HomeMy WebLinkAbout10197473 - PermitI I City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {0197473
Pin #: 5959{
Project Address: 916 1/2 N Louise St
Assessor's Parcel:405-262-09 Lot: NA
Unit:BIdg: Address Range:
Tract LOURIES SUB.Historic: No
Suite Range:
Zoning: RlBlock: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
New
New Znd Dwelling Unit
SFD w/det garage
R.3, U
VB
cBc 2016
x-0602320144J
1
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
t,
.
Patio:
T.l.Area:
Yards Req'd
Valuation: $30,000.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
212
311
s23
Description of Work: New 2-story ADU attached to existing garage
212sqft on first floor includes new bathroom, closet and storage area
311sq ft on second floor includes new bedrooma and studio area.
i/7/21:tlg ID;
r'fln s* ; 3tr
Rel * : 1rl't/"//Z{tL? ii i,
Address:
Phone:
Tenant
Planning Conditions:
Owner: Patricio & Carmen Lopez
Engineer: Shucri "Chuck" l. Yaghi
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone: (7141 227-1189
License #:
Contractor: Owner-Builder
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Shucri l. Yaghi , . .
112 E Chapman Avenue, D
Orange, CA 92866
:.. '; -,'c43205 ,i l
Gonzalo Guillen ,' .',
Gonzalo Guitlen
718 S Hickory St : ;
Santa Ana,,CA 92701
916 Louise St
Santa Ana, GA 927032148
(7141 6314010
t. rir[r[t[r-
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd.
Planning Insp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
08901001 24000
31113002 57991
No
No
Yes
No
Soto, Ricardo
Scott Fazekas
Zuniga, Allissa
Date: 0612112018
Date: 1112612018
Date: 02l,0712019
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
07776002
07776002
07776002
37773002
08907007
07776002
07776002
07716002
t.
Permit Fee
Plan Check Fee
Microfilm Records
Res. Dev. Fee - NA/V
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
No
Yes
No
Account#
71420
Total
s7507
s3600
57770
57 997
24000
57672
57600
s7607
$900.00
$1 ,789.51
$48.88
$3,206.86
$3.e0
$2.00
$22.08
$55.04
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 permitis suspended or abandoned for a period of 180 days after
the time the work is commenced.
$22.08
$95s.04
$2.00
$48.88
$3 e0
$3,206.86
Fee Totat
Paid to Date:
Balance Due:
$6,028.27
$1 ,789.51
$4,238.76
lnspector MID#: 201 8-1441 81
SAUSD oaid on Auth on file-
BUILDING. INSPECTOR RECORD ISITE.WORK DATE ID/SIG.COMMENTS OWNER EUILDER DELCARATTON
I hlrchy all-lrm undcr Fnalty of Frjury tha( I nm excmpt lhm lhc Conlraclos' Liccnrc l:w li)r thc tilllowing rca$n (Scc.70.ll.5
Busincss anl Pnrlbssion Crxlc): Any Cily or County which rcquircs a JErmit k conslruct, nlter, improvc, dcmrlish or rcpair any
struclurc. prbr lo its issuance, also rcquircs the spplicant li)r such lErmit lo lilc a signcd statercnt thal hc or shc is liccnsd pursuml
b thc povisi(xrs ()f lhc Conlraclor's Lienscd Law (Chaptcr 9, Commcncing with Section 7000 of Division -l of lhc Busincss and
PmlcssionsCodc)orlhalhcorsheiscxcmptthcrctiomandthchasisli)rthcallcgcdcxempli(rn. AnyviolalionofScclionT0.ll.5byany
upplicant ti)r r pcrmil suhjccts thc applicant to a civil pcnalty of ilil nxrrc thdn llvc hundrcd dollars (SsU)).
_1, as owncr ot'thc pK)pcrty, or my enrpk)yccs with wagcs as thcir solc comlrcnsrlion. will do lhc work arkl tltc' slru,clurc is not
intcnded ()r ofl'ercd lirr salc (Scc.7044. Business and Prol'cssions Crxlc: Thc Contraclor's l-iccnse [-aw does not apply to an owncr of
the pnrJrcay who builds or inrproves llrcrcon. and who dtxs such wort himscll'or hcrsclf rlr through his or hcr own cmpl()yces,
providcd thal such improvenrcnls arc rxrt furtcndcd or oll'crcd lirr salc. Il, howcvcr, lhc building rlr improvement is sold within onc ycar
of conqrletion, the Owner Buildcr will have thc hurtlcn of pnrving that hc or shc did not huikl or impnrvc thc pn)pcrty lbr thc purpose of
salc).
_1. as ()wncr ol'thc pn)1rcrty. anr cxclusivcly conlracting with
and Pnrlbsskln Codc: The Conlractor's License [-uw rlocs not
contractors lo construct thc projcct (Scc, 7044. Busincss
an owner tlf propcrly who huilds or improves thcrcon.
Contractor's Liccnsc Law).and who conlracts tirr such Io lhc
_l am cxcmpt undcr lirr this reason.
WORK E RS' C]OIVI PENSATI O N
DECLARATION
I hcrchy all'irm undcr pcnalty ol'Jrcrjury onc ol'thc firllowing dcclaralions:
_l havc anl will maintain a Ccrtilicatc ol'Conscnt to Sclt-lnsurc li)r workcrs' comJrcnsation. as pr)vidcd lbr by Sccliott 37t[ of thc
Latxlr Crxlc, tor the yrcrlirrmancc of thc work tbr which the pcrmit is issuctl.
_l have and will mainlain workers'compcnsation insurancc, as rL'quired byScction 3700of the [-aborCode, tilrthc pcrfirrnunccol'
thc wrlrk lirr which this pcrmit is issucd. My workcrs' comlrcnsatkln insurance canier anl pllicy numh*-r arc:
Policv Number: Exoires:
_l ccrtil'y that in thc Jrcrtormancc o[lhc wrlrk lirr which this Jrcrnrit is issucd, I shall not cmpkry any pcrson in any manncr
so aslohc'comcsubjcctlotheworkcrs'conrlrcnsalionlawsot'Calililrnia.andagrccthatil'lshouldbccomcsuhjccttolhe
workcrs' contJrcnsation provisions of Section -1700 ol'thc Latxlr Crxle. I shall. tilrlhwith comply wilh thosc pnrvisions.
WARNING: Failure t() sccurc workers'conrpcnsalion covcragc is unlawl'ul, and shall subject an cmphlycr to criminal Jrcnalties and
civil l'incs up lo onc hundrcd thousand dollars irr Irl cost ol'ion, danhges as providcrl lilr thc
Scction J07(r ot'thc Lahrr Cirdc, inlcrcsl antl
o,r",-iq -V-/7
DECLARATION
I hcrchy aUirm undcr pcnalty ot'pcrjury that I am liccnsctl undcr pnrvision ol'Chapter 9 (commcncing with Scction 7U)()) of Division J
of thc Busincss and Prol'cssions Codc, antl my liccnse is in full lirrcc and cl'l'cct.
Licensc Class: Liccnse Numher:
W
I hercby affirm undcr Fnalty ol trcrjury that lherc is a construclion lcnding agcrey for thc lErformancc o[ lhc work fbr which this tmit ir
issucd (Scc. 309?, Civ. C.).
kndcr's Narc:
I-cndcr's Atklrcss:
APPLICANT DECLARATTON
I hcrcby all-rnr undcr pcnalty ot'Jrcrjury onc of'thc following dcclarations:
Dc'molition Permits-Ashcstos Notilication Fcdcral Rcgulations ('titlc 40, Pan6)
_Rcqu ircrl lrttcr ol' Not ilication
_l ccrtily that lhc t'cdcral rcgulations rcgarrling ashcstos rcnxrvalarc not applicahlc to this projcct.
_l ccrlily that I luvc rcad this application zutd slalc that lhc alxrvc inlirrnration is con'cct. I agrcc to comply with all City and Crlunty
orrlinanccs and Statc Laws rclating to ol'this City and County lo cntcr uJxln thc
ahovc mcntionctl prlpcrly lirr
Applicant or Agent
Itennilcc narne
and hcrcby
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu !ation )i
Roof Sheathinq ///.2 2,//? fra 'OlilU
Shear Wall jy'/t/,tr' Pl,rnru ,4
Framinq T /'L,', \ /244 ,ry
I
lnsulation/Enerqy //fi /2il.t> ti/nre/ac/'
Drvwall 1/i/,'14ula 'h ,fn*u4 ti
@lnt. Lath /7 I /2t'2,o Fl .4da,./9lilrA- Zldl2o-f/ffrN'
Brown Coat /ili lto Pl-rc 'a,-l
I I
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
I I At //'.a
F!NAL HldDo urern \qr{
Certificate of Occupancy I t
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