HomeMy WebLinkAbout101102901 - PermitProject Address: 848 N Garnsey St
Assessols Parcel:005-14248 Lot: 12
Unit:Bldg:
Tract: WAKEHAM
Address Range:Suite Range:
Zoning: PBlock: NA Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-580A lnspection Requests. (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O11O29O1
Pin #: 5959{
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Demolition & Clear Lot
Demo & Clear Lot
sfd
Occupancy:
Constr Type
Code.
Flood Zone:
# of Stories:
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: $45,000.00
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Description of Work: Demolition & clear lot. AQMD posted. Bond on M-74041.
1Planning Conditions:
Owner:
Address
Phone:
Tenant:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
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$2. t:lll
$r1.'/l
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Baltech LLC
16027 Brookhurst Street, #1240
Fountain Valley, CA 92708
(714) 2s1-3060
Contractor: Art Gautreau lnc dba AGI Gt
Address: 8210 Katella Av #1
Stanton, CA 90680
Phone: (714) 934-8066
State Lic #: 370609
Lic Type: B, A
Bus. Lic #: 0001239
Workers' Compensation lnsurance:
Carrier: Zurich
Policy #: WC106094600
Expires: 0412112020
rnc r,inn AGI';,:ner
l.l I LlLrLr-
Le i:ee
irr-r[rt i -
n9Twinsteps
Peter Morris
15615 Alton Pkwy, Suite 125
lrvine, CA 92618
(949) 383-5382
c-32096w
Planning Approval By:
Plan Checked By
Permit lssued
NPDES lnsp.
PWA lnsp Req'd
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
, Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Dale: 0112212020
Date:
Dale 0112212O20
Sublect to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07775002
0L776002
57607
57 770
57672
sL600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$166.53
$11.73
$2.00
$22.95
$57.20
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
on the site by such permit rs suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2019-152928
01 1 16002 51600
01 1 16002 51601
01't16002 51612
01116002 57770
$22.95
$223.73
$2.00
$11.73 Fee Total:
Paid to Date:
Balance Due:
$260.41
$0.00
$260.41
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BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILI)ER DI]LCARATION
IhcrcbyafflrnundcrpcnxltyofpcrjurythatIanrexcmilfil)rnthcContrack)rs l,iccnscInwlorthelbllowinSrcuson(Scc.7l).]1.5
llusincss iln(l Prolassaill Codc): Any Cily or County which rcquircs il Nrnril lo coilslrucl. ullcr. inrprove, dcrxrlish or rcpair ant
slruclure.pri(trbits issuancc.alsorcquircslhcapplicanllirrsuchJrcrnrilk)lllcrsi8ncdstrlcnEnl Ihxlhcorshcislicctrscd pursulnl
k) thc p()visions of thc Conlrrctff's l-iccnscd ljw (Chaptcr 9. Corrrnrencing wilh Scclion 7(Xx) ol Divisi(,n 3 of thc Busincss and
npplicantlbrilpcrDlitsubjcctsthc npplicanlk)acivilpcnaltyofnolnx)rclhrnllvchundrcdtlollars($50O). .
_1. as owncr of lhe proFErty. or my cmpl()yccs wilh waScs as lhcir slc compcnsali()n. will do thc work and tha sttu1uc is nol
intcndcd orolli:rcdftrrsalc(Sm.T0l4.BusincssandProftssionsCode:ThcContraclor'sLiccnseLawdocsnotapplyk)anowncrof
lhc pn)pcny who builds or improvcs thcm)n. aftl who d(rcs such work hitrttclfor hcrsclfor through his or hcr own cmpl()yecs.
providcdlhatsuch inrprolcrrcntsarcnolitilendcdoroffcredforsalc.ll.ltrqcvcr.thcbuiklingorirlprovcrrcntissldwithinonc}ltr
ofcotrrplclion. thr Owncr Buildcr will havc thc burdcn ofproving that Ir or she did rDl build or irnprove thc pmpedy li)r thc purF)$ of
salc).
_1. as (nvncr of lhe propcrly. am cxclusivcly conlractirtS wilh liccnscd conlrilck)r\ lo con\lrucl tlE p()iccl (Scc. 7().l4. Burirrcrs
and lhrli:ssi<ilCodc:'[heConlrack)r'sLiccnscLawdocsn(ilrpplylornowncrofpropcilywhohuildsorinlprovesthcrcon.
and who contrlcts lbr such proi.cl\ with a ('orxrack,(s) liccnscd pursuanl to lhe (i)nlrack)r's l,icensc l-aw).
-lan|cxcnI)tundcrscction-.B'&P'c.lbrthisrcason,Dale: Owner:
SQBTEBLQEIfINTAIIAN
ITECI.ABAIIQN
I hfy affirrn undcr pcnrlty of pcrjury onc of thc folk,wing dcclarulions:
rQhuvc rmd will roinrain a Cenificutc of Conscnt to Sclf'lnsurc f(rr workcrs' conrpcnsation, as provided for by Scclion 37(n of thc
Lrbor Codc. f(tr thc pcrformncc oflhc work for which lhc pcrmit is issucd.
/haucundwill rnaintrinworkcr\'compcnsationinsurancc.as rcquircdbyScction3T0OoflhctnborCodc.forthepcrformanccof
lhc work for which this pcrmit is issucd. My workcrs' colpcnsalion insurancc canicr and lmlicy numbcr arc:?-vt iol.-
Policy tio I acl-zt- zoza
lfccnily rhar in lhc pcrlbrtruncc o[ the work lbr which this J,crmit is issucd. I shrlt nol cil]lroy any pcrson in any nilnncr
s() as to hcconlc suhjccl h thc workcrs conrpcnsrti(m laws ofCflliti)mia. flnd agrcc lhat if I should hcconrc suhjcct rc truu
workcrs' conrpcnsrlion provisions of Scclir)n 17fi) of lhc tlbor Codc. I shall. lbnhwilh comply wilh lhos pro!isbns.
WARNING: Failurc b scurc w(,rkcrs'compcnsalk)n covcruSc is uillnwful. and shall subjcct an crrpkrycr k) oiminrl pcnnllics aild
civil fincs up to onc hundrcd lhousand
Scctbn .1076 ollhc tntnr Gxlc. inlercst
tl,,llrr s 00.{D0). iil addili(,n Io lhc cosl of rs providcd lirr thc
I llcrcbv nl llflI un(lcr lrilnhy {)l Icr iur y lhxl I ur(lcr pft)visi()n Chnptcr I (comnEncitrg wilh Scction 7(Xx)) ol Divisio0 .l
ol lhc Ilusilcss and I'()l'cssi(rtrs Codc. and my in lbll li'rcc an(l cllcct.
l.iccilsc Nunrbcr:37 c>Ao 1
-L2-
I Ilcrhy nllhnurxlcr ltnrllyr)l pcr.iory thcrc is a conslruction lcnding agcncy for the pcrlbrnlilncc ofthc work for which this frcnnit is
issed (Scc. 3097. Civ. C.).
kndcr's Nare:
[.ndcr'q Address.
APPLICANT DIiCLARATION
I hmhy allinr) undcr pcnalty ol pcrjury orlc of thc li)llowing dcclilrdl ions:
IJcna)lition Pcrmils-Asbcslos Notificalior l:cdcral RcSulalions ('fillc 40. Parl6)
Rcquircd Lxttcr of Notilicrti(ilr
_l ccnily that thc ltdcral rcgulalions rcgilding asbcslos rcrrovalarc nol applicablc to Ihis pro.iccl.
y't ."rtlty ttr"r t trur"this applicatbn ard slatc lhal lhc nk)vc inl'ornrali(n is coficcl. I ilErcr h comply with all City rnd County
or(lirunccs rcldting k) building corNtnrcti(nl. and hcreby aurhorizc rcprcscnhlivcs of this Cily nrld Ci)unty lo cntcr upon lhc
atxrvc
Apl)licnnl (,r
Pernil@
Strtc
for irspectidl
,,,*,-O-l:Z? -2oZa
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drvwall
Ext./lnt. Lath
Brown Coat
[t/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
I .r I
F!NAL .)1611.0 9k1Y)r L*W
Certificate of Occupancy I I
Notes, Remarks, Etc.
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