HomeMy WebLinkAbout102107447 - PermitProject Address: 5419 W Flight Ave
Assessor's Parcel:108-585-16 Lot: 48
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 4559 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 #: 1o.21o^7447
Pin #: 8{ 267
Building Use: singlo Family Dwolling occupancy: R-3, u 1st FL Area: Patio:
Job Type: Alte.ation Constr Type: V B 2nd FL Area: T.l-Aroa:
Nature of Work: NrV - Logalizo P.tio cov.r Code: CBC 201 I Other Areas: yards Reqd:
Exisring Brdg. & use: sFD wrett carago Frood zone: x-Lo[A
Garage Area: Varuation: g2,ooo.oo
Proposed Use: # of Stories:
Total:
Dercrlptlon of Work: NrV - Legallza patio cov.r st rear ol SFD ln accordance with city workah.et, removo unpormlttsd partitiona inaide exbting pormitted
scroened patlo. Logalize ('l ) window chenge out in kitchen. Orvnsa-Buildor fom on fil...
.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
PH! V DINH Contractor.
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
r-Y An
u t ld irrs
i I I l6ttt-t2
enernl I
itll6LlLt'l
19 I
116
:rc,i
Misc. Receipt
Misc. Receipt
Misc. Receipt
Phone:
License #:
Total
07776002
07776002
0777600 2
07776002
07776002
07776002
07776002
57607
57770
57607
57607
57672
s7600
57507
reclr
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Martin, Eric
Chavez, Dave
9'L'
Date: O8lOSl2O21
Date:
Date: 0810512021
Subject to Field:
Account#
Permit Fee
Microfilm Records
!nvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$34s 28
$4 05
$104 26
$261.96
$1 00
$23.79
$s9 30
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$23.7e
$770 80
$1 .00
$4 05
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permit is suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
lnspector MID#: 2021-167612
$799 64
$0 00
$799.64
t
t
t
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflirm undcr Jrcnalty of pcrjury that I u excmpt fDm thc Contrrcton' Licensc law for lhe folbwing rcen (58.7031.5
Busincss ard Profcssion Codc): Any City or County which rcquires a ymmil to construct, altcr, improvc, dcrclish or rcJEir any
structurc, prior Io ils issuilce, also rcquircs lhc applicant for such lf,rmit to filc r signcd statcmnt that hc or shc is lienrcd pusuant'
to thc prcvisions of the Contrrctor's Liccnsd llw (Chapicr 9. Commcncing with Sfftion 7000 of Division 3 of fte Busircss and
ProfcssionsCodc)orthalheorshciscxcmptthcrcfrcmandthebasisforthcsllcgcdexcmption. AnyviolationofStrtionT03l.5byany
applicatrt for a pcrmit subjets thc spllicant to a civil pcnalty of not mrc th.n five hundrci dollus (5500).
_1. as owncr of the propcrty, or my employccs with wagcs as thcir solc compcnsation. will do thc work arxl thc stnrcturc is not
intcndcd or oll'crcd for salc (Sec.7044, Busincss and Professions Codc: Thc Contractor's Liccnsc Law docs not apply to an owner of
the propcrty who builds or improves thcrcnn. arxl who docs such work hirnsclf or hcrsclf or through his or her own crnployccs.
providcd that such improvcments arc not intendcd or offcred for salc. If, howevcr, thc building or improvcnEnt is soh within one ]rcar
of comphtion. thc Owner Buildcr will havc thc burden of proving thal trc or shc did not build or improvc thc propcrty for the puqxrsc of
sah).
-1.
as owncr of thc propcrty, arn cxclusivcly contracting with liccnscd contractors lo conslruct thc proict (Scc. 7W. Busincss
and Profession Codc: Thc Contraclor's Licensc Law docs not apply to an owner of propcrty who builds or improvcs thcrcon,
and who conlracls for such proicts with a Contractor(s) liccnscd pursu&nt to thc Contractor's Licensc L:w).
I arn excmnt section-,ffi,W*ut--Ornnaa'X
I hercby affirm under pcnalty of pcrjury onc of thc following dcclarations:
_l have and will maintain a Ccrtificatc of Consent to Self-lnsure for workcrs'compensation. as providcd for by Scction 3700 of the
I-abor Codc. for the pcrfornunce of the work for which the pcrmit is issued.
-l
havc and will maintain workcrs' compcnsation insurancc. as requircd by Scction 3700 of thc Labor Codc. for thc pcrformance of
lhc work for which this permit is issued. My workers' compensation insuruncc carrier and policy number are:
Policv Number: Exoires:
-l
ccrrify that in thc pcrformancc of thc work for which this pcrrrrit is issucd. I shall not cmploy any [rcrson in any manncr
so as to bccornc subjcct to thc workcrs'compcnsation laws of California, and agrcc that if I should become subjcct to the
workcrs' cornpcnsation provisions of Section 3700 of the L:tnr Codc, I shall. forthwith cornply wilh thosc provisions.
WARNING: Failurc to sccurc workers' compcnsation coverage is unlawful, and shall subject an cnrployer to criminal pcnalties and
civil fincs up to one hundrcd thousand dollars ($100.000). in addition to the cost of compcnsation. damages as provided for the
attorrrcy's fees.
I hcrcby affirrn undcr penalty of pcrjury that I arn licenscd undcr 9 (commencing with Scction 7000) of Division 3
of the Business and Professions Code. and nry license is in full force and cffect.
Liccnsc Class: Liccnsc Numbcr:
Contractor:
CONS'I'RU("1'l():r- I UNDING A(i UNCY
I hcrcby affirnr undcr pnalty ofpcrjury that there is a constructior lcnding agcncy for thc pcrfornuncc ofthc work for which this JErmit is
issued (Se.c. 3097, Civ. C.).
lrnder's Name:
Lcndcr's Addrcss:
APILICAITT.DECI.ASATON
I horby atrm undcr penalty of pcrjuy onc of thc following delsrstions:
Dcmlition Pcrmits-Asbcstos Notifiotion FcdcBl Rcgulations (Titlc ,lO, Part6)
Rmuircd [rtIcr of Ndifretion
-l
certify that the fctcral rcgulations rcgarding ubcstos rcrcval uc not applicable to this pmixl
,
fld.l ccnify rhat I h8rc rc{d this application atd state that the abow inforrotion is corcct. I agrc to @mply with all City and County
lordinanccs sd State Lrws Elsting to building constuction, std hercby authorirc rcprercntalires of ihis City and County to ents upon thc
above rncntioncd propcrty for inspection
Applicanl or Agent
lDernrilec nanle
a
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
N/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
I 4)
F!NAL IPI(L]f *A*rdL y7
Certificate of
Notes, Remarks, Etc \J
-)
Date:
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