HomeMy WebLinkAbout101103347 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, c492702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection. (714)647-5853
Buildingtl
Proiect Address: 2001W Adams Sta
-
Assessor's Parcel:41 2-393-1 0 Lot: 29
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract 5856 Historic: No
Building Use.
Job Type:
Nature of Work.
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Miscellaneous
Windows/Door
SFD w/ garage
Occupancy.
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
r,-! -,-3.ii .if'ULr-Il,. -r+O'tt
g1 1169r i.irFi
Patio:
T.l.Area.
Yards Req'd
Valuation: $7,840.00
Description of Work: Change out (6) windows and (1) patio door
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Planning Conditions 1t
Owner:
Address:
Phone:
Tenant
Ronald Ochoa
2OO1 W ADAMS ST
Santa Ana, CA 927045636
(480) 532-2500
Contractor: Home DePot U S A
Address: 12700 Stowe Drive, Suite 28
Poway, CA 92064
Phone: (858) 846-9700
State Lic #: 602331
Lic Type: B, C-39
Bus. Lic #: 365245
Workers' Compensation lnsurance:
Carrier: ACE AMERICAN INSURANCE COM
Policy #: C66922753
Expires: 0310112021
6enercl F'1flr, Updctie hee
rr1 I Io[r[r2- 516LrLtULr0-
Eurldins
Lrl 1 l6tlLri- il6[11[rtr[r-
BIds SLds Revolving
rrl I 160Lrl- iloIl[rLr[r*
11 icr oi i 1nt & DscurilenLs
Lrl 1 1 6lrtl;- :i777LlLtLrLI-
V iso
(:(:+ : *****r*r***t 1 ir7
Engineer:
Address:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01 1 16002 5'16'12
01116002 57770
Zuniga, Alli arv
57601
57770
57672
57600
57607
$166.53
$3.91
$1.00
$22.95
$57.20
Enriquez, Gissel Date: 03/02/2020
Date:
Dale: 0310212020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
01-776002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceNo
No
No
No
Account#Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance.or if the work authorized
o5.the sife by such permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
$22.95
$223.73
$1.00
$3.91 Fee Totat
Paid to Date:
Balance Due
$2s1.59
$0 00
$251.s9
lnspector MID#: 2020-158172
Permit #:101103347
Pin #: 47779
,rLhi
BU!LDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNI]R BT'TI,I)EIT I)t,]I,CARATION
Iherebyrffirnrunderpenaltyofp€rjurythatIanrcxen)ptfronrtheCbntractoc LicenseLawforthcfollowingreason(Scc.7031.5
llusincss and Prcltssion Codc): Any City or Counly which requircs a prmit h construcl, aller, irnprovc, dcrnolish or rcpair any
stnrcture,priork,ils issuance.alsorequirestheapplicnnltbrsuchpemlit(,fileasigiledslatement thatheorsheisliccnsed pursuant
to lhc provisionx ol thc Conlractor's l,icensed Law (Chaptcr 9, Cornrncncing wilh Seclion 7000 ol Division J ol lhe llusincss and
P!,lcssionsC(de)orthothcorsheiscxcmplthcrefioDaDdthcbasisfirrtlEallegedcxemption. AnyviolatioilofSectfurnT03l.5hyany
ilpplicnrl lbr n permit subjects lhe npplicanl lo n civil perulty oI not nmre lhnn five hundred dolhrs ($500).
_1. a\ owncr ol lhc proFEny, or my employccs with wages as lhcir solc compcnsalion, will do the work and lhc stMuc is mt
inleilcd orofferedforsle(Se.7(X4.BusincsssndProfassionsCqle:'I'hcContrrctor'sLicenscbwdocsnotapplyloanowncrof
the popeny wlp builds or imFoves lhersll ed wlD d(Es srch work himself or lErself or through his or her owtr employecs,
pr)lidcd thal such inpNvcrEnts de ml interdcd orollered lor slc. Il. howevcr. the buiUing or inprovemnt is sld within om yld
of conrplcli)n, lhc Owrrr Buikjer will lu€ the burden of pmvirg llu lE or she did Nr boilil or inprcve $e pmJrny for thc puqn* of
sh).
_1, as owner of lhe pmpcny, am exclusively contrdcting with licen$d aonlracloA to conslruct lhe pmjed (Scc. 7(X.1, Burincss
arxl l\rtlsslrnCude:TheContacrcr'tLiceilseLawdrrcrnotapplytoanownerofprope(ywhobuildsorintprovesthcreon.
and who contractsforsuchprojectswithaContmcto(s)licc$cdpursuuttolhcContractor'sLicense[lw).
-IamexemplUnde'Section-.B,&P,c,li)rthisrcason,lr.r-._ 6-^-.
WORKI:RS' CoN,IPl]NSA'I'ION
DI]CLARATION
I hcrcby alfirm unde, pcnakyof perjuryone of the ti)IIowing dcchrrlions:
-l
haveiudwill nuinlainaCeftificateofConsenthSelf:lnsurei(rrworlers'compensation,as pmvidedtorhySectionS?00oftha
Latx'r Corlc, lbr lhc pcrlormncc ol thc work lor which thc pcrmit i\ i\sucd.f)
-1dlBhavcandwillmnintainworkers compensalioninsurancc,as requircdhySeclionsT00ofthet2borCodc,forthcpcrfornutreof
'\,{hc w,rrk trrr which this pcrmt is issued. My workers' comlrcnsation insurlncc cmicr aftl frclicy numhcr ilc:
l'olicr
_l ccrify lhat in lhc Frlbrmnce of rhe work for which this pcrnlir is issucd, I shrll not cnrploy any prson in any nunncr
$ as to bccl)rro subjcct lo thc workcrs' compe nsatioD laws o[ Cllilon)ia. and a8rce lhit if I slnuld becotrc subjcct to thc
workers' compensation provisions of Section 1700 of the trkrr Code, I shlll, fonhwiih comply with thos prcvisions.
WARNINC: Failurc k) securc workcrs'comfEnsation covcragc is unlawful. an(l shall suhject an employer o crimnrl frcnallics ud
civil liDcs up to one hundred thousand dollnrs ($I(X),(XX)), in ilddilion lo lhc cost ofconrpensation. dnma8cs as provided for lhe
Secti 'n J0?6 of the Latr,r Code, inreresl an.l artomey r lec\. A a)
,r,,", 7/9/30/0 *K #%----I;ICENSFD ('oN"TRA (:TOR
DECLARATI()N
I hcrcby al lirm undcr pcnahy of perjury that I am licenscd undcr provist)n ol Chapter 9 (commncing wilh Secrion 70(x)) ol-l)ivision 3
of lhc Busincs\ and Profcssions Codc. md mv liccnsc is in full li)rc afil ellcct-
l-iccnsc o
o
CONSTRI.JCTION I,ENT)ING AGNNCY
I heEhy afrtrm under fEnalty of p€rjury tha( thrc is a constructim lerdioS aSeRy t'or the perfomarce of the work lbr which lhis lEmit is
issucd (Scc. 1097, Civ. C.).
14ndcr's Narnc:
Irnrlcr's Adclrcss:
APPI,ICANT DECLARATIoN
I hercby uffmr under penalty of perjury onc of the followin8 declararioDsl
Den)olition Permits-Ashestos Notification Fedcral ReSulations (Tirle 40, Prn6)
_Required trtlcr of Ndificalion
_l ccaily lhat tlE ftderal rcgulations rcgur!ing asbesk)s renx)vrl are not applicable to this proj*t.
i\ corecl. I agree to comply
repre\erlatives of this CIy
with all City and Countl
and County k) eilter uBu the
Applicunt or AScnt
I'(rmilft name
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[Masonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
I rl ^a4
FINAL 0,
tt (//ytf c r7-y5 /
Certificate of Occupancy l,
Notes, Remarks, Etc.
Rev. 08-0/-201 5
atx^'c nrcntionc(l pfi)F-fly lin