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
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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.