HomeMy WebLinkAbout101103828 - PermitProiect Address: 1918 112 S Svcamore Sta
Assessor's Parcel: 015-063-11 Lot: 5
Unit:Bldg: Address Range:Suite Range:
Zoning: R2Block: B Tract: 289 Historic. No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O1103828
Pin #: 572OO
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Planning Conditions:
Accessory Dwelling Unit-Convert
Revision
Revision - ADU Conversion
Sfd w/det garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2019
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation:
Description of Work: Revision to 101101657 - relocate water heater, decrease number of skylights and change in footing details
0
0ff ice: CTYH l'rnns*: ?1Ac,:t+: Flel*: ll:tll
Rcpt*:031t23213 7 /3lrt 2[r2rr 11 : 1
Eng ineer
Owner:
Address:
Phone:
Tenant:
IGNACIO & ANA CASTILLO
1918 S SYCAMORE ST
Santa Ana, CA 927072235
(714). 317-e681
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Add ress.
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
E.C. Design
Edwin Cruz
(7141 742-03s6
IGI.IACIO & AHA (:A51 ILLCI
F/(: Build ing
r_r1 1 16r"rtr?- 5361[:[j[tU*
11 icrolilrn & Docurnents
r-rl 1 16lltr2- 177 Tutturr*
t er (:0r d
*: x**r*r*****r-/271
Planning Approval By:
Plan Checked By.
Permit lssued By:
NPDES lnsp.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fire lnsp. Req'd: No
Police lnsp. Req'd. No
Flood Zone Cert. Req'd: No
0 77760 0 2 57 7 7 0 tt/icrofilm Records
0 71-760 0 2 53 60 0 Revision
07776002 57500 General Plan Update
Fee Total:
Paid to Date:
Balance Due:
ffi#- 6r-\fJ
$64.80
Graham, Jeffery
Le, Tung
Amsden, Julie
Date. 0710912020
Date: 0710612020
Date. 07 BAl2020
Subject to Field.
Misc. Receipt
Misc. Receipt
Misc. Receipt
74459
Total
$64.80
$239.34
$0.00
No
No
No
No
Account#
01 1 16002 53600
01116002 57770Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector tvilD#. 2019-154738
$304 14
$230 87
$73.27
a
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNIiR Il tl ILl)tllt DI:,LCA RA'l'lON
I hereby affirnr untler penalty of perjury that I anr exenrpt fronr the Contraclos' License Lrw for the following reasor) (Sec.7031.-5
llusincss arxl Prol'cssion Codc): Any City or County which rcquircs a Jrcrmit lo construct. altcr. irnprove. dcrrxrlish or repair any
slructure. prior to it.s issuance. also requires the applicant tor such Jxrnril to file a signed statement ttrat lre or she ls licensed pursuanl
lo thc. provisions ol' thc Contractor's l.icenscd law (Chaptcr 9. Comrnencing with Scction 7(XX) ot' Division 3 ol'thc Business and
ProtcssionsCotle)orthatheorsheisexempttheretionrandtlrcbusislbrtlreallegedexenrplion. AnyviolatiouofSectionT03l.5byany
appliclnt for a perrnit subjects the npplicant to il civil penllty of not rnore than live hundred dollars ($5tXt).
_l. as owncr ol'thc propcrty, or tny crnpkryccs with wagcs as thcir solc compcnsation. will do thc work and thc stnrcturc i.s rrlt
irrtcmletl oroffcred for sule (Sec'.7()14, Business and Pnrfcssions Codc: Tlrc Contraclor's License Ltw does nol apply to an owner of
tlte pnrperty who builds or inproves thereou arxl wlto drxs such worh hinrselt'or lrerself or tlrrough his or her own employees,
providcd that such imprrrvcrrcnts are not intendcd orollbrcd ltrr s.rh. Il. txrwcver. thc buikling or improvcnrnt is sold within one ycar
of conpletion, tlre Owner Builder will have the hurtlcn of pnrving tlurt lle or she tlid not build or inrpnrve tlrc prcperry for llre purgrsc of
sale).
_1, as owner o[the property, am exclusively contracting with licenscd conlraclors to construcl tlte project (Sec. 704+, Business
arrd l\ullrision Corle: The Contractor's Licerrse Law does not apply to an owner of proJrcrty who builds or improves lhcrcon.
and who conlracts for such proicts with a Contractor(s) liccnscd pursuant to lhc Conlraclor's Liccnse kw).
-Iantexcml)tunderSection-'B.&P.C.titrlhisreasttlt.f 1.,.,..
WORKI{RS' CO[\I PI,:NSATION
DECLARATION
I hcrchy allirm undcr pcnalty of perjury one of the tbllowing dcclarations:
_l have rurd will maintain a Certilicate of Corrsent to Self'-lnsure for workers' conrperlsation, as pnrvided fbr by Section 3700 of the
Latxrr Culc. for the performancc of the work lbr which thc pcrrnit [s issucd.
_l have and will nuintain workers' conrpensation insurance, as required by Section 3700 of the l.abor Code, for lhe prerfornutrce of
thc work lilr whiclr this pcrnrit is issucd. My wrlrkers' compcnsation insurancc carricr aml policy numbcr are:
Policy Nunrber: lixpires:
_l ccrtity that in thc pcrtbrnuncc of thc work frrr which this pcrnril is issucrl, I shall not enrpk)y any pcrson in any manncr
so aslobccorrrsuhjccttothcworkcrs'conrpcnsationlawsofCalilbrnia,andagrecthrtiflshouldbccorncsubjccttothc
workers' conrpensation provisions of Section 3700 of the Labor Cotlc, I sturll, forthwith conrply with thosc provisions.
IVARNING: Failurc to sccurc workcrs' conlpcnsation covcr.lgc is unlawlul. antl shall subject an cntploycr to crinfnal pcnaltics and
civil l'ines up to one hurrdretl thousand dollars ($l(X),(XX)). in acldition to thc cost of conlpensation. datnages as provided for the
Section 3076 of the Lahor Cotte, interest and allomey's fees.
I)atc:
I,ICENSED (]()N'TRA(]TOR
DECI,ARATIoN
I hcrt'by al'lirrn undcr p-*nalty ol'pcrjury that I arn liccnscd undcr provision ol'Chaptcr 9 (cornrncncing with Scction 7000) ol'l)ivision 3
of thc Bu.sincss and Pnrl'cssions Cotlc. arxl nry liccnsc is in full firrcc and cll-cct.
Liccnsc Class: Licensc Numbcr:
CONSTRT'CTION I,B:NI)ING AG}:NCY
I hereby atlrrm under penalty of per.jury that there is a construction hrrdfurg agency tirr the performarrce of the work tbr which this permit ls
issuctl (Scc, J097, Civ. C.).
l-cndcr's Nanrc:
l-cndcr's Atltlrcss:
APPLICANT DE(:LARATION
I hereby affrnr untler penalty of perjury one of the following tleclarations:
Dcnrolit ion Perrnits-Asbestos Notificat ion Federal Regulat iorrs (Title 40, Part6)
_Rer1uired Lelter of Notification
with all City and County
and Courtty to enter uF)n ttE
_l certify thut the t'ederal regulatiorrs regarding ashcslos renxlvul are n()t a;rplicable to lltis project.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl n su latio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
I\/asonrv
Poo! Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
rI ^ tl f,
FINAL I t)l'l/)\*+4t{7
Certificate of Occupancv lr
Notes, Remarks, Etc.
Rev. 0B-07-2015