HomeMy WebLinkAbout10196621 - Permit (2),"k
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EProject Address: 2038 S Main St I Bldg AddressRange: 2034-2038
Historic: No
Suite Range:
Zoning: CSMAssessor's Parcel 015-07 4-17 Lot: 5,Block: 17 ct: 517
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspectaon Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: {O196621
Pin #: 83738
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Miscellaneous
Repair Dryrvall
Commercial/Retail
B
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: $1,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description ot Work: Repair drywall throughout unit.
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Veronica M. Jimenez
53 Seton Road
lrvine, CA 92612
(949) 981-6290
Contractor
Address:
Owner-Builder
Engineer
Address:
Architect /
Desioner:
Address:
Phone:
License #:
Phone:
License #:
ienern I
rl l l6L.rr:r2
lu i 1d ine
l'1(ln Llpd{
- :111-r
s Fie,,,c- 5151
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
NPDES lnsp. Req'd: No -Z-L'
Date: Misc. Receipt
Date: Misc. Receipt
Date: O6/O4t2Ot8 Misc. Receipt
Subject to Field;
No
No Account#
07776002 51501 Permit Fee
01776002 57672 Bldg. Stds. Revolving
01776002 51500 General Plan Update
07775002 51501 lssuance
$154.26
$1.00
$21 .25
$52.98
PWA lnsp. Req'd: No
Planning lnsp. Req'd; No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on the site authoized by
such pemit is commenced wtthin 180 days aftet its issuance,ot il the work authorized
on the sito by such petmit is suspended or abandoned fot a period of 180 days aftet
the tifie the wotk is commenced.
lnspector MtD#. 2018-143741
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
$21 .25
$207 .24
$1.00
Fee Total:
Paid to Date:
Balance Due:
$229.49
$0.00
$229.49
8ot,:h+14411,19 - 5.r4
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
A.':t
Erp t
Tr dfl
!,lEron i':n I!, ,li$e
BUILDING. INSPECTOR RECORD
SITE.WORK DATE COMMENTS OWNER AUILDER DEI.CARATION
I hcrchy rlfirm undcr Dcnllry of p.iuly lhlr I am cic'lnr lrom rhc C{)nta.nrn Licnsc tjq lor lhe followits rca$n (Sec 7o:ll5
Businc$ und Protu$n," Codc) An, Ciry or C,oil, whi.h .cqxtcs x Fnnn t,' .onnDd. rltcr. inlltrovc. dcmlhh nr EItn rny
srD.rurc. prttrk, irs hsuun.c. aho rcqun r rh. rrplicDtrr ror surh pcinir ki nlc 0 siBred slalcmnr rhal heor shc h li.dntd poEua
lo lhe rmlhions ol thc Conrruclols l-iccnscd llw (Chlprcr 9, Comnrnci.! wirh sc.rion ?oftr of Divkion I oi rhc Busirrc$ rnd
Pi.L{snJns Codc) or rh h.or sh. k cxcnu lhc.cfmn nnd rhc bd\Ls lor rhclllcscdcxcnrprion Any vi,nribnofScdion T0ll.5 byany
np,rlicdnr ior ! pcrnrir subj.ch lhc !rplicanl lo acivilDcnahyoi.ol mrcrhdi iilc hundr.ddollars (55(x).
-1.
$ owner of rhc |)n,tEny. (, nry cmrloye\ *irh qrsc\ us rhct q,lc .onDrn\di.tr. $ ill do rhc wort nR rnc rlnrlw is B,
inrcklcd oroltcrd for qlc rse.704-1. Bnsi..$lnd ProLsions Codcr ThcCofiacrois l-iccne Lrw d..s nor npply t, osn.r.f
rhc pn,IEny who huilds or inDreEs rllmn, udwhodm\schwo* hinsclforhcrclforrhroughhn orhcr o*nenPloy.cs.
F,vnbd rhur su.h imrownrnh .r ml inrcndcd or oicrcd fo! $h Il horcvci rhc hikliru or nnpft,vc f,nr is sH qilhin onc )ls
otconDlcrion, rhc O*ncr Buiklcr will h,vc rhc btrrdcn ornoling rhd h. or shc did nor build or impro!! rhc polf,Ily f.r rhc purr.s or
L rs o*ncr ol rhc pmpcdy. ancx.lusivclr.ontadin8 eirh li.cnscd co.rracronlo conndci rh. pfl'F.r (Scc.7044. Buenc\s
ad I'bfssion Codc TncContacrorsLiccns€t-s*doc\norrpplyban.!Rrornrc!. yuho build\o! inrpn,vcs rhcr.otr.
nnd who $nrr.h lni su.h pmjNts wnh a A)ntucktr( s r ltcnscd I)u urDr ro lhc G).tactr's t-i..ns Ilw )
;:'-,rytii 4 "",".>,
I hcr.hr_ rlltn r tlcr |{n lr!of|*rjuyotrcofrhchlbtrmtdc.larnrn \
lhr\r.JxlwillruinrrinaCcnificrlcofCon\cnrroSelflnsurcforworlc^drmp.ir,rion.dlnvil.dlbtbyS(lion3Tmolrhc
lihor Cod.. ror rhc lf,rLnnM.c ol lhc work hr vhi.h rhc ldnil is is$cd.
lhrvcrod willnridrln qrkcrr compcnslri{nr irNUrrrc.. as requncd htS.(rnr lT(x)o, rhc L$orCod.. iorlhc p.rtu'nEnctof
rhc work lbrNhichlhis ncmir is isucd llysorkcs .otrrtxtr\lrn,n inrdft .c.rnicr drd B,li.y trunrbcruc:
I ccdifyrhrr in rh. l,.na n&.cofrhc$orklarwhichrhis,rcnniriri\srd.Inrllnor.nlPbyrnttc*onin.nymrnncr
$ ns ro lrcorft suhicct h lh. Bo*cn compcnsrr i(in h*s oI Crlilornir. und trgN rhri ir I should bcorE {h]cd ro rhc
woAcrs.onqrnslnnrffuvisi,,nsoiScdioo:l7r)1)olrhclrhnCo{lc.lsh,ll.tunhw(h..nrdywilhrh--trovilbns
WARNINC: FlJillrc k, {.urc Rorkc( comNns otr c.rcm8c i( trnhtrtul. an.l shlll suhjc.r n cmpl,rrtr b.ri itul Ntrrllic\ {trd
b onc hu drcd rhous.trd dollors (Sl(x).(x)tr). in tudition ro rhc con ofconpctr\,rbi. drtrrtc\ rs lnvntd tur lhc
sl.ritr.1076of rhc |]fttrC
,rrr", t 6 lq
'dc. inrcren and ruorNv s lcci
llA ^,,,*",,>t-
I h.rht afliihundcr lcnalryolpcrjury lhnl I !m liccnsL\l urdcr [ovision olChrpr.r 9 (commncinB wnh scctio. ?000) oiDivhion:]
or rhc Bu\imssrnd Pmfc*hnsCodc. ird my li.cn\c i\ ir full l .c axl cllccr
COXIiIBIJqIjI)NTENDIXIi.dGIiI.qI
I hcrcby dlrtmuntlcr Fnnlly ol p1rjury thar lhc,c is !.onslruclion knd ns Dsc .y lar rhc tlcrlofln.mc olihc sort ior !hirh rhi\ Frmir i\
l\\Nd tS...1097. Civ C.J
AITUQTNfBEELAXAIIIJN
I rrr$y nrrnuMcr trnnlty ol tErjuy orc of rlrc r'olbwin8 dslnrarions
Dcnnlirion P.rmih Ashc{o\ Norin.rttr Fcd.rrl RclDl{ionr (Tnlc.10, P{n6)
Rcquncd LrIcr ot Norifi carint
lonilirhd rhcfcdcrdrcBulrlions rcEtuding lsheslo\ rcnn,val arc nol rlfli.rhl. ro rhir !roi.l
ordifntr.c\ rtrd Srl(c Lrtr\ r]ditr! ri hu ldinl.o Nrurri,n,. rn,l lrcrchy xurlntrt. rct)ft\cNrnv.t olrhi\ (']ly Jnd
4
Se1 Backs
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing
lnsu lation/E n erq y \.z\l
Drywall
Ext./lnt. Lath
Brown Coat
It/ aso n ry
T-Bar
Handicap Beq.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL t6/il/6 -ar67L-*?t4/
Certif icate ol Occupancy \V v-/
Notes, Remarks, Etc.
--t
ID/SIG.
Forms/Steel/Holdowns
,.. bt6/u/h :=+FV6Y,I
Pool Fence
l{'.1 ''. 4'l'I..\
I
I
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