HomeMy WebLinkAbout101101023 - PermitPermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Project Address: 2618 W Huckleberry Rd Unit:Bldg: Address Range:
Assessor's Parcel:101 -1 22-09 Lot: 10 Block NA Tract: 1369 Historrc: No
Suite Range:
Zoning: R1
D
City nf Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Building Permit #: 1OllOi O23
Pin #: 15566
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Addition
Addition
SFD w/att garage
R-3, U
VB
cBc 2016
x-0602320144J
1
1 st FL Area 198
2nd FL Area
Other Areas:
Garage Area:
Totat 1gB
Patio:
T.l.Area:
Yards Req'd
Valuation: $20,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'
# of Stories:
Description of Work: Enlarge family room & add half-bath. Auth on file.
Planning Conditions:
' owlter,
Address
Phone:
Tenant
Julie Tran
2618 W Huckleberry Rd
Santa Ana, CA 927062,,107
(6s7) 257-ss85
Contractor:
Address:
Owrrer-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engirreer:
Address:
Phone:
License #
Architect /
Designer:
Address:
Phone:
License #:
Donald J Inlnan & Associates
Donald J lnman
5131 Fox Hills Avenue
Buena Park, CA 90621
(714!. 521-0ss4
11888
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
Orozco, lvarr
Ahangian,
Zuniga, Allissa
Date: 09/16/2019
Date: 09/16/2019
Date: 09/16/2019
Subject to Field:
Misc Receipt
Misc Receipt:
Misc Receipt:
73300
Total
$22 95
$357 20
$1 00
$23 46
$2 60
0777600 2
0 7776002
0 7L760 0 2
08901-00L
0777500 2
0 LL1-60 0 2
01_776002
57607
s3600
57770
24000
51,672
57600
51_ 60 7
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due
$300 00
$300 00
$23 46
$2 60
$1 00
$22 es
$57 20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01116002 57770
08901001 24000
$707 21
$300 00
$407.21
Every perrnitissued slnll become itrvalid unless the work on the site authorized by
such permit is cornnrenced wtthin360 days after rfs issuance,or if the work authorized
on the site by such perrnit rs suspended or abandoned for a period of 360 days after
the tinrc the work is cotnnrcrrced.
lnspector MID# 2019-153528
a
f +t-t , t-t I
J rl r-t t_t
BUILDING- INSPECTOR RECORD {a
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I hcrehy affirm undcr lEnahy of perjury that I am crcrlpt frcm lhc Conlmclors' Liccns hw for thc following rcdsn (Scc.7O:11.5
Bushrcss and Profcssion Codc): Any City or County which rcquircs a JErmit lo conslrucl. allcr, improvc. dermlish or rcpair any
structurc. prior k, its issuarce. alre rcquircs thc apIrlicant for such Frmil lo lilc a signed slatcrcnl lhst hc or shc is liccnsd pursuont
t, thc pmvisions of thc Contractor's Liccnmd law (Chaptcr 9. Commcncing with Scclion 7000 of Division 3 of lhc Busincss and
Pmfcssi()nsCodc)orthathcorshciscxcurptthcrcfromandthcbosisforthcallcgcdcxcmplion. AnyviolationofScctionT03l.5byany
applicant for a Frmit subjecls thc applicant k a civil pcnrlty of not morc lharr tivc hundrcd dollus (3500).
_1. as owncr of the propcrty. or my enlployccs wilh wages as thcir sole compcnsation. will do thc work and thc stnrcturc is not
intcnded or offered l'or sale (Scc.7044. Business and hofcssiorrs Codc: Thc Corrtraclor's Licensc [.aw does not apPly to an owner of
thc pmpcrty who builds or improves thcrcrrn. and who docs such work hintsclf or hcrsclf or lhrough his or hcr own enlployecs.
providcd thnt such improvenrents arc not intcndcd or offcrcd for salc. tf. howevcr. thc building or improvctncnt is sold within one ycar
of corrrphtion. thc Owncr Builder will have thc burdcn of proving thal hc or shc did not build or inrprole thc propcrty for thc purfnscof
sah).
_1. as owncr of thc prr)Jrcrly. anr cxclusivety contracting with liccnscd conlraclors lo conslrucl thc projcct (Sec. 7044, Busincss
and Pnrfcsskrn Coclc: Thc Contractor's Licensc Law docs nol apply to an owncr of propcrty who builds or improves thercon.
and who contracts l'or such projccts with a Contract<lr(s) liccnsed ;tursuant lo thc Conlractor's Liccnse Law).
_l artt B. & P.C.
I hcrcby afl'irrn undcr pcnalty of pcrjury onc rtl'thc
_l have antl will maintain a Certificate of Conscnt to Self-lnsurc for workers' comlrcnsation. as providcd for by Scction 3700 of thc
l-ahrr Codc. for the grcrformance of thc work for which thc pcrmil is issucd.
_l havc ancl will maintain workcrs' conlpensation insurance. as rcquired hy Scction 3700 of the Labor Code. for lhc pcrfonnance of
the work for which this pcrnrit is issucd. My workers' compensation insurance carricr and plicy numbcr are:
Policy Nunrhcr: ExPircs: -
_l ccrtify that in thc;rcrfornrancc of thc work lirr which this pcrrnit is issued. I shall nol employ any person in any manncr
so as to bccome suhjcct to thc workers' comJrcnsation laws of California. artd agree that if I should heconre subjcct to thc
workers' conrpcnsalion provisions of Section 37fi) of thc Latnr Codc. I shall. tirrthwith cornply with thosc provisions.
WARNING: Faiturc to secure workers' conlpensation coverage is unlawful. and shall subjecl an entploycr to criminal'lrcnaltics and
civil fincs up lo onc hundrcd thousand dollars in addition lo lhc cosl o[ compcnsation. damages as providcd for the
illtorney's
I hcrcby alfirm undcr pcnalty of pcrjury lhat I arn liccnsctl undcr of Chaplcr 9 (contrrrcncirrg rvith Scction 7(XX)) tll'l)ivisiotr J
of lhc Business and Profcssions Code. and nty licensc is in full lorcc and effcct.
Licensc Class: Licensc Numbcr:
l):rlc ('oltlr:tt'lor
W
I hcrcby aflirrn undcr Jrnalry ofpcrjury lhat thcrc is a consrrucrim lcnding agcncy for lhc pcrformne ofthc work for which this lErnlil is
issucd (Scc. 30)7. Civ. C.).
APPLICANT DECLARA'TION
I trreby afiinn under pcnalty of pcrjury one of the folkrwing dcclarations:
Dcrnolition Perrnits-Asbcstos Notification Fcderal Regulations (Titlc 40. Part6)
-Requircd
l-cttcr of Notificalion
_l ccrtily that thc fcdcral rcgulations rcgarding asbcstos rcnmvalarc nol applicablc lo lhis projccl.
_l ccrlify that I havc rcad this application and slalc that lhc atxn'c irttirrntatiott is corrccl. t agrc'c to with all City and County
rlrdinarrccs anrl .Statc l-tws rclating to conslrucli<ln. and hcrcby authorizc rcprcsctttativcs County lo enter upon thc
ahovc nrcnliorrcd propcrty lbr
Applicant or Agenl
Pernrilee nAme
purposcs.
""%1(lcfq
Set Backs \
Forms/Steel/Holdowns \?-r? -f 9 Acq
Erection Pads /
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu lation
Roof Sheathinq a -*sr . .O t/)
Shear Wall t
I Ut \,/ ah "l'!'t
Framinq io //,uq ft16r0,9 (/4c Jz'rua<--/l4,LInsulation/Energv /4Drywall I ffi -/u/ffi
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Ext./lnt. Lath 4 il uf
Brown Coat I 5 lnrlcn I I t --*t.b aa tq
[\Iasonry I I I UI \--=z
Pool Fence
T-Bar
Handicap Req.
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Enqineer Final Report
Flood Zone Certif .qcrdnlN lolalu q ) r/tr 11591J w)
vl
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Certificate of Occupancv rl r \)- \
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