HomeMy WebLinkAbout101105894 - Permito
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01105894
Pin #: 15.26,2
Proiect Address: 2639 N Oakmont Ave-a- -
Assessor's Parcel. 396413-01 Lot: 48
Unit.Bldg. Address Range.Suite Range:
Zoning: RlBlock: NA Tract: 4226 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Revision Constr Type: V B 2nd FL Area:
Nature of Work: Revision Code: CBC 2019 Other Areas:
Existing Bldg. & Use: Sfd w/aft garage Flood Zone: X-0602320163J Garage Area:
Proposed Use: # of Stories: Total: O
Description of Work: Revision to 101104212 : to reduce shearwall length and provide shear wall with higher capacity
Patio:
T.l.Area:
Yards Req'd:
Valuation: $1,500.00
Botch*:581211 3/IL/2t:t2l
0f f i ce: (:TYH Tr nn s+ : l tt
NGAFI(
1 tlfPlanning Conditions:
Corine McDonald
2639 N Oakmont Ave
Santa Ana, CA 92705
(7141 469-8768
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
22996 El Toro Rd
Lake Forest, CA 92530
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Kenneth
Kenneth otol tiOwner:
Address:
Phone:
Tenant:
(s4e) 770-8ss0
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning !nsp. Req'd: No
Landscaping lnsp. Req'd. No
Date: Misc. Receipt:
Ahangian, Kathy Date: 0310912021 Misc. Receipt:
Chavez, Dave , Date: 0311112021 Misc. Receipt:
2'u' subject to Field:
Fire Insp. Req'd:
Police lnsp. Req'd Account#
07776002 57770 Microfilm Records
07776002 53600 Revision
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
No
No
75233
Total
$4 0s
$23e 34 /
$1.00 / ,
I
$0.00
$244.39
$239.34
$s.05
Flood Zone Cert. Req'd: No 01 1 16002 51612
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,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.
$1 00
s -lnspector MID#:. 2A20-160499
01 1 16002 57770 $4 05
t
BUILDING. INSPECTOR RECORD (a
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
i hcrcby allirm undcr [rcnalty of JErjury lhat I am cxcmpt ltom thc Contrackrro' Liccnsc Law to] lhc folk wing rcavrn (Scc.7031.5
Busincss ard Protbssiu Culc): Any Cfuy or County which rcquircs a lErmit to consrruct, altcr. improvc. dcmolish or rcpau uny
structurc, prior l(t rts issuance, also rcquircs thc applicatrt tirr such prmit Io filc a sigrcd statemnt thal hc or shc is liccns.l pusuant
t) lhc provisions of thc Conlractor's Liccnscd llw (Chdptcr 9, Commcncing with Scclion 7000 of Division -l of thc BusitEss snd
ProfcssnnF Codc) or lhat trc r)r shc is cxcmpt thcrcli()m and thc basis for thc allcgcd cxcmption. Any violati(rtr of Scction 7OJ 1.5 hy any
applicant fi)r a lrcrmit subJsts thc applicant to a civil pcnalty of not mrre than fivc hundrcd dolles (5500).
-1.
as owner ()f'thc propcrty, or my employees with wagcs as thcir solc compcnsatlon, will do lhc work arxl rhc slructure is not
tttlcntlc.d or ofl'crcd lilr salc (Sct'.7044, Busincss and hot'cssions C<xlc: Thc Contract()r's l-icensc Law docs not apply to an owncr 6f
thc proJrcrty whrt builds or intpnrvcs thcrcrrn. aryJ who docs such work himsclf or hcrsclf or thnrugh his or hcr own cmployccs,
pnrvitlcd that such impnrvemcnts arc not irrcnrlcd or oftbrcd firr 5r1". Il, howcver, the huilding or improvcmcnt is sold within ()nc yc.u
ol'conplction, tltc Owner Buildcr will havc thc burden ol'pnrving that hc or she did not huikl or improve thc pnrpcrry lbr thc puryxrsc of
salc).
-1,
as owner t>f thc propcrty. am exclusivcly contracting with licenscd conlracton to construct the projcct (Scc. 7OM. Busincss
and Pnllbssirn Codc: Thc Contractor's Liccnse Law docs not apply to an owncr of proJrcrty who builds or improves thcrcon.
and who conlracts lilr such pnljccts with a Contractor(s) liccnscd pursuant to the Contractor's Liccnsc Law).
_l am excmpt undcr Scction_, B. & P.C. tbr this rcason.
fl.r I o.
WORKERS' CONT PENSATION
DECLARATION
I hcrcby all'irm undcr Jrcnalty ol';rcrjury onc of thc tirlklwing rlcclaratiolrs:
__l havc atrl wrll maintain a Ccrtilicatc of Conscnt to Scll-lnsurc lirr wrlrkcrs' comlrcnsatlon, as providcd lirr by Section .3700 of thc
l-atxrr Ctxlc, lirr lhc Jrerfilrmancc of thc work tirr which thc ;rcrmit is issucd.
-l
havc and will maintain workcrs' compcnsation insurancc, as rcquircd hy Scction 37U) of thc l,abor Codc, lilr the Jrcrtirrmancc of
thc wlrk lor which this 1-*rmit is issued. My workers' compensation insurance carricr and Jxllicy numbcr are:
Policy Number: Expircs:
-l
ccrtily that in thc Jrcrlirrmancc ol'thc work lilr whrch this pcrmit is issuctl, I shall not cmploy any lrcrson in any manncr
so as to bccomc suhjcct to thc workcrs' comJrcnsation laws of Calitilrnia, anrl attrcc that if l stxluld t--comc subjcct to thc
workcrs' com;rcnsalion provisions of Scction 3700 of thc [.ahlr Crxlc, I shall. tirrthwith conrply with those provisions.
WARNING: Failurc lo sccurc workcrs'comJrcnsation coveragc is unlawtiri. antl shall suh.jcct an cmpklycr to criminal Jrcnaltrcs and
civil lilrcs up to onc hundrcd thousanrl dollaus (S100,Uru). in addition to thc cost of compcnsation. damagcs as providcd tilr thc
Scctiorr 3076 ol'thc Latxrr Crxlc, intcrcst and attorney's fbcs.
A --l!---r^
LICENSED CONTITACTOR
DECLARATTON
I hcreby atlirm undcr Jrcnalty ot'Jrcrjury that I am liccnscd undcr provision of Chapter 9 (comrncncing with Section 7U)()) of Division J
of thc Business and Pnll'cssions Codc. and my licensc is in lull lirrcc and cl't'cct.
Liccnsc Class: Liccnsc Numbcr:
rl..a^.
CONSTRUCTION LENDING AGENCY
I hcrcby alfrm undcr fEnalty of lrcrrury lhat thcr is a conslruction bnding agcncy for thc lErformer of thc work for which this JEmir is
issucd (Sec. 3g)7, Civ. C.).
kDdcr's Namc:
[.cnder's Addrcss:
APPLICANT DECLARATION
I hcrcby aflirm undcr pcnalty ol'Jrcrjury onc ol'thc folkrwing rlcclarations:
Dcmolition I'crmits-Ashcstos Notil'ication Fcdcral Regulations (Titlc 40, Part6)
_Rcqu ircd lrt ter of Nolilicatkrn
--l ccrtily that the t'cdcral rcgulations rcgarding asbcstos rcmovalarc not applicahlc to this projcct.
-.l
certily lhat I lravc rcad this application and statc that thc ahrvc with all City arrd County
alrd County to cntcr uJxrn lhcordinanccs and Statc Laws rclating to building construction,
ahrvc- lr^-lrtioncd pro;rrty lirr
Applicant or Agent
Pt nttitee nAnre
*rr,.3r[,''lruZ/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nVl ns u latio n
Roof Sheathing I l,,a
Shear Wall 4t1 H ADaHr -rtU
Framing rt
!nsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[Vlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL (44)-?/l I BRq
Certificate of Occupancy I v
Notes,Etc.
Elov nQ-n7-2n 1 q
a
rul
fifi
fiflfi
Ififi
vm
aa
dl
rdiTt?o
-Io?
rflo
-.fo4
U'
o
Er
n
rn!on{
IIE
fifi
N J
I
at
r
fill
?a
U,
rb
E
o8
flJoe
o
1 b@
r
q
ffifi
Efi
xt
E
I
a
1'
rn
H
fr
5
Lc:t
*
g
L
0(r
lii{
is*
I{t,rI
I
0ltrt
F
1
o
I
,l
nt
q
i
I
3:aI
I
I
Jt
e.
n
.J
I
I
t
r
$
g
III
$
I
I
Itr
g
?f
E
I
II
.,t
i
t
a
ItrlI{i
l
ilo
ili
f,
E
iIl
a
rl,
-lrn
TA
--f
E
1q
fi
t-u{
tF
fr
q
q
I