HomeMy WebLinkAbout101107468 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section. (714)647-5853
Permit #: {01107468
Pin #: 66693
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Proiect Address: 3713 S Sea Cliffa
Assessor's Parcel: 412-223-30 Lot: 142
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 7711 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Patio:
T.l Area:
Yards Req'd
Valuation:$t 9,975.00
D.scription of wo*: Rercof house & attachsd garage - romove cement wood 6hake6, lnstall new sheathing & underlayment, inatall Boral600 lightwelght
concrete tilo (5.9pef), ICC ,r4lZ Handouts glven.
Plannlng Conditiona: ilatodals to match exiating in color and dasign
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Hovt Roofs fn,:
Owner:
Address.
Phone:
Tenant
Louis Steers
3713 S Sea Cliff
Santa Ana, CA 92704
(657) 235-8253
Contractor: Hoyt Roofs lnc
Address: 1809 N Orangethorpe Park
Anaheim, CA 92807
Phone: (7141 773-1820
State Lic #: 606111
Lic Type: C-61 , C-2, C-39, D-24
Bus. Lic #: 161673
Workers' Compensation I nsurance:
Carrier: Employee Service Group
Policy #: WCl125805
Expires'. 1213112021
Generol Plon Updnte Fee
Ltl I 15llu2- i 16r_rrrrJ[r[r-
Bu i ld ing
IJI I 16uu2- 516Ll1lJr:u:r-
BIds Stds Revslv i ns
t:t1 1 16[u2- 51612t-tr]r-r-
Fl icrof iIn & Documents
Lrl 1 16LlLt2- i77 TLtLuJrJ-
I (:L (.heck 115626?
$4t-t
Martin, Eric
Amsden, Julie
Landscaping lnsp. Req'd
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 permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
Planning Approval By:
Plan Checked By:
Permit lssued By: ,.
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Date: 08/1 012021
Date:
Date: 08/1 Ol2O21
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
077760 02
07776002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$34s.28
$4 05
$1.00
$23.7e
$5e 30No
No
No
No
Fire lnsp. 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 57770
$23.7e
$404 s8
$1.00
$4.05 Fee Totat
Paid to Date:
Balance Due:
$433.42
$0 00
$433.42
lnspector MID#: 2021-167924
t
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
t hcrcby alnrm undcr pcnalty of Frjury that I am excmpt ftom thc Crntraclos' Liccnse ljw for thc following rcasn (Scc.7031.5
Busincss aml Profcssion Codc): Any City or County which u1uircs a Jrcmit to construct. altq, imprcvc. dcmlish or rcpair any
structurc, prfur to its issuancc, also rcquires the applicant for such permit to filc a signcd slatcrent lhat hc or shc is liccn$d pusmt
lo lhc prcvisions of thc Contractor's Liccnsed tjw (Chapler 9, Commncing wilh Section 7000 of Division 3 of thc Busincss and
PmlbssionsCodc)orthaihcorshciscxcmptttscfrcmondthcbasisforthcallcgcdcxcmption. AnyviolationofSctknT03l.5byany
applicant for r permit subjets thc epplicant lo a civil pcnalty of not mrc than fivc hundrcd dollus ($50O).
_1. as owncr of thc propcrty, or nly cmployccs with wagcs as tlrcir solc cornpcnsation, will do thc work and thc structurc is not
intcrxlcd or olTered filr salc (Sec.7044, Business and Profcssions Codc: Thc Contractor's Liccnse [.aw docs not apply lo an owncr of
thc propcrty who builds or irnprovcs thcrcon, and who dcrcs such work hirnsclf or hcrsclf or through his or hcr own cmployccs.
providcd that such irnprovcrrrcnts rrc not intcndcd or offcrcd for salc. If, howcvcr. thc building or itnprovcnrcnt is sold within onc ycar
of conrphtion. thc Owncr Buildcr will havc thc burdcn of proving that hc or she did not build or improvc thc pnoperty for thc purJx.rsc of
salc).
_1. as owncr of thc propcrty. am exclusivcly contracting with liccnscd contractors lo construct tlrc projcct (Scc. 7044. Busincss
and Profbsskrrr Codc: Thc Contractor's Licctrsc Law docs not apply to an owncr of propcrty who builds or improvcs lhcrcon.
and who contracts for such projccts with a Contractor(s) licenscd pursuant to thc Contractor's Licensc t-aw).
_l arn excnrpt undcr Scct B. & P.C. tbr this rcason.
Date:_0wner:
WORKERS' COMPENSATION
DF'CLARATION
I hcrcby afllrm undcr pcnalty of perjury onc of thc following declarations:
_l have and will rraintain a Ccrtificatc of Conscnt to Self-lnsurc for workcrs'comlrcnsation, as providcd for by Section 3700 of thc
for thc pcrformancc of37fi) of thc Labor Codc.
and policy numbcr arc:
Policy O7/L/
_l certity that in thc perlbrmancc of thc work for which this Jrcrmit is issued. I shall not cmploy any person in any ntanncr
so as to hcconrc subjcct to the workcrs' cornpcnsation laws of Calilbrnia, and agrcc that if I should bccomc subject to thc
workcrs' com;rcnsation provisions of Scction 3700 of thc l--abor Codc. I shall. forthwith comply with thosc provisions.
WARNING: Failurc to sccurc workcrs'an to criminal penaltics and
civil lincs to one hundrcd thousand darnagcs as providcd for thc
Code. intcrcst
I ICENSED CONTRACTOR
DECLARATION
liccns;cd undcr provision of Chaplcr 9 (commencing with Scction 7000) of Division 3I hercby alllrnr undcr pcnalty of pcrjury that I ant
of thc Busincss and Prol'cssions Code. and my liccnse is in full force an<l cfl'cct.
Liccnsc
W
I hcrcby aflirm undcr Jrcnalty of pcrjury rhil thcrc Ls . construction hnding agcncy for thc Isformncc of thc work for which this Jrcrmit is
issucd (Se. 3097, Civ. C.).
Lcrttlcr's Nalnc:
[.cndcr's Address:
APPLIC ANT NF'CLA RATION
I hcrcby affrrn undcr penalty of pcrjury onc of the following declaratiolts:
Dcnrolition Pcrmits-Asbcstos Notification Fcderal Rcgulations (Title 40. Pan6)
-Rcquircd
l.ettcr of Notification
_l ccrtily that thc l'cdcral rcgulations rcgarding asbcstos rcrnoval arc not applicablc to lhis projcct.
_l ccrtify that I havc rcad this application and statc that with all City and County
and Crynty to crlcr u;xrn lhc
s/p/ L7
ordinances and State [-aws rclating to building
abovc mcntioncd propcrty for
Applicant or Agent
Pernrilee nanre (print): _
Jlolo.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVl nsu lation
Roof Sheathinq 7/z/>^.LzilZo
Shear Wall (t /-
Framinq
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
t nl
FINAL 9/rr/z Jal*-t
Certificate of Occupancv I tv
Notes, Remarks, Etc.
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