HomeMy WebLinkAbout10198146 - Permit (2)vY
Proiect Address: 2016 W Fifth St
Assessor's Parcel oo7 -110-'t7 Lot: 17 & '18
Unit: B Bldg Address Range: 2016-2020
Hisloric: No
Suite Range:
Zoning: MlBlock: NA Ttacl 270
city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Building
Permit Counter: (71q A47-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: {O{98{46
Pin #: 59294
Building Use: Single Family Dwelling Occupancy: R-3 1st FL Arear Patio:
Job Type: Demolition & Clear Lot Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Demo & Clear Lot Code: CBC 2016 Other Areas: yards Req,d
Existing Bldg. & Use: Sfd Flood Zone: X-0602320257J Garage Area: Valuation:
Proposed Use: # of Stories:
Total:
Description of Work: Demo sfd & clear lot. AQMD filed. NOTE: All fees (including bond) exempt per Bldg/Safety Mgr Gerald Caraig.
Planning Conditions:
$5,000.00
Ov,/ner:
Address:
Phone:
Tenant:
OCTA
550 S MAIN STREET
Orange, CA 92853
(714) 560-5737
Contractori SandwoodEnterprises,lnc
Address: 2424 N Batavia Street
Orange, CA 92865
Phone: (714) 637-2030
State Lic #: 738568
Lic Type: B, C-21
Bus. Lic #: 354232
Workers' Compensation lnsurancer
Carrier: United Wisconsin
Policy #: WC52900058018
Expires: 0710112019
Engineer:
Address:
Architect /
Desiqner:
Address:
Phonel
License #
Orozco, lvan Oate:1012512018
Dater
Date: 11/09/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
0 777600 2
0 77 76002
07776002
07776002
0 7776002
5160 7
57607
57672
s7600
57607
$160.2s
$-238.37
$1 .00
$22.08
$55.04
Amsden, Julie
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No N/A - No Balance
Every pennit issued shall become invalid unless the work on the site authorized by
such permit is comfienced within180 days aftet its issuance,or if tho wo* authorized
on the site by such pe nit is ,uspended ot abandoned for a period of 180 days after
the time lhe wotk is cofifienced.
lnspector MtD#. 2018-147186
Permit Fee
Fee Exempt
Bldg. Stds. Revolving
General Plan Update
lssuance
U Account#Total
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
Phone:
License #:
Planning Approval By:
Plan Checked aV. A
Permil lssued By: / //
NPDES lnsp. Reot: / lro
PWA lnsp Req'd. L tlo
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lr/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/A a
E
Gertificate of Occu an
Notes Remarks Etc
FINAL
O'WNI'R BUILDER DEI,(ARATION
I hoeby diinn unds poalty of gcrjury rhar I m c\€nDr fiom rhc Conrict.B' Lic.trse Larv lo, rh. following reetr lsa ?011 5
Busincs dd Prof6sioo Cod.): Any Cn! or Cou.ty rnich reqund a p.nnn lo .oBrtucr. 8ltd, improve. demolish o qat y
sltudurc pnorb ns isumcc, also rclune rh. applicer for such p6Dn to fil€ a sisned siatoql lhal hc or she B l(osdi puuudt
ro rhc pN\isio6 or rhc ConhclM s Liccnsetl LlN {Chao.r 9, Co'nf,cdins $ilh sdtion 7(xl0 of Division I ollh. Busincs ud
ProaesionsCdd.)orrharlrorslEis.rmptrh@6oin.6drh.basislorthcallcged.xanplio..Anyviolalionofsd.'ltnrT0llibyany
opplic. lor a p.nnit subjdbrh€ applicanrtoacivilpcnahyofnornrrcrhmfivehundrcddollflB(5500)
l. s oNnn olrhe pmt yiy. or n1y employs wirh $ ar6 s rhclr $le mnD &rion, vill do lhc sork dd rh. iltudd. ii nur
i 6d.d o! o,Ier.d aor elc (Sc 7014. Buins ud PorsFtrs Cod.: Th. conhddt s Li.cN Lalv do6 nol tpply to an orvns of
the l,!p61y Nho brilds o! i'n!,.ve fteen, dd lvho do6 such *ort hinselr or hc6.laor rlnluglr hb or lE own €nDbye6.
provided rh.t $'ch nnlroldnd s ft nor inrmdo] or ofie.n tur sl€. lf. horv.vq. lh€ buildqq or impro t@i is sld *nhin onc ,6
olconplcrion. rhe O$n€r ltuild6 sill havc thc budm of pro\ins rhar hc or sh. did nor build or idpove d. pnpdy aor lhe purloe ol
l. ao$ndoathcpiopdy. amerclusnrlyconr..ting *irh lic..s.d connadoE to coisrrucr rhe pmjel {s& 70,14, BNin6
and Prof6sDn (ide rheconlracror's l-icc.sc t-awdo$nor aptlyro dr os n( ol pro!.nr, sho btrildsor improv6lhr€on.
ond *ho.onorcrsiorsrchprojalsNitl'aConrado(9liccNdpusrantlolhe(onrrrcloasl,to*lnN)
_l0ncxc'nfl u c' S(r
Drle: Orne.
WORKERS' CotrIPENSATION
DECIABAIIO!
I hd.by .rm rhdd penahy of pdju,r. of,. of$c followinS daldarioNl
/, n"'" * *r, ,,",n,,,n o adi6.,t. of Co.mr ro s.lf-lNUr. for sorl.rs ompcnsarn,n, 6 prcvid€d ro. by S*rion lTOo o f rh.
Ijbr Codc, lor rhe prlomdcc o I rhe trort fo, which rh. pqnit s isu€d.
Ihav.andsillnaniainwort.rrcomp.N.tioni,Er.ncc,6rdtutdb,Sationl7(l0ofth€l-aborC.de.rorthcpalomsc.oa";;;au;-ad;s*
^*c-JC5 W\&/8 /1
l.dilythar in rh. pdroman.. oithe worr loi Nhi.hriispr'nir is issued.l sh01l.ol ehpkr
$ s to b€{om€ subjcl to lhe wo!t6 .o'npqsation la$s of Calilomia. and lrN rhti il I should bc.omc s,
s,o*sj comlcreln)n p,ovisn)
WARNINC: l-.ilure ro sure
6oiS(ltu.1700olthe I alin hwirh..'ntly $irI rho* !!o!klons
No,lds .onpo3dion .ov
rhou.dd dollm l$100.000
I h6cby amnn und.r p.mlly ot psjury d I or liens€d
ol rh. BusinN md ProlNioB Code. md my lic.nsc is
p.ovision olchapr6 9 (.ondm.ins vnn sdion 70oO) ol tlivsion l
,3af68// ?//9 .",,,,".,"5 ,eztOoW j-{Gxl
caN aljcro.NLErDlrc.A(i[tcr
I hscby a,Im und€r penally ot perjury lhal lhsc is a consro.tion l€.dinr asctrcy for rherda.nn,... olrhc sorl aor $hich this peflnil is
issuc{(s( 1097.cn. c )
ATII.(:ANLDICIAAAIIAN
I lErby allnn unds p€oally ot pdjury one ollh€ lollorvin8 dslaral ions
Dennlition Pd,nits- sb6los Norific.lion [cddal RcAularions ( l itlc 40, Pan6)
-Req0ired
l,eiis olNolifi cdbn
Icsliryrh rhc rdic, rl rqu l,ri.ns to!:ur'is rsta()s 'uu 3l rr c or.pflicablt'tLr nris troi.cr
I cdia! rld I ha!. r.ad rhis a-lreIo corply w hallCiltand(in trv
iv6 olrhs Ciry and Coumyb trrd q$n rlicordinrir6 anil Srai. ti\ s r.l.rin!
3h)vc nuri,r.d l)opon! In'
'ns
,\llpli(anl0r ,\Esnl SiEni
Pem'ne Mfle (prinD:
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tDffil@I/-,1-/?
L.nJo'" ^ddrs