HomeMy WebLinkAbout10198026 - Permit (2)o
r)Cify of Santa Ana
Permit Counter: (714) 647-5800
,
20 Civic Center Plaza (M-19), Santa Ana, CIA 92702 Building Permit #: {O{98026
Pin #: 2595{
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853 6,1
Project Address: 2206 ?2 S Broadwav
Assessor's Parcel: 015-092-08 Lot: 2
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1297 Historic: No
Building Usei Accessory Owelling Unit4onvert Occupancy: R-3 1st FL Area: 5OO Patio:
Job Typei New Constr Type: VB 2nd FLArea: O T.l.Area:
Natureofwork: aDU code: cBc 2016 otherAreas: o yards Req,d:
Eristing Bldg. & use: sfd w/det garage Flood zone: x-0602320278J carage Area: vatuetion: t4.o,ooo.oo
Proposed Use: Sfd Wno garage & det ADU # of Stories: t ,or",, 5OO
Descriptlon of Work: Convert detatched garage to an Accesaory Owelling unit with living room, (l) bedroom, kltchen, washer/dryer cloaet, & (1)
bathroom. SAUSD #3821.
Planning Conditions:All matedals to match exiating.
Owner:
Address:
Phone:
Tenant:
JAIME & MARIA BECERRA
2206 S BROADWAY
Santa Ana, CA 927072713
(714) 907-s306
Contractor: SuncosmicBuilders,lnc.
Address: 7647 Haywanhurst Ave. Ste.
Van Nuys, CA 91406
Phone: (818) 402-8530
State Lic #: 1007014
Lic Type: B
Bus. Lic #: 353128
Workers' Compensation lnsurance:
Carrier: National Liability and Fire lnsuranr
Policy #: V9WC896902
Expires: 0112912019
Kamal Mchantaf
Kamal Mchantaf
23315 Saratoga Springs Place
Murrieta, CA 92562
(949) 307-6346
51 050
Sandoval Design
Billy Sandoval
3839 Baldwin Avenue, #111
El Monte, CA 91731
(626) 692-4907
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Plan Checked By
Permit lssued By:
NPDES lnsp
PWA lnsp. Req'd
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Kathy
ki, Teri
Dale: 1011212018
Date. 0212612019
Date:04/10/2019
Subject to Field:
Account#
/ tooJ
Total
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07775002
07776002
37i73002
08901007
07776002
07776002
07776002
57607
s3600
57770
57997
24000
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
Res. Dev. Fee - S/E
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance/New Structu
$320.50
$444 32
$41.36
$3,331.28
$5.20
$2.00
$22.08
$146.80
$4,313.54
$444.32
$3,869.22
Every permit issued shall become invalid unless the work on the site authorized by _
such permit is commenced within 180 days after its issuarrce,or if the work authorized
on the site by such permit rs suspended o r abandoned for a pe riod of 1 80 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
01'r'r6002 51612
01116002 57770
08901001 24000
313'13002 5799'l
$22.08
$467.30
$2.00
$41.36
$5.20
$3,331.28
Fee Total:
Paid to Date:
Balance Due:
lnspector MID#: 2018-146402
Planning Approval By:
A Fire lnsp. Req'd: -&\
[9-3 Potice tnsp. Req'd: fr*)/\}rld Flood Zone Cert. Req'd:f!.o
t
BUILOING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.
Set Backs .-/--n
COMMENTS
Forms/Steel/Holdowns ,IMU1F
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation A
Roof Sheathinq .l -l{+,7r;lj
Shear Wall yJ.mfr
Framinq U}4ufrfA
lnsulation/Enerqy ?.LIi&J,
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL lO Ll1/)Dft fVlan *r5
Certif icate of Occupancy ll
Noteg, fiemarks, Etc./
lrI
I he('hy allirm undcr pcnrlty ol pcrjury that I am cxcmft liom thc Gnilrack)rs' Liccnse l-aw li)r thc li)llowing rea\on (Scc.?0-11.5
Busincrs akl Prolassion (i)dc): Ahy City or County which rcqurcs a Jrrmit lo construcl. allcr, improvc, dcmrlish or rcpair any
struclurc, prf,)r k) ils issuancc. also rcquircs thc applicant ti)r such frcrnrit b lilc a signcd slxtcmnl that hc or shc Ls liccnscd pursuanl
k) thc provisirnrs ol'thc Cr)nlracl(,r's [,icenscd Law (Chaplcr 9. Comnrcncing with Seclior 70U) ol Division J of thc Busincss and
Proltrst)nsCod.)orthalh(orshciscxcmptthcreliomandthcba{istbrthcallcgcdcxc[rpti(m. AnyviolationofScctionT0-ll.5hyany
applicanlti)rapcrnlitsuhjcclsthe applicantk)dcivilpcnallyofnolmorcthantivchundrcddollds($500).
_1. ts r)w[('r ol'thc prol^-f,y. ()r my ctrlpk]yccs wil h wascs {s I hcir solc (otrrpcnsrtion. will do lhc work dnd thc slnEturc is not
trilcRlcd or oll'crd li)r salc (Scc.T044, Busirrcrs anrl Prolcssrms Crxlc: l-hc' Conlraek)r's l-iccn\c Law docs nol apflv k) an owncr of
thc pn)pcny who hurlds or rmprovcs tlErc()n, rnd who rlocs surh work hinrsclfor hcrscll (,r through his or hcr ()wn cnlployccs.
pr()\,iddl lhat such itnprovcnNnts trc not intcndcd orolltred li)r s{lc. Il. howcvcr. thc building or improvcmnl is $kl wilhin onc ycu
ol conrplct()n. tlE ()wncr ltuildcr will havc thc burdcn ol p(]vrn8 thal hc or shc did not huikl or intprovc thc pn)[Ef,y lor thc puryDsc o[
srlc).
_1. ils owncr ol thc pirparly. rm cxclusivcly conlracling wilh licol\cd eon(ractus k) c()nsln,cl the projcct (Scc. 7044. Bu\iilcts
rnd th)lissinCo(lc:Thc(-()nlrnclr)r'\l,icctr\cl-awdoclnrilapplvk)anowncrofpropcrlywhohuili.jsorimprovcslhcrcon.
tnd who contrrcts fi)r such pfi)iccts wilh u (i)ntrilcfu)r(s) liccns(l purlurnt k) lhc Crtrlrack)r's Liccnsc l-aw).
lrnlcrcntplUllJcrscetion-'B.&P'C.lbrthisreas()n,
l)stc:-
TVORKERS' COI\,I PENSA'I'ION
DECLARATION
I hcrchy all'irrr undcr pennlly of pcrjury oDc ol lhc l'r)llowins dcclrrntiurs:
_lhavcilrdwill nuinlrinaCcrtitjcatcofConscnltrSclt:lnsurclorworkcrs e()mpcnsation,as providcdlorbySectt)n-lT0Oofthc
lrbor Crxlc. lirr thc prlbrntancc oflhc work lirr wlrich thc pcrmit is issucrl.
_lhavcandwillnrrinlainworkcrs'compcnsati{}ninsurancc.as rcquircdhyScclionJT00ofthcLahorCodc,l'or(hepcrti)manccof
thc work fi)r which this Frmit is rssucd. My workcrs compcnsati{)n insurancc canicr and lblicy numhcr uc:
Policy Numhcr: Expircs
_l rcf,ily that in the pcrli)rmnncc ol lhc work lbr which lhis pcrnrit is issucd, I slull trol cntpkry any pcrson in any manncr
so rs t() hcconrc srhicrt t() thc work('rs e()nrl--nsati(n hws ()l Callarnia. rnd aercc thrl il I sholld hcsom sulicct k) thc
work(.rs cotrpcnsxtionprovisionsofScctir)n.17001)llhcLiltx)rCrxjc.l(hnll.t(xlhwilhcomplywilhlhosprovisiilns.
WARNIN(;: Fnilurc t) *curc workcrs'compcnsali(ln c()vcrxgc ir unlawlitl. and shall Fnallics and
civil lines up k) ()nc hundrcd thousand dollars (X).UX)), ilr rdditi(n (o thc cosl li'r lh('
Sccli(D .1076 r)l lhc htx)r C(xlc.tccs.
l)alc:u /"- 147-- (
I hcrchy allirm undcr pcnally ol Frjilry lhnt I an liccn*d provision ofChaplcr 9 (comnrncing with Scction 7fi)0) of Division -1
r)l' thc Busirlcss rn(l Proltssirus Codc. and nty licensc is i[ llll lbrec iltr| clttcl
Liccnsc Class:
I hcrcby nllirnr undcr [Enally ol lErjury thlt is ion lcndinl the pcrti)rmanec of lhc work li)r whrch this l--rnril ls
issucd (Scc. .\097. Civ. C.).
Iandcr'\ Nxma:
s Addrcssl
APPLICANT D!]CLARATI()N
I lrcNhy rtiirn undcr pcnrlty ol pcijury onc of lhc li)ll()winp rlccldral ions:
Dcmol(k)n l'cflnit\-A\h(stos Nolilicat!)n Fcdcral Rctulattrrr\ (l illc ,10. I'xn6)
_Rcquircd t ltcr of Notilicdlinl
-I
lhxl lhc tidcr{l rcgulaliills rcgtrding xrhslos r(aB)vrl arc not applicahlc k) this lft,jc(|.
I hrvc I lri(ilrd slxtc that thc ilx)vc inlrrrrlrtion is eorccl. I agrcc lo comply with all City and County
rclxting to
Ior insl--cl
,ukl herchy auth)rizc rcprescntnlivcs of this City and County t) cnter uFln tlE
Applicatrt or
dirraScs xs
Itcrntilet'
Stntc
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