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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 fZt" 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. _Liccnsc Eo a-y C)o CLo .E rII(tr tr a-ta- tro q, .ctg arI Itr (E 3E'ooL !,L.(g C)I .Clo,ql o.tr+, E'cll, El-o$-t,o+, -g CL Eoo .9 F-aJ o rtr- SE PB -t,iJ arr+., \(r' Cl ,.](atro'[ i' = errl+-. 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