HomeMy WebLinkAbout10198344 - Permit (2)oY
Assessor's Parcel:395-37242 Lot: SOUTH HALF 6 BIocK: NA
Unil:Bldg: Address Range Suite Range:
Zonang: R2T,acl 7287 Hisloric: No
city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (.714)-647-5853
Permit#: {O{98344
Pin #: 57127
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Duplex
Miscellaneous
lnsulation
Duplex w/att garage
R-3, U
VB
cBc 2016
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: i: rr
t,l
Patio:
T.l.Area:
Yards Req'd:
Valuation:s700.00
Planning Conditions:
1/13l2r.rlg I0 |
'onE+: l1(rRef+: trj- rL/ L3/2tti.1 rI $2J
Owner:
Address
Phone:
Tenant:
LUIS & MARIA VALDOVINOS
2614 N JACARANDA ST
Santa Ana, CA 927056944
(714) 589-0113
Contractor: ReliableEnergyManagemer
Address: 7201 Rosecrans Blvd
Paramount, CA 90723
Phoner (800) 6924011
State Lic #: 704414
Lic Type: C-36, B, C-20
Bus. Lic #: 189501
Workers' Compensation lnsurance:
Carrier: TravelersPropertylnsurance
Policy #: U89K071 10A1826
Expires: 0412912019
Engineer
Addressi
i:r r,nnnSefieIrf iii,:
Jpdqte Fee
,ur-l!0-
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
1r_rtrtr-
'lvin9
!trU0*
Dn 753 7
Plan Checked
Permit lssued
NPDES lnsp.
Planning Approval By:
By
By:
PWA lnsp. Req'd
, Julie
NIisc. Receipt
l\.4isc. Receipt
l\,lisc. Receipt
$160.25
$1.00
$22.08
$55.04
07776002 51501 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 51601 lssuance
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every perrnit issued shall become invalid unlessthe work on the site authorized by
such pemit is commenced withih 180 days aftet its issuance,ot if the work authotized
on the site by such permit is suspended ot abandoned for a peiod of180 days aftet
the tifie the wotu is commenced
lnspector \lllD#: 2018-147629
01 1 16002 51600
01 1 16002 51601
01 116002 51612
$22.08
$215.29
$1.00
Fee Total:
Paid to Date:
Balance Due:
$238.37
$0.00
$238.37
Proiect Address: 2614 N Jacaranda St
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Description of Work: lnstall insulation in attic.
i
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Date:
Date:
Dale: 1'111312018
Subject to Field:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hd.b, atfim undd poahy ol rErjuD- lha I d ex.hp froo thc Conlrlcrors' L'c.ne t w lo. rhc foltosing rmn (5<.7011.5
Busrn*s d hol6sioo Cod.): Any cn, or Comrt which tcquir6 a psnil lo conetuct. ahs. imProrc. donolish or '.?u mt
slrudue rior ro irs isu&c.. 0l,o r.9uir6 lh€ applic r fo, such ponit lo 6L a sign.d sratmfll ltal he or sh. a li.mscd pcuet
to thc povilio.s ofd. Conracr.l! Lic€nsed Lis (Chaod 9, Commcncins with Sdion 7000 olDieision I ofln. Bus,n6s dd
Itof€sions Codc) or lhar hc or she is cx.nfl ficctom and rh. bdst aor Ihc aUcBed ctdflio. nyliolariooofs.clio.T0ll t by any
dpplica aor ap.fti strbjdbth. applicanltoscivilpenahyolnolno!.lhofiv.hundrcddollds($500)
l. s olvnd oflh€ !trorcny. or dy onplorB wnh waBB 6 rhct slc compos.lio.. will do fi. wort d tht slrud@ n nor
i qd.d or oncrca for el. {Se.?044, BNins d Prcfsio6 Codq Tnc Conlroclois Licds. liw (&)6 nol arpl, lo m o$r( ol
lhc popdy *'ho hril& or iDprore lh@[ dd rvlr do6 sch Mfi hnnscltor h€Gcllorlhrcushhis or hd oMflployG,
provid.d rhar such inrpmvcmaGnor im6rk or oiIaal for$16.lf. ho{6s.lhc bulldrs or inpmrcnml issEwnhino.e)@
ofcodpldio( rhe Ownd auiHer will h.\c ih. htrd6 or !rcvins lhd h€ or she did ret buid o' imri.ov. rh. psFry lor tfi. putpoe ol
L s ownn ofrh€ lxopdy, dn .rcluivcly conl,&linr *ilh licos.d contactou to coNlrucl Uc rojdr (Sec 7044. BBinG
a Aohsion Code -rh. conlrlcrols Licms. Law do6 nor spply lo ownq olpropdtsno builds or nnprov$ lnd@d.
..d eho contrmts for sucn ploj.ds wirh a Codrero(3) licm.d poswt
'o
rhe Contr.rdrs Lictue kw)
t e Gxdfl unda S.dion-, B. & P.C. for lhis 160(
Drlq Oa...l
IaESCSS.SOUIEIIAIIA!
IECLABAUA!
, haeby lrm unds Fnahy olpelury on. ot thc lollorins ddldrlioN:
I hdve 0nd will ,mintoin a C61ificatc of Co6dl ro Scla l6urc for Norke6' comp.heton, as I'o\ id.d for b, S(tion 1700 oi lh.
Labor Code aor th. pdfommc. ot thc wo* for which thc pmil b su.d
Ihav€a willmainbin*o .rs .onpesarion iBur c..s r.qutcd by Sdlioo 1700 olrh. kb.r Codc. fot thcp6aoflm..of
OJ\
My work.rs compmslion insurace cdid dd Fli., numbtr ae:
<.^/>2-olrqItLq
-l.dnify
thm i. dr pdloi,mnccoalhc rvork lor {hi.n lhis pd'nn is issu.d.I shallnolgnploy dy p6od id an, m flq
$ s ro bccom subjcr to rhc *ork6 co'npljMion lass of ( rlifomi. md asr Iha( r I snould b€.orne subjrl to lhe
wo.t6 compcNalion provisions ol S.dion 1700oarhe Labor Cod€.I sluu- lonhs1lh comply rilhlhos provisroN
lvARNtNc Failur€ lo a.u€ workcE (xnptrattun coldagc ii u.la*ful. nnd sh"llsubt6t 4 mployd ro aiminall'oEh6 d
civil fines uplo on€ huldrcd rhousd doll6 ($100.000), in addilion to rhc co$ oaco,npeBarion. danascs 6 pnNid.d for .
S(rion 1076 orrhe Labor Cod.,
(,",",ttJre [l%inrdd md.nomcy s lc
DECIA8AI]()B
I hercby smmu.d.r p@hyofp{juryrhrl I m lic.f,s.d utrd6 p(ovGion oachaptd 9 (.otunocins wilh Sdlion ?000) ofDivision l
of lh. Busins d Proisiod Codc. and ,ny liceG. is in full forcc md e,Id.
K'*"o ).a\-'r -tLl
t\g
colllalcuaNr[lDlNclcENcl
I hqeby amm und6 F,ahyoapqju.yrhat rhd. isa co6rdction kdins asdcy aor rh.p6aom cc ollhcsork for \vhich lhis Frnil is
isu.d(Ss. 1097, Civ. C.)
AITU(ANTDECI,AIAIIO!
lhedyatrmu.ds pcnahyoapdjuryo.c of th. fouowifls dcldalioft:
Dcmolition Pmirs-Asb6ros Norincaiion F.ddal R.rlulat ions (Tilb 40. Pan6)
-Requi'ed
I elldol Noriicarion
I cenify rhar th. Ldsa l resr l.t ions rcaddins 6b.stos lerorald. nor applic.bl€ lo this pDjel
I..ni8rnal I have r6d lhis dpplicrlion and sr.lelhd rhc sb.ve iniomalion is con.l IaSiielocomplysnhallCnyandCounr,
ordin.ncB d Srar. La$ s relalioB to buildins .onsrrudiorl evl hdcby aul horte rcprMrarivd o f rhis Ciry and Counly ro dro upo. rh.
atDvc mmrioncd prcpory tu iflsp<.lion pu,!os6.
,.,.tllre IB
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq
Shear Wall
Fram ing
lnsulation/Energy
Drpvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL z/Yv/l6 <b<L
Certificate of Occupancy
Notes, Remarks, Etc
Forms/Steel/Holdowns
, fl,,1.''rA,l.!6, _
tl
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