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HomeMy WebLinkAbout10189522 - Permit·1 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit #: 10189522 Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 ,In spector Section: (714) 647-5853 Pin #: 46735 ~ Project Address: 321 S Andres Pl Unit: Bldg: Address Range : Suite Range : Assessor's Parcel: Building Use: Job Type: 108-113-06 Lot: 28 Single Family Dwelling Addition Block: NA Occupancy: Constr Type: Nature of Work: Addn/Remodel/Patio Cover/Windo"" Code: Existing Bldg. & Use: SFD WIATT GARAGE Fl ood Zone: Proposed Use: # of Stories: Tract: 1550 R-3, U VB CBC 2013 X-0602320256J 1 Historic : No 1st FL Area: 853 2nd FL Area: Other Areas: Garage Area: 56 Total: 853 Zon ing: R1 Patio: T.I.Area: 132 700 Ya rds Req'd: O@O Valuation: $136,000.00 Description of Work: Remove interior walls to re-create new kitchen, dining rm, 2-bedrms, 2-bathrms, office, pantry closet, linen closet, & rear deck w/solid roof cover (1-bedroom removed/1-bathroom added). C/O all (e) windows. Reroof (e) w/comp shingles/GGUSD #4586 Planning Conditions:AII materials to match existing. FLOOD ELEVATION CERT REQ'D@ CONSTRUCTION & FINAL. Owner : Vesta Clarkson & Maynard Address: 321 S Andres Santa Ana, CA 92704 Phone: (714) 224-2170 Tenant: Contractor: Address: Phone: State Lie#: Lie Type : Bus. Lie#: Lightning Construction and 6047 Tampa Ave. #303 Tarzana, CA 91356 (818) 277-2043 951122 B 354082 Workers' Compensation Insurance: Carrier: State Fund Policy #: 9117672 Expires : 11/13/2017 Engineer: Address: Phone: License#: Architect/ De siqner : Address: Phone : License#: Planning Approval By: Guerra, Pamela Mazarji , Zac Date: 06/15/2016 Date: 11/22/2016 Date: 12/06/2016 Misc. Receipt: 68144 Plan Checked By: Misc. Receipt: Permit Issued By : Misc. Receipt: NPDES lnsp. Req'd: No No Chavez , Dave ~e,.,. Subject to Field: PWA ln sp. Req'd: Fire lnsp. Req'd : No Planning lnsp. Req'd: No Police lnsp. Req'd : No Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance.or if the work authorized on the site by such permit is suspended or abandoned for a period of 180 days after the time the work is commenced. Inspector MID#: 2016-128450 Account# 01116002 51600 01116002 51601 01116002 51612 01116002 57770 08901001 24000 Total $20.56 / $1,444.86 ✓ $6.oo/ $70.00 /1/ $17.68 ~~; Jasbir Singh, P.E. Jasbir Singh 40~1 Riv'Frt~l ~~p.rt~-~111 Q. i::C/o/.2010 I,. '-· -~" Chmo,C~f~f7.~£>; c--:-':'r: i"Cln,-.-:,,: -·' (909) 591 ~Q..9"8; 1::12f:: iC!L.: -:-. :. C38767 r,c Pt~:0.:.63~3?3 ~2/SnO.lli . ,.-; . Tr a~SL,ct;o1 Total ~ ·· Amy Braun Architects AmyBra~.ri ght:-1:;1;;'.I .:._.:-1 :;.,:,;-,_1,_!:.jcH: ..1nu :.1~:-. 148 East Foothill Blvd., #101 Arcadia a,;1f:911!Jo6 Plc.n Lrdi:,r,, Fr,,_ (714> 64'6c~~&!z>oo2-s;_6-:ic:c.:.c- 34961 Bu 11d.~3 c11 11boo2-s~~;:.000-- g dJ :_,1...c1_~ . .·.:. \' ti!, 01116QJJF?J !!i'.,-1;.6..~1 ~~r.ro.itfee - 01116obi2J 5 3 500 Plan Gh~ck'1Fee 01116(fb1;J. :.ef';1Po M~~6-tiil{f~eco rds 01f.r . 08901Q.~1i;>C2..4:ii/.Q0-$.M l ~, ;1:Ga:.tegory 1 0111660'i 51-612 Bldg. Stds. Revolving 01116();1~/M '.iJJ'£o-..o, G~ri ~,~~1:1~1~.n, Update t.1_ ·,. . ..!1_,., _1,_ , ,)u••~' 01116002 51601 Issuance Fee Total : Paid to Date: Balance Due: $1 ,393 .6(}✓ CJ• $1 ,263:44" .. $70 .Q0.,._,,Y $17._68 / $6:{)0' ._,;./' ~29 .56_,"".": $51.26 ✓ $2 ,822.54 $1 ,231.47 $1 ,591.07 SITE-WORK Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/Vent/lnsulation Roof Sheathing Shear Wall Framinq Insulation/Energy Ex(o/1 nt./Lath G/l'Yl> Ir~ '/,AN lbl..f Brown'Coat ' Masonry Pool Fence T-Bar Handicap Req. Deoutv Final Report Engineer Final Report Flood Zone Certif. FINAL Certificate of Occupancy Notes, Remarks Etc. DATE iz. 11 I IJf, ' I r1 17 n </11 J -1r, I I I f V I YI'"/ Lr7 I BUILDING-INSPECTOR RECORD COMMENTS OWNER BUI LDER DELCA RA TION I here by aflinn under penalt y o f perjury th at I am exem pt fro m the Contractors ' License Law for the following reason (Sec. 7031.5 Business and Pro fession Code): Any C ity or County whic h requires a permit to const 111ct. altcr. improve, dcmolis l; or n..--paif an)' structure. prior to its iss uance, also requires t he applicant fo r such pennit to file a signed statement that he or she is licensed purs1;;:ant to the provisions of th e Cont raclor ·s Licensed Law {Chapter 9. Commenc ing with Section 7000 of Div ision 3 o f the Business and Pro fessions Code) or tha t he or she is exempt th erefr om and the basis for the a lleged exemption. Any violat ion of Section 703 1.5 by any a ppli cant fo r a pe nnit subjects l he applica nt to a ci vil penalty of no t more tha n five h undred doll ars ($500). _I. as owner of t he property. o r my e mployees with wages as t heir sole compensation. will do the work and the structure is no t intended or offered fo r sale (Sec. 7044, Business and Professions Code: T he Contractor·s License L-iw does not npply to .in owner of the propeny who bu ilds or improves thereon. and who d oes such work hims e lf or herself o r through his or her own employees. provid ed that such improvements are no t intended o r offered for sale. I( however. the building o r improvement is sold w i1hin o ne year of comp letio n. the Owner Builder "~II have the burden o f proving that he o r she did not build o r improve the property for the purpose of sale). _I. as owner o f the property. run exclusively conlracting with licensed contractors to construct the project (Sec. 704 4. Busines.s and Pro fession Code: T he Contractor's License Law docs not apply to an owner of prope rty who builds or improves thereon. and who contracts fo r s uch projects with a Contractor(s) licensed pursuant to th e Contractor·s License L1w). _I am exempt under Sectio n, ________ • B. & P.C. for t his reason. Date: __________ Own er :. __ ===~--~-=~------------ WORKllRS' COMPENSATION DEC L ARATION I hereby affinn u nder penalty of perjury o ne of the fo llowing declarations: _I have and w ill maintain a Certificate of Consent to Self-Insure for workers· compe ns a tion. as provided for by Section 3700 of the Labor Code. for the perfonnance of the work for which the permit is issued. __Lfliavc and w ill ma intain workers· compensat ion insurance. as required by Sectio n 3700 of the Labor Code. for the perfonnance o f lfie work for which this penn it is issued. My work ers · compensat ion insurance carrie r and policy number are: Carrier:_~ ___ £~d:?l~~le,~&--~VJ~d~------ Policy Nu mber :._~ ___ ')-1-_._I ..._I "7_,__.(:,_. _l-'--''L-=-_______ Expires: _'_)_/_,_/_6_,_/_] __ _ _I certify that in the performance o f the work for which this permit is issued . I s hall not employ any person in any man ne r so as to become subject to the workers' compensation laws o f C alifornia.. and ag ree that ifl should become subject to the wo rkers' co mpensat ion provisions o f Sectio n 3700 of the Labor Cod e. I shall . fort hwith comply with those provisions. W AJlNlNG : Failure to secure wo rkers' co m pensa tio n coverage is unlawfu l. and shall subject an employer to criminal penalties and civil fine s up to one hundred thousand dollars ($100,000). in additio n t o the cost of compensation. damages as provided for the Sect ion 3076 o f the Labor Code. interest and attorney's fees. Date: • l 2 . l:, •I (p Applirnnl: X., ~ --~-~~~---LICENSED CONT RACT O R D EC LARATI ON I hereby a ffirm under penalty of perjury thal I mn li c.:enscd under provision of Chapter 9 (commencing with Seclion 7000) o f Division 3 o f the Business and Pro fessions Cod e. and my lic ense is in fu ll force and cfTcct. Licens e Class: t {2, Da te ' J 2-, 0 ' } G License Number: __ , ___ "\_S_/_/_2._2. _____ _ Contraclor:_'~~--~-e:~;:::..~d@::('.::;~~~~~=====------ CONSTRUCTION LENDI NG AGE NC Y I hereby a ffi rm under penalty of perjury that there is a construction lending agenc y for the perfonnance of t he wo rk for which this pennit is issued (Sec. 3097. Civ. C.). Lend er's Name: _________________________ _ Lender ·s Address: _________________________ _ APPLICA NT DECLARATION I hereby affin n unde r pe nalty of p erjury o ne of the fo llowing declarat ions: Demolitio n Pen nil s-Asbcstos Notificat ion federal Reg u lations {Tille 40. Part6) _Required LcttcrofNotiFicatio n _I certify !hat the federal reg ul ations regarding asbes1os removal are not a pplica ble to t his project. _.:::; ¼ertify that I ha ve read this appli cation and state that the above infonnatio n is correct. I agree to comply with all C ity and County t-----------------------------------------------------1 ordinances and State Laws relat ing to building construction. and hereby authorize representatives of this City and County to enter upon the above mentioned pro perty for inspV ion pu~s~..::? ~ ~ ; ,• 2. 1 1 • I l_ AJ>p li ca nl or Agent Signnture:-#-c=.-~0 -~=-"'=<-------::..--=---=----"' ,r---_________ Da te: _____ ~--~- Permitee na me (prinl): i-. C L,),v(){<._ @'-/ C/1 @(ft.