HomeMy WebLinkAbout10198375 - Permitcity of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1 O198375
Pin #: 2lJ944
q
Assessor's Parcel: 396-261-55 Lot: 8
Unit Bldg: Address Range
24-N
Tract: A.B. CHAPMAN Hisloric: No
Suite Range: N-s
Zoning: R4Block: A
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-2
VB
cBc 2016
x-0602320164J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:s8,000.00
Description of Work: Create a small der/study by installing a non-load bearing partition wall with a 4 ft. opening. P/C originally pPrf_qfFed under
#10193842. : ,, IRel+: 1r.r
11/15/201S tPlanning Conditions:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92506
(949) 95s-0888
Conlracior: KaterraRenovations,LLC
Address: 3200 Earhart Drive
Carrollton, TX 75006
Phone: (972) 818-1065
Stale Lic #: 1009989
Lic Type: B
Bus. Lic #: 356547
Workers' Compensation lnsurance;
Carrier: Midwest Employer's Casualty Corr
Policy #: BNUWCoi39070
Expires: 0110112019
Owner:
Address:
Phone:
Tenant:
Engineer
l,(icns' L,L(
Phone:
License #
Michael P Boardway & Associates
Michael P Boardway
P O Box 154
Blue Jay, CA 923'17
(949) 208-2979
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
Chavez, Dave
Date:
Date:
Oale:1111512018
Subject to Field:
lvlisc. Receipt:
[risc. Receipt:
lvlisc. Receipt:
$160.25
$1.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No
No
No
NoNo Account#Total
$238.37
$0.00
$238.37
lnspector MID#: 2018-147697
01116002 51600
01116002 51601
01116002 51612
$22.08
$215.29
$1.00
Fee Total:
Paid to Date:
Balance Due:
Project Address: 2424 N Tustin Ave
Building Use: Multi-Family (5 or more units)
Job Type: Alteration
Nature of Work: Partition Wall(Unit 5)
Existing BIdg. & USe: 8-UNIT APT WDET CARPORTS
Proposed Use:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
07776002 51501 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07176002 51500 General Plan Update
07776002 51601 lssuance
Every pennit issued shallbecone invalid unless the wotu on the sile authodzed by
such pefinit is commenced within 180 ddys dftet its issuance,or if the wgtu authodzed
on the site by such petmit is suspended ot abandoned lor a pariod of 180 days aftor
the tirne the wo* is commenced .
BUILDING. INSPECTOR RECORD
COMMENTSSITE-WORK DATE ID/SIG.
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation
Roof Sheathing
Shear Wall
Framina
lnsulation/Energy
Drpvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL 5r\8Y
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUII,DER DELCARATION
I hdcb, .mnn !nd6 p.nalty of p€'rury lhal I d .rc'np lon rhc aonl,aclor' Li..ns. Ln* ror rh. aollowi4 r@n (Sc 70ll t
trusins md Protsion Cod.) Any Cny or Counry \hich r.quir6 a psin lo coNrtu.L .he. improv€. &noli.h or EP0rt my
srrucruc. pnor ro ns issuuc.. rlso rcqutB t hc appl icaot for such p€noi lo n E a s i8ned sl.tqnol I hal h. or sh. ie lic.N.d plm l
ro rhc prcvishns ofth€ Conta.toa! Liceh$d tjw (ch.ptr 9, (ommcncina w h Ssriod 7000 ofDivisio! 3 olrhc BusinB md
Pror.$ions Code) or rhar ne or she is cx.nrpt lhqefion ud the bdis ror rh. all4ed erenption. ny riobriod olsslion 70115 by any
aprlicanl lor.p.nnn subietslh. applica.t io acivilpenahyofnot morclhln nv. hundr.d dollds(8500).
-1,
N ownd oflhcpropcny, or ny.,nploy!6 {ilh {arB s rhen ek compqelion, silldo rh. *ort ard lhe nrucl@ b nur
inlad o, oftdcd for elc (Sa.70,14. BEi,6 ed Prcfsions Cod€ ltc contr.clol s Li.dsc taN do6 nol apply lo o owno of
rhc Folrny who buildr or ihproG fiaan. ed who do6 such roi( himcllor hffiltorlhroush hi or hr oen oployc,
proridqi rhar such imPIovo1Msm noi intad.d o. ofidEd lor sk. l( lD\'66, rh. hiklina or inDro!@l is $kl wihi. on. )@
ofcompldio.. lh. ()wnd Buildd *ill h,\! lh. hrda oaprolin8 (hd h. or she did nol build or iftpm\. fic p{rFly lor lh. $nFo* ol
l. sosnffoflhcpropsly. @ erclusiv.ly.ommciins $ilh licssd conlrado6 to codtu.{ rh. Foje.l {S(. 7044. Busins
and Pr.fsion Codc: TneCdntractois LicenseLawdo6 nol applylo oo*dd ofprop€nywho buildror inprov6thd.on.
and sho co.racrs lor su.h !.ojek wnh 0 contacto(s) licm*d puuuat lo ih.conlr.clols Licmr Law).
! m er€rpl utrdo Sd R & l'C ru lhis rc6on
D.tc o*ner
rvonxecs <-olt rrtrsl tLott
D!!!A!IU!O!
I lNcby rlfinn 0nds peMLlyot,Krury onc olrhc tullN\ ilr! de.lar.rtns
I havc ald will m.inrain a Cdin..tc o I coBd to Selt-lnsurc lor \ drkes' onrpcnsalion, s prlvtled r(r h, sdion 1700 ollhc
Iibor Code lor ih€ pslomece o f rhc wor k lor which rhc pdmir is isucd
-lhavcandrill
nai.rai.woik.rs compcEarion i6uranc., as r.q!t.d l,y setion 37(r(rollh€ Lab{r Cod.. fo, thc pstomdcc ol
rh. work lor unich rhs Fnir ir ie.d. My xorr.(- comp<rsslio! insurdc..Mi6 dd Policy numbs de:
,!t
Sdion 1076 ofrh€ hbor Codq inr66t ed zrtorEy s fe6 ----- -)>-
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DICLASArIOX
I heEby aflinn undq poa[y or p.rjur y Ihar I e. liccns€d undd ptuvirio. o I ChaPls I (coonrdcn,s * ith setion 7000) ol Division ]
of lh. Alsin6 and Proresions Codc. md my lic4. is in full lorc. ud .Ifect{3 t O D,-lq OD\
,,,,. Nov I 5 20lg ,-,-*"4,(N,^- -
CAXSIBIEIIAII TJIDIACJ(iEN(I
Ihcr€byoflimund.ypenolt,ofp.iurylhglrh6cisaconn'lcrir lotira03scyforIhcP(ronnm..ollhe\vo!kror$hichrhhpanrilG
issucd{S.. 1097. Civ (.)
AIIIICANI.DICI.AsAIION
I hcdry a1iift und( p.nahy ofD.rjury on olrh.6llowins deLr.liobs
DcEolilio. PmiG-Asbdos Nolihcslion F.ddal Rcgul6tioG (ri(b 40. Pan6)
R.quir.d L.116 oaNoli6cario.
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cqli8 lh, rh. f.d.r!l rceul.lioB r.ssdins abGlos ldoval 4. .or aPplictblc to thb pDjc.l
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'on
dd s,rr. r h, thc ahov. infonmrion is codd, t a8re ro omPl, wilh .ll Chy sd Counly
oillnd.6 d Shr. tiB Elariry lo burBrns consn.rion and hden, auth.rize r.r.6alalir6 of$is Cily md Counly lo @lo uPon lh
above mcntioned pmpedy aor iNp.dion
ADlirmr or.\genr Sig rlur.
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,;Nov I 5 2ots
lufiffii,
Set Backs
-l..nifyrhar
i.llE perfoiinancc olrhe worl lor*hichrhisp.rnn is Gsue!.1shallnll d ployanrrdsoo in.!yrain$
s, 6 ro b€comc subjer 1o rh. worl6' co,trpqsation lavs ofcalilomh. and trr.e lhal if I should b.coo. sbjed lo lhc
Nort6 comp.Nrionl)ovGioosofS.crion 1700ofthc L,bor Cod..I thlll. lonhrnh o'nply wnh lho*ptuvisioN.
\VARNING: Failurc lo su. *ork6 co,np6.rion cov.6S€ it nlnsall. &d 3hnll subjd an dtlors l. sinnml pdoiiG sd
ci\il fin6 up ro onc hun&.d rhoMd doll6 (lloo.L{o). in addilion kr rh. cos oa conrp.6arion. d.ia88 6 prolid.J lor lhc
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