HomeMy WebLinkAbout10198419 - Permit (2)@ 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 #: {O198419
Pin #: 24{6!
Project Address: 515 S Susan St
Assessor's Parcel:'t44-271-08
Unit Suite Rangel
Zoning: R2Block: NA Tract: NA Historic: No
Building Use: Singlo Family Dwelling Occupancy: R-3, U 'lst FL Area Patio:
Job Type: Demolition Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: Demo Patio Cover Enclosure Code: CBC 2016 Other Areas. yards Req,d
Existing Bldg. & Use: SFD Watt Garage Flood Zone: X-0602320256J Garage Area Valuation:
Proposed Use: # of Stories: , ,o,r,
i:
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l/'/l-li 'i l-ll i
Description of Work: Demo unpermitted patio cover enclosure and return back to original permittedpatioceyer.Authonfile.'61nsi:'.,7
: , ':il'" ,
Planning Conditions:
$1,000.00
$2 JI
Engineer
Address.
l-n r ndez
Owner:
Address
Phone:
Tenant
Enrique Hernandez
515 S. Susan Street
Santa Ana, cA 927041478
(714},757-0376
Contractor:
Address:
Owner-Builder
Genaff,tsElos-.fp dot e Fee
01116t8F 51600000-
Buildinr
01116r)02. il6010110-
B,lde Stds F:evolv rne
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation Insurancel
Carrier:
Policy #:
Expires:
Phone:
License #:
Architect /
Desiqner:
Address:
!2rr00-
***r6712
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
'NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Escamilla, lvlanny
Zuniga, Allissa
Dale:1112012018
Date:
Dale:1112012018
Subject to Field:
Misc Receipt
Misc Receipt
Misc. Receipt
07176002 5160I Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 51601 lssuance
$ 160.25
$1.00
$22.O8
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd ffi Account#Total
Flood Zone Cert. Req'd: No
Evary pefinit issued shall become invalid unless the wotk on the site authoized by
such pemit is commenced withinl80 days alter its issuance or if the work aulhoized
on the site by such pemit is suspended ot abandoned tot a peiod of180 days aftet
the time the wo* is commenced
$238.37
$0.00
$238.37
lnspector MtD#. 2018-',t44367
0'1 1 16002 51600
01 't 16002 51601
01 1 16002 51612
$22.08
$2',15.29
$1.00
Fee Total
Paid to Date:
Balance Due:
Lot: NA
Bldgr Address Range:
Auth i
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framing
ln s u lation/Ene rgy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
,4,
FINAL 5 -e7't1 x.wu)
Certificate of Occupancy
LOF- baL
Notes, Remarks Etc.S-:t-\ N,\ODY 7T-
OWNER BUILDER DELCARATION
I hseby afiifln undd p€.alr, ol Frjury rh.l I dn cx.rpt frcm ihc Conl.acloF l-ic.nsc Las for Ihc tollouins rcen (56.?03 1 5
Busio6s and Proldion Cod.): Any Ciiy or Coutriy $ hich rcqunB a p€rnil to coNtrucl. alt6. inprole donollsh or npar uy
sltuct@, p.io, ro irs isu&cc. also r.quir6 rhc applicant for such p.r,il ro file a si-ln€d $aod rh3r hc or shc i! lic6*d p6uer
to lhe pmrisioG olth. Conlraclorr Liccns€d rjw (Chaprd 9. com.ncing wirh Setion 7000 ofDivision I olthc Busincs sd
ProfBn,ns Codc) o, rhar hc or sh€ is cxempt thq€fioo and lh€ basls lor the allca.d cxsnpton anyliolarionolsdionT0rl.s 6, uy
applicanl lor a Fflni subjec rh. applicrm to a.ivilpcnnhyoanor morclhan five huodr.d doll6 (t500).
l. 6 own6 ollhc pmFeny. or ny €mployc w h sa86 s $cn sb competrsl ion, *1U do lhc Nork and rn. studm b not
i dd.d or olle.i aor ulc lsc ?044. Bulins bd Prollrsiore Cod.: rh. Conlrlcloi s Lictre l,w do6 nol apFly lo d oMd ol
lh€ pDpc.ty sho hrildsor iop.or6lhEoi. &dwho do6su.hrcd hiosclaor hd.lfot rhrcu8h his or nd o$n.mploy.6. ,
provid.d lhar such inlro\ffin @ not nlnl.d or ollacd aor sal. I[ ho{6 E $. h]ilding or inll,o\ffir is $ld eitfiin on€ rEr
of.onpkiotr ih. ol,Dd auikk NiI navc rh. bud6 olpro\ inA rhd h. or sh. did nor build or inporc thc Flpqly for lh. purrDe or
l. asorn.rolrh€propdr. ancr.lBiv.ly.ont.dins xirh liccB.d .o nt..r 06 r o .onsrflrcl rhe projst (S( 70.14. Uusn6
and Pnrfsion Codc rheConlracloas Liccnse Law do6 nor applyro an osns ol prop.rly who builds or imprord lhson.
and *hd codncls lin such Fojcds wnh a Codracto(, licdscd puuml ro rhcco.r,ctois Licosc La$
l:urc\c tr undr SLrrkl
,rrr",'/l-2 -20tR
I lr.rch\ x,lnh utrJ.r t{n.h\.lpli ro.n.rl(lr.lnllLr\n,g dcrll'lhons
I hav. ed will maimain . Cdin.ar. ofconsdr ro s.fiBur. ior rcrkers conrp.nsarion, 6 prcvid.d for by Strlion I700 oalhc
tibor Codc, lor lh. pqfor@.. ollhc sork aor *hich rhc porn is isu.n.
I havc and rvill m.inlain wo(.ra comp.Nalion iNumnce,6 requn€d by Selion 1700 oflhc l-abor Cod., for thc pefomdc€ of
lhc solk ttr qhich lijs p.mil i! isucd. My wdkds comp.nsalion insura.cc cmicr and rolicy nunbd e:
I cdilyrh.t in the pBiormancc olrhc $o.k aor $hi.h rhis p.n.n is issued. I shallaol onploy any peN). in any meno
e s ro bqnn€ subjct to the s!.k6 compsarion laws of CalifomiA. aod 3ra€ rh ifl sk,uld hcto.'. slbjmt rotl'.
sort6 comp..sationprevis'oBofSeclionlT00oflh€LltErCodc.lshau.fo(h\v h codply {nh lhos piovi.ioB
WARNINC: Fnilure lo seure workds ornpo&rio. covease b unlarful, dd shall subjdt m mploy€r lo qimi.al Fulti6 aod
ciril li.6 up to o.c hundrcd rhousdd doll6 ($l i. addirion ri rlE cosl of ion. danqcs 6 r,ovid.d lor lhc
\.dn[ 11176 !]lll'c l lln' (.11. .'d liJ
\9,\.
IECI,AAAUqX
I hftby amnn!.dcr pmlryof Fjuryrhd I m liccN.d undd Fovision olChafld 9 (commcnciog wirh Scdion 7000) oaDivision l
of rhc B6ins dd Pblerioc Cod.. ad ny li.@ is in aull lor.. dd dlInt
Lic.Nc CIN:-LiC.M Nlmbd
caN auquaNr};dlltaliaclilcl
I hcEby arlim undd p.nelly o t Fju.y rhar lhoc is a consrruction lodi.s a!d.y for rh. pdfonndcc ol Ih. Nork fo. which lhis pqmil is
issued (S( 10q7. Civ C.).
-l
cdiry tha{ I lavc rsd rhis applicalion dd slar€ lhd llrc.bov€ inlomarion is corccl. I asre b .!tuply *nh .ll Cirya.d Counly
odinanc6 and Staic Llws r€lalins to buildins coretructioG md hd.by authornc r.lr*'nalir6 ollhis cny md Courylo ente uFn lh€
abo\e mcnrioned propoly tbr
\pplir il or \r.rr Six it
CC L
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COMMENTS
Flood Zone Certif.
tr-"ru
Policy Numhd:-EipiB:
-
o"t!) Q.p:2016
AITI.IIAtrLDI]CI.AIAIIO!
I @ affm und.r pdalty olFrju.y on€ olrhc lollowins dal{ations
Demohion Pcmirs-Asb6ros Nolification Fenaal R+ul.tions (l itlc 40. Pan6)
-Requiren
Glt6 of Noti6caliod
_l c€n,ly lh5l thc Gdsal '.xulations
resedin! dbGros e ovdl ae nor ,prli.rbl. ro rhG prqd
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