HomeMy WebLinkAbout101101614 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requestsr (7141667-2738 lnspector Section: l'714) 647-5853
Permit #: 1O11O1614
Pin #: ssozfrl
Proiect Address: 1809 N Louise St
Assessor's Parcel 399-081-13 Lot: 2
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 1739 Historic: No
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R.3, U
VB
cBc 2016
x-0602320144J
Patio:
T.l.Area:
Yards Req'd
Valuation:Garage Area:
Totat 0
Trcnsoct isn Tott
frone+! 1[5
Eef+:- 11/ 1S/201911 i
Description of Work: Revision to 10'198832-change to vaulted ceiling
Planning conditions:rdres llnt'l
Owner:
Address
Phone:
Tenant
Andres Martinez
1809 N LOUISE ST
Santa Ana, CA 927063438
1714\ 724-6212
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Engineer
Address.
VP Home
Ben Phan
11541 Elizab€th Street
Garden Grove, CA 92840
(7141 zs',t 4537
57550
Midway Arcs
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
07776002 53600 Revision
07776002 51600 General Plan Update
$577.18
$0.00
Total
Flood Zone Cert. Req'd. No 01 116002 53600 Se++:.l€. p }./tr 4(
Every peinit issued shallbecome invalid unlesstho work on the site authorized by
such permit is commenced within360 days aftet its issuance ot it the wo* authorized
on lhe site by such pemlt is suspendec! ot abandoned fot a period of360 days atler
the lifie the wo* iscommenced
$577.1 8
$230.87
$346.31
lnspector
Fee Total
Paid to Date:
Balance Due:
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Revision
Revision
SFD w/det garage
1st FL Area 0
2nd FL Area 0
OtherAreas: 0
Contraclor:
Address:
16912 Gothard Street, Unit M
Huntington Beach, CA 92647
(714125',1-2490
AulhitLllll-/4
Planning Approval By:
Plan Checked By;
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Date: Misc. Receipt:
Scott Fazekas & Assoc. Date: t1l01/2019 Misc. Receipt:
zuniga, Allissa Date; 11/1812019 Misc. Receipt:
Subject to Field:
73540
MID#: 2019-148628
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDOR DTJLCARATION
I hcrchy afirn und.r Fn,lrt of Frjury lhd I o c&mfl fn,m rhc conttaclom Li(.sc ljw tm rh. followine Rren (Se.7011 5
Bu$n.rs ,.d Prorc$Dn Codc): Any Ciry or Cornry *hich rcqures I lctmir h con{dd, ,lrcr. imllrl)vc. .kelrh 'tr Rlan rv
rd rhc !o!K,ons of th. ContrLrr'r Li..nrcJ Lae (ChaPlcr 9. ComnEn(ing wnh S&rt)n 7txj0 ol Divtn,n .l ol rh. BusiRss ,Irrr
Pn,rassions Colc)orrhrr h. orshc is c$mpl rh.Eriron inJ rhc hari\ td rhc iih8cd c\cnrrlion Anyvn ario.ofScdion ?0.115 hrmy
sml'crnrfttr.lcrnrirsubj.{lsrhc,ttlicanrorcivilp.nalryornolnFrclhrnlivcnrhdrcddollds(5500).
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dtoi.r
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rlNnn,Fny wlx, htrild\ or mDn)vcs th.s)n, u'l who Jrs $'ch k)ft hinrrclt or lsscli or thooSh his or h.r own cmpbyccs.
F)vidcd I hd su(h i'np$vcmnN e nor Nckhd d oltarcd lbr salc Il. hovcEr, rhc hu'ltitrrg or in{ov.rcnr t soll] wihn onc vtu
ot eon'{lkrir. rh. Owncr Budlcr will lBvc rh. htrrdc. of Osvirr! rllll h. or irc nil rn huill or nil, vc rhc popcny nn thc tturlbt ol
l. as uncr ol rhc l],opliy, am cx.lu vcl! cotrrncrins sith li.enrJ $nkrrtrs h (onnoel rhc PR'jtr (S.L 7044 Bururcs
rnJ [k,L\si Codc: Thc Conrracttr s t-i.c.* Lae Jo.s nDr atply N d owncr ol ln)n d y wtu) hurlds or imr)v.s rhtrcon.
atrJ who.rl,ltnchnJr\uhtnrr..hwdlaci)nrB.ro(s)ltcnscJlunur.rk,rlrai,nt.cntrsl-iccnselr*l
I inc\cnrpr uftl.rSc.rn,n-. B & PC.,i,rrh'\ rcr\rt
IVORKERS' CO]IITENS TION
ACCIABATO!
I lNthy rtlrnr utrltcr p.nxltyol ncruryonc ol rhc n,U(,win8 dc.l&.lnrr\:
-lhavcaniw,llmn
ain r (tnr&arc ol Contnt ro Schlnrurc for workc d,hl'cnsarion. as pbvidcd fot tySern,n]?m oftlE
Ubt, CoJc, lilr rhe !.nomuree of rhe *o lnr which rh. lEmn ( rsucd.
I [dvc lnd *iU nainr.in sorkcis.ontPctrslli(,n imuranuc, as requirJ hySccr!)n ]r(x) ol rhc Lat$r Co{c, ror rhc J'.rfomucc ol
rhc vork nx *hich rhjs Fm Lr Lsu.rl. My *orlcn comrcns, n n
'nsuramc
crar a, PIrcynuntfrm:
l.cnily rhri
'n
rh. p.nnr.rn c olrhc work Inr whi(h rhs ocrmir r (nEd. I shollnor cmll(,y any Pc6on in any m,nmt
$ xs b hccnm Nhjcd to rhc *xk.F on{.nsaodn ldws ol cllinrmu. ,l 4Ec rr'd
'r
l should h..om subjsr h rtf,
wol1lds rompcns!(i,npovisi.nsotS.(rnrlTtUoflhcLalatrO)lc.lshiu.lonhsrlhuonlllywilhrla,Eprovi\bns.
WARNIN(;: Faihrc ro sccurc qorkcr omnctr\dn)n co\tasc is unhwtul. rnJ nd \uticrr an cmtl')ycr lo diminrl lkuh$ rnd
rivil Inr\ ut k, onc hundrcd thouslnJ dolhn ($lm(xxl), in rddfidr to rhc co( ol.omrcnsrrion. d.nra8es.s lrn,vitlrl ntr rl'.
S.crn lI)76 ol rN\ tiborOic, nrcred $l anonty's f.cs
.\DDlnnnr:-
LICENSED CONTTACTORpEC!AB{MN
I hcEbyatrr unJ.r Fn.lry.tpcrjury rhar I am lien*l unJcr Fovision olChaplcr I (dhftN'n8 w,th Ser6n ?000)orOivilnn l
ol rM Burire$ o'l PDfesions codc. iil ny lrccnsc is in tull lod aJrl cficcr
Li.cnsccl!$: l-iccns. N!mb.r:
urr._ conrqlor:
CONSTRUCTION LENDING ACENCI
I hcEby rflnn unJcr Fnrlly of pcrjury rhd rh.o ir a cohstfl.tsn lcn ling .3en.y lnt rh. !.rfonnlNc ol rhe worl for ehich rhls ttmit is
issuc,l (Scc. ]097, Civ. c.).
A[!L&ANLUEC!I8AII9!
I lmby.ltlru .r pcnllry ol pcrjury on ol rhc Lllowh3 dNla6ti{,ns:
Dcnrninr Pcrnih-Asbc(os Nolilic,ii(,n F.Jcgl R.3ukln ts(l lc 4{), Pa16)
R.qurcd l.tlcrol N,nitcrrbn
-l
c.n ify rhar rh. rcdcrd Esul0l ions e8ar,iina ,sh.n.s rlnDval &c nol aptlitlhlc ro rhh pojet.
-l.cnrry
rh.l I h,vc rad lhis lppltarion and furc thar hc abovc inntrrohn is coftc.l. I r8E to mmdy enh aU city anJ Counlv
ordrlRcs.nd Srarc L3ws Ehrins ro bu,ldinS .o.slocli{n, lri hcrct, aldotn. Eplc$nl rrcs ol ihh Cny,!d Counly ro cnlcr uPon rlE
dhvc mdord 0n)pcny lir irspcul
rqApplir'{nl or Ag.nl Si8mluN t'"'"'il/Lo-iL-
Set Backs
Forms/Steel/Holdowns YL t/tl l I L^tltt
Erection Pads
Rool Sheathinq
Shear Wall I
Framinq ll f.o v.lu tq DarBZt3c"\
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 2-tt'"o
Certiticate of Occupancy
Notes, R m arks, Etc.I
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
l)ara
Pool Fence
LrtrJ.,'" AJI.(
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