HomeMy WebLinkAbout101107873 - Permit? Project Address: 2005 W Camden PI
Assessor's Parcel:408-372-15 Lot. 53 Block: NA Tract: 4433 Historic. No
Suite Range:
Zoning. Rl
Unit:Bldg: Address Range:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714) 647-5853
Building Permit #: {OIIOZEZI
Pin #: 32eOE
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Description of Work:
Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Reroof Constr Type: V B 2nd FL Area:
Reroof code: cBc 2ol9
otherAreas:
Sfd w/aft garage Flood Zone: X-0602320257J
Garage Area
# of Stories:
Total:
Reroof house & attached garage - remove comp, replace any damaged sheathing, install new comp.
Patio.
T l Area:
Yards Req'd:
Valuation:$12,000.00
Planning Conditions:
Owner.
Address:
Phone:
Tenant:
Jose Cardenas
2005 W Camden Pl
Santa Ana, CA 92704
(619) 818-1040
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desioner'
Address.
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscapang lnsp. Req'd
Martin, Eric Date: 0810412021
Date:
Date: 0910212021
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0777 60 02
07776002
0777 6002
07776002
07776002
s760 7
57770
57672
s7600
5760 7
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
$345 28
$4.05
$1.00
$23.79
$5e 30
web_issue
No
No
No
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd:
Account#Total
N/A - No
N/A - No
N/A - No
Balance
Balance
BalanceEvery permit issued shall become invalid unless the work on the site authorized by
such permit is commenced wtthin 360 days afterits issuance,or if the work
authorized on fhe site by such permit is suspen ded or abandoned for a period of
360 days after the time the work is commenced.
Inspector MID#: 2021-167834
Fee Total.
Paid to Date:
Balance Due
$433.42
$433 42
$0.00
!NSPECTOR RECORD
a
SITE-WORK DATE ID/SIG COMMENTS OWNER BUII NFR NEI CARATION
I hereby affrnn under penalty of perjury that I am excmpl form the Conmctors' Liccnse Law for the following reason (Sec.7031.5 Business
and Profession Code): Any City or County which requires a permit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also rcquires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisiom of the
Contractor's Licensed larv (Chapter 9. Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or
she is excmpt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a perrnit sul{ects the
applicant to a civil penalry of not more than five hundred dollars ($-s00).
II-tf . .r owner of the property. or my ernployees with wages as their sole compensation. will do the work and the stnictune is not intended
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Larv does not apply to an own€r of the nrop€rty
who builds or improves thereon. and s'ho dcres such wort himself or herself or through his or her own employees. provided that such
improvonents are not intended or offered for sale. lf. horvever. the building or improvetncnt is sold rvithin one year of complaion, the
Ou,ner Builder will have the burden of proving that he or she did not build or improve the properw for the purpose of sale).
YE_st. a. owner of the properly. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and
Profession Code: The Contractor's License Larv does not apply to an owner of properly who builds or improves thereon, and
who contracts for such pro.jects with a Contracto(s) licensed pursuant to the Contractor's License Law).
xo-t ., exempt under Se<tion . B. & P.C. for lhis reason.
WORKF'R.S' ('O[IP['NS ^TION DF'CI ARATION
I hereby affirm under penalty of periury one of the following declarations:
fSt h"u. and will maintain a Certificate of Consent to Self-lnsure for workers' compens:rtion. as provided for by Secrion 1700 of the
[,abor Code. for the perfonnance of the work for which the permit is issued.
NO
__l have and rr'ill rnaintain rvorkers' compensation insurance, as required by Section .i700 of the l,abor Code. for the performance of the
rvork for which this pennit is issued. My u'orkers' compensation insurance carrier and policy number are:
Carrier:__
Policy Nurnber:_
NO
Expires:
_ I cerri[y that in the perforrnance of the rvork for which this pennit is issued. I shall not employ any person in any manner so
as lo bccome sub.iect to the workers' compensation laws of ('alifomia. and agree that if I should become subject to the workets'
cornpensation provisions of Section 1700 of the [abor Code. I shall. forthu,ith comply with those provisions..
IVARNING: liailure to secure workers'compensation coverage is unlarvful. and shall subject an employer to criminal penaltie and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section 3076
of the l.abor Code. interest and attomey's fees.
LICFNSF'N CON'TRA('TOR DECI T ITA'I'ION
I hcreby'alTirnr under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of
the Businers and Professions ('ode. and my license is in full force and effect.
License Class:I-iccnse Number
CONSTRIICTION I t'NNING AGT'NCV
I hereby' alTirm under penalty of prjury' that there is a construction lending agency for the performance of the work for which this permit is
issued (Sec. .10t)7. Cir'. C.).
l,ender's Name:
l.cnrler's A<ldrcss:
APPI I('ANT DF('I ^ RATION
I herehv aftimr under penaltv of peryuw one of the followrng declaratrons
Denxrlition Perrrrrts-Asbestos Notrticatron Federal Regulatrons (Trtle 40. Part6)
Nl Required l.etterof Notification
tt1 t certify that the federal regulations regarding asbestos removal are not applicable to this prqect.
1tl , ceflifo that I lrave read this application and state that rhe above informarion is correri. t agree ro comply with all City and Cotmty
ordinances and State Larvs relating to building construction. and hereby authorize representatives of this City and County to entcr upon the
above mentiond property for inspection puryoses.
Reroof
Roof (Diaphragm Sheathing/Frame)7 /t"/ tt r.., 6q)
Structural Fina!n/n for \_,-
Plumbing /
Under Floor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrica!
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanica!
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.