HomeMy WebLinkAbout10297196 - PermitE
Proiect Address: 1524 S Van Ness Ave
Assessor's Parcel 013-192-20 Lot: 20, POR 21 Block: F
Bldg: Address Range:Suile Range:
Zoning: RlTract: 531 Historic: No
City of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 10297196
Pin #: 78506
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio:
Job Type: Alt€ration Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: N/v Code: cBc 2016 other Areas. yards Req,d
Existing Bldg. &Use: SFD w/dedt garage and workshop Flood zone: x-0602320276J Garage Area valuation: Sl,ooo.oo
Proposed Use: # of Stories: Tolat
Description of Work: Remove unpormitted addn to legally permittcd workshop, return garage to intended use, frame in opening at rear of garage, remov€
unpermitted walls in workshop
Owner;
Address
Phone:
Tenant
Remy OC LLC Contractor: Owner-Builder
PO BOX 16337 Address:
lrvine, CA 926236337
Phone:
Slate Lic #:
Lic Type:
Bus. Lic #:
r E fi [r V [ & $-A ill (} i{ [",o,',[",1'' "o"ensation
rnsurance
Policy #:
Expires:
Engineer
Address
Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
oiql
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
Escamilla, lvlanny Date 07l31l2O'|.8
Date:
Date: 07/31/2018
Subject to Field:
\tk uernanoez, xattrv
Misc. Receipt
Misc. Receipt
Misc. Receipt
017760 0 2
0 77760 0 2
01776002
017760 02
077760 0 2
077760 0 2
57601
5760 7
57601
5 7672
57600
57507
$160.25
$86.78
$243.16
$1.00
$22.O8
$55.04
Permit Fee
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd f;! Account#Total
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless fh6 work on fhe srte aulhorized by
such permit is commenced within 180 days after its issuance,ot if the wotu authoized
on lhe sile by such permit is suspended ot abandoned fot a poriod of 180 days after
the time the wo* is commenced .
MID#: 2018-145051
01 1 16002 51600
01'116002 51601
01'116002 5'16'12
$22.08
$545.23
$1.00
Fee Total
Paid to Date:
Balance Oue:
$s68.31
$0.00
$568.31
Unit:
Planning Conditions:8.o l,:h t 7/31/2n18 IDr
rrCf,ti:
R,--p1,iri
,rafiso,
Rel+ i
7 / 31/ zttly
{.!en er O.L
r:rl116110
Euild in:rrll l60r:r
l lds 5ti
Lr1116llt:r:
,,r i sn
ajc+: x{l
lrd(te Fpe
,50[uIlr-
t 1, r:r I tt0r:t-
rvoiv in9
I,f 12Ut"rU -
i***,1709 Aut
lnspector
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNEX BUILDER DELCARA'tION
I hcnhy rfiiin undd IcMlry of pcriury rhar I am cxcmlr r'rom rhc Conrracxns Li.cnsc Lw ror rhc followinE rcNnr (Sa ?0.11 5
BusiDcs rl Pmicsion Codc): Any Ciry or Cot y which rcqute\ r pdnrir t) conslnrc1. allcr. iut(trr. d.molhh .r rr['rn Jiy
srrucrue. prior ro irs i\{uancc,,lso r.qnncsrhc amli.dtrr nx su.h Fi.tril lo lilc u si-sncd nslcnEnl rh,r h.or shc k liccn*d Puruanl
b rlr l,ovknrns ofrhc Conrrcttr\ I-i..nscd h* (Chsir.r 9. Com,rcminA wih Sc.rion'7OO{).I DivkiDn 3 oi rhc Ausirrs and
Pnntsions Codc) or rhtrr hcorshc n cxeqrr rhcrcfrom and rh.l,lsis forrh.alkecdcrumflion Any liolllbnotsccrion?0]l 5 by rDy
lprlicanr lor a pernn subjcck rhc dmli.anr roa.i,rlpcmlry.rnol nNc lhotr livc hundrcddoll,* (5500)
l. N oqn$ or ttu t olcdy. or my cnrplo)er wilh wases us rh.ir v,lc r.'nPctrl,ri r. willdo th.wotk drhcnturLftkk
irr. lsl oroftercdfor\alc(S.r7044.BusincsrdPolc*6nrC.d.rThcCo ftctoisl-icc!\cli*doc\norapplytortroqrcrof
rhc ,n'ltny who buil& or in{'Frcs rlEron. atrd who dcr such wrt iinscll or hchclt or rlro!3h hn or hcr own cmpn,r{cs.
prcvidd rhri such iipmRnrnh m mr i, cRlld or ofrcNl Lr eL ll Il)*cE rlt hikliDg .r imF,vc rnr is $ld wirhin onc }!T
ol enrrhri,tr. th. Owncr Builhr sillhavc lhc bodcn orprolin8 rlln lf, or shc dil nor buik or iqme rnc pn,Fty ror ltI Pulx)kol
-1.
a\ouncrol rhc F'pcny. aDr.r.hsiv.ly.otrta.ii g wnh li..fscrlconticlo^ lo cotrllrucr rhc pmFI lSc..7044.8u\i cs\
nlll] Prsfcsi,trCodc-lhcCotrnNtofsl-ic!trscLrqdocsnorrpplyh!nown.rol|m,rcdywhobuildsorirnDnvcsrhcrcod,
lni *ho conrrrch rbr such pmj.rh $irh a G hcbd\) li.cisd tursumr lorhc(inrr0ctu s t.iccnsc l-nw)
I rm.x.'ntr u .r S..ri,)1{++d' "-
DICLASAIION
I hcr.byalfirmtrndc!pctulr,.f l).rjury.trcnfrh.lolloqirt'lLrl rlions:
I hak drxtwill nDintliraCcnifici'cofConsnrlo Sclilns!rcn, *orler'co'nFjtrs,rion. !s providcd for bySN'ion]7m orrh.
lihtr Codc. rff ih. pcrrormn.c of
'h.
wolt lor which lhe psnit is Gsucd.
--lhrvcrtrd will nrni u sq[en conpcnsrii,m in\u.amc. rs rqritdbySccli(n:lTlr0oilh.L ror(i,Jc-ntrhcJ[ airnrmcof
rhc $.rl |'l)r shich rhtpcnlir i\ is$td. Myworkc^ .o |.trsrrhr tr(ur.rcccailicr anl0oli.ynu'n6.rrc
P,)licy Nln$cr-tirf ircs:
l.cnlfylhrlifthctrdi)nMnccolrhc{orkli)rwhichlh\pcrn,ir ni*u.d.Is lltroi cnrPloy!n} |xr.n inrn, rmmr
v, nsro hccom suhjccr r. ihc $(trk.6 onDctr\ (i{n law(.l cnlinntri.. d ryrccrhar iiI\hould hc(rt subirr lollE
worlcn.onrpcrsi{n,pmvisionsofSc.rioi:l7t)()ofrhchhrC.dc.lshill-fonh*irh.ondrwirhrho$ln)vitions
WARNIN(;: Fallurc rr ccurc workc conrp.trr i.n covcngc is trnhwful, itrd lhrllsub]-(l arl c.ll]lo)!.lo siainallir'lrics nnd
.lvir i'rs up ro onc hundrcd rhousend dolh6l$Ift.(xxr- in dJnion kr ihc.oi olco.lFasaliqr. dlmr8cs a1luvidcd ft, rhc
Sccriotr 1076 ofrhc trtn Code. inrercd lnd rrrurcy s lcc\
t
I hcRb, lfirm unds r.nrlry ot p.rjury rh.r I rn li.u*J utrdd Plnvili{,n ol Chrprcr 9 (co nrrN,n8 trnh SNrhn 7U)0) of Dili\ioi l
ol rhc Busi.c$lnd l,nrcsionr Cod.,,nl nry lic.n* i\ ir tullnr.c rftlclttcr
Liccnsc Cltrs:-
QNEIBIJCI]ANIENDINGAAIIII
I hcrchy lifirmlndcr pciahyor!.rjury th,t rhcrc is rconsru.rion hMiry a8cmy rorrhc p.rrortu,rc olltu {or( tor $hichrhi\ pcmir i\
hsu.d (Sc. 109?. Civ C.).
Formsi Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Rool Sheathinq
Shear Wall
Framinq
lnsu Iation/E ne rgy
Drywall
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certil
FINAL lold|ft to ,z.t-g ,)
Certificate of Occu anc
Notes, Remarks, Etc.
Set Backs
Sublloor/VenVl nsulation
Ext./lnt. Lath
Cuh,
hMclrAddrNs
ATU$NLDECI.ABAITON
I holtf ofiinD undcr l.nalry of pcrjury .nc or rhc rolloNinA dclaral ions:
Dc'nolilion Pcirnik-AstEslos Nolific0rio! Fcdcnl Regolrrion\ 1Tnl. 4'(). P,n6)
Rcquncd t.lier ol Norifi catk n
-l
ccnifyrhar rhc t dfial Egnldions n8ardirg asbcsos rcnnvd ure nor rprli.,hh ro ihk pmFt.
I ccrtify thir I h.vc rcld Ihh aD!licarion dd srarE rhar th. abvc inlonurion is cotrccl. I sEre lo conlly wirh all cilyand Co!nll
ordrdKc\and Sr c L!trr rcl,rins ro hurl{n8.on$drhnn,.nd h.rchy sllhorizc rcprcscnlarivcr orrhh ciry ond c'ounty to cnrer qron rhcffi,-:.:il:'Jx\p_ ,",",lels
Prmile nrn. (prtnl ): -
t---]--
f-------T------