HomeMy WebLinkAbout101103285 - PermitProiect Address: 1226 W Second Sta
Assessor's Parcel: 008-1 31-07 Lot: 14
Unit:Bldg: Address Range:
Tract: BESSONETT Historic: No
Suite Range:
Zoning: R2Block: A
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: (714)647-5853
Permit #: {O1103285
Pin #: 52787
Single Family Dwelling
Miscellaneous
Windows
SFD w/ det garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320257J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
. . :..
Patio:
T.l.Area:
Yards Req'd
Valuation: $t ,000.00
0
Description of Work: Replace (2) windows
Planning Conditions:
i
Owner.
Address.
Phone:
Tenant
Khuong Vo
1 881 1 Fa irhaven Ave
Santa Ana, CA 92705
(e4e) 301-70s1
Contractor:
Add ress:
Owner-Builder
Phone.
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By.
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Guevara, Jerry
Hernan dez, Kathy
Date: 06/1 612020
Date:
Date. 0712812020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receiptw
07776002
07776002
077760 02
0 77760 02
0 77760 0 2
57607
57770
57672
57600
5L607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
$172.64
$4.05
$1.00
$23.79
$59.30
No
Yes
No
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd. No 01 1 1 6002 51 600
01 1 1 6002 51 601
01116002 51612
01116002 57770
Account#Total
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 lvlD#. 2020-157572
$23.7e
$231 .94
$1 .00
$4 05 Fee Totat
Paid to Date:
Balance Due:
$260.78
$0.00
$260.78
Building Use:
Job Type:
Nature of Work.
Existing Bldg & Use:
Proposed Use:
BUILDING- INSPECTOR RECORD
ID/SIG.COMMENTSSITE-WORK DATE
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loo r/Ve nVI n su latio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Engineer Final Report
Flood Zone Certif
r\,
FINAL U,\tf \1o Dk#b7
Certificate of Occupancv
Notes, Remarks, Etc.
( )\1/N I,lR B t r I t.t )l.tt
I hcreby affirnr under penalty of perjury that I anr exempt fronr the Contraclon' l-icense Law for the following reason (Sec'.7031.5
Business and Prol'cssion Codc): Any City or County which rcquircs a p-rrnit lo construct, alter. irnprovc. dcrnolish or rcpair any
stntclure, prior to its issuarrce. also requires the applicunt lirr such prmit lo file a signed slatetnent ttrat lre or she ls licensed pursuant
to thc pnrvisions ol' thc. Conlractor's l.iccn.scd l,:rw (Chaptcr 9. Cornrncncing with .Section 7(XX) ol' l)ivision J ol'the Busincss and
Prol'essionsCrxle)orthatheorsheisexempltherc.tionrandtlrebasistirrtlreallegedexenrptiort. AnyviolationofSectionT03l.5byany
applicarrt flor u perrnit subjects the applicanl to a civil penalty ol'not rnore lhun I'ive hundred dollirrs ($5tXt1.
_l.as owncrol'thcpropcrly,orrnycrnployc'cswithwagcsasthcirsolccornpcnsalion,willdothcworkalxlthcstnrcturcisnot
interded or oflered frrr sule (Sec'.7(]14, Business and Pnrfessions Code: The Conlraclor's Liccnse l-aw tloes nol apply to an owner of
thc pr)[]cny rvlxr builds rlr inrproves thcreou. arxl wlxr drrcs such wort hinrself or lrcrsell'or llrouglt his or her owtt employees.
providcd that such improvcrnents are not intcndcd or ol'l'crcd l'or salc. Il. howcvcr. thc building or improvcmcnt is sold wilhin onc ycar
of conplctiotr, the Owner Buikbr will luvc thc burden o[pnrvirrg tlurt lr or she tlid rxrt buikl or impmve thc pnrperty ftrr tlrc purynse of
sale).
_1. as owner of the pr)pefly, anr exclusively contracting with licensed conlrrrclors to conslruct tlrc project (Sec. 7(X4, Busincss
ard hulbssirxtCode: TheContractor'sLicerrseLawdrrcslrota;rplytoan()wnerofpropertywhobuikJsorimprovcsthereott.
and who conrracts for such projccts with a Conlractor(s) liccnscd pursuilnt to thc Contraclor's Liccnsc Law).
_l anr exenlpt urrtler Section_. B. & P
,,",", 11 18 \ l-0 L,0
I hcrc'by allirm unclcr pcnalty of pcrjury onc of thc lirllowing
_l havean<lwill nnintainaCertilicateofConsenttoSell'-lruureforworkers'conrperxation,as providetl firrbySection3T00ofthe
Latxrr Corlc, for thc pcrformancc ol'thc work lirr which thc pcrmit is lssued.
_lhave:"urdwillnraintainworkers'compensationinsurauce,as recpriredbySection3T00oflheLaborCotle,titrtheperfirrmaltceof
tlrc w<lrk firr whiclr this prnrit is issucrt. My workcrs' conrl)cnsiltiort iltsurancc carricr arxl grlicy nunthc'r arc:
Policy Nurrrher: Expires:
_l ccrrity thut in thc pcrtilrnruncc of thc work tirr which tlris pcrnrit is issuctl, I slrall not cnpk)y any pcrson in any manncr
so astohccorrcsuhjccttothcworkcrs'cornpcnsationlawsol'Calilbrnia.arxlagrccthatif lshouldhccott*subjecttottrc
workers' conrpensation provisiorrs of Section 3700 of the Latxrr Code, I shall, forthwitlr conrply with tlrose provisiorts.
WARNING: Failurc to securc workcrs' comJrcnsrtion covcmgc is unlawful. antl shall subjcct an cntphrycr to criminal pnaltics antl
civil lines up to onc hundred thousartd dollars (Sl(X).(XX)t. in to the cost of'cornpensation. damages as provided for thc
atlorney's fees.
I hcrcby allinn undcr 1^-nalty of pcrjury that I arn liccnscd undcr Chaptcrr 9 (cornrnencing with Scction 7ffn) o[ I)ivision 3
ol' thc llusincss and Profcssions Ctxlc. inrl nry liccnsc is in t'ull lirrcc and ct'll'ct.
Liccnsc Nurntrcr:
CONS1RI,'(ITION ],I.:NI)I NG A G I.]NCY
I hereby aflrnr under Juraltyof per.jury tlut tlrre is a constnrctiorr leudirg agerry tbr the Jrrftrrnurre of tlr work lbr which this permit is
issuctl (Scc. .1097, Cit'. C.).
Le'rtdcr's Nalnc:
Lcnrlcr's Arltlrcss:
APPI,ICA NT DECI,ARATION
I hcreby affrnr under penalty of perjury one of the followirtg declaratiorts:
Dcnxrlition Pernrits-Asbstos Notification Federal Regulations (Title .10, Part6)
_Required [-etter of Notification
_I certity that the federal regulatiorrs regarding asbestos renpval are not upplicable to tltis project.
_l certify that I have rcntl this application and state that the above inlornution is correct. I agree to conlply with all City antl County
atxlvc mcntioncrl propcrly lor
Applicant or Agcnt
l't rrrritrr nirlDt:
Rev. 08-07-2015
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