HomeMy WebLinkAbout10196919 - Permit (2)City of Santa Ana 20 civic Center Plaza (M-'19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: {O{96919
Pin #: 76709
Y
Proiect Address: 1125 S Lowell St
Assessor'sParcel: 013-063-10 Lot: 10
Unit Bldg: Address Range:Suite Range:
Zoning: R'lBlock: NA Tractr 953 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Planning Conditions:
Single Family Dwelling
Addition
Addn/Patio Cover
SFD w/att garage
1st FL Area 493
2nd FL Area
Other Areas.
I
Garage AfFa
Total '., ' 493
Yards Req'd
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2016
x-0602320257J
224
Valuetioh: $59,982.00
tDi (
- 11/5/2tt1t 9t44I rl ,:i8
Description of Work: Add laundry room, bathrooom, relocate dining room to addition, enlarge kitchen/add wooden patio cover/auth on file
Owner:
Address
Phone:
Tenant
Contractor
Address:
Engineer
Address
Owner-Builder
Ruben Pena Arrizon
Ruben Pena
!r01!,tng
612r,rltr-
lnrr:mentE
7 7 r:rurlr:r-
I.l
Phone:
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
708 East Occidental Street
Santa Ana, CA 92707
(714) s52-5731
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Flores, lvan
Chehade. Nabil
{)t\ Hernandez, Kathy
No
Date: 06/1412018
Date; l0/30/2018
Date: 11/05/2018
Subject to Field:
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
017760 02
077760 0 2
077760 0 2
08907001
077760 0 2
077160 0 2
0 717600 2
57607
5i600
57770
24000
576 72
51600
57501
$655.00
$713.92
$30.08
$7.80
$3.00
$22.08
$55.04
$1,486.92
$713.92
$773.00
71202
Total
Permit Fee
Plan Check Fee
Microfilm Records
SlvllP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the wo* on the sle authorized by
such peftnil is commenced within180 days after its issuance.ot if lhe work authoized
on the site by such petmit is suspended or abandoned for a period of180 days after
the time the wo* iscommenced.
01 1 16002
01 1 16002
01 1 16002
01 1 16002
08901001
$22.08
$7'10.04
$3.00
$30.08
$7.80
lnspector MID# 2018-144061
51600
51601
51612
57770
24000
Fee Total
Paid to Date:
Balance Due:
Patio:
T.l.Areal
lpdite Fee
Miguel Cruz
1125 S Lowell St
Santa Ana, CA 927071105
(7',t4t 417 4751
lvlisc. Receipt:
NIisc. Receipti
lvlisc. Receipt:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.OWNER BUILDER DEL('ARATION
I h6.by amln und€r rE ally ol p.rjury lhal I m erempl frorn lhe Contacrors' Licen* l-arv lo! rhe followins r.M..,sN.7031j
Busin$s and Pror6ion Codc): Any Cny or Counry *hich requn6 a pennir ro consttu.i. alt6. i'nprolc, dmolish or lcriir )
srruduc, prior lo ns iso&.e, also r.quir6 rhc appli.d' lor slch p.mn lo 6lc a sieicd staran I rnar h€ or shc b lics.d puBuer
lo rh. lrorilionq oirhc Connicb.s Liens.d l-av {Chaprd 9. Comdcing wi$ S(rion ?000 oaDivision :l ofthc Business ond
PlofsionsCode)oitharh.orsh.isct.,nptthGcaroomdrh.bdisaorrh.all.sed.xmprion.Anyliolarionofs.clionT0llSbymy
applicol to! a p.mil subj(Islhc applicaflr lo acivilpcn,hyofnoi mor.lhan fiv€hundEddollas($5($)
,2Q. s ownr orrirc pmpeny. or my €mployB *irh w,s6 B (heir sle comFMio.. $ ill .lo $e sork md llr slruclrc is nol
inradsj or ollded for elc (SE.?044. BuiDs sd PmfsioB Code Th€ Conti.iof s Licosc l,w do6 nor ,pply ro m o$6d ol
rh€ rioFry *ho b(itkor impmvdrlEotr a.d $ho dc .h sort him.lf or h#lf or rh ou8h nis or hd oNn cmplor.6-
proridcdrhrr such ill'o\Edl.l E mr inrod.d or oltscd tu, slc. li h.{86- rh. trildbs or i,worl]1d ir $kl wirhin on€ rd
olcompkiotr th. (nrd Builllr "ill hnrc fie Ufl6l ofpmli,g tnd h. or sn dil nor build or imFlvc thc prtrpsly lor rhc pitrpoeof
-l.6orw6of
th€ Fop6ty, oncx.losivclyco mcliq wnh [c.c.d codrocro6lo.onsruct lh€ projsl (Sa 704t, BB'.4
and Psision Cod.r Th.Conlnclo.'s Lic.ns. Law do6.or apply ro d oNnr oapropdy vho builds or improvelhson,
nnd $ho conhcls for such proicls Ni'h a Cont
I dn.xenrp' und€r Sd
o,,.,/ /- 5 - Z o1l8
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I hcrcby aflnm undcr p.nahy o I psjury one ol t
lo S.ll'l6ure for worl6. conrp..erio., 6 Foid.d for by Serion 1700 ofih.I have ud $1ll Finrain a Ccnificate of
&t{rr Codc. for rhe pdaonnecc oflhc Nork lor vtich lhe pdmn is iso.n.
I havc and will m.inrrih worterr co.rp.Bari.n insur.n.e, a rcqoir.d by Sdion 1700 of lh. t bor Codc. lor lhc psfomac. of
rh€ rork aor which thir ptmil is isucd. M, workeB comFroalio. i6ur cc cni€r od policy numbd &.
-l
ccnifythai inlhepobrmaoccofth.{oik lor whichthisprmil is issu.d.l shall nol onployanyptuon in tmmitr
s 6 ro be.o,nc slbjdt ro th. wo, km' .oDpsd ion ldws oacaliaomia, md agree lhal it I should bcco,n€ suhjct ro rhc
Nolt6' conrposation pruvisions ot S.ction l7L{ of the L.bor Code, I shall. fonhNiln onrply with lhoF povisio$
W]\lt:,'llN(; l:rLltr'c lr) q.r'. \o'1.'J cout)cD\ilknr
r IL Lnrrs , p t) on. l,trnd,crl thousrnd doll s (1100.
is unl!$ln|. and sha]l subier 6n onpbyd lo dninri pemhi6 ond
ion. dana8€s 6 provid€d lor th€
Sc.rdr :1076olrhc Inhtr Qrdc i .'c(andartonrv s
o"", //- 5 - ZolF n
I hd.lJr alfi' ru d< ahloltdjryr[ laDli
of ihc Inrmss md Pr.f6so,s(ide dmvl'c
S(rion 7CO0J oflrrisio. I
CAX$AUCI]ANIEIDIIiC.ACEICI
I hqcl,, amr6 und6 Follry oa Fjury lhal rhdc a a @Nruclion ledins ara.r for rh. Ffommce ofrh. work aor shich lhis p6mn b
isucd (s4.1097, ci!. c.)
AfILICANIDICI.AEAIIO!
I hdd, aJrm unda pdaltt of pdjory onc of th. lollowins ddl@lions:
Dcn{hn,n Psnnrs-Asb6ros Nolin&rion F.d@l R€gularions (Tirl€ 40. Pan6)
R.atrtrrd I c croiNorifilal(r
-l
cenily thal rhe ledcral rcgulario6 r+ddint atEsbs rdovalde nol applicablc Io rtis prerel.
+cglify rhar I havc 'dd rhr sprilicarioi lonnarion i5 cod(r I agre b .onrpl, $irh all City ..d County
o inancd dSrar.I!trsrchrinsio bu ho,izc rcpr66rariv6 oafii! cn, ed co[tyto 6'q uIIn thc
above r.entiotr€J prop.ny aor iGpc.l
pplicrnl or Ag€nl Signilurr o"",11:5:2o/]
Set Backs 7 a
Forms/Steel/Holdowns 7 7 ,JIIL'J ngb{r2l)^)lt,l A
UFER Ground /,01 \yr
SLAB Floor
Subfloor/VenUl nsulation E1l6'\ltt^w0d )
Roof Sheathins /Z;7; .,Jh".l)\J..
Shear Wall 7 --7---T--'lta7tq M44 i,/
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath z/tz/ta
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL 7/14lts /a--
Certificate of Occupancy
Notes Remarks, Etc.
COMMENTS
L.N!d ! Arldt$._
Erection Pads
44:t
Flood Zone Certif.