HomeMy WebLinkAbout101105733 - Permit\
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
Permit Counter: (714') 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O11O573i
Pin #: ,86499
v2J
Project Address: 2234 N Poplar St
Assessor's Parcel: 001 -275-18 Lot: 45
Unit:Bldg: Address Range:Suite Range:
Zohing: RlBlock: NA Tract 2061 Historic. No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Addition
Addn
Sfd w/det garage
Cccupancy.
Constr Type.
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2019
x-0602320144J
1
1st FL Area 675
2nd FL Area
Other Areas:
Garage Area:
Total 675
Patio
T.l.Area:
Yards Req'd
Valuation:
Description of Work: Addition
file.
$90,000.00
- relocate bedroom #2 to addition, add family room, bedrooms 3 & 4 & (1) bathroorn.SAusD paid on #4101. Owner form on
Planning Conditions:
t t
Owner:
Address:
Phone:
Tenant
Ben Suh
2234 N Poplar St
Santa Ana, CA 92706
(949) 337-5741
Contractor:
Address:
Owner..Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #.
Design One
Keith H Chung
17615 Pioneer Blvd
Artesia, CA 90701
(562) 809-0448
c040602
-
LtB?t:t 1l:il
l6tJt:r?
(:l: *i** x*x***
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
Lee, Wayne
Zuniga, Allissa
Date:
Date: 03/1 912021
Date: 0312212021
Subject to Field:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
08907007
077760 0 2
07776002
077760 02
57607
s3600
57770
24000
57572
57600
57607
75164
Total
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
BIdg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$755.00
$928.00
$s6.70
$1 1.70
$4.00
$23.79
$s9.30
$1,838.49
$928 00
$910.49
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,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.
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
08901 001 24000
$23.79
$8 t 4.30
$4.00
$56.70
$1 1 .70
lnspector MID#: 2020-163005
a
t
-BUILDING. INSPECTOR RECORD-
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hrcby aflim undo pcnalty of pcrjury that I m cxcmpt from thc ContractoF' LiccN taw for the following r@n (5*.7031.5
BNin6s atd Profsion Codc): Any City or County which rcquirc a pomit to coGtruct, alto, improve, danolish or rqair oy
strucluq prior to its isuucc, also requirc thc applicut for such pcnnit to file a signed stalmmt thai hc or slrc b licwd pwmr
to the provisioN of tlrc Contrrctor's Licmsed law (Chapto 9, Comcncing with Sction 7000 of Divisioo 3 of thc Busine ud
Prcfsios Code) or that hc or she is exmpt rh6c&om od the b6is for thc allegcd umption. Any viotation of Setion 703 1.5 by my
applicatforapcmitsubjctsthc applicettoacivilpcnaltyofnotmorcthilfive hundrcddollus($500).
-1.
as owner of the property, or my employees with wages as their sole compensation. wilt do the work and the structure is not
intended or offered for sale (Sa.7044. Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improves theron. and who does such work himself or herself or through his or her own employees.
provided that such improvonants are not intended or offered for sale. If. howevcr. the building or improvemcnt is sold within one )tzr
of cornplaiorL the Orvner Builder will have the hrden of proving that he or she did not build or improvc the propcrty for thc purposcof
sale).
-1.
as owner of the property, arn exclusively contracting with licensed contractors to the Business
lhereon,and Profcssion Code: The Contractor's License Law does not apply to an own€r who
and who contracts for such projects with a Contracto(s)pursuant to License
_l am undcr for this
I hercby affirm under penalty of perjury one
_l have and will maintain a Ceflificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
l-abor Code. for the performance of the work for which the pcrmit is issued.
_l havc and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation insurance carricr and policy numbcr are:
a^J*.
Policy
_-l certi[ that in the performance of the work for which this pcrrnit is issued. I shall not employ any person in any manner
so as to become subject
workers' compensation
to thc workers'compeflsation laws of California and agree that if I should become subject to the a
provisions of Section 3700 of the Labor Code. I shall.comply those provisions.
WARNING: Failure to secure workers'comp€nsation coverage
dollars ($100.000). in
is shall 'an onployer to and
the
rL
civil fines up thousand the cost of as
Section [abor and
a
I hoeby undcr Izun 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License Class: License Number:
Contractor:
W
t hrcby afum undc pcnalty of pqjury thst thrc is a congruction loding agocy for thc pqfommcc of thc work for which rhis pfinit b
isued (Se. 3097, Civ. C.).
Lender's Narne:
I-ender's Ad&ess:
APPLICANT DECLARATION
I hen*}, afnrm under pcnalty of perjury one of the following declarations:
Oeryltition Permits-Asbestos Notification Fcderal Regulations (Title 40. Parr6)
,LAu*.a lato o f Not i licat ionr -/'-
_l certifu that the federal regulations regarding asbcstos removal arc not applicable to this project.
-l
coti$, that I have read this application and state the ahrve to comply with City and County
ordinanccs and State laws relating to building
above mentioned property for
Applicant or Agcnt
Pernritt.c nAnre
and
correct. I
of this City and to upon the
Set Backs
Forms/Steel/Holdowns f.,,
^'- c ^/Erection Pads -rr-A,etqn
UFER Ground /tt -az - 7J
SLAB Floor )9:7 (42 r/
I
nsulation z?z h $t' F-al Xrb/ruol\--Roof Sheathing t ZFz-rl
Shear Wall o)f-L-1 zq
Framing ZT lL Lsz 4
lnsulation/Energy 7-Bar
Drywall h ')2rc
Lath 11
-Brown Coat gralatL $-{-Zel 7-Z)-11
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
It I
FINAL gltq 7.r -rtloCertificate of Occupancy I t \J
Notes, Remarks, Etc.I
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