HomeMy WebLinkAbout101106575 - PermitProiect Address: 1022 W Alton Avea
Assessor's Parcel: 410-263-05 Lot: 39
Unit.Btdg
Tract: 6906
Address Range:Suite Range:
Zoning: RlBlock: NA Historic: No
City 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 #: {01106575
Pin #: 7OL28
/2/v
Building Use Single F.mily Dwelllng Occupancy: R3, U 1st FLArea Patio:
Job Type: Reroof Conatr Type: V B 2nd FL Area: T.l.Area:
Nature ot work R.roof code: cBc mlg other Areas: yards Reqd:
Eristing Bldg. & uee: sfd wr.tt g.r.ge Flood zone: x{6o2320259J
Garage Area: vetu.tion: glo,oqr.oo
PDpo6ed U3e: # of Stories:
Totat:
De8calpdor ot Work R€rool houro & attached gaEgo - r€movo oxisting ahingla!, roplece any damaged ahoathlng, lrlatall comp ahingl6 on aloped roof
t tgmove buron gaf.ge & Inatall new bur. Handouta givan.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Katherine Do & Victoria Do
1022 W Alton Ave
Santa Ana, CA 927073868
(7141 862-8s14
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By: T
NPDES lnsp. Req'd: / , No
PWA lnsp. Req'd. t' No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Soto, Ricardo
Amsden, Julie
Date: 0510312021
Date:
Date: 0510312021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
077760 0 2
077760 02
077760 0 2
07776002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$345.28
$4.05
$1 00
$23 7e
$59 30
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs 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.
lnspector MID#: 2021-165873
01 1 16002 51600
01116002 51601
01 1 16002 51612
01 1 16002 57770
$23 79
$404 58
$1 00
$4 05 Fee Total:
Paid to Date:
Balance Due:
$433 42
$0.00
$433.42
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATTON
I hccby affrm unde pcnalty of pcrjury that t m cxcmpt 6om thc ConracloB' LiccN lrw for thc following lten (Se.7031.5
BGins md Profsion Code): Any City or County which rcquirs a p6nit to coNtruclr altq, improvq danolish or rcpair my
strucluc. prior to its issumcc, aho rcquire thc applicilr for such pamit to filc a sigtrcd ststmot tha hc or shc b licoscd pmmt
to the Eovisions ofthe Contrrctor's Liccnsed taw (Chaptq 9, Commcncing with Setion 7000 of Division 3 ofrhe Busins md r
Prcfcssions Codc) or that hc or shc is cxmpt thqcfrom ed the basis for the allcgcd cxopion. Any violation of Setion 703 I .5 by my
ffi ;-;#ffiffiffi;;;*ffi*,**********",
thc prcIsty who buil& or improvc thqor\ ild who doe srch mrk himself or helf or tluough his or ha om mployes.
provided rhat such imlrcvffits rc not itrtqrdcd or offqql for slc. lf, howds, thc building or irwovcrmt is $ld withir onc )@
ofomplaion, the Owno Buiklr will harc thc hrdqr ofproving tlra hc or shc did mt build or improrc thc propoty 6r thc pupor of
sle).
_-1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Scc. 7044. Busincss
and hoftssbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licensed pursuant to thc Contractor's License l-aw).
_l am B. & P.C.
{LI
DECLARATION
I hereby affinn under penalty of perjury one of the following declarations:
-l
have and will maintain a Cerlificate of Consent to Self-lnsure for workers' compensation. as provided for by Scction 3700 of the
labor Code, for the performancc of thc work for which the permit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the labor Code, for the performancc of
the work for which this permit is issued. My workers' compensation insurance carrier and policy numbcr are:
A
Policv Nurnbcr'
br...riryrno,
_Expires:
in the performancc of the rvork for which this pcrmit is issued. I shall not employ any pcrson in any manner
so as to becorne subject to the workers' compensation laws of California, and agree that if I should become subject to the
rvorkers' compensation provisions of Section 3700 of the Labor Code, I shall. forthrvith comply with those provisions.
WARNING: Failurc to scrure workers' compensation coverage is unlawful, and shall subject an employer to criminal pcnalties and
civil fines up to one thousand dollars ($100,000), in addition to the of compensation.for the
Section 3076 of the interest and attorney's fees.
(t
DECLARATION
I hereby affrm under penalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Codc, and my license is in full force and effect.
License Class: License Number:
CONSTRUCTION LENDING AGENCY
there is a construction lending agency for the performance of the work for which this perrnit is
Lcnder's Addrcss:
APPLICANT DECLARATION
I hereby affrrn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notilication Federal Regulations (Title 40, Part6)
-Required
lrtter of Notification
I certifo that the
E*irytr,u, I have
fbderal regulations regarding asbcstos removalare not applicable to this projcct.
read this application and state that the above infonnation with all City and
ordinances and State Laws relating to upon the
above mentioned propcrry for
\tppticant or Agent
Permitet' nanlc (print):
and to
ZI
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUI n s u latio n
Roof Sheathins
Shear Wall
Framincl
lnsulation/Energy
Dnnryall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
II
FINAL Clzthr {4C JK
Certificate of Occu pancy I
Notes, Remarks, Etc.,A\
cd 1-/P',-e
{
A
Carrier:_
!
f!^-.
-^ ^a ^-,
issued 3097. Civ. C.).
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