HomeMy WebLinkAbout10295091 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: lO295O9{
Pin #:71998 r
d'J
Project Address: 609 S Main St
Assessor's Parcel 404-101-12 Lot: POR 5 & POR 6 Block: 6
Bldg: Address Range
Tract: LYON'S ADDITION
Unit
Historic: No
Suite Range:
Zoning: CSM
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Patao:
T.l.Area:
Yards Req'd:
Valuation:
0@0
$1,500.00
Multi-Family (5 or more units)
Alteration
N/V-Windows
4.UNIT APARTMENTS
Description of Work: Legalize (3) unpermitted window change outs. Auth on file.
Planning Conditions
Owner:
Address
Phone:
Tenant:
GENARO RODRIGUEZ
1202 S SYCAMORE ST
Santa Ana, CA 9270712'14
Contractor
Address:
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Archilect /
Desiqner:
Address:
Phone:
License #
Phone:
License #:
Planning Approval By; Flores, lvan
Plan Checked By:
Permit lssued By: Zuniga, Alliss
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
"(
Oalet 1211812017 Misc. Receipt
Date: Misc. Receipt
Date. 12l1Bl2O1Z Misc. Receipt
Subject to Field:
No
No Account#
07776002
01775002
0777600 2
07776002
07776002
07776002
57607
57607
57607
51672
s7600
5760 7
Permit Fee
lnvestigation
Penalty
Bldg. Slds. Revolving
General Plan Updale
lssuance
$154.26
$93.17
$234.08
$1 .00
$21.25
$52 98Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on the site authoized by
such pemit is cofimenced within 180 days aftet ils issuance,or if the work authorized
on the site by such pemit is suspended or abandoned fot a period of180 days atter
lhe time the work is commenced
$21.25
$534.49
$'!.00
$556.74
$0.00
$556.74
lnspector MID#: 2017-140506
011'16002 51600
01116002 5150'l
01116002 51612
Fee Total:
Paid to Date:
Balance Due
R-1
VB
cBc 2016
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DEL(ARATION
I hcr.hy amfr undd p.nrlry of pdrury lhal I m.rmpl from thc ContadoB-Li..e IjN for rh. follolvins raen (s( 70115
Busin6s and ProfNion Codc) Any Cily or Con y shich r.quts t Fmil lo coNlrud. alr(. ifrprova dmolhh or rct€t ur.
structuc. prhrlo s isud.., also &qun6 rh. appli.a fo, soch p.mil to lilc a sisn.d narmor rhar hc or shc i.s licoE.d p!6umr
u rh. piovisions oflh. Contracloas l-i.ds.d Iis (chap( 9. (_om.n(ins Nilh S.clion 7000 oaDivision I ofth. Btrsin6s atd
Itofcssons Codc)or rhrl h.or sh. ir.r.mpl rhcEfron md lh. bsis lor thc allcs.d .:dprion anyviolarionols.dionT0:ll5 b) an!
,mlicad ln a pdnn subjcc rhe applic.nl to a ci! il p.nahy o I nol morc rhm liv. hun&.d dolltrs (S5C0)
I. as 0*16 orlhe l()psl), ornt.nplor6 wnh saBB s rn.n Fl. comlEdsartu.. {ill do rh. $o ard th. nn{ru. i nur
imd.ldt.rolIa.daorsl.(Sa7O,l4.trusinGsddPrer6sionsC.n.:Th.cont.dorsLicmcl:$do6nolamlrkrMo$nsof
rhc Impsly_ *ho hoildi or mprov6 $6atr ed sho do6 such troi hims.ltor h6.laor thrculh his or hE os0.n,pk yd.
providcd lh.l srch imprcrooc e nol nrd&<i or ofiddt for sk Il hotras. rh. hlilding or ilnlmr.mr ir $ld $ilhin nnc )w
dicory)ldion, rh. o*n6 Blildr will havc thc hrdd of prolins lhd hc or sh. did mt tuild or inFrcvc lhc I'lpdy lor lh. Al'Ioe of
l. as o$ns ollhc frol'tny. d. c:clusn .ly conta.tin8 u irh licmsd conlndoN t. connMi rh. Fttjd (Sd ?Lr{4. Irus'n6s
dd hfeiirnCod.: Th.contacto.s Liccns. kw do6nol.pplyto an01 6.lfrupdt$ho burldsor im!'o\cs rhdmn.
and \vho conrra.ls fo! such Foj.ds N h a Contado(s) li.ns.d prsr@r ro lh. ( onlraclois Lr.6. l-dw)
I dn.xcmpl undd S€clion ?OECIAIAIII)}
I hcrcby aflirm unds lEnalry of ldlury onc of rh. aollos ine dcleal ions:
I hi\. Md $ill mainr.in a Cqlilic.tc of Consdr ro scll lnsui. for work6 composrion. d Fovid.d for b! Sdion 1700 of thc
libor Cod., for rh. tEforrucc of lh. {o for which th. pm n issu.d.
lh.rc ond *illmainrain sork6 .onp.nsarion imtrmn... s r.quircdbySertun3TO0olrh.ljb.r(od..forthcp6romMc.oi
rhc *o!k ror Nhrch thN p@ir G issu.d My $ 0116' compoel io. iNurancc cmr md pollct numbd ac:
I.dilyrhar in rh. psfoirnan.eoflhc rort for which lhis porir ,s issu.d, I shallnol .,nplor" any p6on i. an!,nMn(
$ 6robecornc bjal lo rhc sort6 .ompasdbn 1a\6 ofcalifomia. Mdascthar irI sh.uld t*.ofrc $bidl lolhe
*orkss' mDpo,sarion pnvisbN ol Sd ioh 1700 of th. titi.r (-od.. I shnll. fonh*lh .omply wirh rhoe pm\ isiotrs
wARNlNc: Failur. ro Fuc Lcorkm compasnion cov6ag. is unlaqful, a shall suhid @ploye to riminal lEnaki.s and
.iril nn.s op lo o.. hundr€d lhouend dolld ($l 000). in addirioo l. th. cosl of comp€Barion. dm.8e 0s pro\ rded. fot lhe
sdion 1076 0flh. Lattr codc. mrs6l and at.
u|! L!!!.1!11^
I h6.hy amrn unds po.lryolpdjuryrhar I dn licfiscd unds I'o\6ion olChaprd s (cornocins *'ilh S<rion 7000) ofDivision l
ol th. ltusinde and PofNroB Cod.. dd my licds. is in ftrll forcc d .tTEi
CONSTR!CTTON I.trNDING ACENCY
I hd.by dflim undq poslry o f p.rjury lhar !ho. s t coBrtudion lmdin! as6cy for lh. pdfoilmc. of lh. *ort for \hich rhlq pdnn i!
issu.d {sr 1097, civ c.)
arfl!(a.[lul(u$auor
I hd.t'y alInn undd lmah, o I p.rju.y one of lh. lollo*rs dEldai ions
Dcm.lnmn P.nnirs sb.sros Nolificaiion f.d60l Rqulalio.s ('r' Ic40, Pn6)
R.!ut.d L.nd of Nolifi cslion
I cqlily lhal lh€ r.dqal r.sulari.E tredinu sb.sros ronoElarc ool lpplicahlc (r rhis rrojdr
o mn,plt Nirh rll( iry.nd Counly
lhtC f dd(o nrrro016trponrh.
lcdriiy rhlr I hav. r.ad rhi. applicalion ud stolcthat lh. abovc inromdtn,h t cond I asrel
ordind.6 and Srar. tlqs rcLrin* ro blildins consrodn,4 md hd.by adhoriz rcai$lalir6 oI
,h1. mm,'o..d rr,pdr ror,?txr,6n pu'pos - ..
:,:::::,:::'"y<r'--'R -,,81a4
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t --)
FINAL /r'/t '//{ *x t/t ,/
Certificate of Occu an
Notes, Remarks, Etc.
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