HomeMy WebLinkAbout101107456 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA927o2
Permit Counter: (714) el7-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714') 647-5853
Building Permit #: l0liO74EC
Pin #: IIIIIfuv
Project Address: 1617 S Pacific Ave
Assessor's Parcel 408-283-02 Lot: 23 Block: NA Tract. 4163 Historic: No
Suite Range:
Zoning: Rl
Unit:Bldg: Address Range:
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use.
Single Family Dwelling
Reroof
Reroof
Occupancy:
Constr Type:
Code:
Flood Zone'
# of Stories:
R-3
VB
cBc 2019
x-0602320257J
1st FL Area:
Znd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l Area:
Yards Req'd:
Valuation:$4,245.00
Description of Work: Tear off existing, resheath, and install l5 squares of comp roofing
Planning Conditions
Owner:
Address:
Phone.
Tenant:
lsrael Aguila
1617 S Pacific Ave
Santa Ana, CA 92704
(7141 651 -7397
Contractor:
Address.
Owner-Builder
Phone:
State Lic #:
Lic Type.
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address.
Phone:
License #:
Architect /
Dcsioner
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fire !nsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
web_user
Date:
Date:
Date: 08r09r2021
Subject to Field:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
0 777 6002
07776002
0 777 6002
0 777 6002
0 7 77 6002
57607
57770
57672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
Fee Total.
Paid to Date:
Balance Due:
$345.28
$4.05
$1 .00
$23.79
$59 30No
No
No
No
Account#Total
N/A - No
N/A - No
N/A - No
Balance
Balance
BalanceEvery permit r'ssued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work
authorized on fhe sife by such permit is suspen ded or abandoned for a period of
360 days after the time the work is commenced
$433.42
$433 42
$0.00
lnspector MID#: 2021-167891
5
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII DER NEI CARATION
I hereby affirm under penalty of perjury that I am exempt form the Contractors' l-icense 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 provisions of the
Contractor's l.icensed l.aw (Chapter 9. Commencing with Section 7000 of Division .1 of the Business and Professions Code) or that he cn
she is exempt therefrom and the basis for the alleged eremption. Any violation of Section 7031 .5 by any applicant for a permit subiects the
applicant to a civil grcnalty of not more than fir'e hundred dollars ($500).
E1f . r. owner of the property'. or my employe',es rvith rvages as rheir sole compcnsation. rvill do the work and rhc stnrcturc is not intend
or offeretl for sale (Sec.7M4. Business and Professions Code: The Contractor's Liccnse Law does not apply lo an owncr of the prop€rty
rvho builds cr improves th€T€rrn. and u,ho does strch wort himself or hcrself or through his or her own cmployees. provided that such
imFrovernents are not intended or offered for sale. If. howa,er. the building or improvenrnt is sold within onc year of ccrrplaion. the
Orvner Builder rvill have the burden of p,roving that he or she did not build or improve the propefi fs the ptnpose of sale).
Y!1. ur owner of the property. am exclusively conh'acting with licensed contractors to constnrct the project (Sec. 7044. Business and
Profession Code: The Contractor's l,icense [,arv does not apply to an owner of property rvho builds or improves thereon. and
rvho contracts for such prrriects rvith a Contracto(s) licensed pursuant to the Conractor's License Larv).
!!-t "r exempt under Secrion -. B. & P.C. for this reason.
WOR.KFR.S' COMPFNS ^TTON TIECI {]IATION
I hereby alTinn under penalty of perjury one of the following declarations:
No-t h.u. antl rvill rnaintain a Certificate of Consent to Self-tnsure for workem' compensation. as provided for by Section -1700 of the
Labor Code. for the performance of the rvork for which the permit is issued.
NO
__ I have and s,ill maintain rvorkers' compensation insurance. as required by Section -1700 of the Labor Code. for the performance of the
u'ork for s'hich this pcrmit is issued. My rvorkers' compcnsation insurance carrier and policy number are:
Carrier:_
Policl'Nurnber:Expires:
YES
I cerlify thal in the perforrnance of the rvork for u,hich this permit is issued. I shall not employ any person in any manner so
as lo become subiect to the workers'compensation larvs of California. and alree that if I should become sub.iecl to the rvorkers'
compensation provisions of Section 3700 of the labor Code. I shall. forthwilh cornply with those provisions..
WARNIN(i: Failure to secure s'orters' compensation coverage is unlau'fu|. and shall subiect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($lm.0m). in addition to the cost of compensation. damages as provided for the Section .1076
of the Labor ('ode. interest and attomel"s fccs.
LICF'NSF'N CONTRACTOR DFCI ARATION
I hereby alfinn under penalty of periury that I am licensed under provision of ('hapter g (commencing rvith Section 7000) of Division .1 of
the Business and Professions Code. and my license is in frrll force and effect.
[-icense ('lass:l-icense Number
CONSTRUCTION I FNNING ^(]FNCY
I herehy affinn under penalty of per.iury that there is a construction lending agency for the perfonnance of the work for rvhich this permit is
issued (Sec. 3097. Cir,. C.).
Lender's Name:
Lender's Address:
APPI I('^NT DEC! {R.^TION
I herebv aftinn under penalN of per1ury one of the followrng declarations.
Denrolrtion Pernrrts-Asbestos Notrfication Federal Regulalrons (Trtle 40. Pan6)
rc Required Letterof Notification
tEs f cerrify that the fecleral regulations regarding asbestos removal are not applicable to this prqect.
tT , cefliry that I have read rhis applicarion and state that th€ above information is correct. t agree to complv s'irh all City and Cotnty
ordinances and State Ias's relating to building construction. and trereby authorize reFnesentatives of this City and County to cnter upon the
above mentiond propefl), for inqrcction purposes.
Reroof fF.
Roof (Diaphragm Sheathing/Frame)-3 Lr^> EA
Structural Final q-rl =2 u{h/}l)
Plumbin
Under Floor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical
Service (Meter I Pane!)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW,CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
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