HomeMy WebLinkAbout10199480 - PermitI Ir
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714l-647-5853
-+,Permit #: {O19948O
Pin #: 73418
Proiect Address: 1909 N Olive Sta Unit:Bldg: Address Range:Suite Range:
Zoning: R1Assessor's Parcel:399-051-14 Lot: 7 Block: NA Tr act: 2949 Historic. No
Building Use: Single Family Dwelling Occupancy. R-3 1st FL Area
Job Type: Addition Constr Type: V B 2nd FL Area
Natureof Work: Addition Code: CBC 2016 OtherAreas
Existing Bldg. & Use: SFD w/det garage Flood Zone: x-0602320163J
Garage Area:
Proposed Use: # of Stories: Total
Description of Work: Extension of master bedroom, new master bathroom, new walk in closet. Auth on file.
Planning Conditions:
3s9 Patio:
T.l Area:
Yards Req'd
Valuation: $50,000.00
359
Owner:
Address:
Phone:
Tenant
Mark Calvillo
1909 N Olive St
Santa Ana, CA 927063511
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #
Workers' Compensation lnsurance:
Carrier:
Policy #: i
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Horizon Constructlon & Remodeling lnc
614 S Euclid
Fullerton, CA 92832
(866) 446-5188
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fregoso, Vince
Scott F azekas & {qsoc ,
Zuniga,Allissa
/
Date: 0712512019
Date: 0710112019
Date: 0810T 12019
Subject to Field:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds Revolving
General Plan Update
I ssuance
Misc Receipt:
Misc Receipt:
Misc Receipt:
72324
Total
0 71,76002
0LLL6002
077L5002
08907007
07776002
077760 0 2
0 L7750 02
57607
53600
57770
24000
57672
5760 0
57607
Fee Totat
Paid to Date:
Balance Due:
$402 08
$502 60
$82 1t
$6 s0
$2 00
$22 95
$57 20
$1,075 44
$s02 20
$573.24
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
08901 001 24000
Account#
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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.
$22 95
$4s9 28
$2 00
$0 40
$82 11
$6 50
lnspector MID#: 2019-150 148
BUILDING- INSPECTOR RECORD a
SITE-WORK DATE ID/SIG COMMENTS OWNER AUILDER DELCARATION
I hcrcby allirrn undcr FEnalty of Frjury that I am cxcmpt from lhc Conlrflclors' Liccn* taw for lhc folktwifigapamn (Sqr1l3l.5
Business and Profcssion Codc): Any City or County shich rcquircs a lumit to @nslrucl. allcr. impmtt. dcmlish "r rfiair any
struclurc. prin lo ils issuarcc. alrc rcquircs thc trpplicatrt for such lErmil ft] filc a signcd stutcmnl that hc or shc is licenscd puNuant
lo thc provisions of thc Conlraclor's Liccn*d law (Chaplcr 9. Commencing with Scction 7000 of Division 3 of lhc Busincss snd
Profcs$ionsCodc)orthuthcorshciscxemptthercfromarrdthcbtrsisforlhcallcgcdcxcmplion. AnyviolalionofsctionT03l.5byany
applicant for a fEnnit subjccts thc applicant to a civil pcnrlly of not more thon livc hundrcd dollors ($5U)).
I
_l.as owncrofthcpn)pcrty.ornlycmployccswithwagcsasthcirsolccompcnsation.rvilldolhcworkandlhcslructureisnot
interrded or offcrcd for salc (Scr.7044. Busincss and hot'cssions Codc: The Contractor's Licensc L.aw docs not apply to an owncr of
thc propfly who builds or inlprovcs thcrcrln. and who docs such work hirnsclf or hersclf or through his or hcr own cmployecs.
providcd that such inrprovcnrcnts arc not intcndccl oroffcrcd ftrr salc. lf. howcvcr. thc building or irnprovcrnenl is sold within one ycar
of conrplction. ttrc C)wncr Buildcr will have thc burdcn ol'proving lhat hc or shc did not build or irnprovc thc propcrly for thc purynsc of
sah).
-t.
as owncr ol'thc propcrty. am cxclusivcly conlritctirrg with liccrrscd conlraclors lo construct lhc projcct (Sec. 7(X4. Ilusincss
and Pnrlbssion Clodc: Thc Contractor's Licensc Law tlocs nol apply to an owncr of'propcrty who inrproves thercon.
and who contracts for such projccts with a licenscd pursuant to the Contractor's
_l am excnlpt undcr lhis
-t/
I hcrcby afllrnr undcr pcnally of pcrjury onc ol'lhc lbllowing
_l havc and will nuintain a Ccrtificatc o[ Conserrt to Sclf-lrrsurc for workcrs' conrJrcnsation. as provided lbr by Scclion 3700 of thc
l-atxrr Codc. for thc perform,ancc ol'the work for which thc lrcrrnit is issuctt.
_l havc and will maintain workers' compensation insurlncc. .rs rcquircd by Scction 37ffi of thc l,abor Code. for thc pcrformancc of
thc work for which this pcrnrit is issucd. My workcrs' compcnsation insurance carricr and plicy numbcr are:
Policy Number: Expires:
-l
ccrlify that in thc pcrlirrrruncc ol'thc work for which this pcrrnit is issucd. I shall not
so as to hccomc subjcct to the workers'cornpcnsalion laws of C-'alitbrnia. and agrcc that if I
cnrploy any ntanncr
thc
u'orkcrs' colrtJrclts:rl iort
lVARNIN(i: [;ailurc lo
provisions of Scction 37fi) of lhc Latxrr lirrthwith
sccurc workcrs' comlrcnsation arrd shall pcnallies and
civil fincs up to one hundrcd thousand dollars (Sl cost o[as provided for thc
i't."and attorrcy's
A lhcrcbyaflirmundcrJEmlryofpcrjurythrtlamliensdunderprovishnofChtrplcr9(commrcingwithScclionTo(n)ofDivisionl
f.af thc Busincss and Prcfcssions Codc. and my liccn$c is in full force and efTcct.
\
License Class: Liccnse Number:
11.,r...('onl r:rclor:
W
I hcrcby affirm undcr Jrcnalty ofpcrjury that thcrc is. conslructhn hnding agcncy for thc pctformncc oflhc work for which lhis Ismil is
issucd (Sm. -1097. Civ. C.).
Lctttlcr's Nlrttc:
lrnder's Addrcss:
APPLICANT DECLARATION
I trcreby affirm undcr pcnalty of prjury <lne of lhc following dcclaratiotts:
Dcmolition Pernrits-Asbcstos Notification Fcdcral Rcgulations ('Iitlc 40. Part6)
_Rcquircd Lctter of Nolification
_l ccrtify that thc fcderalrcgulations rcgarding asbcstos rcrnovalarc not applicablc
-l
ccrtily that I havc rcad this applical ahrvc conrply with all City and County
orrlinanccs arrd Slatc I-aws rclating
ahrvc nrcntioncd propcrty for
AJllllicarrl or Agcrrl
Pernrilee nanre 7:TT
hcrcby
ls
this City and County to cnter upon the
Set Backs I , ltA -1Forms/Stee!/Holdowns Nltlr21 ;r{, r
Erection Pads //(7,- 14(
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation /l A --?
Roof Sheathinq ///6//V rl/autu ,Im 6OL
Shear Wall ////t//c frU.Z-rr-,nzy't8W
Framing illru/tu/?c@J*2,,-4
'b2
lnsulation/E EW
Drywall a I
&iltnt. Lath
Brown Coat
Nlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
t/A AT
FINAL /vlylfr?llhn[/a Ylfikl
Certificate of Occupancy ,
,I
Etc.
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