HomeMy WebLinkAbout101101024 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (7141647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O11O{ O24
Pin #: 8{ 941
Project Address: 1227 S Orange Ave
Assessor's Parcel: 014-01 3-08 Lot: 7
Unrt:Bldg: Address Range:Suite Range:
Zoning: R1Block: G Tract: 266 Historic: No
Building Use: SingleFamily Dwolllng Occupancl: R-3, U 'lst FL Area: 497 Palio
Job Type: Addition Consr Type: V B 2nd FL Area: T.l.A.ea:
Nalure of work Addn/Romodalroomo Patio cover code: cBc 2016 other Areas: yards Reqd:
Existing Brdg. & r.Jse: sFD wrDET GARAGE Frood zone: x.o602320276J
Garage Area: veru.Uon: ,61,r?3.00
Proposed use: * of Stories: , ,o,r,, 1gl
Daacription ol Work Lsgallzs full bathroom, Add family room wrwalk-in closeustor.g.. R.modeUreconriguro kltchen. Osmoliah pormitted opan patio
covoa @ rcar of afd.
Plenning Condltlona:
a
Owner:
Address.
Phone:
Tenant:
Benjamin Vallejo & Maria Gonzalez Contractor:
1227 S Orange Ave Address:
Santa Ana, CA 927071321
(7141 326-6604
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensatron I nsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone.
License #:
DCECSeTv
Jack E. Howard
2953
Ed Yandoc Design & Drafting Services
Ed Yandoc
1932 Hampshire Rd
TUSTIN, CA 92780
(7141 731-2665
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd.
Planning lnsp. Req'd:
Guevara, Jerry
So, Anson
Amsden, Julie
Date: 1111312019 Misc. Receipt. 73301
Date: 1013112019 Misc. ReceiPt.
Date: OltZltZOzO Misc. Receipt:
Subject to Field:
Account#Total
0 L776002
01"77 50 0 2
07776002
08907007
07776002
07776002
07776002
57607
s3600
57770
24000
57672
57600
5760L
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$621 53
$625.00
$1 05 57
$7 95
$3 00
$22 e5
$57 20
$1,493 20
$625 00
$868.20
No
No
No
Fire lnsp. Req'd:
Police !nsp. Req'd
No
No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every 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 MID#: 2019-1 53529
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
08901001 24000
$22 9s
$728 73
$3 00
$1 05 57
$7 95
t
t
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARA'I'ION
I hereby aflirm under penalty of perjury that I am exempt fmm the Contractors' License Law for the following reason (Sec.70.l1.5
Business antl Profession Code): Any City or County which requires a permit to construct. alter, imprrrve, dermlish or repair any
structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant
to tlrc prrrvisions of the Contractor's Licensed [-aw (Chapter 9, Commencing with Section 7(XX) of Division 3 of the Business and
ProfessionsCode)orthatheorsheisexempttherefromandthebasisfrrrtheallegedexemption. AnyviolationofSectionT0Sl.5byany
gplicant for a permit subjects the applicant to a civilpenalty of not nxrre than five hundred dollars ($5m).
{[!r,Kr;.., of the pn)perty, or my empkryees wirh wages as their vrh compensation, wiltdo the w.rk and the structurc is not
intendetl or offerecl frrr sale (Sec.7044, Business and hofessions Code: The Conlraclor's License Law does not apply to an owner of
the property wlxl htrilds or improves thereon, and whr drrcs such work himself or herself or through his or her own empkryees.
provided that such improvenrnts are not intended or offere<l for sah. If. however. the huilding or improvenrnt is sokl within one )rir
of completion. the Owner Buikler will have the burtlen of pnlving that he or she did not huild or impnrve tlre pnlperty firr the purJxrse of
sale).
-1.
as owner of the pr()perty. am exclusively contracting with licensed conlractors to construct the project (.Sec. 7044. Business
and ProfessirnCode:TheContractor'sLicenseLawdoesnotapplytoanownerofpropertywhohuildsorimprovesthereon,
and who contracts for such pnrjects with a Contracto(s) licensed pursuant to the Contractor's l-icense Law).
t
-l
am exempt,;rncler Section-, B. 4lP.C. for this ,Gun. , //l I t
(.,*.,- /, " /wOlftERs'collIPFAISATIoN lt \-/
DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_l haveandwill maintainaCertifrcateofConsenttoSelf-lnsurefrrrworkers'comlrcnsation.as pnrvidedforhySection3T(X)ofthe
Lrbor Code. forthe performance of the work frrr which the perrnit is issued.
_lhaveandwill maintainworkers'compensationinsurance,as requiredbySection3T(X)ofthel,ahorCode,fortheJrcrformanceof
the wrlrk for which this permit is issued. My workers' compensation insurance carrier and Jmlicy numher are:
?
7 that in the perfirrmance of tlre work frrr which this pernrit is issuetl. I shall not elnpkry any person in any manner
so as to heconr sub.iect to the workers' compensat ion laws of Califrrrnia. and agree that if I shrultl hecome subject to the
workers' compensation provisions of Section .37(X) of the l;rhrr Cqle, I shall. forthwith comply with those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall sub.ject an ernpkryer lo criminal penalties antl
civil fines up to one hundred thousantl dollars ($l(X),Un), in addition to the cost of compensation, damages as provided for the'ij^7Yr'ryi'r"**H;,"Wcy lt', ,4 ,-' c //n.JA
LICEiTSLD COIqgAt"l'OR ,_l
Iherehyaffirmunderpenattyofperjurythattamticensed,ffiChapter9(ctlmmencingwith'Sectitrn7(Xx))ofDivision.3
of the Business and ftofessions Code. and my license is in full force and effect.
[.icense (Number:
Date: _ Contractor:
CONS'TRUCTION LE,NDING AGENCY
I hereby affirm under Jrnalty of Jrrjury that there is a construction lending agency for the perfonnance of the work firr which this Jrrmit is
issued (Sec. .1097, Civ. C.).
I-ender's Name:
o
l-ender's Adtlress:
APPI ICAN'I' DECLAIL{TION
i:sililH:i::rfi[:lrffi;H;ji],H,,,::.l;:H":1 ,*u, '
_Required Letter of Notifrcatkrn
,,q
-l
certify that the federal regulations regarding astrcstos rerxrval are not applicable to this project,
*rr^Gthat I have reatl this apptication arxJ state that the ahrve informathn is correct. I agrec to comply with all City antl Counry
**::-il;; :tWW ; ry W'ii"' [*;7:Y o
permiteename ,r*r,,P-(A lY^W tf1/ U U7/<'tJ
Set Backs
Forms/Steel/Holdowns bA nOsL 4*W
Erection Pads t- t
UFER Ground
SLAB Floor I
S u bf loor/Vent/l ns u I ation ia 1b Dflft{I y *t, I Tlrlp Dk*n
Roof Sheathing a Dft'+Lc -*r2l
Shear Wall -1 It 1r)DRnl6st .##9_
Framing 1 q 7/)r*\inr L-trffi
lnsu lation/Energy llZz-,'l^o f k,..V\-.il->q
Drywall 1r 7A(bh ort- /"W
Dlnt. Lath I Vno-#V
rown coat (r /?rl D f*fl 7l2slz-z D/fr)6?-tP&
Masonry II JU
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report t
Flood Zone Certif
I .-
FINAL L I w hH-n "l
Certificate of Occupancv
Notes,,Remarks, Etc I
a AZC r'"' fwbn C 4ffi lr
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BUILDING- INSPECTOR RECORD
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