HomeMy WebLinkAbout10196996 - Permit (2)EProject Address: 822 N Sherry Ln Unit Bldg: Address Range
Assessor's Parcel 400-192-28 Lot: 29 Block: NA Tract: 3708 Historic No
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{96996
Pin #: 64599
Building Use:
Job Type:
Nature of Work:
Exlsting Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Window C/O
SFD w/att garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320't64J
Description of Work: Changeout windows and sliding glass doors/handout given gqlth+ ! 447BrlItll i ce: ,- TYH
/ / t2/ .trg I
[ronE+:6
Rel'+:
Planning Conditions:
Patricia & Michael Macres
822 N Sherry Ln
Santa Ana, CA 927014482
(7141 543-2374
Engineer
Address:
r'OnSq,:l l(]l o q
ReneBnl us A.,der5€n 0r ongeOwneil
Address
Phone:
Tenant
Buildins
01116U02- 11601900-
Generol Plon Updste Fee
r:r1116U02- 5160tt0(r0-
Elds Stds Revolv ine
r:r11160tt2- 51612000-
I(:L Check 113975
Phone:
License #
Architect /
Desiqner:
Address:
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
Flores, lvan
\A Hernandez, Kathy
Oale: 0711212018
Date:
Dale 0711212018
Subject to Field:
$160.25
$1.00
$22.08
$5s.04
07776002 51501 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 51600 General Pian Update
07776002 515O1 lssuance
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the wo* on the site aulhorized by
such pemit is commonced within180 days aftet its issuance ot if the work authorized
on the site by such pemit is suspended ot abandoned for a pedod o1180 days aftet
the time the wo* is commonced.
lnspector MID#: 2018-144597
01116002 51600
01 I 16002 51601
01116002 516'12
$22.08
$215.29
$1.00
Fee Total
Paid to Dalel
Balance Due:
$238 37
$0 00
$238.37
Suite Range:
Zoning: R1
1st FL Area
2nd FL Area
Other Areas
Garage Area:
Totat
Patio:
T.l.Areal
Yards Req'd
Valuation: $6,500.00
Contractor. Reneryal by Andersen Oran(
Address; 22982 Alcalde Drive, Unit 10
Laguna Hills, CA 92653
Phone: 17141259-5120
State Lic #r 990416
Lic Type: B, O-24, C-17, O-21
Bus. Lic #: 349936
Workers' Compensation lnsurance;
Carrier: Everest National
Policy #: CA10002426
Expires: 1010112018
Misc. Receipt:
lvlisc. Receipt;
l\,4isc. Receipt:
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNf, R BUILDIiI{ DALCARATION
I herchy alfirn nnJer n nihy ol pcrju,y thnt I am excnDl l'Drn thc Conrraclom Licensc li,lor lhc nnk,*inr r.i$n lscc7o.ll5
Busincss and ftoLssion Gdc) Any Cny 6, c(rnry ehich .cquircs a Frnrir r. con{d.r, alr6. inrlm!.. dcmlish '{ m!,tr rny
(n'ciurc. lrior ro ns ksuaNc. olso rcquncs thc lrtlicur ror such Ir nrit lo filc i siBrcd tulc'rcnr lhil tEor shc h liccned plrunnl
h rh. provisn* ofrh. Conhcrols Li.e.$d Lnw (Chnprcr 9, Con.rctuin! *irh Sccrtrn 70(}0 of Oivhion 3 ofrhc SusnEss ond
Pmac$k,ns Codc) or thll hc or shc is cxcmpr lh.rulrom and rhc hasi* lor rhc lllc8cd cxcmption. Any vi.l0lionofSccrbnTO:ll5 hylny
spplic8nr fora pcnnit subjccl\lhc applicanr l. !cirilpcnulryoioot mrcrhan filc hrl\.lrcddolh6 (S50o)
-1.
u( .uncr of thc ro|Eny, or my cnrlores wirh sngcs r\ rhcn sot oNpctrsdiotr. s rll no thc qri unn rhc smrm i\ n.r
i,nendcd or oftcrcrl ror ulc (Sm 7Ol,{, Busines anJ Pmlc\sions Codc: I hc G)ntackr'\ Liccnsc tiw docs ior dJrply r. M owmrol'
rhc pr,tcdy *k) huikl\ or i'rwor$ rhcEr. JJxl *ho d,f,s \Nh sor* hi'n\elfor h.^clfor rhmugh his or hcr.qn cmployc.s.
ln,vidcd rhrr su.h i'npft,vc'mih tuc tror inr.rL\l or oflcrcd fd srk. Il h*ocr. rhc hoildill3 or in{'rowmnl h sold sirhin onc Far
ol.onDbrkn. rhc Ownc! Buildcr *illhlve rhc htrdcn ofroving hd he or \hc dii n.r buiu o, nnprow lhe pDpcny r{tr rh. ruqn{ or
I. nsowtur ofrhc ptutedy. rmcxclxsivcly.onra.rinA snh [c.n\.d .o ntn.k rs b..nnrud rh. pn'icr (S(. 7l)4.1- Busircs\
ond r,rdLa{oo O)de: l hc Conrracrois Licensc Law docs nor.Dplyh !noq,n.r oi propcn, *ho buildr or inprovcs rhcrcoD.
,nd who conrtu B ttn such ptui&k wirhnc.Ma.t.(\) Iic.h\cdN^uanr torhcCo ractols Liccnr L.*)
l.nctc r undcr SNIio
Osner
\I(TRKFRS' COITIPINSATl(IN
DECLASAIION
I h.rcby rfl,fln u.dcr p.Mllyoipcrjuryone oirhc follownr8 dc.hflrions:
Ihavc.rdaill tsinrointrcenifi..tcofconsnrr.sclf-lnsunlorwolkctr Llmncns.riotr. rs provided fnbysecrn,nl7ll0ufrhc
bhd Codc. f.r rh. prfomtr.c .f rh. sork for whi.h rhc pcrnrir is ksu.d.
_lhorcond wirlmon rinworken conrpenslliotr imurnncc. rs rcquncn hySccrion:l?(x)ofrhc tlhorCodc. rd rh. ll(rrortun.c or
ihc work rhr *hich rhn pemil is t$cd M y wortcn .omFnsur ioo in{urrrcc crricr a Fri.,nu'hb.rtrcl
I ccnifr rhrr in rtc !.rtorman.c {r rh. sork fr *hi.h rhk pc.nir is i\su.d. I shrll nor cn[loy rny tE6on in any nrtrm!
s rs ro b(onE subj.cr b rhc workdc conDensrrion laws ol Cnlir(ni(. rnn rstc lhll il I shn'ld hcoE \uhimr io rhc
workcrj conEns ion prcrhions ol Selion 37m ol lhc titn. Codc. I sholl. lnn htr ilh cn.ply *irh rhxc ptulhnrnr.
IvARNIN(; r"ilur '., c.u'. tr'1t,1\ .,{nfrnvrtr1. t,rr
.Nil fiDcs u! ro D. htrtrdrcil rhousarrl d.llrs lSl(Xj.o(x))
i\ unl.*ful. dnl] shrll subjccr nn cmFlorrr !o aidin,l lrohk\ 3nd
io.. da@gc. a. Fmvilcd for rhc
,,"'", 1[t A
L$oi Codc. imcrcn.nd dbircy.s ltcs
IE
DEgdn uQN
I hcrcbylfftm undcr p.nilry.fFrtury rhrr I atu lie \.J u d.r t,ovision ofCh.[c.9 (..mnENinE +irh Ssrbn ?(xX) orDivi\n,n.]
of $c an\incs Md Pri,ftsnrnsCodd. rd.,y lic.nsc i\ id fullnncc Md cff(r
-""*-\
CANEIAUqII}NIEIIIACITiEICI
I hcrby llnrnuMcr pc.,lryolr.ljury rhar lhcrc k a.onqfl.hn lc.dirB iScncy ior lhc pcrformrce otrhc *o!k ttr uhi.h
'his Fmn is
nslcd (Se..1097, Civ. C.)
APPLICANT NECLARANON
I lxntry dnim undr pcndlry of prrjury o.c olthc folloqinS dc.lrr.ri.trs:
Dcmntbn Pfimirq-Ash.sos NoLfi. ion Fcdcral Rcguldrions (Tirlc 40, P0r6)
Rcqrft d btrm.rNorifroriotr
-lcenilyrharrhcfcdcrol.csullrioosre8{rdinsNtcslosrcm.valorcnorxl)plicrhlcbrhisp(+cr
I ccdifyrhd I hnv. rMd rhir appli.0rion axl sdcrhar rh. nbvc inroflmtbn n coftccr I a8rccroconplywirhallcnyrnd Cdunry
odi.lncc\ndSt c tiws rckrinB to brildinB connddior aM hcrcby Nrhorizc rcprc\cnrativcs olrhn Cn, and Cou,r(yro cnrn uNn rtE
r,!c trMrnn'cd J,'onody ntr i'Ipc(r
z\ lh- \t\..-,\l)l,li( or \[onlsij]n rtrrr
(_,,9tJ @tora-A
*," r\ t:lr{
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFEB Ground
SLAB Floor
Subf loor/VenVlnsulation
Rool Sheathin g
Shear Wall
Framing
lnsulation/Energy
Drywall
Brown Coat
l\4aso n ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL llso Ix .l,A"nrtT
Certificate of Occupancy 1 I Tt rV
Notes, Remarks , Etc
Ext./lnt. Lath
Flood Zone Cerlif .
,r" I g