HomeMy WebLinkAbout10198374 - Permit (2)E
AssessofsParcel: 396-251-55 Lot: 8
Bldg: Address Range:
14-B
Tract: A.B. CHAPMAN
Suile Range: Unit 14 B-5
Zoning: R4Block: A Historic: No
@
Building Use: Multi-Family (5 or more units) Occupancy: R-2 1st FL Area: Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Partition Wall (unit 5) Code: CBC 2016 Other Areas; yards Req,d:
Existing Bldg. & Use: 8-UN|T ApT WDET CARPORTS Flood Zone: X-0602320164J
Garage Area: Valuation: $8,000.00
Proposed Use: # of Stories: 2 ,o,",,
Description of Work: Create a small den/study by installing a non-load bearing partition wall with a 4 ft. opening. P/C originally performed under#10193842. r ,t,.,ir11.
Planning conditions: , '' " ',,,,, .,
Owner:
Address
Phone:
Tenant:
The Bascom Group, LLC
26 Corporate Park Orive, #200
lrvine, CA 92606
(949) 95s-0888
Conlraclor: KalerraRenovations,LLC
Address: 3200 Earhart Drive
Carrollton, TX 75006
Phone: (972) 818-1065
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:
Carrier: Midwest Employe/s Casualty Con
Policy #; BNUWCo139070
Expires: 0110112019
Engineer
Address:
Phone:
License #:
1/ 11/21_t.
ins r LLi.:
Architect /
Desiqner:
Address:
:::
Michael P Boardway & Assocldtes
Michael P Boardway I
Blue Jay, CA 92317
(949) 208-2979Phone:
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
Chavez, Dave
07776002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07176002 51600 General Plan updale
07776002 51501 lssuance
$160.25
$1.00
$22.08
$5s.04
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every permit issued shallbecome invalid unl9ssthe work on the sile authorized by
such pemit is comnenced wilhin 180 days afier its issuance,or if the wo* authoized
on the site by such permit is suspended or abandoned fot a peiod ot 180 days after
the time the wo is commenced.
MID#: 20'18-147690
No
No
No
No
NoNo Account#
01116002 51600
01116002 51601
01116002 51612
$22.08
$2'r 5.29
$1.00
Fee Total:
Paid to Dale:
Balance Due:
$238.37
$0.00
$238.37
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (7'l4l647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Permit #: {Ot98374
Pin #: 8747(D
Project Address: 2414 N Tustin Ave Unit:
Date:
Date:
Date: 11/'15/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUtI-DER DELCARATION
I hqcby amm unds p@hy oa p.rjury that I m eienpl frcm lhe Conrictors Lic.n$ kw lor lhc follorvin! i.mn {S4 70! 1 .5
a0sin6s Md Proa6sion Codc) Any Ciry or Coumy shi.h Blui,d a p6nn to conslrucl- ahE. inpr.!c, &Dolish ot rqun ey
slrucrurc. prio! ro ns is$dc.. als r.quic rh. .pplicmi lor srch Fmit lo fiI. a si*nal slatdndt lhst hc or s& b li.d&d pu6u t
u Oe rrovisioN ofrh. Contracloa! Licen*d Iaw (Chapld 9. Comcnci.S $ilh Sttion 7000 oaDivision I oi$. BBincs ed
ProfNioN Codc) orllmr hcorshe is d.6pl rh@arom dd fi. baris ior lhc all€s.d exmflion Anyliolationofs*-lio.70ll56r.ny
.pplicanr for a p€mn subjec rhc appli.ant lo acivilp.naltyolnol more lhan 6!c hundreddollds($500).
-1,
s osdd o lih. p oFedy. o ny cmplo,6 * irh saa6 as rh.n enc coDp.nsalion. \rill do lhe soi( md lh€ stnEluc is d
irrdd€d orofrscd lor slc (S( ?o44. BosinB ed PmlNions Codcr'nc cdnt.clois LicN tiw do6 ool applr lo an own€rol
rhc pml6y \ ho hrilds or impo6 rh6o{ d \yho do6 such *dI himsclf or hsFlr or rhourh his or hB oNo coplo}.6.
prcvidcd rhar such ihprovsEms e not i od.d or or€Ed lor slc lr, hosdd. rhc t{ildins or impmveocnr i eld \eithin one J 6
olcomrldiotr rfi. OMcr AuUd willhavcfi. hmlal oaprc\'ins tld hc o, slt€ did nol t ild or inprole lhe potEry ior fie purpsot
l. s oM6 o I rhc propdiy, @ crclusiv.l, contmcling {ilh lictr.d corrradoBro odrud th€ Foj..i (Sft 7044. Bcms
and Profisio. Cod.: flr Conrrador's l,iccnse La* do6 nol appl, to e ovfl6 olpBpcny $ho boilds or improv6 thn@n.
and who conrdds tor rn h FojdG wnh a CortEdo(s) lics.d pu6Mr ro thc Cortraclois Lictu. tiv).
I nexeDpl unders&rion- B &PC li,rrhisrcGotr
llo8alls:c9rlEErldr]o!
PEE!A8A],IO!
I hercby altmn dndd p.n0lty ol psjury one ofuc follovi.s ddltrarioBl
I hrlc md will mainrain a C6i6car. oaconsr b Seli-lNr€ aor erreB onDd!.lion,6 providcd fot by Serion 1700 ofth.
bbor ('od., lor lfu pcfomancc oflhc Norl aor ehi.h $c panit i, isued
I havc and vill mai.tain workeis compensario! i6urmc€. s rcquned by serion 1700 of lhc Labo. Cod., aor th€ Psfomtucc of
wortni .ompc.6lrioo insuid(c cmier md Flicy nlmbd d.
t4
COt 4
Icdifytharinlh€p€.lonnaoc.oalhewo forwhichrhisp.mi is nsu.d,l5h l .or entPloy any pc6on in any mmn.r
$ s lo b€.omc subjet to th. *ortm' composalion laws ofcalifoftia, &d ag@ that il I should bt o,n. sobjd to Ih€
{0116 compcNrion r@}Bio6ofS..lion ST00 oflh. Laho, Codo l shall. aonhwith comply *ilh rho$ p6!isio6.
WARNING: Failurc lo KW wort6 snpdEdion .old8c is rnlasful, dd sharl subj.cr M oplo)s lo odinal PsElris and
.ivil fins up to onc lundred rhocdd dollm ($100,000). in rddilion ro lh. con ot
Serion 1076 of rh€ hbor Codq inrqd md lltonrey s 16.
,t€v I 5 ?glg
I}ECIAMIION
I hmby alfim undd p.nany of psjury lhal I m licds.d uodr Fovtsiod ofch.pl6 9 (conndcios wnh Salion ?000) or Dilisiod 3
or lhc Busin6s and Pror6sioN Codc. dd my liccN b in lull foEc dn cfiel
b
^" ilwJ 5 208
caNiragquoNI[xuNclcIlcr
I hcEbyarnn unds Dc.ahyofpcrlury$al llEc G a connrudion Endins asocy for rh.Flom ccoalh.*orl aorvhichtht Frnil b
issucd (S.c 109?, Civ. C.)
ATILJCANLDICIAEAIIO!
I not5y anim undn poralty of Fjury onc oflhe loUo$ing dclralions:
D.mohio. Pmnn*Asb€ros Notific.tion Fedral Rquldions (Tirl. 40. Pan6)
_R.qun.i tnd oaNorifi calion
I cqlif, lhal lfic Ld6al rc:ulatioG resddirr sbdtos remval 3r€ nol amlicabl. ro lhis prejecl
14 cd'ry lhal I halc rad rh6.pphorion od nat.that the a&iv. infonnario. is coret I astc ro comrlt $nh all Cnv dd Coumv
l<dmam6 dd sldc lr*r r.l,rinr ro buildins coNruclion. dd htr.by aulhort rcPr6olaliv6 ofthis Cny Md Counlvlo dla upon th.
rblcnEmioned floDeny lor insparioi Drpos.
Afpli.afll or 8cnl Silnilurc
rr.n* *rprn ): pal
,Nov I 5 20t8
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lt4asonry
Pool Fence
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL z/mf,>DAA
Certificate of Occupancy
Notes, Remarks, Etc.
T-Bar
tendE ! \de
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