HomeMy WebLinkAbout10197099 - Permit (2)of Santa Ana
it Counter. (714) 647-5800
P Address: 2430 W Elder Ave
Assessor's Parcel 1 09-1 23-01 Lot: 84
20 Civic Center Plaza (M-19), Santa Ana, cA 92702 VQ Building
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:1O197099
Pin #: 59743
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: '1346 Historic. No
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area: 441
Total: 0
Description ofwork: New detatched 2-car garage.
I j..
Planning Conditions:
Engineer Donald J lnm.n & Associate6
owner: Martin conzalez Contractor: Owner-Builder Donald J hmen
Address: 2430 W Elder Avenue Address: Address: 5'131 Fox llifls Av.nue
Santa Ana, CA 92704 Buena P.rk, CA 90621
Phone: (949) 5,14-9901 Phone, Phone: g1!lszr'ppl{, . .,,, i'.",' '
Stale Lic#: License f: 1.1888 t.Tehant:
Llc Type Archilecl / c & c Dniiig D€6ign
Workers' Compensation lnsurance: Address: 1661 RaymondAVe. 190"G r.Carrier: Anaheim, CA 92801
Poricy*: Phone: (714)813-6q55
Expires: License#: "' ..
Building Use.
Job Type.
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Planning Approval By:
Plan Checked
Permit lssued
NPDES lnsp.
Single Family Dwelling
New Garage
New Garage
Sfd w/att garage
Sfd w/det garage & det ADU
Fazekas & Assoc.
No
, Teri
PWA lnsp. Req'd No Fire lnsp. Req'd: No
Police lnsp. Req'd: NoPlanning lnsp. Req'd: Yes
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance.or if the work authorized
on the site by such permit ls suspended o r abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 2017-135399
Dale: 07120120'18 Misc. Receipt: 71267
Dale 12128120'18 Misc. Receipt:
Date: 02/05/2019 Misc. Receipt:
Subjecl to Field:
Account#Total
Patio:
T.l.Area:
Yards Req'd:
Valuation:
077L6002 57607 Permlt Fee
. I il
07776002 53600 Plan Check Fee
07176002 57770 Microfilm Records
08907007 24000 SfUIP - Category 1
0771-6002 51672 Bldg Stds. Revolving
Fee Total:
Paid to Date.
Balance Due:
07775002 57600 General Plan Update $22.08
07776002 57607 lssuance/New Structu $146.80
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
U
VB
cBc 2016
x-0602320257J
0@0
$17,225.00
01 1 16002 51600
0'11't6002 51601
01116002 5't612
01116002 57770
08901001 24000
$22.08
$323.20
$1.00
$37.60
$2.24
''r$t26,+P ,.
$171.99
$37.60
$2.24
$1.00
$s58.11
$171 .99
$386.12
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs \
Forms/Steel/Holdowns /:I tre w I)
Erection Pads -r\il
UFER Ground I ,\\' '/ ar,v\JSLAB Floor /
Su bfloor/VenUl nsu lation
Roof Sheathing -),t -.W,a ^ ^rnId&1-L l(lu-,/t7)/Shear Wall (
Framinq l-- 14-2^ !
lnsulation/Energy
Drywall
Ext./lnt. Lath 9.Zvzg r&sl /d.
Brown Coat
[\4asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL ?-lq-z-o i *Qto,
Certificate of Occupancy
Notes, Remarks, Etc.
BU!LDING. INSPECTOR RECORD
-l
dn exempl undq
DArc:.2
OWNER BUII,DER DEL(]AR?
I hereby affirrn under pmalty ofpqjury thal I dn exernpl frorn lhe Conlractors
Busincs md Profssion Code): Any City or County rvhich requirc a ;vmil
stmclurc. prior to its issumce. also rquirB the applicanl for snch fEmil lo file a
to the provisions of the Conlractor's Licensed Larv (Chapter 9. Cornmcncing rvr.
Profcsions Code) or that he or she is exernpt thoefiom anrl the bois for the alleged e,,
applicantforapfinitsuhjetsthe applicanltoacivilpenaltyofnotrnorelhmfivehundrc.
l. o orvno ofthe prope(y. or my employs with wag6 6 lheir sle conrpensation. will do the work slrxdruc is nol
intqded orofferedforule(Se.T04,l.BusinssmdProfssionsCode:'fheContraclor'sLicensel,awdo6notapplytoanor\rsof
thc tmtEly who btrilds or improve th6@[ ild who do6 such work himself or ho*lf or through his or ha orvn ernployee.
provided that such improvqnmts tre not intmded oroffqerl for sale. lf. howfltr. the building or improvemot is mld within one yw
ofcomplaion. the Owner Buildq rvill have the burdo ofproving tha hc or she did not build or improve the propsly for thc purposof
salc).
_1. m orvns oflhe propely. m exclusively contracling with licensed contractoN to construct the pojed (Sec. 7044. Ilusins
md PrclcsionCodc:TheContractor.sLiceoscLawdo6nolapplytoaorvnrofpropeflyrvhobuildsorirnpro{eslhq@n.
and who conlracts for such prcjms with a Contractor(s) licensed puGuant to th€ Contractor's License Larv).
4
lirr
I hereby aflirm undo penalty
DIi('I,AR 'I'ION
follo* ing dcrlaratitrrs:
_l have md will mainlain a Cenificate of Consmt to Self-lnsure for *orkers' conrpensation, a provided firr by Srtion 3700 of the
Labor Code. for the psfomroce of the work for rvhich the pmnit is issued.
_l have and rvill rnainlain workers' compeNalion insurance. as required by Section 3700 ofthe l-abor Codc, for tlre polonnmce of
thc rvork for which this pemit is issucd. My workers' conrpensation insurance cmier md policy nurnber ae:
Policy Numbq: Expires:
_l cc(ify that in the pcrforillance of the work for lvhich this permil is issucd. I shall nol cnrploy any person in any Inanner
m m to become subjat to lhe workfls' comfBsation larvs of Califomia. dd agr€ that if I should beconle subjel lo lhc
uorktrs'conrpmsationprovisionsofSeclion3T00ofthel,abor('ode.lshall.forrhwithcornplywiththoseprcvisions.
\\'ARNINGi Faihrre to sure \i'ork6'
civil fincs up to one huildred thousand
covmgc is unlawful. md shall subjet in to oiminal perultis and
dollars in adrlition to cost of m providccl for the
Strtion 1076 otthe Labor Code.and
I)t,.( t. \tt,\ I l()\
I hereby affinn unda pcnalty ofpojury I nill provision ofChapto 9
of thc Businas and Profcsions Code, md my license is in full force ild eflect.
2-oq-/
Sfftion 7000) of Division 3
License
Drte:
Clm:-License Numbo:
-
Lende('s Addrs:
Con(raclor: _-
CONSTRUCTION L1]NDINC AGENCY
I hreby affinn unda poalty of psjury lhal thse is a comtruclion lelding agmcy for the pqfonnance of lhe work for rvhich this pornit is
issued (Ss. 3097, Civ. C.).
l-ender's Nilrne
APPLICAN'T DECI ARATION
I hotby affrnn undo penalty ofperjuy one oflhe follorving deluations:
Demolition Permits-Asb6tos Notification Federal Regulalions (Title 40, l'art6)
-Requircd
Letts of Notilication
ro this pruject.
a8re to comply wilh all City and ('ounty
ive of this ('iry and Counly lo entcr upon lhe
Da(e: