HomeMy WebLinkAbout10198266 - Permit (2)E
Project Address: 2609 N Ponderosa St
Assessor's Parcel: 396-274-02 Lol 22
Bldg: Address Range:Suite Range:
Zoning: RlBlock NA Tractr 3314
City of Santa Ana 20 Civic Center Plaza (lv1-'19) santa Ana c/\92702 Building
Permit Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area T.l.Areal
Nature of Work: Window/Door Code: CBC 2016 other Areas: yards Req,d
Existing Bldg. & Use: Sfd w/att garage Flood zone: x-0602320164J Garage Area: Valuation: $6,000.00
Proposed Use # of Stories: , ,o,r,
Description of Work: Convert (1) alider door into window (no header changes) and remove singl swing door and french door into (1) slider door.
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Planning Conditions:
Phone:
Tenant
Chaya Mohn
2609 N Ponderosa St
Santa Ana, CA 927051038
(917) 57s{0s3
Contractor: American Vision Windo\rvs lr
Address: 2125 N Madera Road f A
Simi Valley, CA 93065
Phone: (805) 915-1344
State Lic #: 778326
Lic Type: B
Bus. Lic #: 310020
Workers' Compensation lnsurance:
Carrier: Starr lndemnity & Liability Compar
Policy #: 1000002552
Expires: 0110112019
Engineer
Address:
Phone:
License #
Architect /
Desiqner:
Address:
1q,I, 'rl l, ind(][Jr. .l.n
r l]pdrtr
| 6r:rl[-lt: :r'
: I 6tt I r:t0t:t -
ke,rolvins
11612r:r:r(r-
t: l9Z4
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
Orozco, lv
Zuniga, All -v
Misc. Receipt
Misc. Receipt
Misc. Receipt
Date: 11/05/2018
Date:
Date: 1l106/2018
Sublect to Field:
07776002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 5]601 lssuance
$'160.25
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'dl
Police lnsp. Req'd il: Account#Total
Flood Zone Cert. Req'd: No
Every petmit issued shall become invalid unless the wo* on the site authoized by
such permil is commenced within180 days aftet ils issuance.or if the work authoizod
on the site by such permit is suspendad or abandoned fot a pedod of180 days aftet
the lime lhe wo* is commenced.
MID#: 2018-147463
01 't 16002 51600
01 1 16002 51601
0't 1 16002 51612
$22.08
$215.29
$1.00
Fee Total
Paid to Date:
Balance Due:
$238 37
$0 00
$238.37
Permit #: {O{98266
Pin #: 49267
Unit
Historic: No
ansoct ion Total
Owner:
Address:
$.111.rl
$ 1 . r:rr:l
{r-{9:i7
Phonel
License #:
lnspector
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNTJR BUILDER DELCARATION
I hflchry 0,Irr unda paalry or r.rjury $ar I dn ere,npt lrom rh€ Cont.cto.s' Lic.ns. Lav for thc aouowin! l@n (Sa.7oll 5
Ruin6s dd Proa6io. code): Any Cily or County $hich rdlliG a pdmn to conslru... al!6 inprov.. d.nolth or rqln dv
tucluc. p.ior to irs issudc€. abo requn6 rh. applicad nr srch p.mit lo file a sisn d slahal that fic ot shc n licds.d puBu t
ro rhe a/olisions of th. Conrmcbas Liccn*d liw (Chatr.r 9, cofhencing sith S{lion 7000 .l Division I oflhc Bsincs &d
Pol$ions Codc) or th.r he or s& ir excnfl thdenom md rhc bGir lor ln. all€scd .&nprion A.y viololion olstclion 701 Ls by tny
applicont lorap€mil subjdtl& applicmt ro acililp.naltyofnot morelhd n!. hundred dollars (5t00)
-1,
6 6qno of rh. p,oFny. or m, cmploye $ h waN6 d rh.n ek conpgsation. rill do th. $ ort od fi€ srudd. is n.'
i, mled or .iId.d for elc (5<.7044, Blsin6 dd Ptoasio6 Codc Tn€ conlhctol s Licm. tIw do6 nol ,Pplt ro e ownd ot
rh. p@Fry sho bdl& or impmvG th66c a.d who do6 such srrk him.lf ot hmlf or lhroush his or hd o*n cmPloy€6.
prclided Ih such i'nrrov@ts d. mr inl6den or oitqld ao! sle. lq ho\s6. rh. ttuildins ot iryro@r t $ld ethin on€ t@
of.omplc{ion. tlrc Owncr Buildr *ill hlve lh. bordd of pro!i.8 th,l h. or shc did nol bnild ot nnpove thc proldy for $. pulos ol
I. sos,n6ofrhcpropqly, @.xc[sn lyconraclins wnh licds.d coitador
'o
codrucl thc prejdr (s( 704a. Buins
and Potissnn Codc:1h. Contracrois Liccnsc Law do6 not apply ro M owas ofprolEn, vho builds ot nnp,ov6 rhron.
and vho ontBcls lor slcb pmjds $id. Co E€rods) licd$.d pu6udr r.rtu Conlmdois l.ic.e tn{ )
! un e\en\n undd s.rrion ,8 &P( nvthisreason.
.EAa[};tsS:l;O!!!EA!AuO!
AEEIASEIIO!
I hseby amnn undq rmalryofpdluryoneoflh€ folloNins dalrari.tu
I havcudwill dainran a C.nilical€ ofconsmt kr Scl[l6u.. lor mrke6 cohg.nsarion,6 tro\idcd tor bv Sdioo 3?00 ofrh.
bbor Cod.. for rfi. psfomd.c ofrhc work lor
"'nicn
thc ponil is isu€d
I haleaod $,llnaidrrin workeri conDmarion i6uran.c,6 rcqunal by S(rion 1700 ollhe kbor (bde.lor the irfonnanc. of
er. codFMion irsumce csid d policy numbs tr.:
A
-l
ccnilyrnar in th. pdformAn.c ollhc sorL aor $hic[ rhis permil is issued, I drallnot onploy 3ny p6en in an, 'nannds 6 lo b..one subJdr ro th. sorlm' cor.p.ffalion la*r or Califomia md aBE lhal if I should b..om. $bid to lhe
*0A6.oopcerionpmvisioBofS.clionlT00orlh.tlborCod.,IdEll,aonhwilhcohlly$irhrh.FlrovisioN
WARNINCT tnifurc lo suc {ork6 conp.Btrioh covd.Sc is unlavtul. dd shsll sobi.cl e aploys ro oinina] FEhi6 d
civil fin6 up Io onc huni!.ed lhoMd
s4rion 1076 ol th€ Lnbor Code. inld6r "" -
H;:; ;i;*
e'"idd'l"' ""
-t uglNrD_rc[taag.ll!urlraarrlol
I h@byanirm und6 pdalyofpcjury lh.r I m lic s€d undo ptuvirio. ofch.pl6 9 (comnBcils rYnn scrion 7000) ofDiririon l
of rh. Bsins md Prcl*io6 Codc. dd,ny licmc is in full lorc d.fidr
78-S z6
,nA /t 7-g
colslaucuqNi,ElDllcicENcl
I h6€b, amm und6 p€nally oI p.Dury $d rhr€ is a onslrudio, k dins agn.y for lhc Pslo.ruc. ol rh. wo.l lor Nnich lhis pdmil b
islol (sd 1097, civ. c.)
AIIUIANLDICI,ASAIIA!
I neruaflim undr poalty ofpdju.y on ofrh. follo*i.s dc.Lratio6l
D.nDlnion Pdmils-Asb€slos Notificalio. F.ddal R.Bola'ions (Tnt 40. Pan6)
Rdton d L.ltdolNolificalion
IcdliryrlturhcrL{.mlrc(trlalionsre!adinsasLr.hsrcr)vdla,cnolaflrlirabl.brhisProid
I cslii! thal I have rcad lhis aml
ordi.ancB ed Sr.tc La\s r€btins ro
icar6! ed srolcnlat $c atr\c inromarion is codd lasrelocompltwirhallCilyandCounry
n6 ofthis Cn, and ( ounlyl
iluc nrDrknui f (,rnl aot
\pt'liMnr or \[urSiA rl l(-
md,ntqlby aurhnP. ftprMht
Loor^bz -l r
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loorA/ent/lnsulation
Roof Sheathing
Shear Wall
Framing iL/n /lQs f,l\#{
lnsulation/Energy
Drywall
(E4)tnt. latn 'L/tq/lc AKd
Brown Coat
Masonry
Pool Fence
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL (\ 1\\1 //4A(n
Certificate of Occupancy
Notes, Remarks, Etc.
T-Bar
ror,ynu^noL. /Q0O0O Zl{7 np",",t-t4q
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I end..s Nam.
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