HomeMy WebLinkAbout101101444 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 uilding
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspeclorSection: (714)647-5853
Permit #: {O11O{ 444
Pin #: 71179
Proiect Address: 2048 W Washinqton Avea
Assessor's Parcel: 004-1 62-26 Lot: NA
Unit Bldg. Address Range:Suite Range:
Zoning: RlBlock: NA Tract: NA Historic: No
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 20'16
x-0602320144J
1st FL Area: 81
2nd FL Area:
Other Areas:
Garage Area.
Total: 81
Patio:
T.l.Area:
Yards Req'd:
Valuationt $t 0,000.00
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories.
Description of Work: Add (1) bathroom
Planni Conditions: AII materials to match existing.
Owner:
Address:
Phone.
Tenant:
Steven Tran
2048 W Washington
Santa Ana, CA 92706
(7141 510-1792
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier.
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Donald J lnman & Associates
Donald J lnman
5131 Fox Hills Avenue
Buena Park, CA 90621
(7141 521-0s54
11888
Tran Deslgn
Leon Tran
1602 N King St
Santa Ana, CA 92706
1714I- 418-5604
a
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES !nsp. Req'd:
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Graham, Jeffery
CSG Consultants
Chavez,Dav\t.
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Date: 0211212020
Date: 0113112020
Date: 0211212020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
08907007
0 77760 0 2
077760 02
07776002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
73456
Total
57607
53600
57770
24000
57672
57600
5760 7
$300 00
$300 00
$3 e1
$1.30
$1.00
$22 9s
$s7 20
$686.36
$300.00
$386.36
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 within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
08901001 24000
$22.es
$357.20
$1.00
$3.e1
$1 .30
lnspector tUlD#: 2019- 154330
BUILDING- INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER II UII,I)I]R DICI,CA RATION
I hereby affirnr untler penalty of perjury that I am exempt from the Cbntractors' License [:w for the following reason (Sec.7031.5
IJusiness and Prolbssion Code): Any City or County which rcquires a pcrmit to construct. alter. irnprove, demolish or rcpair artry
structurc, prior to its issuance. also requires the applicant for such pcrmit to fik a signed slaterpnt that he or she is licen.scd pursuant
to the provisions of thc Contractor's Licensed hw (Chapter 9. Commencing with Section 7000 of Division 3 of the Business and
Professions Code) or that hc or shc is exempt therefronr arxi thc basls ttrr the alleged cxemption. Any violation of Section 7031 .5 by any
applicnnt for a 1rcnnit subjects the applicant to a civil penalty o[ not morc thiln five hundred dollars ($5U11.
_1. as owncr ot'thc propcrty, or lny employees with wages as their solc compcnsation, will do the work and the stnrcturc is not
intendetl or offerctl ftrr sale (Scc.7044, Business and Professiorrs Code: The Contractor's Licensc Law does not BPPIy lo an owner of
the property who builds or improves thereon, and who does such work himself or lrerself or through his or her own employees,
provided that such impnrvements are not intended or ollered for sale. Il. howcvcr, thc building or improvement is sold within onc year
of conpletion, the Owner Builder will have the burden of provirrg lhat he or shc did not build or improve the properry for thc purporie of
sale).
fr. as owner of the propcrty. am exclusively contracring with licenscd conlraclors to conslruct rlrc project (Scc. 7044. Business
arxl hotesskrn Code: The Contractor's License Law does not apply to an owner of proprty who builds or improves lhereon.
and who conlracls for such projects with a Contracto(s) licenscd pursuant to the Contractor's License l-aw).
_l amexempt under Section_, B. & P.C. for
D^,",. 2llzl?:o2o
I hcrcby aftirm unclcr pcnalty of pcrjury
W( )RKFIRS' ('( )l\l I'ENs^A'l'l( )N
DECLr\RATI()N
onc of the tirlkrwing tlcclirrations:
-l
have and will nmintain a Certilicate of Consent to Self-lnsure for workers' compensation, as provided for by Sect ion 3700 of the
Lahor Codc, for thc Jrcrformance of the work for which thc pcrmit is issucd.
_l have and will maintain workers' compensalion insurance, as required by Section 3700 of the Labor Code, for lhe perfornrance of
thc work fbr which this pcrmit is issucd. My workers' compcnsation insurancc carricr aml policy numbcr are:
that in the Jrcrtbrmancc of the work for which this Jrcrnrit is Lssucd, I shall not employ any person in any manncr
so astobecorncsuhjccttothcworkers'comlrcnsationlawsofCalifornia.andagrcethatiflshouldbecornesubjccttothc
workers' conrlrcnsation provisions of Section 3700 of the Labor Cotle, I strall, forthwith comply with thosc provisions.
WARNING: Failurc to sccurc workers'compensation coverdgc is unlawful, antl shall subject an employcr to criminal Srnalties antl
civil fines up to one hundred thousand dollars ($100.UX), in addition to thc cost of damages as provided for the
Section 3076 of the l-ahlr Cotle, interest and attorney's fees.
,r^r". - 2ll2.lZOzO
I hcrcby allirm undcr pcnalty ol'pcrjury that I am licenscd under provision ol Chaptcr 9 (cornrnencing with Section 70m) o[ l)ivision 3 t
of the Busincss and Pr<lfessions Codc, and nry liccnsc is in full tirrcc auxl clfect.
Licensc Class: License Number:
Dale: Contractor:
CONSTRI.]CTION I,T.]NDING AG T:NCY
I hercby atlirm under penalty of perjury that there is a constructiorr lentling agercy lbr the performance of the work fbr which this pcrmit is
issued (Scc. 3O97, Civ. C.).
Lendcr's Narnc:
I-ender's Adtlrcss:
APPLICANT DECLARATION
I hereby affrm under penalty of perjury one of the following dec'larati<lns:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6)
_Required l*tter of Notification
thls project.
with all City and County
and County to entcr u5rcn lhc
atxlvc mcntioncd propcrly lirr inspcction purposes.
Applicant or Agcnt
Pt'nnilee nanlr
I
o^.,,- 2ll2l 70?b
Set Backs \,a -r\/) ^?t l_
Forms/Stee!/Holdowns a r-l-4t ,\-a=- ('-t (
Erection Pads ,
UFER Ground
SLAB Floor
S u bf loo r/Ve nVI n su latio n
Roof Sheathinq lrl ,, ' Zr)rZ C-2 4
Shear Wall ln(8-Q fLtt2 0
Framinq / /-i/^LA ffii
lnsulation/Enerqv l/-r,r-A 2':l4J
Drvwall //. /O'P flc Za
Ext./dfitl=lD /1,|a ..2>0c U)k rlA -Z) fLc zF7
Brown Coat //.d'2()/?-c rf
J\Iasonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
-at L
FINAL lDfttf-A ,Z Zts n/fus -2t7
Certificate of Occupancy
Notes, Remarks, Etc.
+
Rev. 0B-07-2015
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