HomeMy WebLinkAbout101107588 - PermitProiect Address: 215 S Oak St Bldg: Address Range
Tract: PS&BLEEAOD Hrstoric. No
Suite Range:
Zoning: R3Block B
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counler: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Seclion: (714) 647-5853
Permit#: {Oll07588
Pin #: 90760
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
lllulti-Family (5 or more units)
Reroof
Reroof
Apartment Bldg
R-2
VB
cBc 2019
x-0602320276J
Patio:
T.l.Area:
Yards Req'd
Valuation: 016,000.00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
'l st FL Area
2nd FL Area
Other Areas:
Garage Area:
Description of Work: Reroof apartment building - remove existing & install torch down
Totat
Handouts given.
Planning Conditions:
Owner.
Address
Phone
Tenant
Nermine Malki
347 S TIMKEN RD
Anaheim, CA 928081359
(714) 348-05s6
Conlractor
Address:
Owner-Builder
Address
Phone:
Lrcense #
Architect /
Desiqner.
Address.
Machado, lvliriam
Amsden, Julie
Dale: Ogl18l2021
Dale
Date 08/18/202'l
Sublect to Field
0 77 7500 2
07776002
07776002
07776002
017 760 0 2
51507
57770
57672
57600
57607
Pormit Fee
Microfilm Records
Bldg Stds. Revolving
General Plan Update
lssuance
$345.28
$4 05
$1.00
$2 3.79
$59 30
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert Req'd: No
Evory petntt issued shell become invalid unless lhe wo* on the sile authotized by. such pemil 6 commenced withn360 days after its lssuance,or f the work authorized
on ,o s e by such petn ts suspencled ot abandoned lot a penod 9f360 days after
the ttme the wo* ts comfiencecl
lnspector MID#: 202 1-168236
01116002 51600
01 I 16002 51601
01 1 16002 51612
01116002 s7770
$23.79
$404.s8
$1.00
$4.05 Fee Total
Paad to Date:
Balance Oue
$433 42
$0.00
$433.42
Uort >/
Assessor's Parcel 404-081-05 Lot.8
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Phone:
Lrcense #
Planning Approval By:
Plan Checked By:
Permd lssued ev, A
NPDES tnsp. Req1, /4-No
PwA lnsp Req'd ( 7 tlo
Planning lnsp. Req'd - No
Landscaping lnsp. Req'dr No
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILOER DETI] RATION
I h6et, omfln und6 p.n ty of prju.y lhsl I dr .rorpl lrom lh. Contd.r.^ Licolc L5w for rh. lollosinS rN. (5(.701 L5
asinBs &d Prolsio. ( od.). Aoy Ciry or Courry $hich (qut6 r p6id to mNlNci. dlr. ihprove ddelisn or cp6n ey
lliucrEc Fu ro rr3 6@ce .,1$ r.qn6 th. roglkor tu skh Fmi b 6!. a sisn { 3ldtul lhd lE or dE b li.cnel prt4d
kr lh. Fovnio r orrlE Conr&lf ! t-rc.nrd tr*' lchaFs 9, commd'n8 $nh sdlion 7000 of D'rBon I oflh. AGin6 dd
Pof*iois Cod.) or th.l h. or sh. i! crmfl lhdtfiom ud lh. blsis for llt lll.scd cdtBnr Any lioh io. of Sdhn ?01!.5 L, et
- appll(d n{oFmil hj(hth. lpp[rant to acrvr|pcnalt) or.ut moRIh& li.. hLndrd doller l l(0o1.
^l.a.sro.rrh.FDpdry.nm)odur6l
hq'rs6srlE elc cnmFM'on. r'll.lo llE sd !n rl.E nrErE. ftn
[i6xt d o.oll6cl lorsl.{Sa 70aa. BG'n6 ud horsK6C.<l.: n Gtudoar l-i..M t $&6iol,pplyroxos6!f
rhc lnrFi! *ho hrl.k o ml'trG rfiqal! rnd who &E 3rc1 w& hmlclr o, h@lrdr lhNu8h hn or hd o"n nplo) G.
Drorid.d rhrl such inp.oEEft e er orodql orordel lorel..I( lt)"qs. rh< buildin! or improvoMt ii$ld*dhino..)@
orcodpklk n. rlr Owns tkikt, $ill hav. rlE bon a oaFolr4 rll, h. or sh. did et hild or inFo!. 6. FlFry aor th. la4rs of
l. s or.nn of rh. p6pdy, m .r.[sr.l] conrtuins wlth hcas.J {nrrrdo6 lo conntu r rl* Fjdr {sd ,0.4, aBo6
id tbi*nr Codc ThcConra.rois I.i.cnr.La* do6 not +pllto rno$n6olFolEnywho buil& o, inpNv6lhs6,d.
.nd rho.obhcrstorsu.hprojdswirhiContnclo(rlics.dpuB@rrolhcConrrelor'3L(cel3s)
*;:iii[,[x':"x $tlRht:R\' ( otlt'INsA't IoNof,llltlrot
I hdcty arm od6 Fn ly otFjd, oE olln. louosirs .16L.!rn'd:
-l
h.\r d will Mi .in . Cdti6cd. ofco@n to Sclt-lB@ 16r wtc! @nFntnioa. e F.viLd tor t, sdrio, 3100 of tlt
L.b.r cod., for th. parolfu.. of thc m* fo. s.hth rh. pqdr i blucd.
-l hlr.nd *ill m.iir.i. wuld'cmFNrior cua.. B rcquir.d Uy Serion 1700 of rlt kbor Codc. fd *. pqblll'e.of
rh. lst fd whi.t $n Fbi h ised M, srt6- 6ncoadi,6 ill.ll,e. nii ad ,olky mEb6 e:
Ceic.--
Policy Nuohar-
-ErpbB:
-
\cd'6 rld
'o
lhG FronM(.of rh. *rrr for whEh lhis Fni F Lriu<t, I slEllnot dnploy mr_ F$n h a.} moK
$ 6 ro b..o.r. rubJd ro lh. worl6 (upcnsrion lr*s .f Califomi& ud 4r lhal if I snould h.tod. btttroth.
work6' conilsBarion piolisioB or sdi.n 1700 of rh. t-ahlr Codc I sldl. lonh$'nh coftply I ilh rhos pnn i.ioN.
\+ARIINC li.ilur€ ro -^-s. *ork6' conpcMion cov6a!. i3 lnla*ful, Md nlBll subjat s oplors to aiminal pcruhis d
ro om hon&.d rhousd dolls (!100-0GJ). r tddnen ro rh..d of.omFru tion. d!ms6 6 pnlid.d tor lh.
df rh. lltr, (i!& nrdd udd
x,",1
DICIdAAIjO!
I hd.by.fim urdd F,lr, orFjury lhn I e licqE d urda F.r6ir. of Outxa I {.\rm4i,S snh.(stbn tflxl) of Dir rnl
of ln Dcins and P,olBioB Co&. ar{ ny lic@ i! in tull aore dd clt61
coNslallcllaNi,ElDlaclcf!(I
I hd$y lllim un.kr FMll} ot Fjury th, lhsc is . @,ritu lbn lodins ryfty for rhc psfol:M. oflh. worl for Bnih lhs pchil i3
,.su.d(s6 1097. civ c.).
IIIUC ILOIC! AAl&!
| ,@,J amnn onds D63lt, ol pcrjrry onc o{ rh€ tolhsin! ddldllions
Dc,nohion Fnnic-AstEnrs Nolifi cariofl ljcdoal R.slldions (Tnl. 40, l'd,lo)
R.1nr.d l.cG oa NorifBdior
^
I (d'fr thd rlE l.dcllrcsuLuoN Esed'n* Nb6t.! rdoval e nor 'Ilplrrbl. 'n
rh! pml6r
L\U;*'",h,l , ** *u,,ts rppri anon EJ sr.rc rh, rh.6bovc in.omdn'n B cora-l I asrc t' conpl, w h rrr ciry !..1.ot my
ordi.&6 &d $fl. tr! EldirB ro ttuildnE .oErMio( rd h6.!y.urlbr'. r.Fs div6 otfta cny..d Coldy ro 016 uFn E
H::H;::x!lSAAq<2 .* gltsk
,*u*-'.,,fi Fr4rr-a ti-€ Lltt/nac.t
Set Backs
Forms/Steel/Holdowns
UFER Ground
SLAB Floor
Subfloor/VenVlnsulation
Roof Sheathinq 8-2-5-?r Ea.i( {r-
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL ?-rt-t r Dairt? r{2
Certificate of Occupancy
Notes, Remarks, Etc
Erection Pads
I
I
I
I
I
I
Lrc.M Nunbd
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa€na.org
APP.13 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An applicati
specified at
on for a buildin\xo E
o oermitv(w has been submitted in v our nam e Istang yourself as the builder of the property improvementsSTenfi)\(\ad c-1-
We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder
OWNER'S ACKNOWLEGMENT ANO VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signity you understand or verify this information
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build-
rng permr t that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an
Owner-Builder, may be held liable and subject to serious financial risk for 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 for 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 prop-
erty.
la"'LlV , I 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.
'ilL,I understand as an "Owner-Buildei' 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.
L s4t 4. I understand Contractors are re quired by law to be licensed and bonded in California and to list their license numbers
on permr ts and contracts
VW5. I understand if I employ or otheMise engage any persons, other than California licensed Contractors, and the total
value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employer" under state and federal law.
flfu ,understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com-
pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
Wt| /f | 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac-
tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract
with a licensed general building Contractor.
U Lrl/l
I Ifl L l understand as an Owner-Builder if Isell the property for which this permit is issued, I may be held liable for any f i4an-
cial or personal in.iuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman-
ship or materials.
We will not issue a building permit until you have read, initialed your understandang of each provision, signed, and returned this
form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner,
obtain the prior approval of the permitting authority.
1-]$\r. I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser-
Vice, the United States Small Business Administration, the California Department of Beneflt Payments, and the California Divi-
sion of lndustrial Accidents. lalso understand lmaycontactthe California Contractors' State License Board (CSLB) at1-800-
321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors.
-(
h4 'lO I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
party legally
dress:
aId flnancjally responsible for proposed construol(5 : O\ry\( .-)i . (\i)D ction activity at-!he following ad-
\AS f-.. Prr--ra S.I-
$t$1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
alplicable laws and requirements that govern Owner-Builders as well as employers.
l]q[]\, I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a
license, the Contractors State License Board may be unable to assist you wath any financial loss you may sustain as a result of
a complaint. Your only remedy against unlicensed Contractors may be in cival court. lt is also important for you to understand
that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable fordamages. lf you obtain a permit as Owner-Builder and wish to h ire Contactors, you will be responsible for verifying
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 must be completed and signed by the property owner and returned
to the agency responsible for issuing the pe rmit. /Vote; A cglty oJ the plopefty owner's driver's license, form notariza-
tion. or other verification acceDtable to the aoencv res red u d to be presented when the permif is ,ssued fo verifv the
Signature of Property Owner 44',Date
Feya-1, pg Mr,ti-1c"Print name of Owner
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner. the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder
Permit for my project.
Scope of Construction Project (or Descraption of Work)
Project Location or Address
Name of Authorized Agent:
Address of Authorized Agent
Phone Number of Authorized Agent
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy.
Property Owner's Sagnature Date
Note: A copy of the owner's driver's license, form notarization, or other verilication acceptable to the.agency is re-
quired to be presented when the permit is issued to verify the property owner's signature.
DroDertv ow ner's sionatu re.L /l
,,1
Print Name of Owner
*,SANTA
NA,Iffi
5r'
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
{714) 647.5800
// /r ,a SIr:-l-l-l r): i
Smoke & CO
Alarm Affidavit
rNSP,02 2013 CRC
This document moy be lound ot.,,
(Please use a black or blue ink ball-point pen)
ProjectAddress: J.t5 :. On(p q
Permit Number:\ or (o?566
Property Owner: t Jefu..r.Nf Mfrt-Cr
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild in gs.
California Residential Code (CRC) Section R314.1and 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 req u ired locations.
.f\ eoth boxes below must be checked:
p/Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
betrooms 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.
ffSmoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleepinga\
robm, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed, Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify 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 certify that I will retest the alarms per the
m a n ufactur r's in ctaon s
Signoture:
lcheck onel tr Licensed Contractor Property Owner
NOTE: Ihis sef-c ertification is only used for projects thot olfect the EXTERIoR ol the strudwe. This
process is opplicoble ONLY to projects where access to the interior of the dwelling by o Sonto Ano
lnspector is not required.
Date:
Have this completed form and the job-card readily available on final inspection!