HomeMy WebLinkAbout10193736 - Permit (2)Proiect Address: 1133 W St Andrew Pl
Assessor's Parcel:015-220-'t4 Lot: 3
U nit Bldg: Address Range Suite Range:
Zoning: RlTract: 1367 Historic: No
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: (7'14) 647-5853
Single Family Dwelling
Demolition & Clear Lot
Demo & Clear Lot
SFD Wa$ garage
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
il(1,:h+ I JrSrS
itt-l'r,::q: {.1YH
Patio:
T.l.Area:
Yards Req'd:
Valuation: $10,000.00
Description of Work: Demo and clear lot. AQMD on file.
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Diocese of Orange
13280 Chapman Ave
Garden Grove, CA 92840
(949) 299-5300
Contraclor: J & G lndustries lnc
Address: 18627 Brookhurst St #302
Fountain Valley, CA 92708
Phone: (714) 903-2002
State Lic #: 571859
Lic Type: ASBS, A, HAz, C-21
Bus. Lic #: 160248
Workers' Compensation lnsurance:
Carrier: State lnsurance Fund
Policy #: 0802847
Expires: 1010112017
Engineer:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Guevara, Jerry
Zuniga, Allissa
Date: 08/07/2017
Date:
Dale: OB|OTI2O17
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Generul Plan Update
07776002 51601 lssuance
$154.26
$1.00
$21.25
$52.98
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
NoNo Account#Total
Flood zone Cerl. Req'd: No
Every permit issued shall become invalid unless lhe wo* on the site authorized by
such pefinit is commenced within 180 days after its issuance,or if the wo* authorized
on the site by such permit is suspended ot abandoned fot a pe od o1180 days after
the time the work is commenced.
lnspector MID#: 2017-137866
01 1 16002 51600
01'1 16002 5'1601
01116002 51612
$21.25
$207 .24
$1 .00
Fee Total:
Paid to Date:
Balance Due:
$229.49
$0.00
$229.49
Permit#: {Ot93736
Pin #: 24544
q
Block: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
R-3, U
VB
cBc 2016
x-0602320257 J
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
iD: (1inor Lt II o{
1( I ? 375i
11rri4 Al1
Phone:
License #:
Architect /
Desiqner:
Address:
J d 6 InduetrieE Inc
Sener(ll F1(ln Update Fee
r:r1 1 16002- 516trt[:rt'li-
Ru i ld ir'e
u1 I l6t-1t12 - 516lll l:rr-]n-
Blde Stds Hqv0lv ins
r11116(t0? 516121:r0r"l-
I(:L Checlt 0(r'i 3?g
BUILDING- INSPECTOR RECORD
SITE.WORK DATE IDiSIG.COMMENTS OWNOI BUILDER DELCARATION
I h.Eby amd undd !.nalt, oapdjory thal I @ .xc6pr from Ihc aof,lradoE LiceN Law for lh. follo*ina r.e. (Sd 7011.5
BBi.6s .nd Prolsion codc) Any City or Counly $hich r.!ut6 a pqnit lo con$tucl, 3110. imPro\c d.molish or tcpot uy
srudu.. p.Dr to ils isuuce ale re{utr6 lhc applictut for such lcmn ro nb a sien.d st.tmat lhal h. or sh. is lictudi ,u6uarn
io rhe provisions ofrh. Co.rrrcroas Licdscd tiv (Chapl6 9. CoftmencinB virh S.crion 7OO0 oaDirision I ofrh. Dusindi aid
Pofsions Code) o! thar hc or she is .rcmpl thdcEom ud rhc bsis lor th. allca.{ crmplio. Anyviolaliotrofs.dion 70ll 5 byany
appli.ant for . p.mn subjcrs rh. applicdl ro acivilpcnahyofnot eo( rne 6v. hu.dr.d dollas ($500)
l. s omr oarh. pmp6ry. or my flployG wilh wag6 s thct sl€ (e!€tualio.. will & $c wok and fic $ucl@ is nol
inlo{l€d or o,Is.d aor elc (Sa.?044. Busin6s dd Prci*sioB Cod.: Th. Conlftdols Lkre L.s doB nol apply lo & oMo o a
lhc proFty *ho hil(t3 o. nnpo!6 tlE6., ed who dG such m* nimkll or h*llor lhrcush his ot hd oM.nploy6,
p.ovidcd rhd such imFovdnots @ ml htad.d ot olIdcd aor st . li howd6. lhc buildDs or i,qftva&nl i5 $ld wilhin on. ya
ofco'nplclion.lhc Ovnd B{ihs will haw tn bu&f, oapmvins lhd h. or elr. dA f,ol hild o! improw fi€ Fopsly tur rh.,\trF* of
I. 6 ownd oalh. ,ropsly, M dclBiv.ly contadinB wnh licm.d contnclots lo coniruct lh. Fot.(1 (s.. 7044, ltcins
0 hoftssir Codc: IlE Conlrerois Li.cnsc tlw do6 nor apply ro d ownd ofpropdi, who builde or improvs th6on.
dd who coir&ls hr s!.h proj.ili wilh . Com6do(, lt..$d pu6mt lo lh. ContBclois Lk6e La*J
I d cr@pr sd6 Sario B & P.(.lo.rhis r€Mn.
]{AAf,DIS:C9MC!!SATAN
DECIABAIIO!
t hdcby ammundd pdaltyofpajuryonc oflhe following d<ldarioB
- -.1 havc s'd will mi.tain , Cslitclrc oacoe.' ro S.l!lNu. lor {or(6 conpdarion. a pmvid.d lor by Selion 1700 or lhc
Labor Codc aor lhc p6fomoc. o hhc wort lor vhich lhc pqmit G bucd.
'(t ru'eua *rttmamrarn *"116' odpccrr'on ,6ut(c. 6 r.qu@d b)
rhNlrl lo, qhich lhB pfnd s *scd M) *o 16'ompn&ron rBuffi.
.*. tS|.^\a Focrd
Sdr ioD 1700 of rh. Labor Cod., for lhc pdfomdc. of
cffiid and policy numba m:
--Lc-,() - t-\-7
I cdiryrfiat inlh.Fao@nccofrh. $ort ao. {hich rhis pemn is issu.d. I shallnot mploy any pffi! in..y ndn.r
$ a to ban,rc subjd to th. wort6' .omp.roal ion laws of Califomia. aid as@ lhat if I should b..om. 3ubjd lo thc
ruorkG compeetion pmrisiom ofSeltrn 1700 oflh€ l,bor Cod..I.lull. aodh*nh compl, {ithrhosepmvisions
wARltlNGr railu. ro suc Noik6 m'npqsflrion covsas€ is uola*tu|. d shill suhjdr m onployd ro aininal p€mhi6 Md
cilil fins xp to onc hundrcd liou$nd dollm ($100,000), in additioo lo lh. co oacomp.ns ion. dma36 6 p,ovided for.th.
S6rio.1076 olttc kbor Code. i.r66l ud alroruy slG
L-.'. c C.,l .r
I hftby amm undd pcnalry o f pdjury $ar Ln [cmsl u.dd Fovisior of Chapt6 9 (tmndcinS wnh sa]lioo 7000) of Dirision ]
of rhc Busins d Ptuf6siore Cod., a.d dy Iic@ is i, tull fo,cc and.tfer
l+1 CL Sr[0s (
5l-\ iruL
calgEuqlloNl[lDlNciclNcY
I hdcby afiim undd pcnalty oa pdt!ry rhd thdc b a oBrtuclion L.diD8 lgdcy lor lnc Ffoi,@cc of th. sotk aor wnict lhis pcrmil is
i$u€d (S(.1097. Civ. C ).
ATTI,ICANLDECTdAAI]O!
I hclny afim undd poally ol pgjury otc of lhc lollowins ddlelionr:
D€mohion PdniteAsb.stos Nolificalion F.d6al R.tulations ( l nE 40, Pa,l6)
R.!un.d L.lls of NotificBlion
I co1i8 lhal thc fcddal rcgularioB r.gdding sberos ronolal trc nor applicabl€ lo lhis proiccl
I.dirytlh I ha!. @d rhis oppl tr dd slat. that tn€ abov€ inlonnation i.ord I asra ro comply $ ith all Cnyand Counly
oidinancc Md srar. ll$ rcldir8 to in8 coNtrucrion. dd hmby aurhorte repi6ntariv6 o f this Cily ed Counly lo €otd upon lhe
abole mqrion.d propsr] lbr
,\pplicant or Aesl Signllu
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
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
,1
FINAL
Certificate of Occupancy l L/U
Notes, Remarks, Etc
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