HomeMy WebLinkAbout10590197 - PermitProiect Address: 206 E Fourteenth Sta
Assessor's Parcel: 398-133-09 Lot: 1
Unit:Bldg: Address Range: 206-212*
Tract: GOODWIN'S ADD. Historic: No
Suite Range: 206-212 E 14th
Zoning. SP3Block: G
;s\ ' City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Buildi
W ,"r,inaorn ter: (714)647-5800 tnspection Requests: (714)ot7-273a tnspectoisection: (714) uor-urur-1ll
ng Permit {os901 97
Pin #:
Building Use: Fourplex Occupancy: R-2 1st FL Area:
Job Type: Revision Constr Type: V B 2nd FL Area:
Nature of Work: Revision Code: CBC 20i3 Other Areas:
Existing Bldg. & Use: 4 Unit Apartment Flood Zone: X-0602320163J
Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: Re-designed east & west side (duplex 206-2121stainrvays. Revision to issued #1 0590269.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Bqtch*:35t-t43 8/9/2tr16 ID: PlnF,tr7r
0
Owner:
Address:
Phone.
Tenant:
WS Estates, LLC
35 Ridgeline Dr.
Newport Beach, CA 92660
(7141 328-3944
Contractor: Plato Construction Co
Address: 1410 E Wilshire Ave.
Santa Ana, CA 92705
Phone: (7141 973-8808
State Lic #: 569414
Lic Type: B
Bus. Lic #: 155346
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fut
Policy #: 9079336
Expires: 1111912016
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone:
License #:
0f f i ,:e 3 CTYH Trons+: 67 I of 1Accti: Ref*: 10590 197
li,_ rrt+ : tr1613250 g/g /2ltl6 2,:24 pH
Tronsoct ion Totsl S206 .glF'NB Con t r act orPloto Construct i on Co
r'it Bu i ld i ng
rJl I l60112- 536r101il10-
Visa
C:C+ : rrrrr*rrrrr* Z4S I
9206. g I
Auth * :6s 11306 ' e 1
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:
Fire Insp. Req'd: No
Police lnsp. Req'd: No Account#Total
Flood Zone Ceft. Req'd: No 01 1 16002 53600 $206.91
07776002 53600 Revision
07776002 57600 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
Date:
Date: 0810912016
Date: 0810912016
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$206.91
$0.00
Mazarji, Zac
Chavez,O^u"U ,.
No
No
No
No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 201 5-122342
$206.91
$0.00
$206.91
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BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/S!G.COMMENTS
Set Backs a
Forms/Stee!/Holdowns
Erection Pads \ ?'lvlh a/r
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonry
Poo! Fence
T-Bar
Handicap Req
Deputy Fina! Report
Engineer Final Report
Flood Zone Certif
FINAL 1o'R^'tL 5/V
Certificate of Occupancy
Notes, Remarks, Etc.ny0&A o c,.-
d-..rE, Ll€
-l
OlVNER BUILDI:R D}:I,('ARA'I'IoN
I hereby aflirm undcr pcnalry of perjury lhal I arr exenrpt fior the ('ontraclors' I-icense l-as for thc fofio$irrg rttson (Sc.7031.5
Businos and Profmion Codc): Any Cily or County which rcrpits a lnrnit lo conslrucl. alto. iruprolc. rlcmrlish or tcpair my
struc1ure. prior to its isuucc. alm reluira the opplicant for such lrrnil 1o lile. signd sl.lenrqrt thal he or she h licesed pureuant
to the provisions of the Contractor's Liccnsed Larv (('haptcr 9. ('onunencing sith Scction 701)0 of Dilision I of the lhsincs and
ProfcsionsCodc)orthatlrcorshciscxempllhqcfiornendthclnsisfirlheallegcderentption. Ar1'r'itrlatirrtofSe-tion70!l.5by6ny
applicant for a pemit subjets the applicant to a civil penalty of not rnore than lite hunrlrcrl dollnrs ($500).
_l.as o\r'nerofthepropeny.ornlyemployeess'ithrvagesastheirsolccornpcnsatiort.rvill&rllrcsorkarttltlrcstruclrrrcisnol
sale).
-1.
as o\\'ner of the propc'r1y. arrr exclusively contracting rvith liccnsctl conlraclors lo c1r11s1111gt tlrc pro.icct (Sec. 70-14. l}rsirress
and hoflcssion ('ode: 'fhe ('ontractor's [.icensc Larv docs nol apply to an ou'r'rcr oIproperly n'lro builds ot'ittrpt'oves lltct'con.
and s'ho contracts for such projects u'ith a C'ontract()r(s) licerrscd put'suanl lo Iltc (irtlraclor's I.icettsc' I.arr').
I :rrn crcrnpl rrntlcr St'cliorr . I|. & l'.('. lirr tltis rcitsort
l)itlt: ( )rr ltcr:
w0 RK l: Rs' ('01\l Pr.Ns^'l'l()N
DI.,CLARA'I'ION
I hereby alTirrn under penalty of perjury one of the fltrllorvirrg tlcclarations:
_-l have and rvill rnaintain a Certificate of Consent to Self-lrrsure ftrr s'orkers' compensation. as pror itlerl ftrr h1'Seclion ,1700 of the
l-abor Code. for the po'forrnance of the s'ork for s'hich the po"rnit is issued.
issued. My rvorko's'c()nlpensaliorr irrsul'ancc canicr arrclpolicy nurulrcr atc:the work for which thip perrn[5is
,orr,rr' 'Shb
Policy Nurnber: '
Fr--d-_
-l
cerrify that in the lrrfonnance of the rvork fior shich this perrrrit is issuerl. I shall nol enrpl()] ant l)crsort itt attr nlilnncr
so as lo becorne subject to the rvorkets'cornpcnsaliorr lau,s o[('aliltrrrria. arrd agrec that iil should bccorrre sulr.iect lo lltt:
u'orkers' cornperrsation provisions of Section .1700 of thc l-alxrr Codc. I shall. lorthrr ith cornpll rvith llrose pror isions.
civil fines up t() one hundretl thousantl dollars ($100.(X)0). in atltlitiorr to tlre cost of corrrglensaliort. darttagcs as ptovitled for the
Section -3076 of the l-abor ('otle. interesl and attomey's fees.
,rrr", k-o?^lQ Appricnnr:*/1.<4bo, /ae(O-Q4O44
of the []usiness and Professions ('ode. and rrry licerrse is in full ftrrce arxl effcct.
_ _l ccrrify that I have reacl this applicat
ordinances and State l.aws relatirrg to bui
above rnentioned property ftrr
Appliurnt or Agcrrt Sigrrnlrrre: )(
lirpircs:
ion antl state thal the alxrve irrfrrnnatiorr is corlet'l. I agrtr
conslrucliorr. antl hcrchv arrllrorizc rcgrrcsr-rtlalivcs o
rr ith all ('itr arxl ('ounty
arrd ('orrrrlv lo crrlcl' upon the
t.icensc('lass: 'fi r.iccrrscNurrrl^-r: -S 7
"{
r)nre: --g--9A<Ce ('orrrrRcro,' o(. ylaloC*.rtE 71.*"A
CONS'I'RUC'IION LENDING ACENCY
I hercby allirm undu pof,lty ofperjury that thqe is a construction l6di[g a8ency for the psfonnance oflhe \ork fur nhich this lrmh is
issued (Sa. 3097. Civ. C.).
Lendq's Name:
-
l.enclcr's Addless:
APPLICA N't DEC LARA'I'ION
I hercby allir:n under penalty of perjury one of tlre frrllos'ing declaral iorrs:
I)ernolition Perrnits-Asbestos Notification Federal Regulations ('l'itle 40. I'ar-t(r)
-
Requircd l.etterof Notilication
_l cerf ifythat the federalrcgulations rcgartling astrslos rcrnoralarc nol applicrhle lo lltis pro.icct
Io cotrrPlv
l'this ('it;-
l)ale ( -4-u
pernritee ncme rp,inrr,-LAE(&forl N - frAaa /2q v^/a hl