HomeMy WebLinkAbout10196905 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana' QAg27o2 Building
Permit Counler (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: lOl96905
Pin #: 8381O
EProiect Address: 1650 W Cubbon St
Assessor's Parcel 109-363-13 Lot 37
Unit Bldg: Address Range Suite Rangel
Zoning: RlBlock NA Tract 2355 Historic No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Usel
Single Family Dwelling
Miscellaneous
lnsulation
SFR
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320257J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:
0@0
$1,200.00
Description of Work: lnstall additional insulation in attic area.
Planning Conditions:
Owner:
Address
Phone:
Tenant
Armando Lara
'1650 W Cubbon St
Santa Ana, CA 927034604
'714}.321-2823
Conlractor; Futura Energy lnc
Address: 9211 Greenleat Avenue
Santa Fe Springs, CA 90670
Phone: (562) 94'l-7459
Siate Lic #. 985827
Lic Type: C-36, B, C-10, C-20
Bus. Lic #: 351485
Workers' Compensation lnsurance.
Carrier: Property & Casualty Co of Harttorc
Policy #r 76WEGGB7317
Expires: 0712512018
Engineer.
Address
Architect /
Desiqner:
Addressl
Phone l
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'dl
PWA lnsp Req'd:
Planning lnsp. Req'd
Landscaping lnsp. Req'd
Zuniga, Allissa
Date:
Date:
Date: 07/02/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51501 Permit Fee
07116002 51672 Bldg. Stds. Revolving
07116002 51600 General Plan Update
07116002 51601 lssuance
$160.25
$1.00
$22.08
$s5.04
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Every pemit issued shall become invalid unless the work on the site authorized by
such permit is commenced wthin 180 days ahet its issuance ot il the wo* aulhoized
on lhe site by such permt is suspended or abancloned lor a peiocl of180 days after
the time the wo* is commenced.
lnspector
01 116002 51600
01 116002 51601
01 '116002 516'12
Fee Totat
Paid to Date:
Balance Due
Phone:
License #l
$238 37
$0.00
$238.37
$22.08
$215.29
$1.00
MID#: 20'18-'144393
BUILDING. INSPECTOR RECOBD
SITE-WORK DATE ID/SIG.COMMENTS OWNI]R BUII-DER DELCARANoN
Ihc'chvrllinu cr pcMliyofDcruy lh,l I xD.xc B liorn rhc O,nta.t'N'Liccnsc ltrr* f(tr rhc tbllowin! r'rM'rlscc 7o:ll5
ausincs alt Porcsrn,r Cod.) Atry Ciry or Counry $hich lcquncs r Frnril lo ..nnfl.r. rlrcr. imnrolc. dcmli{h or (|[n mv
rrrucrurc. prinb ik tsrnncc. alv, rcquncsrhc arPlicanl tor surh Fiinirto ljlc r \isn.d (.tentnr rha' h.or \lt ir liccn\cd t'raanr
b rhc Diovision\ ol rh. Conti.rors l,ien\cd hw (chalrrr g. Comntnci'l8 wilh Sccrnrn Tun of Division .l ol rh' nusincs and
Itolcs\lonrCodc)orih r hcor(h! ncrc flrhcdftnn. d lh. ha\i\ for ihc dllcgcd crcmpri(,r Anvviolart)nofsc'lhn70ll5htdtry
rrplictrnr ior a |Eanir suhjcck rh. lptlic{trr to acivil,lcruhyolrk nmrcrhan ll!c hxndrcd dollirr (15m)
l- as otri.r of r lr lm fny. or my cnll]loyccs slrh *a!c\ as rhcir nrk compcn\dn will do lhc rorl Md rh. slMlun i\ n
nn.M.n drorTcr.d rhr vl.lSe.7(r14.llusincs\rnd Profc\sbn\Cdlc lhcCrnntu.roi\Licensclf,wdms.orryPlvo,nowrrol
rhc pn)Irnt wh. ltrrilds or improrcs (h(nrnr. nM qho dm( nrh *ork hnnscif ot h.nc lf or tlrouBh ht o' hcr o*tr cnUtlo)? s.
Iuvnbd lhlr such i'npn,vc Enrsrcfr inrc ddrldofiocdtors.lc l I howc\ cl- rlrc hrildiD! or nnll oEnEnr i\ {nd sirhr oN v'
;r (mplcri.n. rrE owmr Buiklci will hrrc lhe budc. ot F,vi'r! rhrl h- ot shc Jid i r rnrild or imProle rhc pmrcnv nr r'f, lulTire 'f
t. $owncr.lrhclB{cny. r cr.hrirclyconrrrcriirg (irh li.c scd cotrtr.(tr\ ri..rsrru.r rh. P(rj(t rSLt.7(Ur. B \i"'\r
ndl l\'n*ionCulo 1h. chnrnclff r Liccnsc Lrs (k)cs rolrmly ki tnouncr ol Pro|r{nysho hulld!or n llnrvc\ rhclcon
rid sho c. racrrlorsrchfnJjccs*ilh!Coikx(,(o li.cnsci Pururtrrkrthcco 1cl(tr s t'i"n\c tiw)
I.ncxcmtrufrlcr S.dnnl-. B &PC l'o.rhi\ rcnvri
l)nrc ()nnff
1loRIiER-S (I)NlPENSAI I(lN
I)rlLd-SlII]llN
I hcrhv xllrnrutrri.r D.nxlr\ of |rrrt(v.trc oirh. li)lk)Bi',3 d&lrrnr(rF
-l
hrvc rtrd sillilri rin iCcnilcarcofcon\cnlh Sclflnsurc ntr workcr'.oDncnsdion. as Dnvidcd tu'hySsrionllT(nol ihc
L{hn Onlc.iorrhcp.rt,trrtrccollhcsorkforwhi.hlhcDcm i\lsucd.
Ihr\(nndwrllnrinrln,*orkrr(.onDt.srrimi'rurui.c.rs rcqui.cd by Sc.rn :lr0oolrhc lrh.r Codc.l{n rhc ldronlr,mc ol
rhc work Lr Ehich r l,h n irnir is nu.d. My *orkcF &nl|]cNrl iur irsurr cc .rrtd ard rolicy u rl'cr arc:
-t
ccnifrrhrr in rhc ncrlnrnuncc ofrhc work lor shichrhi\ Pcnr l( n{cl. I slLll nor .nrDlov rnv t'r\'n in r'v Nrnncr
$ r\ ro lforE n]hicd nJ rhc wot[.n' .o'nPctrsdnnr hs s oi Cililnrni( ind agN I har ii I should hcom suhjc'r t' rlE
wo&crs.onfcn\nlion!tuvisionsoIScclbn:l7mollhcLrhrrCodc.I\hrll.rodhNirhc..lPlysirhihotanrvi\idF
WARNING Frihrc ro {curc utrkc cor.pctrrlrn cov.ngc i5 trnh*lul. rnd \hrll suhFcr Jr cmPlor$ !) 6i'ninrl Pcturlri'\ md
.ivil lrrc!uphotrch!frir.drhotrronddnlh^($llXJ.lnO).irrruldirir)nn,rh..osofcoarPci\arn.dinnEc\asfrovid"llbrrhc
Sc.ri 1076ol lhc lihrCodc. intcrc( and orfty'\ f.rs
D.te Applim.ll
I I(]FN..D CONTR (:T(TR
DECI.AAAIIOX
I hcn$y!fllnn uftlcr If,Ehy.rpctiury lhar l rm litn*l undcr t'nvi\i olChdpts9(conftnringwilhS.cli{'i7{Xx))'fl)i!i\ion:]
ol rhc Busincslnd Pdcssio$ Codc. trBl 'ny li.cisc is ir litlllo.e lnd.lf(r
l.ic.nrcClas\:-
Dal.
I nn,{.Ntr'nbcr:
c(|Nsl RUC',l I{lN I i'NDIN(; A{lFN(IY
I hcrby rmflnnMcr pctxlryofPdjury rhrr rhcrc i\ r coi{d.riJn hnding rsci.y f(t rh.l--rtnBn.c ol rhc sork nn thich rhi\ Ifnnir n
i\ucd (Scc .1097. Civ C )
A PPLICAN',T' p[r(rLAlLtl.l{ }N
I lENbyrfll.noil$ ltrtlty oiJ,crjkt.N ofrhc hll.*irg dcclrraii(,'\
Dcnrilirim Pcnnir\ A\ht{o! N.riii$ri,m Fcdrrrl RcEUlrti.rr ll irlt l) Prn6)
Rcqutcrl lx(rrr of Norifi orion
I .orlryrhd lhc ltJcnl rc8ulntt,nr rcsadi.8 u\h.n.s rcN)volnrc ior rmli.rblc h rhis 8)lc.l
,, enifyrhd I hr\c rcidrhir3pplicarioi md srlclhtrlrhcrh,r. infolnnrion h condr I l8re lii d,trDly wirh lll Ciry md cornrv
,,ai*,o*,,,,r srr" r,*. t"turingi. hulldinscon(rucrion. uJxl hcrcbyaurhoriTc rcnrcscnr ivcs.'rhis C v rnd Couiv r"nrct urri rhc
,tDvc nMlioncd !nrF'ryinr insrdion purF,scs
Arplicnnl or ]1lont SiInnl"ft
Set Backs
Forms/Steel/Holdowns
Ereclion Pads
SLAB Floor
SublloorVent/lnsulation
Roof Sheathino
Shear Wall
Framinq
lnsulation/Enerqy wIl-qL/y'/l +?dlr*b2,
Drywall
Ext./lnt. Lath
Brown Coat
[/]ason ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif .
FINAL 4 /a//.p t MI+t 'fi-z,z
Certilicate ot Occupancy
Notes, Remarks, Etc.
UFER Ground