HomeMy WebLinkAbout10298378 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714],647-5853
Permit #: 1o298374
Pin #: 65947
q
Project Address: 401 S Flower St
Assessor's Parcel 008-205-04 Lot: POR I
Bldg: Address Range
Tract: POLYTECHNIC VILLA
Suite Range:
Zoning: SD40Block: 1 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area: Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Alter - n/v Code: CBC 2016 Other Areas: yards Req,d:
Existing Bldg & use: sfd wdet garage Flood zone: x-o6o232o257 J carage Area: varuation: $1o.oo
Proposed Use: # of Stories:
Total:
Description of Work: RomovG unpermitted additions including a bathroom, remove unpsrmitted electrical & plumbing & cap back to point of origin.
Planning Conditions:
Planning Approval By:Escamilla, Manny
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
PWA lnsp. Req'd:
Amsden, Julie
07116002 51607 Petiit F;e
07776002 51601 lnvestigation
07776002 57607 Penally
07176002 57672 Bldg. Stds. Revolving
07776002 57600 Gene'al Plan Update
07116002 51601 lssuance
$160.2s
$86.78
$243.16
$1.00
$22.08
$55.04
o
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd ffi Account#Total
Planning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the wo* on the site authoized by
such pemit is commenced within180 days after its issuance,or if the wot* authorized
on the site by such pemit is suspended ot abandoned for a period of180 days after
lhe time the wo* is cornmenced .
$22.08
$545.23
$1.00
$568.31
$0.00
$s68.31
lnspector MID#: 2O18-147706
01116002 51600
01116002 51601
011'16002 5'r612
Fee Total:
Paid to Dale:
Balance Due:
Unit:
Engineer: E:t:'i._r!ri? - 11./tlii:Jil)t ll,f I t:,
Owner: Edwin Castro &OmarMacedo Contractor: Owner-Builder rrll .,! --yH -rans+i 1:
Address: 4ol s Flower St Address: Address: h ' I l' Ref i: I ^j ''
santa Ana, cA 927033919 il Ff .lir'r4l"i r-r5:{ - 1i rE'/ 'r'rlt "':'
phone: (714) 92g-83g9 Phone: Phone: Ti'ri'o-: Lr: i'rl'rl I 'r "'
State Lic#: License #: fiurr: i.n.:tr. L 0mor flnir,loTenant:
Lic Type: . Architect / G.-f.,.rt ctcr tlprj{t,r: I,eEBus. Lic#: Designer: ,-i,'l i,,:,,-,.,, jia,,r,,-,,,,..
Workers' Compensation lnsurance; Address; 'p,.' , ..
';:-
Carrier: ,ti 11.,:l-r?, .11,!:t1r-IJr-l..
Policy #: Phone: Pi,:: !ti: !tp!,,ri'.,ins
Expires: License #: rr'rl liilll:,' -rli61?Lrr:rl:r-
Date:'1111512018 ijlisc.Receipt:
Date: lvlisc. Receipt:
Date: 11115/2018 Nlisc. Receipt:
Subject to Field:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BT]II,I'ER DEL(:ARAIION
I hcrcby amrD undo pdrlty oi pr.ju.y rhd I m .rmpr aron lh€ Contsdof' License LaN for rhe aollowins r.Nn (Scc.?011.5
Busin6s md Prolsio, Code) Any City o, Counly Nhich r.luirs a lEn ro consNd. olls. improv.. dmolish or r.pan my
structu., p.ior lo its isu ce. also r.qut6 rhe arplicd aor 3uch pmni lo frlc a siso.d aldndr (hd h. or slE is I'coE€d p$q l
ro rh. p{ovisioB oflb€ Contacloas Lic..sed lrw (ChaPr6 9. Conm.n inS Nith Sdrion 701{ of Divisi.n I ofth. Dusins .nd
Prcfsions Cod€)orlhal hc or shc i5 crcnB Ooefton dd lh. basis for the allex€d eremfl'on Anyliol.rionofs.<lion 70ll 5 bydy
aprlicant forap.mit subjck lh. applicer b tcivilpen.hyofnol mor€lhd lire hundr.n do trs($500)
1 ptk *.. t*.
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or my nproye virh w'!6 ar rh.L $re cornFroaiion. wirr do rh. *oi( ind rh. srn ruc i' mr
inrodsj or orlred aor salc (Sc.7o44, Busine md P:'ofsions Code The Contacrols Li.ro tjlv do* not apply lo o os d ol
rhepslgiy who tuilds or io!.ov6lh6@.q and \rho do6 such qoIl hnBellor hmdlorlhuEh hi orhr oNtr.mployc-
p.oviddl rhar su.h inprovans s ee nor inlqrdql u ofiscd lor ek Ir, ho*66. fi. buildi.g o, imlrovmdr t $ld wnnin ooe y€r
ol co'npldior. rh. OMd Bundd will hav. tnc budd of lrovin-! lhd hc or shc drd nor build or nnfro\t llrc p,lp6ly loi O. P,pos of
l, &s osnd oaihe prolslr, m erclusively conlmci ifls viln licFred conta.rdu to constn,cl lnc prci&1 (Ss 70'14, Blsns
tu Ponssion Codc: 'l he Conracrof s Lic.mc Law do6 nor .pply ro osnsorpropcnywhobuildsornrprovcsrh.rcon.
and who conkalb lor such Folecls with a Conlra.lo(s) lics*d pu^trmr io rh.Conlrlcrois Licc6e k$l
V*"4
DECIdAAIIAN
I nd€by amrd und( poalr, of Fjury o". of th. aollosins dcl&.tioc:
-lharc
d sill @rrain a cdin.are of Co6d lo S.lll6ure lor wotksa conP.lsal io!. s rovid.d ror by Sario. 1700 oflh€
t bor Codc. for lhe psfom&cc of rh. solt fo. whi.n rb. pdmn is iasucd.
I halc and will
'naioraio
workcrs co,rpeNatiotr irsur.ncc. s requncd bySdtionrT00 ollh.l,.bor Code- for lhc pslonn ccof
rhe wo,k lor rvhich Ihis ponit is issucd My work.6 composalion iNurane cein d policy nurnber tre:
Polr., Nobo- Frpnca
!llf;(*,D ,*, , *" -"man.. nt rh.lork ror qhrhrhispdmi is Lssued.l stDrlnot dnploy.nyp6$o in@yndn.,
' qi .r ro &!.m. subj(r ro rh. $ od(6 comf.red 'nn l.ws o r Calitona. Md 08e ihal if I should b..om. subjd to rl'.
\orroj (mrcsron Drotilioc otSdion 1_00or !h. Lsbq ' oJ..lih,rl fonhurh compb vrrh lhr* fln\tsic6
TVARNINC tr.rlurc ro Ku€ sorkc cotr,p-Mnon covd,s. is u.la$tu|- d shallsubjdr d cnployq lo suiBl Fult'6 d
cNil fines up ro on. hufttred 'hnutud dolld itltro.C$o), i. addirion lo lh. coi oa conp.Narion, damasB a povid.d aor lfi€
S(rn n 1U76.rrhc !2For
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IICENIID-CONISAqIOA
DECUAAIIO!
I hqcby amrm undq pmaly o I !.rjurl lhll I m li.cm.d rnd6 pmrision ofChapld 9 {commocins Nirh S.clioi 7000).rDiri(ion 1
of lhe ausi,r6s dd Proasions Cod€. ad ny licoic t in rrll for.€ dd ciId.
coNlIaLllIIoNrEdDAqAcENcv
I h6€by !fim unds FnaI, of pflury ih.l th6€ is a coNlrudioa krdins agm., for th. psfommcc of rh. worl lor whici this p6'nn is
issucd (Sa.1097, Civ. C.)
AXIIIGILDECIdSAIIOA
I @amnn und6 paalry of p.rjury on. of rh. aollowi.B dcleations:
Dctr$ lirion Pcrmirs-Asb6los Notilicat ioo Fcddal R.8llations (Tnt 40. Pel6)
R.quired kttd olNolifi olion
I rir'l) ,hJ rh. f.dtrJ rcEularons rc/u,Ing 6\6rb 'cn,c"l-0 nor odrcablc ro t'r't fl t,'
#l-cdrr rh th c rqd rh6 apphcar'on dd i.tc r har hc abolc irromarion n coddr I aB,e ro mnply wirh all cny.nd cou.tv
i'rdin.nc6 md srare L3ss Elaldx 'o b{'ld'nE codtudion. dd hd.by aurhortu rcpr66lari!6 oalhis City dd Cou.rtro drd rp..lh€
,h.v. rd ion n propdy ior iBp6lion
E\ppli.!nl or Agenr signrtnr€:
ft{rire n.ne (p.n,r): F),*';rl CA)ae
*,",rf,r1tt;
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Ir/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL tt I
Certificate of Occu
Notes Remarks Etc
)
Set Backs
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