HomeMy WebLinkAbout101103579 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Building Permit #: 101103579
Pin #: 408.29KY
Project Address: 311 E Bishop St Unit Bldg: Address Range:Suite Range:
Zoning: RlAssessor's Parcel: 404-103-1 1 Lot: NA Block: NA Tract NA Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Miscellaneous
Voluntary Foundaton Rerofit
SFD w/det garage
Occupancy.
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2019
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $3,500.00
0
Description of Work: Voluntary foundation retrofiUauth on file
Planning Conditions
Owner:
Address:
Phone:
Tenant
Kathleen Maki
311 E Bishop
Santa Ana, CA 92701
Contractor: RA D Concrete
Address: 90'18 Balboa Blvd
Northridge, CA 91325
Phone: (818) 581-5699
State Lic #: 931401
Lic Type: B, C-8
Bus. Lic #: 366138
Workers' Compensation lnsurance:
Carrier: Starnet lns Co
Policy #: BNUWCO146067
Expires: 0511012021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
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
Arabe, Jill
Lee, Wayne
Hernandez, Kathy
Dale: 0510712020
Date: 06/03/2020
Date:06/10/2020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
74345
Total
$166.s3
$230.87
$3.91
$1.00
$22.95
$57.20Fire 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 51612
01116002 57770
Account#
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
on the site by such permit,s suspended or abandoned for a period of360 days after
the time the work is commenced.
$22.95
$223.73
$1.00
$3.91 Fee Total
Paid to Date:
Balance Due:
$482.46
$230.87
$2s1.s9
lnspector MID#: 2020-158635
07776002 57607 Permit Fee
07776002 s3600 Plan Check Fee
07776002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.GOMMENTS OWNER IlUII,DER DELCARATION
! hercby allirm under ;vralty (,f psjury thal I m exempt from lhe ContracloE' Licqse Lnw for lhe fJllowiog reen (Ss.7031.5
Business md Profsion Code): Any ('ity or County rvhich require a pernit lo cons(rdcl. aho. inrprove. dmollsh or repair my
slruclure, prior to ils issumce, alsc require the applicanl for such permit to lile a signed staternml that he or shc is lic@scd pEuilt
to thc provisions ofthc Contractor's Liccnsed Law (Chapts 9. Commencing with Section 7000 ofDivision -3 ofthe Business md
Professions Code) or that he ot she is exernpt lhsefrom af,d lhc basis for the allcged exmption. Any violation ofSection 7031.5 by any
applicant lor a pennit subjects the applicant to a civil penahy ofnol morc thm l'ive hundred dollus ($500).
l. as o$ no of the prolmy. or my ernpkrym wilh s ag6 6 lheir $le compemation. uill do lhc rvork ed lhe struc:lue 6 not
intmclcrj oroffsedforsle(S@T04.l.BusinqsmdProlqsions('ode: TheConlractor'sLicenselaw'do6notapplyloanownsof
lhcprcperly u'hobuildsorirnprovelhs@n.mdwhodo6suchrvorkhimselforhersclforthroughhisorhoorvnernployees,
provided lhat such imprcvqnenls tre not inlmded or offoed for sale. If, howevs. thc building or inproveinml is sold within one )Ea'
ofcomplaion. the Owner l]uildtr will have lhc budo ofproving thd he or she did not build or improve the prepoty for the pupos of
sle).
-1.
m orvner of the propfly. eil e\chrsiveiy conlracting wilh licensed contracloE b coNtruct the projKt (Ss 7044. BustnN
od Prcl'csionCodc:'lhcContractor'sLicenseLarvdosnotapplytomcwncrofpropqlywhobuildsorirnprovcsthcrcon.
and who contracts for such prcjsts with I Contracb(s) licensed pursuilt to the Contractor's Liccnse Law).
_l tun cxernpt unds Scction . U. & P.C. for this rcoon.
l)nlc:()rrtrer
WORKERS' COi!IPENSATION
DECLARATION
I hereby aflirm under poalty ofpojury one ofthe following deluations:
I have ild will mainlain a Cmificate of Consmt lo Self-lmure for workm'compstrsation, 6 provided for by S{tion 3700 of lhc
Labor Codc. for the pqfommce of thc work for which the pornit is issued.
\(have and will mainrain work6s' compensalion imurance, 6 rcquired by Sation 3700 of thc Labor Code, for lhc psfomoce of
1[e work for uhich this pennit is issued. My workos' compcnsation insurmce cmiq md policy number oe:
c*i,, 5+t,,/ rvk T1/\E1,L[aI/L{L
poricyNurnber: BJUI^X-O I * QOAI Expires.-
-.,1 cenify that in the pcrforntance of the work for which this p€rmit is issucd. I shall not ernphy any person in any manner
so 6 to lEcome subjccl to lhc workqs' compensation laws of ('ali fomia. ard aurcc thal i f I should bccome subjsl to the
workc'coilrp€nsalionprerisionsofSclion3T00oflheLatnrCode.lshall,forthsilhcomplyuilhthoseprovisions.
WARNING: Failure kr *cure workers'comlmation coveraSe is unlawful. md shall subjel an onployo to oirninal penaltis md
civil llnes up to one hundred thousmd dollas ($100.000), in addition to the cost ofcompemation.damages a provided for the
Setion 1076 ofthc intqst and allomsy's f6.
v tc)2D
I hoeby aflirm under pmahy of psjury that I en licenssi unde provision of Chaptq 9 (cormencing wilh Strtion
of lhe Busins md Profssions Code. ard mv licme is in full force md effst.
of Divrsion ,t
Liccnsc Nunrlrr:
I hereby aflirrn undcr penalty ofper.jury that thee is a
issued (Sec. -1097. Civ. C.).
Lendo s Name:
lending agency li)r thc polbrnrancc ofthe work ftir p6nit i\
Lmder's Addrs:
-
APPLICAN'T DECLARA'TION
I hsdry afm unds psralty of psjury onc ofthe following dcclilations:
Demolition Pmils-Asb6tos Notihcation Fedqal Regulations (Title 40. Pan6)
Required Lcner of Notification
_l ctrtif)'that thc federal regulatiom rcguding dbestos removal ile not applicable to this projed.
I cfiify lhat I have rad this application ild state that lhe ah)ve infonnation is corcct. I agr€ to comply with all City and County
ordinance ild Stale [Avs rclating to building coNtruction. ad hseby authorize reprqmtaliv6 of lhis City md County lo mts upon lhe
amve mentioned p.openy for
Applirtrnr or Agenl
PermilNntrme(prinl): _
0
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL k.lttl?.0 DfrT[,)C >*o-/
Certificate of Occupancy ll IU
Notes, Remarks, Etc.
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qf tofz r
( oiltrictor
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