HomeMy WebLinkAbout101102725 - Permit (3)Project Address: 2039 S Van Ness Ave
Assessor's Parcel: 015-125-04 Lot: 23
Bldg: Address Range
Block: 5 Tract: 517 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 1O1102725
Pin #: 8os2qf{
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Owelling
Alteration
lnsulation
SFO Watt garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories
R.3, U
VB
cBc 2016
x-0602320276J
1 st FL Area
2nd FL Area
Other Areas:
Garage Area
Total
Patio:
T.l.Area:
Yards Req'd
Valuation: $7,500.00
Planning Conditions: No Exterior Modification
qo!ch1r53672 - 1/2/Zi2tJ IOr C(:tJi.r.t.Aj0fli.er {.IYH Trans+r 71 t.ii'4Accti: Refi: 1011r_i:t7::;
liLr,t+: ir2855935 t/?/Zti?i.t ll:iJl AnTrcnsoct ion lotql $gI4 . t];
r I Ir{ L I (l.1 (.sn5U1[ tD9 Help Lent
Owner:
Address
Phone
Tenant
Marvin Rojas
2039 S Van Ness Ave
Santa Ana, cA 927072639
Contractor: Financial Consulting Help C
Address: 9551 Business Center Drive
Rancho Cucamonga, CA 91
Phone: (909) 466-7180
State Lic #: 1030177
Lic Type: B
Bus. Lic #: 366918
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9211816
Expires: 0610312020
Engineer
Address:
Gerr:rql P10r Updote Fee
r-r 1 1 16r:r(12- l1 6(fl:fl-tirtr-
Bt,r ild ins
rr11160(12- i16r:tl0tltt-Eids l3tds Revol.v ins
ir1116002- 516120r1u*nicrol iln & Docurents
(r1 I l6t:r02- 5777t:t0t-rtr-
Uisa
(:C+ : ***rrlx*xr**g?39
i22.'r!
$|i.t , /,
It,r-ll
}J.?l
$gt1,r:r?
Auth+:t:t41718
Architect /
Desiqner.
Address:
Phone;
License #
Phone.
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'dl
Landscaping lnsp. Req'd
Hernandez, Kathy
Date:
Date:
Dale: O1lO2l2O2O
Sub,ecl to Field:
57607
57770
s7672
5 7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$3.91
$1.00
$57.20
\$
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
ffi Account#Total
Every permit issued shall become invalid unless the wo* on tho sile authorized by
such pennit is cofimenced within360 days after its issuance,or if the wo* authoized
on the site by such perfiit is suspended ot abandoned tor a period of360 days after
the time the wo* is commenced
lnspector MID#: 2020-156813
01116002 51600
01116002 51601
01 I 16002 51612
01116002 57770
$22.95
$223.73
$1.00
$3.91 $251.59
$0.00
$251.59
Unitl Suite Range:
Zoning: Rl
Description of Work: lnstall insulation in attic/auth on file
Misc. Receipt:
Misc. Receipt:
l\,4isc. Receipt:
0 77760 0 2
0 77760 0 2
0 777600 2
0 77160 0 2
0777600 2
Fee Total
Paid to Date:
Balance Due:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE IDiSIG.COMMENTS (,lvNt:R BlrlLDtR I)tt,(]aRAl l(rN
I hcrchy allirm u cr ncnally ol pcriury rhd I m cx.hpr tiom rhc Co lracl,trr l,i(cns If,w ntr rh. tuln wms rcrson (5<.71).11.5
llusincss arl Prultrsion Cdlc)r Any C y or Cin'my whrch rcqtrtes r p.rn,ir 1(r .onstruct. alrcr. rnllrnrve. dcn$li\h or tpM any
{tucrur., pnx ro rls hsuaNc- alw, rcqutcsthc 41llicatrr tur \uch Iln h lilc. sl3rc'l darcmnr rhar k dr \hc is li.ctrrJ nusua
r, rh. ntuvson. ol rlE Conra.r.rs l.iccns.d llw (Chiprc' 9. Cnnmctur3 w(h Sarion ?0(D ol D'vs n t ol lh. Busircss inll
Pftna$rons Codc)o! rhrr fu or shc i dr.hpr rhd.liod mJ
'h.
b,{s ltl rlEalkscn cichonrn Ary vd,tonoiSslion 7011.5 hyany
im[.anr nx. !.mril suhjelsrhc 4Irl[Mr to r.ivilFndryol nol nxne lhin livc hoRlr.Jd.llr\ (S50o).
-1.
as owfti dr rh. l'Bp.ny, or my cmoloyccs wirh waecs as
'h.r
nn cdnrlcnsalnn. willdo lhc *orl { rltsturmirnDt
mrcndcd or oltial tu $L (Sr 1x4, Bu\iEs and Pbrcsson( Cdtc: rhc Conhukn\ Litns. Lxw dcs not .pplv lo an owmr oa
rhc pn,Fny wlr) huil&.i in{nitq I,EED, aftl *lx) Jes skh Mr* h,mself.r hn*lfor rhn)u3h his or h.r own cnrl,'y.cs,
pmvidc,l rhar such mpormnrs N nor orcdc{ or oflcE{ nn srk ll, homrc', rh. huuin8 or impNrmnr is sU * hin onc ytd
ol comnlcrin. rhc Own6 Buiu.r wiu haw Ih. burlcn ol lmvin3 rhal h. or she JiJ nor hudl or nqrorc lhc l,Npdy tu hc NrIr){ .f
-1,
r\ owncrolrlr t'nltiny. rncr.lusiv.lr.oorra(ri4 wirh I '..n {d .onta.ror n) condru.r rtt F'ic.r (Sc. 7044, Busncs
a lhrisin Ci,J.: 'l h. Conkacktr'* L,c.nsc tjs doe\ ml ipply r, rno*nd ot In,ltay vl!) buildr or imprcvcs rhdcon.
xnJ who conkads lor such Inliccrs wnh a Gn rr.r,(, h.{ {'l Pu$uanl t, lhc Conlrtn,r s Lrccn\c llw)
B & PC. krrhtr rcan,n
TVORKERS' CONII'ENSATION
PECLABAII9!
I hcrcnyrlftnruDJc! p.nrlr!ol i.rjryoncof lhc lnll winrlcclalrrrlns:
I n !e an will minr.in a Ccnitt,lc or Conscnl b Sclf-lnsurc lo urke6' .onP.n{ri!,n, .s Flviloj for h, Sccrt,n -uoo or thc
l-hor CoJ€, for lhc Pcrlomcc of l,r hr* ror uhah ih. p.mit h ssu.!
ll havc wiu .Diflail wortcB .omrcnsrl ion insuErcc. ar t qutcJ by Str ioo l?OO oa lh€ L.hor C.,lc. rd lhc ldfomnce of
hisl).mn s issu.n. Myw{ cm' lr,mpensari,n inrurancc .Micr arl pli.y nunbct ft:
Sh,^\c truc' a\
42\\9rt-
-lr1ttrcs
ztAlZ.)
I ucnity lhar in lhe perio.@ncc ol tbc *otk for whrh this lcrm is tsu.,l. I dull R .mploy .ny PcFon i! in, ndncr
$ rs h tEcotu suhirr rd rhc workcr' comrcnsarnrn h*s ol Califon6, atul lge nrar rl I shouu &coe bidtollE
wo!*.6' c.hp.ns,r io. povsion. ot Sc.ln,n 3rOO of lhc ljhdr CoJc. I shall, fonhwirh canply wirh lnd* lmvlsiotrs
WARNINGT Failu.c lo ecft *(trk s codrnsaridr or.m3c is unlawtul, anl rhlll suhiccr r. cmploycr ro uimin.l IEMllas ind
h onr hundrcd rl$usmd dollar\ (ril00.0lx). in r d n b rhc c sr ol comp.nsdbn, ddm4cs N |hvidcd brlhc
Sc.r(n,:1076ol rlr lrlu C\dc. mr.rcd a.J srtn,ky \ l(\0
DECIdSAI]AN
I hcEby dnm unJcr !.n ly ol pcrjury lhar I as li.!n{,1 un icr ,,o vi! idn or chlrtcr I (onmtuing wirh Sccnon ?000) olDivirion.l
of thc Alsimss anrl Pn,rcssion! co.rc, ad ny liLcns is b tuI lb& ur.l cuei
b \o) o\)\
,.,\11-lu)a,
CONSTRUCTION LENDING GEN(A
I hcrchy trm unJcr I'cn.lty or p.iury rhat rhcrc $ a .onnrudnln lc in3 r8cEy nr rhc tt dorMrec ol lhc *otk lor which rh^ ttm[ i!
r\ucJ lscr.1097. Clv. C.).
APPI ICANT DECLAR-ATION
I Mry ,nim undcr Fnrh y ol pcrjtry onc dr rh. nnltwins deld,ronr
t).nrlirnh PcrmnrAsh.(os Notili.arn,n FcJ.Bl Rcsxlirions (TirL 40, P.n6)
_R.quncd kn.r of Nolitic{lion
_l (aityrhd rh. tadcr.l rcgularons Egr,lina r\lEsros rcnrvi xrc horxmlic$lc 1,,lhs pDjc.r
I (nni rhar I lllvc rcld rhn .pnl(ri ion ad nar. rtur rh. rbvc inlilmmriotr is rotrccr I rgrd t, .onlPly wirh all C[ y an,l Cotrnry
onlirMccslndSlalctiwsElarinAk,buJmgconnrucrdrmlhcrchyaurh.rizclgtcscnukrcsofrhsCiyandCou.ryn)cnrcruErhrh.
xli,vc nrnuoncd prrNny irr insl'c.rion
A Dlic$t o. A,lenl Sitmtu m
c
Set Backs
Formsi Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lalion
Roof Sheathing
Shear Wall
Framinq
lnsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
l\/asonry
Pool Fence
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL t\at\10 vttGn(WY7
Certificate of Occupancy
Notes, Remarks, Etc.
T-Bar
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Lc1,l(r . NJm.
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knjcr \ AJJrs
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I
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accvacy , or validity of that
document.
CALI FORN IA ALL.PURPOS E
CERTIFICATE OF ACKNOWLEDGMENT
State of California )
Counlv of S-u )inn
Orr EO before nre.a Notary Public
personally appeared L,,,is Rao\ Sanc,hrz
who proved to me on the basis of satisfactory
the rvithin instrument an ou,led ged to rn
capacitlliy'). an d that b /thy'r signatu
Signature olNotarl Publi
er idertce to he the oersorr(6 rr hosc rr
e rlat@si/e rlfl ..recrt.i th" rrn,e
rety' on the irrstrurnent the persongrL e entity upon behalf of
aln
0r
f subscribed to
ir authorized
which the person ,/)acted. executed thi s rnstrurnent.
I certify under PENALTY OF PERJURY under the lau's ofthe State ofCalifornia thar the foregoing paragraph
is true and correct.
t|ANIA AIIGILICA RODRIGUIZ
coMM. # 2268589
il0Tlnt PUELIC. CtLlF0 t
SAt{ BER ANDINO COUI{TY
0
0 0
0
COMM. EXPIRES DEC. 26, 2022
(NotaD,Seal)
ADDTTToNAL opTtoNAL tNFoRMATToN
Description of Attached Document
Title or Type of Document &rprol A,*,lilr.hdn fir USe 0f lteenSP.
Document Date
WITNESS rny hand and official seal.
q lq laon
GENERAL AUTHORIZATION FOR USE OF LICENCE
l, Luis Raul Sanchez, am a qualifying individual of ALB Engineering Construction, a licensed
Corporation in the state of California with the state Contractors Board, license No, 1030177 and
on this day of September 09,,2079,1have come before a notary public to issue the
authorization of my own free will to allow the following person he use of ALB Engineering
construction's general contractors license for acquiring permits from the Building and Safety
Department.
This authorization is general and unlimited as to the.jobs that this individual can acquire
without further need of my approval.
Therefore, I authorize Miguel Angel Luevano Falcon to act as an agent to use ALB Engineering
Construction license as state above.
We both understand that ALB Engineering Construction can revoke thrs authorization at any
time in the future.
I execute this power and authorization of my own free will on behalf of ALB Engineering
Con struction.
alqle"rq
lSanchezu D ate
Qualifying lndividual
a lq leotq
Notary Pu b lic D ate