HomeMy WebLinkAbout10153725 - Permit (2)e City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter. (714) 647-5800 lnspection Requests: (714) 667-2738
Building Permit#:1Q153725
lnspector's Section: (7 1 4) 647 -5853
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Project Address: 329 E Wakeham Ave
Assessor's Parcel: 011-044-16 Lot: 7
Suite:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 584 Historic: No
Building Use. Single Family Dwelling Occupancy: R-3/U-1 1st FL Area: 88
Job Type: Addition Constr Type: V-N 2nd FL Area: O
Nature of Work: Addn/remodet Code: CBC 2001 Other Areas: 0
Existing Bldg. & Use. Sfd w/det garage Flood Zone: X-0602320276H Garage Area: 0
ProPosed Use: Totar: gg
Description of Work: Extend bedroom; convert existing closet & a portion of laundry room to a bathroom.
Planning Conditions:
Patio: 0
T.l.Area: 55
Yards Req'd: @
Valuation: $11.238.00
Owner:
Address
Phone:
Tenant:
Marco A & Josephina Ghavez
329 E Wakeham Ave
Santa Ana, CA 927015953
(714) 321-1949
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 #:
Newport Draft Service
Garcia Arturo
234 E17th#208
Costa Mesa, CA 92628
(949) 574-5238
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Guillen, Pedro
Melby, Paul
Amsden, Julie
No
Yes
No
Date:02/15/2006
Date:08/15/2006
Date:08/1712006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
M48345
077-07-5977
077-07-5407
077-07-5977
089-07-3677
077-07-5977
Permit Fee
Ptc65%
Microfilm Records
SMIP - Category 1
lssuance
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Fee Total:
Paid to Date:
Balance Due
$174.75
$1 13.58
$16.80
$1.12
$34.00
$340.25
$99.93
$240.32
This permit shall expire by limitation and become null and void if the wotu authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time after the work is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new permit shall be first obtained to do so.
Account #: 011-01-5911 lnspector MID#2006-67533
S!TE.WORK DATE ID/SIG.COMMENTS Oms-BuildqDelmtion I
I hocby affm uudc pcnslty of pGjury that I M cxcEpt fom thc Contlaclo6' LiccNc Law for thc following rmon (s.7031 .5 $4rinssr
ud Prof6sioo Codc): Ary City or Couty which rcquirs a pomit to @6truct, alts, iEpovc, doolisb or rcpai ey structuc, prior to its
issuocc, also rcquirc thc applirot for such pa'mit to filc a sigocd std@d thst hc or shc is lic@scd puu@t to thc prcvisioro of tbc
Cotrmtor's Li@ls€d Law (Chaptq 9, Com@cirg with Sdioo 7000 of Division 3 of thc Buines ud PrcfesioN Co&) or that hc or
shc is acmpt thac&oa ud thc bois for rhc allcgcd cxmptioo .Aoy violation of Sctioo 7031.5 by ey appliut for a pqoit subjccts thcffi i[i#r"-i]li;r-iil#J;-i,h"**#**,"#ffi "*ffir,**:h'#rwho builds or improvc lhecotr, ed who doc such work hirelf or bwlf or through his or b6 ou mploy6, providcd that such
improvcmcnts rc not intmdcd or offqed for salc. Iq howrys, thc buildirg or improvcmot is sold within olc y@ of complctioE, thc
Oma-Builda will havc thc budm ofprovitrg that hc or shc not build or improvc for thc purpos ofsalc).
_1, 6 ous of thc propaty, m aclusivcly conming with liccDs€d coordoE to @&*Dcr thc p(ojet ( Se. 7044, Buhe ad
Prcfsion Codc: The Cotrtractor's Licruc lnw doc uot apply to m omq of propqty who huilds or inprov6 ths@n , ud who
conmcB for such projats with a Contractor(s) lic@scd pusuat to thc Cotrtractor's Licruc lrw.).
-lm
undq Setion & P.C. for this roou.
Date:{F - a, o4*'.7WORKERS COMPENSATION DECLARATION
I h<cby affm undo penalty ofpojury onc ofthc following deluatiom:
_l havc md will maintain a Caificatc of CoNot to Sclf-lNuc for worko' oopcreationn re providcd for by Setion 3700 of tbc
Labor Codc, for thc pofommcc of the work for which thc pcmit is isued.
_l havc md will mintain work6' comp@tioo iuuecc, u rcquircd by Setiotr 3700 of thc bbor Codc, for thc psfomucc of thc
work for which this pqmit is isucd. My worko' coopcmio! imcc cuiq ed policy oumbo uc:
Cmia:
Policy Numbo:
(This sryrifi-occd not bc compldcd if thc pqnit is
ficarity ta in thc psforoe of rbc work for
for Ooc hun&cd dollm ($l0O) or 16)
which this pmit is isuc4 I shall oot @ploy my pcoo in uy roa m a to
of Califomia, ud agrc that if I should b@omc subjet to thc workas'I bccmc subjcct to rhc workm ' compcnsation laws
ofsetion 3700 ofrhc Iabor Codc, I fonhwith comply with thosc
&/7 6 ,azt,J.
WARNING: Failue to s6uc workm' compcroation covaagc is ulawful, md shall subjer u mployc pqraltie od civil
fmo up to onc hudrcd thouwd dollm ($100,000),io addition to thc cost of compcmation, dmagc u
thc Labor Codc. intqcr md anomcy's fe.
for thc Sction 3076 of
LICENSED CONTRACTORS DECLARATION
I hacby affm unda penalty of pcjury that I m liccNcd ud6 provisiotr of Chaptq 9 (comocing with Setion 7000) of Division 3 of
thc BNincss md Prof6sioN Codc, ed my liccmc is ia full forcc ud cffet.
Liccm Liccnsc Numbs
Date:Cootractor:
CONSTRUCTION LENDING AGENCY
I hacby affm unda pculty of pqjury that thsc is a coshctioo ladiog agmcy for thc psfotu@ of thc work for which tbis psmit is
issucd (Sa. 3097, Civ. C.).
[rnd6's Nmc:
APPLICANT'S DECLARATION
Dmolition Pmits-Asbestos Notification Fcdqal Rcgulations (Titlc 40, Pan 6)
_ Rcquircd tat6 of Notification
_l cdrrjle thc led@l rcgulatiom rcgading obcros rmoval ac not applicablc to this projer.
pz{cdify that I havc rad this application ed statc that thc 8bovc irfomatioo is conct. I agr€ to comply with all city ud coutyrordinmcc ad Stac Laws rclatirg to buildiog commction, md hocby authorizc rcpraatativs of rhis City ud Couty ro mt6 ufpa thc
abovc mcntioncd
Applicet or aSot sig.
Pleeco 4.0Pcmitte namc (print):
inspetion purposa.
b
Set Backs
Forms/Steel/Holdowns I 4/o t |i/,t*',
Erection Pads vt r'
UFER Ground
SLAB Floor f/
SubfloorA/enUlnsul //l/t*7,'
Roof Sheathing ' xi<Nr/.1rN
Shear Wall /)/n-z
Framing 7l t)pLt&
lnsulation/Energy )ru.0
Drywall {T-frLD
nt. Lath 7'Y 'ur4A
Brown Coat 7
.Ma.^nqf- gzlart-H 1'l Jrl4D
Pool Fence I t L
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
IX1 f..,v1t Qf.1
Y vrY '-v/17 [ 7
BUILDING- INSPECTOR RECORD 1?
03.31.06
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