HomeMy WebLinkAbout101104913 - Permita City of Santa Ana 20 Civic Center Plaza (l\,/i-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-58A0 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O11O49{3:
Pin #: 9397E
Proiect Address: 5310 W Fifth St-a
Assessor's Parcel: 099-221-06 Lot: 4
Unit:BIdg: Address Range:Suite Range:
Zoning: RlBlock: C Tract: 547 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Patio Cover
Patio cover
Sfd w/att garage
R.3, U
VB
cBc 2019
A-0602320252J
1st FL Area.
2nd FL Area:
Other Areas.
Garage Area:
Total:
Patio: 544
T.l.Area:
Yards Req'd:
Valuationr $t 0,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: New attached patio cover
Planning Conditions:
2 Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
I It 5t](
,IU
l.leilHr(I r r
t-t1116t tt-t2
Building
L'111611rr2
8?r.r 1t
Owner:
Address:
Phone:
Tenant:
DANH HUYNH
5310 W sTH ST
Santa Ana, CA 927032459
(7141 272-3508
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
07776002 57607 Permit Fee $239 36
$233.92
$4 05
$1 .30
$1 00
$23 7e
$5e 30
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd.
Planning lnsp. Req'd:
Landscaping Insp. Req'd:
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterits issua nce,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#. 202A-1 60491
Soto, Ricardo
al, so. Anson
( Fmsden, Jutie
tJo
Date: 1010912020
Date: 1010912020
Date: 1010912020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
08907007
07776002
0777500 2
07776002
s3600 Plan Check Fee
57770 Microfilm Records
24000 SMIP - Category 1
s7672 Bldg. Stds. Revolving
57600 General Plan Update
57607 lssuance
No
No
No
Fire Insp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
08901001 24000
$23 79
$298.66
$1 00
$233 92
$4 05
$1 30
Fee Total:
Paid to Date:
Balance Due:
$562 72
$0 00
$s62.72
,
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads 0-dz,
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation t,
Roof Sheathing J,,6rlb
Shear Wall \-/t \
Framing
lnsu lation/Enerqy I {w
Drywall
Ext./lnt. Lath
Brown Coat
[Vasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL v*-Zt Yrr-'r dz-.
Certificate of Occupancy
Notes, Remarks, Etc
01VN1.,R BIJII,DI.,R )I hcrcby allirnr undcr lEnahy of Frjury lhal I am cxcmpt liom lhc Conlrrckrs' Liccnsc law for lhc folk)wing ]cdsn (SBc.?031.5
IJusincss aftl Protbssion Culc): Any City or CouDty which rcquircs r lE]mit t(, construct, altcr. improvc. dcmlish or rclui any
slruclurc, lri)r b ils issuancc, also rcquires lhc apJrlicant tbr such lErmit k) tilc. signcd st.temnt that he or slE is liccnsd pusuant
k, the provisi()ns of thc C(nrlracbr's Liccnsrl hw (Chaptcr 9, Commncing with Sstion ?UX) of Division -l of thc Busircss and
Prufcssi(rns C(xlc) or that hc ()r shc is crempt thcrcfiom and thc hasis lbr thc allcgcd excmption. Any violation of Setion 7Ol 1.5 by any
lpplicanl for a pcrmit subjects thc applicant lo a civil pcnally of not mrc than fivc hundrcd dollus ($500).
-1,
as owncr ot'thc propcrty, or my employccs with wagcs as lhcir solc comJrcnsation, will do thc work arxl thc strutlure is not
intcndcd or oll'crcd ftrr salc (Scc.7M4, Ilusincss and Prol'cssit>ns Codc: Thc Contraclor's Licensc Law docs not apply to an owrrcr of
tlrc' pnrp-rty who huilds or improvcs lhcrcon, aml who drrcs strch work himsclf or hcrsclf or through his or hcr own cmployces.
prttvidcd that such intprovcnrcnts arc mrt mtcndcd orollbrcd lirr salc. Il, howcvcr, thc huilding or impnrvcnrcnt is sold within onc ycar
ol'complctiott, tltc Owncr Builtlcr will havc thc burdcn ol'proving that hc or shc did not buikl or inrprove thc propcrty lirr the purposc ol'
its ()wncr rll'thc Pft)perty,am cxclusivcly contracting wrth liccnsctl conlract()rs to construct thc pnrjcct (Scc.7M4,Busirtcss
and Pnrlbssion Codc: Thc Corttractor's Liccnsc Law docs not apply lo an owner ol'proJrcrty who buikls or impnrves thcrcon,
and who contracts ftlr such proiccts with a Contractor(s) liccnscd pursuant to lhc Conlractor's Licensc Law).
_l am B. & P.C. tor this
Ib o
I hcrchy aftirm undcr pcnalty of prjury onc of thc tblkrwing dcclarations:
-l
havc utd will maintain a Ccrtificatc of Conscnt to Sclt'-lnsurc lirr workcrs' compcnsation, as provitlcd lirr by Scction 3700 of thc
Latxrr Crxlc, lirr thc Jrcrtirrmancc of thc work ftrr which thc Jrcrmit Ls issued.
--l havc and will maintain workers' comJrcnsation insurancc, as rcquircd hy Scction .1700 of thc Labor Codc, fbr thc Jrcrfrrrmancc of
thc work for which this permit is issucd. My workcrs' comlrcnsation insurancc carricr antl Jnlicy numbcr arc:
Policy Numbcr: Expires:
ccrtity that in thc Jrcrtirrmancc of thc work tirr which this Jrcrmit is issucd, I shall not cmpkry any lrcrso]r in any manncr
as to hcconrc sub.jcct to thc workcrs'contpcnsation laws of Califilrnia, and agrcc that if'l should hccomc suhjcct to tlrc
workcrs' coml*-nsation pnlvisions ol'Scction 3700 of thc Lahrr CtxJc, I shall, tirrthwith comply with ttxrsc provisions.
WARNING: I;ailure to sccurc workcrs' comJrcnsation c:ovcragc is unlawlul, anrJ shall suhjcct an employcr to criminal Jrcnaltics and
civil lirrcs up lo onc hundrcd thousand dollars (Slffi,tXXt), in addition to thc cost of com;rcnsation, danrages as provirlcd firr the
Scction Ctxlc, intcrcst antl attrlrncy's l'ccs.
I)1.(].At{,\TION
I hcrcby allirm undcr pcnalty of Jrcrjury that I am liccnscd undcr prcvision ol'Chaptcr 9 (commcncing with Section 7firu) ol'Division -l
ol' thc Busittcss and Prol'cssions Codc, anr.l my liccnsc is in tull tirrcc arrl cl'fcct.
Licensc Class: Liccnsc Numbcr:
CONSTRUCIION LENDING AGENCY
I hcrchy allirm undcr Fnally of JErjury that thsc is a construction lcnding agcrey tbr thc lrcfformncc of thc wrnk for which this lErmit i1
issucd (Ss. 3097, Civ. C.).
knder's Namc:
[.cndcr's Addrcss:
APPLICANT DECLARATION
I trcrcby all-rm under Jrcnalty of pcrjury onc of thc lirlkrwing declarations:
Dcmolition Pcrmits-Asbcstos Notillcation Fcdcral Rcgulations (Titlc 40, Part6)
_Rct1urcd lrttcr of Notilication
that thc l'cdcralrcgulalions rcgarding ashcstos rcmovalarc not applicahlc to this projcct.
ccrtil'y that I luve rcad this application and statc that lhc ahlvc inftrrmation is corrcct. I agrcc to comply with all City and County
and Statc [:ws rclating to construction. aml hcrehy authorizc rcprcscntativcs ol'this City and County to cntcr uJxrn thc
atxlvc mcntioncd proJrcrty for
Applicant or Agent
Pcnrritee nanre
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