HomeMy WebLinkAbout101102479 - Permit (2)City 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 #:1O11o.2479
Pin #: tt131{
Proiect Address: 1112 N Raitt Sta
-
Unit Bldg: Address Range:Suite Range:
Zoning: RlAssessor's Parcel: 405-1 14-16 Lot: POR 5, POR 6 Block: NA Tract: 52'l Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Alteration
Windows
SFD w/ det garage
Occupancy:
Constr Type:
Code:
Flood Zone
# of Stories
R-3
VB
cBc 2016
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage ffga+: rri4E
Totat 0lf i':e: CTYH Tr'onui:Acct*: Re
Rcpti:lt?S31579' 1?/i/
Tronsqct i on TotnltJenus Shuk osll i
HoreDepotUSA
Patio:
T.l.Area:
Yards Req'd
Valuation: $11,403.00
Description of Work: Replace (14) retrofit window. No size changes
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Carlos Gerardo Lopez Santos
11'12 N Raitt St
Santa Ana, CA 92703
(951) s49-9707
Contractor: Home DePot U S A
Address: '12700 Stowe Drive, Suite 28
Poway, CA 92064
Phone: (858) 846-9700
State Lic #: 602331
Lic Type: B, C-39
Bus. Lic #: 365245
Workers' Compensation lnsurance:
Carrier: Ace American
Policy #: WCUC65990586
Expires: O3l01l2O2O
Engineer:
Address:
Phone:
License #
Architect /
Desioner:
Address:
Phone:
License #:
Generql Plnn Updste Fee
01 1 16002- 5160r:t00r:r-
Buildins
01 I 16fi02- 516LtlrJ0Lr-
Bldg Stds Revolvins
01 I 160U2- 5l 61 zr:rulr-
11 icrof i lm & DocumenLs
01 I l6tl02- 5777r:rfiLrr:r-
I(:L Chectr ul131.r:l
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
Graham, J
Zuniga, Allissa
Date: 12109/2019
Date:
Date: 12109/2019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07775002
07776002
07776002
57607
57770
57572
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$3.91
$1.00
$22.95
$57.20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 s1600
01 1 16002 51601
01 1 1 6002 51 6'l 2
o1116002 57770
Account#Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days arter lts issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
$22.9s
$223.73
$1.00
$3.91 Fee Totat
Paid to Date:
Balance Due:
$251.59
$0.00
$251.s9
lnspector MID#: 2019-156383
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA'IION
i hsety amrm undo pflalty of perjury that I m cxempt firm lhe ContractoN' Licose Law for the following re6on (5(.7031.5
Busine: md Professfun Code): Any City or County which requirm a pmnit to cons(ruc1. alta, improvc. dmolish or repair my
struclue. pior to its isumce. also requires the applicant for such pmit to lile a si8ned statmmt that he or shc is licensed pmumt
to the provisions of the Contraclor's Licensed Larv (Chapte 9. Commencing with Sslion 7000 of Division 3 ofthe Business md
ProfcssionsCode)orrhathcorsheisercmptthse6omildlheb6isforlheallegcderernption. AnyviolarionofsetionT03l.5byafi
applicantlorapnnitsubjeclslhe applicanltoacivilpenaltyofnotmorelhmfivehundreddollars($500).
_1. o owner of the prope(y. or my employe with wags ro their $le comptrsation, willdo lhe work ad the struclue is rcl
intodql oroffcredforsle(Se.T044.llusinasmdProfesionsCode:TheContractor'sLicense[,awdosnotapplytoilowntrof
theprefsry \uhobuildsorimprovethson.udrvhodoesuchworkhinselforherselforthroughhisorhoownemployee.
provided thnt su.h im[rovon€nts ile not intmded or offsed for sale. It howilq, lhe tuilding or irnprovmfit is $ld within one ya
ofcompldron. the Owner Buildq rvill have the h.rdm ofproving that he or she did not build or irprove the popqty for the purpo* of
slc).
l. as owner ofthe propoly. iln exclusively contractinli with licensed contmctoE to construcl lhe projst (S(. 7044. Businas
and Pnrf*ionCodc:TheContractor'sLiccnsc[-a!vdo6notipplytomowncrofproperlywhobuildsorirnproveslhseon.
and rvho contrads for such projets with a Conlraclo(s) licensed pursuanl to the Contractor's l,icmse Law).
-,1 an exempl unds Section--. B. & P.C. for this r6on.
Date:_ Owtrer:__
WORKI]RS' COIlI PENSATION
I)ECL-ARA'IION
I hseby alfirm under pcnalty ofpujury onc ofthe following declaatiors:
I have md will maintain a Cmrficate of Consmt to Selt:lmure for workc compssation. c povidcd for by S(tron 3700 of thc
Labor Code, for the psfonnmce of the work fot rvhich the ponit is sued.
I have and will mainlain workss'b)'Sstion 3700 of the Labor Code. for the pqfommce of
the uork ,br which this is issued.cmio md policy nunrbu ae:
Carrcr:nI-\)l,(*1,o -7
Erpires: -_
I cffiry that in the pofonnance of the wotk ftrr which this I shall rot employ any pmon in any maner
so s lo bccome subjcct to the workm' compensation laws agre thal ifl should beconre subjfft to the
workm' compmsation provisions of Sction 1700 of the I shail. l'of,huith with those provrsions.
WARNINGT Failure lo sccurc $orkers'unlarvful. and to qirninal psraltiG ild
civil fincs up thousand rlollats to the cosl o provided for thc
Seclion 1076 Code. interel ald
I hoel'y aflirrn undo panalty ofperjury lhat I m licensl 9 (cornmencing with Section 7000) of Division 3
of the llusins od Profesions Code. md uy license is in full md effct.
License Class:
I)alo
CONSTRUCTION LENDINC AGENCY
I hreby aflrnr undo penalty of psjury that lhqe is a construclion lending agocy for the pqfommce of the work for which this pcnnit is
issued (Se. 3097, Civ. C.).
Lender's Namc:
[,mdq s Address:
APPLICAN'I' DECLARATION
I hrcby alfirrn under penalty of pojury one of the following dalrations:
Denrolition Perilrits-Asbcstos Notification i:eder,rl Regulations (Titlc 40. Part6)
__Rcquired l-elter of Notillcation
_ I cmify lhnl lhc laderal re8ulal reSiddins not applicable to this project.
L-J cstify that I have read lhis lhat the is corcct. I agre to cornply wilh all City and County
ordinanc6 aild Slatc [,arvs rclating building nrrl of this City md @tq uFpnthe
t\abovc mcntioncd propeny for
Applirant or Agent Sign{ture:
Itermilec tramc 6iac--Pa
IZ n
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 3/r*/zt .-Wv,)
Certificate of
Notes, Remarks, Etc.
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