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HomeMy WebLinkAbout10196753 - Permit (2)Proiect Address: 2022W Twelfth St Assessoas Parcel 004-172-',16 Lot: 36 Unit Bldg: Address Range Suite Range: Zoning: R1Block: NA Tract: '1585 Historic: No City of Santa Ana Permit Counter: (714) 647-5800 20 Crvic Center Plaza (M-19), Santa Ana, CA92702 lnspection Requests: (7 1 4) 667-27 38 lnspector Section: (7 1 41 647 -5853 Permit #: {O196753 Pin #: 42474ct) Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: 682 Patio: Job Type: Addition Constr Type: V B znd rL nre-l) T. t.Area: Nature of Work: Addition Code: CBC 2016 other Areas: yards Req,d: Existing Bldg. & Use: sFD watt garage Flood zoner x-o6o232ot44J carage Area: vatuation: $74,338.00Proposed Use; # of Stories: Total: 6g2 Description of Work: Additionffloor plan layout changes - (2) new bedrooms, (2) new bathrooms, relocate existing laundry room and bathroom, enlarge kitchen & dining room, convert existing family room into 2-car garage. SAUSO #3761. Ownor-Authodzation form on file. Planning Conditions: Owner: Addressl Phone: Tenant: Contractor Address Owner-Builde.Ramona Perez 2022 W r2th Sr Santa Ana, CA 927031927 (7',t41418-6202 Englneer: HDEngineeringConstruction 1402 N Parson Place Santa Ana, CA 92704 (714) 495-0056 c79089 Phone: Stale Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Architect / Designer: Address: Phone: License # Phone: License # Ruben Pena Arrizon Ruben Pena 708 East Occidental Street Santa Ana, CA 92707 (714) 552-573r 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 Mar, Escarlet Date: 03/29/2018 Date: 08/09/20'18 Date:1112612018 Subject to Field: Misc Receipt: Misc Receipt Misc Receipt: 07116002 o7776002 07776002 08907007 07776002 0 777600 2 0 777600 2 57607 s 3600 57770 2 4000 57672 57600 57607 So, Anson Chavez, D ry- 71122 Total c. $22.O8 $762.48 $3.00 $32.28 $30.08 $9.66 Fee Total: Paid to Date: Balance Due: $707 .44 $871 .56 $30.08 $9.66 $3.00 $22.08 $55.04 $1,698.86 $839.28 $859.58 Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No Every permit issued shall becorne invalid unless the wotu on the site aulhorized by such permit is commenced within 180 days aftet its issuance,or if the work authoized on the site by such pemit is suspended ot abandoned fot a peiod of 180 days after lhe time the wo* is commenced lnspector MID#: 20'18-142338 No No No No ffi Account# 01 1 16002 51600 01 1 16002 51601 01 116002 51612 01 1 16002 53600 01116002 s7770 0890100'1 24000 Building Address: Permit Fee Plan Check Fee Microfilm Records SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance BUILDING- INSPECTOR RECORD ID/SIG. ,COMMENTSSITE.WORK DATE Set Backs futtA /n_Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Aar *r -Subf loor/VenUlnsulation ,lRoof Sheathing ;;31.-"atr,Shear Wall Framinq lnsulation/Enerqy Drwvall ,,79,tl1,-----'=rtZa96x61.NtlExt./lnt. Lath ?fn /olBrown Coat tl Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . F|NAL 1 /.1//7 r-hlb C e rtiti c'ateb/ O cc u pa ncy Notes, Remarks, Etc bu o -----T------ L/4 - /) nb BetYn/ -t, /) (-q /2_ ,/;t/u x_ ()\\ \ l:R Bt ll.DllR lll.l.( \rr \ l!(,\ I hqeby afi'ri,n undn p€nshy ol pdjory lhor I m dc'rpl non th. Cohrtacrots' Lic..sc Law for rh. lollorvins rcen (Sd 701 I 5 Busin6s and Proldioo Cod.): Any Ciry or Counry *hi.h r.qut6 a Fmn lo coNlru( ahs imProv., d@olish or rq€t 6v srucrure Fior lo il! isu.n c. also rcqutB lh. spplicml for such t mn ro 6l€ a sis.nl stardral lhal h. or she is lictucd PUBU&I ro lh. ptuvisios ofth. Cont.clois Licenscd I-aN (Chapr$ 9. Comrdcnrg wilh S..li.n 7000 of Division I oflh' ausind dd Pslcsio.s Cod€) or lhal hc or shc is cxmp rhd.li.m md rh€ basis lor rh. allcs.d crmprion. Anv riolarion of S'dion 701 1 t bv ov .pplicanlforapmlsubledsrh.arplicmlroacivllpcoalryoanormor€rh&fivehundcddotles($500) rBE.sourorrLcpopcrr.orri).mpro)dsirh{466th{$lcconrpoerion,silldolh.*orkedfi'srurdcnmr ---a-r *"a-^rr.i cl].rio 7ei4. 86;6sd Pmfsioc cod€, Thcconracroas Lic . L.\v &6 noi spplv ro u o$nd ol rhcpmpdy sho hild6 o. nnprcyB Eon. dd who &6 such tro.t hihs.lfo! h6clf or rhrooltfiis or hr own 4plov'd' p,o'U" rt',r.u.t inpmmrs eml inl6&lororq€d lor sL lt hosos.lh€ hilding or inprorc@l iseld silhinoft )a ;fcompLrioq rh. OM6 Builds will have lh. turdar ollrcYns td h. or shd dli not build or imltov. fi. Prcpdv tor lh' pnrFs of -1. sosner.flh€ p.opdly. tuncxcluivcly co.lra.rinB snh licds.d .onradoG lo co6itud lh€ ptojdr (Sd 704'l BBinN -a n,ro"m Coac, rttiCo"r,adot s Licms€ Larv do6 nol tplly ro u orvn( ofprop.nv*ho builds or inpror6 rhBon d who conrmds for su.h pmjds wirh . Contodo(r lics.d pu6udr ro fic contaclm s Licosc La*). lrn.\.md undo Sat'on- . a & PC lo' ths r.Mn un" . 11. /7(..t C- **, Y t...--^-^*' o \o8trErl-caull!.:alo! ./4b DECt-{RA'TION I h6€by amrn undd F&lly of psjury on. ofth. lollo*inB d6lealioB: -l have a.d will minrain . Caiificar. of Cotud lo Selalreure for *orkcG $nDe.elion 6 proid.d for bv S*tion 1700 ofln' tibor Cod., lor th. pdfomdc€ of lh. $ort for whi.h lhc pmil is isu€d -l hav.and *ill mai u wo*.G' compc.satio. iNuaEc. 6 tquircd bv Srl ion 1700 of thc Labor Coda for tlel,6'ommcc 'r Oe worl aor which lhi! pasn is isucd M, workdt compdsdion iBurmcc camr ed policv nudbd rc: Poli.y Numbq:-ExP l(11- Lcn,rr rh rnrheFrlrnDncenlrhctrorkrnr$hrchnrispsnnlisisstr.d.Ishallnotdnplova.vpo.oninanvno'd- - m rc tct.c rUei ro rtrc tr orLd .ompNuotr laws of Califomia. dd age rhd if I should b'{omc subj€ct ro rh' Nork6 compdeiionpmvisioNolsdiot l?OOollhc t.ah,r Codc.l sh.U. aodhwiih complv sirltrhos prcvnioN WARNTNC 'l'ailu.c r"'*,r. ert6'anlp$.rion covsaS. i5 unla$ful. ud shltl subjer a! oplold lo mminal l*nalli's 'ndcivil fin6 up lo one hundrcd lhoMd doll6 ($IOO.O0I)), in addnion Io lhc cos of conrpo$ri'n. 'lmas's e providcd ror rh' Sdion 1076 ol Ihc l-.bor ('odr. inrs6t Md rllomcy s lcs l-t( ttNstD ( ()NIRA( l()R DPCI,ASAIIA! I hs€by aifiro un.l.r t nahy of pojury lhat I m licdsqi undr Folision ol ch,prs 9 (conmcn.int wilh Scclion 7000) or DivBon l oa ihc Busin6 &d PofsioN Codc, and m, licsc is in tull foicc .nd eifel CONSI XTJC'I'ION LENDINC AGENC]Y I hcreby amnn trnd6 p.naky o I lerjury lhal rhft i! a codtud ion l€.dins agmq for Ihc pdlommcc of the $ork for shich lhis Fnrn b issued (S(.3097, Ci! c.). L.nd.''r Adrt< ' APPI ICA N'I' DFCI ,ARA IoN rnnnundcrp.nah) olFlu'\ .ncolt\eln'o(inrlnluar:ons: Dc Nlnion l'ermirs sb€bs Nolinclrin Fcd.ral Rcstrlnhons(Inlc 10. I'ano) Ro$ircd l-cneroaNotifi elion l\ "!*,-i,iT"!",T-i*Ylffi ...,.^_/q_. ,...u*'".",rnn,,, !K&+r-,aJL,,/.QllEl-. . //4419 'lJ-a,>ld rt-taDd-'.i- ,; -nha- - -( l- -' -v u/.c/z , )&ra .?z rZar' ,e*zS* zdrcel'" /,e-Fz.aE- h(hl,'/la fivzi,zan'l "^ A-tt tz48qz-- D"c,. /1. )6. / ? LiccN Cls:-Lic@. Numbdl Drte:-- contr..toi- L.nd.r'! 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