HomeMy WebLinkAbout101102105 - Permit@ citv of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 927a2 - Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: { O{ 1O21Os
Pin #: 89789 \
Proiect Address: 906 E Santa Clara Avea
Assessor's Parcel: A03-211-12 Lot: 12
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract:1529 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Alteration
Bath rooms/Kitchen Remodels
SFD
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T lArea:
Yards Req'd:
Valuation: $5,000.00
Description of Work: 2 Bathrooms and kitchen to be remodeled. Drywall replacement and hotmop.
Planning Conditiona:
owner:AizaGaladoC6ntractor:ocBuildersGroup,lnc.Engineer:
Address: 906 E. Santa Clara Ave. Address: 600 w. Sanla Ana Blvd. f'l1r Address:
santa an., ca 92706 sentr an., cA 92701
Phone: (323) 251-6469 Phone: 17141417-7771 Phone:
State Lic #: 1O52O9O ri"*.. *,Tenint
Lic Type: B Architect/ :. , :;
, Bus. Lic#: sts4s2 ij;;il;;;, ''
.
Workers' Compensalion lnsurance: Address.
Carrier:
Policy #:
Expires:
State Compensation lnsurance Fur
9286608 phone:
OGl28l2O2O License #:
BIdg Stds Revolvins
Lrl 1 I6r:rtr?- I161:rlUr:r-
V iscl
$1.11
$6U6. :i:
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
Chavez, DaveOg-
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 10/31/2019 Misc. Receipt:
Subject to Field:
No
No Account#
01 1 16002 51601
01 1 16002 51612
07776002 57607 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$166.s3
$1.00
$22.95
$57.20
Fire lnsp. Req'd:
Police lnsp. Req'd:Total
Flood Zone Cert. Req'd: No 011j6002 51600
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 ls suspended o r abandoned for a period of 360 days after
the time the work is commenced.
$22.95
$223.73
$1.00
$247.68
$0.00
$247.68
lnspector MID#: 2019-155610
,
BUILDING- !NSPECTOR RECORD
SITE.WORK DATE 1D/SIG COMMENTS OWNER BUILDER DEI,CARATION
I hereby allirm under penalty of perjury thal I an exempl ftom lhe Coillmclors l.icense Las for the follring remon (Se.7031.5
Busin6s and l,rofBsion Code): Any ('ity or County which re;uirs a pmnil lo con$nrcl. alto. irnpror( dmolish or lepair my
stntcture. prior to ils issuance. also requirs the applicant for such pennil to file a signed statenent that he or she is licensed pursuot
lo lhe provisions ofthe Contractor's l-icenscrl larv (Chapls 9. ('omnrencing sith Srtion 7000 ofl)irision J ofthe Businas and
ProfessiqnsCode)orthatheorsheisexernpllhflefiornandtheb6isforlheallcSedexernption. AnyviolalionofSslionT0:1l.5byany
applicantforapmritsubjstslhc applicantloacivilpenallyofnolillorelhanfi\'ehundreddollus($500).
_1. c owoq of lhe fopefly. or rny employm rvith rvags m their sle compcnstion. will do the $'ork md lhe slrudm is nol
irlmdetl orofferedforsle(Se.T044.tlusindsandProf6sionsCode:-lheContraclor'sLicenselawdosnotapplytoanowntrof
thcprcpoly shobuildsorLnprovethson.mdrvhodoesuch*orkhimselforhoselforthrcughhisorhoou'nemployee.
providetl that such imFovqrf,ts tre not intflded oroffsqj for sale. lf, howfls. the birilding or imFrovsnsl is sold wilhin one )w
ofcompletion. the Olns Buildo will have thc budo ofproving that he or she did not build or impreve the prcpoly for the purfns of
sle).
l. 6 o$atr ofthe propqty. m exclusively contracling with licensed contracloE to construct thc projd (S(. 7044. BEins
and PrclcssbnCode:-[heContraclor'sLic€nse[,awdoesnotapplytoanowneofptopertywhobuildsorimprovesthereon.
and who contmcts for such projsts with a Conlmcto(s) licflsed pu6umt lo lhe Contractor's Licffc taw).
I m exemDl uodq Sstion-, B. & P.C. for lhis redon.
Dite:
I hereby
()$ncr:
\\0RKI.:RS' ('OI\I PI.]NSA I ION
l)E('l.AL\ ltoN
one ol thc firllrrr'inu rlcclrrationsraflirnr uodo pmalty ofprjury
IhaveadrvillmaintainaCflificateofConsmlloSelf-lnsureforr\orkfrs'conrpensalion.o providcdforbySslion3700oflhe
l-abor Code. for the pofonnance oflhe work for which the pennit is issued.
I har,e and !vill maintain workem cornpcnsalion insurailcc. as rcquirctl by Scclion 3700 ofthc l-abor (bdc. ftrr lhe pofonnance of
rhe r\ork for \rhich lhis pennit is
(-arrier:
-7 -I
pnttcy Nurnter-r .94,5
'Yd;"'p
66ot
r,rrrrlrrrr\illi,,rl ittsrrr.rttec e.rr t icr
Sfaf,(
md policy numbo ue:
-"9(9 rrpirc.'
I cdiry that in thc performance ofthe work for which lhis permit is issued. I shall not employ any person in any mmncr
so 6tobecomesuhiettothervorkm'compmsationlarvsofCalifirmia.andagrethatiflshouldb€come subjEtlothe
workes' comptrsation prcvisions ofSeclion 1700 ofthe t-ahor Code. I shall. fonhwith cornply wilh those provisions.
WARNING: Failurc lo seure lvorkrs'compeNation covmge is unlarvful, and shall subjet m mrphy-o to qilninal peflaltiG md
civil finesuptoonchundredthousanddollus($100.000).inadditiontolhecoslofcornpensation.dmagesmprovidedforthe
Srction -1076 of the I-a[rr ( odc. intqLslq/uu)md attomey's fea.
l)rte: t A Applicant:tvFv\f ./ v
9 (comrnmcing s'ilh Sstion 7000) of Division lI hoeby aflirm undcr porally ofpqjury (hat I aln licosd undtr
of the Businss and Profssions Code. md my licmse is irr full fotce ud effccl.
l,icense J
CONSTRUC'TION LENDINC AGENCY
I heieby allirm under grnalty of ptrjury lhat thqe is 6 coctruction lmding agmcy for the po fonnmce oflhe work for which lhis p€finit is
issued (Se. 1097. Civ. C.).
Lender's Narnc: _
l,mder's Adrlrs:
APPLICANT DECLARA'IION
I hettry affnn unds Fmalty of pejury one of thc followinli d(lilations:
Dcrnolition Ptrmils-Asbestos Nolificalion Fedsal Regulalions ('Iille 40. Pm6)
-,Required
Letter of Nolifi cation
with all City and (bunty
ald to mtE upon lhe
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy l 4
r Drywall-:I /rylfibtt .lhl-nrtu{ri6'>Lt
Ext.fnt. LatD p/3/ 't t)arttLlJ g lw{4YrfYbfh<{Nt/'
Brow-nEoat t/
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
.t I I "/FINAL UbHilI ItMtbtl Ma6
Certificate of Occupancy I
Notes, Remarks, Etc.
4
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