\.innrtui,n kcotrd l3ArarosmpllunhtllCn)..d(tu.r!
ordn.n.6 and srar. I i$s r.br4 ro hrildin*&rfiori2. r.F(sh n 6 olrhk (lryud ( ounr, ro 6rd ut'6n rh.
atr\. Mlion.ri prcrdr tor itrip.<1ion
'{pplicNnl or AEml Si*tr.lur.K
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathing Y /7/t1 \.'*f,I "" 4|
Shear Wall
Framing
I ns u lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/t
FINAL lz,-t(-l /) \a[$
Certificate of Occu anc
Notes, Remarks, Etc
Forms/Steel/Holdowns
I
I
lNsP-0? 2c 13 cRc
This document mqy be lound qt... h l:tc:/ '/r/'r!y. sa n ta -a na.orqr pba,
(P/ease use a black or blue ink ball-point pen)
*,SA}I'IA
NAffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana. CA 92702
(714) 647.s800
wwirv santa-ana.Olq
Smoke & CO
Alarm Affidavit
Project Address: 3 :-L I V.Joo
Permit N umber:
Property Owner:
C o ntract or:License #:
State of California requires that smoke and carbon monoxide {CO) alarms are installed in residential
bu ild in gs.
California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required loca tions.
A eo,h boxes below must be checked:
Z Carbon monoxide alarms: Are instalted outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
EI Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be ba tte ry-o pera ted for bu ildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the St3te Fire Marshall (SFM). Battery life must be 10 years.
I hereby certif/ that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certjfy that I will retest the alarms per the
ctions
Signdture:
C
manufacturer's ins
lcheck one)tr en sed Con ti'actor tr P ro perty Owner
NOTE: rh,s sef-c eftification is only used lor projects thot olfect the ExTERtoR ol the structure. This
process is applicable ONLY to prcjects where occess to the interior of the dwelling by d Sontd Ano
lnspector is not tequited.
Have this completed form and the job-card readily available on final inspection!
Dote: 9
l
I
lc.^A ?l
t\.4AYOR
lrriguel A. Pulido
I\.4AYOR PRO TEM
Michele [rartinez
COUNCILIUEMBEBS
P. David Benavides
Vicente Sarmiento
Jose Solorio
Sal Tinajero
Juan Villegas
ACTING CITY [,4ANAGER
Gerardo luouel
CITY ATTORNEY
Sonia R. Carvalho
CLEBK OF THE COUNCIL
Maria D. Huizar
CITY OF SANTA ANA
PLANNINC & BUILDING ACENCY
20 Crvic Center Plaza
P.O. 8ox 1988 . Santa Ana. Calrfornra 92702
www.sanra-ana.orq pba
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder ol the property
nts soecif ied at nS. v/oaXrove
We are providing you with an Owner-
a^*7 A^^L
rm to make you aware olilder A kn m n lnf rm n
your responsibilities and possible risk you may incur by having this permil issued in your names as the Owner-Builder.
We will not issue a building permit until you have read, initialed your understanding ol each provision, signed, and returned
this lorm to us at our official address indicated. An agent ol the owner cannot execute this notice unless you, the properly
owner, obtain the prior approval ol the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VEBIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
71 f . f understand a frequent praclice ol unlicensed persons is to have the property owner obtain an "Owner-Buildef
building permit that erroneously implies that lhe property owner is providing his or her own labor and material personally. l,
as an Owner-Builder, may be held liable and subjecl to serious financial risk ror any injuries sustained by an unlicensed
person and his or her employees while working on my property. My homeowner's insurance may not provide coverage lor
those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to
workers on my property.
W-r. ,understand building permits are not required to be signed by property owners unless they are responsible for
the construction and are not hiring a licensed Contractor to assume this responsibility.
E-2. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may
protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name
instead of my own.
DT +. I understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permils and contracts.
Q1 S. t understand if I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the
total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employea' under stale and federal law-
-[L-0. t understand il I am considered an "employer" under state and Federal law, I must register with the state and
federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to
serious linancial risk.
V I I understand under California Contractors' State License Law, an Owner-Builder who builds singlelamily
residential structures cannot legally build them with the intent to offer them for sale, unless a//work is performed by
SANTA ANA C Y COUNCIL
mouhdo@sanra.ana oro
Mayor P.o Tem. Ward 2
m marl nez@sanla.ana oro
V cenre Samrenro
vsamrenlo@sanla a.a.oro isoloro@sanra a.e oro
P Davd B€navrdes
dbenavdes@sanla.ana-oro Mllec.s@santa ana oro slrnaoro@sanla ana o.o
licensed subcontractors and the number of structures does not exceed four within any calendar years, or all ol the work is
performed under contract with a licensed general building Contractor.
i/'i a t understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any
fin'arrcial or personal injuries sustained by any subsequent owner(s) that resuli from any latent construction delects in the
workmanship or materials.
'D'l S. t understand I may obtain more inlormation regarding my obligations as an "employer" Irom the lnternal Flevenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the
Calilornia Division of lndustrial Accidents. I also understand I may conlact the California Contractors' State License Board
(CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.
\/l lO.l am aware ot and consent to an OwnerBuilder building permit applied for in my name, and understand that I am
the party I
address:
ally and f ina nciall res onsible forv pro constru tlon act at theA---
llowino(4ivitylo
,2E'l'1. I agree that, as the party legally and linancially responsible for this proposed construction activity, I will abide by
all applicable laws and requirements that govern Owner-Builders as well as employers.
'l/ \ P. I agree to notily the issuer of this form immediately of any additions, deletions, or changes to any of the
intormation I have provided on this form.
Licensed contractors are regulated by laws designed to protecl the public. lf you contract with someone who does not
have a license, the Contractors' State License Board may be unable lo assist you with any financial loss you may sustain
as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important lor
you to understand that if an unlicensed Contractor or employee ol that individual or firm is injured while working on your
property, you may be held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will
be responsible for verilying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form musl be completed and signed by the property owner and
relurned to lhe agency responsible lor issuing the permil. Note: A copv of the Dropertv owner's driver's license,
form notarization or other verification ble to the /s uired lo be the it iscn
Signatu re of Property Owner Date: 1 3- l7-
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, lhe execution ol which I understand is my personal responsibility. I hereby authorize the
following person(s) to acl as my agent(s) to apply for, sign, and lile lhe documenls necessary to obtain an Owner-Builder Permit for my
Scope ol Construction Proiect (or Descriplion of Work)
Projecl Location or Address
Name ol Authorized Agent
Address of Authorized Aqenl
Phone Number ol Authorized Agenl
ldeclare under penalty ol perjury that I am lhe property owner lor the address lisled above and I personally filled out lhe above
inlormation and certily its accuracy.
Property Owner's Signature Dale
Print Name ol Owner
Note: A copy ol the owner's driver's llcense, lom notarization, or olher verilication acceptable to lhe agency is required lo
be presented when the permit is issued to verify the propeny ownet's signature.
SANTA ANA CITY COUNCiL
6p!l'do@sanla.ana.oro
Mayor Pro Tom, $/ard 2
miman ne2@sanla-ana.oro vsa,m'e.ro@sa.ra.a.a o,o Boloro@sanla-an. or.
P. Oav'd Benavdes
@Elalrie@l9llt,illrrrc jv'le9as@sada:tui slna'ero@santa-ana.oro
Print name of Owner fhntr,-t,t ?t--I ra-2./\,-..--