HomeMy WebLinkAbout101103133 - PermitProiect Address:2517 N Cotter St
Assessor's Parcel: 399-142-01 Lot:116
Unit:Bldg: Address Range:Suite Range:
Zoning: Rlfract:2419 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714)647-5853
Permit #: 1011O3133
Pin #: 64{5$
Building Use:
Job Type:
Nature of Work.
Existing Bldg. & Use
Proposed Use.
Single Family Dwelling
Alteration
Walk-ln Shower
sfd
R-3
VB
cBc 2019
x-0602320144J
'1st FL Area.
2nd FL Area
Other Areas:
Garage Area:
Total:
Patio.
T.l.Area:
Yards Req'd:
Valuation: $7,500.00
Occupancy:
Constr Type
Code:
Flood Zone.
# of Stories:
Description of Work: Replace tub/shower with walk-in tub/shower, Drywall where necessary
Planning Conditions: No change in floor plan
Owner:
Address
Phone:
Tenant:
William Gerard
2517 Cotter St
Santa Ana, CA 927061200
(7141971-2463
Contractor: Safe Step Walk-in Tub Coml
Address: 15262 Pipeline Lane
Huntington Beach, CA 9264
Phone: (714) 373-8545
State Lic #: 983603
Lic Type: B
Bus. Lic #: 365881
Workers' Compensation lnsurance:
Carrier: State Compensataon lnsurance Fur
Policy #: 9002477
Expires: 0110112021
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
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 permitis suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2020-157764
Teri Dale: 0211312020
Date:
Dale: 0211312020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07775002
0L7L6002
07776002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$3.91
$1.00
$22.95
$57.20
No
No
No
Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01116002 51600
01 1 16002 51601
01116002 5't612
01116002 57770
$22 95
$223.73
$1.00
$3.91 Fee Total:
Paid to Date:
Balance Due:
$251.59
$0.00
$251.59
Block: NA
BUILDING. INSPECTOR RECORD
DATE ID/SIG COMMENTSSITE-WORK
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Enerqy
Drywall z./dr,>tr<-zl
Ext./lnt. Lath
Brown Coat
[Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
ZCt5ztF!NAL -7,,18,/,?-r ,*45 )/4
Certificate of Occupancy / '
Notes, Remarks, Etc.
IherebyaflrnrunderpcnallyofpedurythatIameremptfrcmtheC'ontretoN l-icensclawfo.th.followittSrca$n(5@.7031.5
flusincss and Prolcrsion Codc): Any City or C()untv which requircs a lrrmit lo conslruct, allcr. irnprovc, dermlish or rcpair aay
stnrctrrre. prior !) its issuancc. also requires the applicant t()r such pemlil k) nh a sigiled slarernenl lhat lrc or she is lice[Ed pursant
h rhc pmvisions ol thr' Conlractor's l,icenscd liw (Chaptcr 9. Cornmcncing wilh Section 7{XX) of l)ivision 3 pf lhc Business and
ProftssiorsCode)orthatheor\heiscrenrpttherefionrandthebrsisti)rtlNallesedexen)pliotr. AnyviolationofSectirrT03l.5lyany
npplicrDt for a pcnnit subjects rhe ilpplica0r lo r civil pcnahy oI nol nrre thrn llve hundrcd dolhrs ($5(I)).
_1. as owncr ol-lhc proFny. or my employccs wilh wagcs as lhcir solc cornpcnsation, will do th€ work and thc stMlurc is mt
irlenlql or offcrerl for sle (Se.7(X4, Busincss and Prcfessions Cql€r Tha Contrrcbr's Licensc Law does nol apply to an owncr of
theprupeny wlx)buildsorimprovesllEmqailwlDd(tssuchworkhimselforltrselforlhrou8hhirorherownemployees,
providcd that such improvcrmnts ac not intendcd or ollcred for salc. ll, howcver, thc building or improvcmnt is sold within onc yc{
ofcon{}lctim, tlE Owrrcr BuilJs will luvc thc burdcn of poving lld he or she dirl m build or impmvc fie pmpoty for tlrc purpoe of
salc).
_1. ns os,rcr ofth€ propeiy, am exclusively conlrscting wilh licensed conlraclors k) con\lrucl lhe prcject (Sec. 7(N4, Business
aril I'xrtbssrrnCode:TheCoiltract()r'sLicenseLawdoesfttrapplytranowncrofpropertywhobuildsorin)!()vesthereon.
nnd who conracrs for such proi.'cls wilh a Contrach(s) liccnscd pursuant lo lhc Coolridor's Liccnsc Law).
-IJn]exenllnUndcrSeclur-'B'&P,Cti)rlhisrea\{nl,Ihte:_
WORKIIRS' ('ON{PUNSA'I lON
I)I]CI,ARATIoN
I hcr!'hy altirm undcr pcnaly of pcrjurv (,nc ol thc lbllowif,g (lcclarari()ns:
_lhaveandwillnnintsinaCeflificateofconsentnSalf:lusureforworkcrs'contpensation,as pruvirledforhySectionST00ofthe
Lrhor Codc, for lhc pcrforrurcc oflhc work lbr which the pcrmil i\ L\sued.
and will nraintairr workers' conlp€nsltioil insurancc, as required hy Section 3700 ofthc Lxbor Clode, for thc perfomuree of
lhc work li,r whi(h this pcrmit is issuc'd. My workcrs' conrpcnsatirn insurancc cafii€r uxl lx)licy nunrhcr are:
Pnli.y Nurr$et'. t'.,pi,er'-
_l ccnity that io thc pcrtbrnuncc of thc work li)r which this pcrmit is issucd, I shall not cnlploy ilny pcrson in any manncr
so as h bcconE suhjccl to thc workcrs' conrpcnsatiur laws ol-Calil'ornin, and a8rcc thBt if I should bcco,ft suhjcct to thc
workers'conrpensxtionprovisiuNofSectionlT00oftheLaborCode,lshall,fonhwilhconrplywiththosprovisions.
WARNING: Failurc rc $curc workcrs'conrpensilion covcnrgc is unlawf!|, and shall suhject an cmploycr t) cnminul lrcMlties rnd
civil liner up k) onc hundred thousand dollArs (Slo(!,{xxD, in nddition lo lhe cosl ofconrpcnsrlion. darnrgcs .s providcd lbr lhc
Sc.li(D .1076 of the Codc. iilerest and
I)I.l('l.ARAl t()N
I hcrcby allirm under penalty ol pcrjury that I am licen*d undcr provision ol Chapter 9 (commncing with Section 7fin) of Division I
of thc Business and Prcfcssions OxIe. ruxl nly liccnse is in full f()re iuxl clfect.
Liccnsc E Nurntt'r'4V3/ot
I heRhy allirn) under ltnahyofperiury that lhere is a agerrcy the pcrfolmk-e of the work tbr which this fEmil is
issued (Sec. ll)97, Civ C.).
Irndcr's Nnmc:
l-r'ndcr's Arklrcss:
APPI,ICANT DECLARATI()N
I lrEby afiim) under |rcnalty of pcrjury one ofthe following drelaratiotrs:
Dcnrolirion Pernits-Asbestos Ndification Federal Regulatiohs (Title,l0, Par(6)
_Required Irlter of Notificalion
_l cediti that the f'ederal rcgulaiiom rc8udin8 asbcstos rcmval are nd applicablc ro rhis prujet.
rhil application iurl state thal the abo\e infomration is corcct. I ngr@ to conrply with all City anrl County
()rdi,Hilccs aod k) huikliDg coDstructi()rr, and herehy uuthorize rqrrescntatives of this Cily and Coutly b enter uFrl tlE
atx)!c nrcnt(rncd
Applicanl or A8ctrl
l'rnniler ndilr(
li)r
,3 a,
Rev.0B-07-2015
(larier