HomeMy WebLinkAbout10197747 - PermitE
Project Address: 2513 W Harvard St
Assessor's Parcel: 408-093-'18 Lot: 10
Unit Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 3623 Historic: No
city of santa Ana 20 Clvic 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()197747
Pin #: 2797t
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Planning Conditions
Single Family Dwelling
Addition
Addition
SFD w/att garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2016
x-0602320257J
'l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
1034
1034
Patio:
T.l.Area:
Yards Req'd:
Valuation: $116,480.00
Description of Work: Add (2) bedrooms, ('l12) bathroom and 1 full bathroom, family room/convert (e) bedroom into library. SAUSD #3790.0 r 1:(
Rel +
1/'jv,/ 2l
Owner:
Address:
Phone:
Tenant
Engineer Abarquez Engineering Corp
Jose M Abarquez lllVicky Tran
2513 W Harvard St
Santa Ana, CA 92704
(7141 623-0204
Contractor: H L Home
Address: 11071 Dune St
Norwalk, CA 90650
Phone: (562) 412-1818
State Lic #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Addressi 18 El Corzo
Rancho Sadta Margarita, CA 92688
1714).277-9895
c51994
Phone:
License #:
Architect /
Desiqner:
Addressl
Phone:
License #:
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
Pezeshkpour, Ali
Ahangian, Kathy
Chavez, Dave
=2-'''
Fire lnsp. Req'd:
Police lnsp. Req'd
Date: 08/28/2018
Date: 11/15/2018
Date:111281201A
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
71550
Total
077160 0 2
0 777600 2
0777600 2
0777600 2
07775002
o777600 2
57607
53600
s7770
57672
57600
57607
$1,031.28
$1 ,25',1.72
$3.76
$0.00
$22.O8
$55.04
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceNo
No Account#
Flood Zone Cert. Req'd: No 01.116002 51600
Every pennil issued shallbecome invalid unless the wotu on lhe site aulhoi|ed by
such petmit is commencod within 180 ddys aftsr its issuance,ot if the wod authoized
on the site by such pefinit is suspended or abandoned for a period of 180 days aftet
the time the wo* is commenced.
lnspector MID#: 2018-145713
01'1 16002 51601
01116002 57770
$22 08
$1,086 32
$3.76
Fee Total:
Paid to Date:
Balance Due:
$2,363.88
$1 ,251 .72
$1,112.16
A,
BUILDING- INSPECTOR RECORD
SITE.WORK DATE lD/srG.COMMENTS OWNER BUILDER DELCARA-TION
I hdcby am,rn undq poally ol pdjury nd I dn .xdnpi ttorn rhe cont.cros' Lic.nse La$ for lhe rollowide r.Mn (56.'l)11.5
tlusin6s and Poasion Cod.): Any Cily or Counly whrch r.quiB a Flnn to codrrucr ah6. inpro\q d€oolnh oi Eptt dv
srrucluc, rior ro ils issu ce, also r.quir6 lh. apPlicml aor sudr p€mil b filc , s,sn.d $ddnot Ihal h. or thc is licmed pwanl
ro rhc rtrovisioos oflh. co.t@rois Lic.n*d Law (Chagrr 9, Commscins snh Sdio. 7000 of Division I ollh€ BGin s 6d
PNlNionsCod.lorlhalhcorsheit.\qnptthd.fro,nmdlhcb.sisforrh€allcs.ddd$ion.Anyvrclalio.ofselionT0ll5bvanv
3pplicd for a p€mn subjels lhc alplicanl io a civil !€aslly of not 6.e tm 6!e hun&ed dollds ($500)
-1,
s oMn olrhc lropcrly, or my €mplo)€6 *ih Nass 6 th.ir $L comps6arion. {ill do th. wo,I d thc sltucrw i. n.!
intodel or ofiEed lor elc (Sd.?044. BEins Md PmlsioB Code The Conltacioi s Licd* tiv do6 nor apPly ro e orvner of
rh€ pmpqly vho boilds or inFo€ rlBod ari who do6 such rrc* hnns.laor hGll or threush his or hr o*n mplovG.
prcvid.d rhat su.h nnrroldsrs m nor iniqdd or olToql ror ek Il hosaq. th€ buildils or ihpovandr is eB wnhin onc yd
otconpldioq lhc O"d.r B{ildd will h.rc ti. bud6 of prelins lhi h. or sh. did d trild or imp.olt th. FoFrv aot ln puposor
-1,6ownd
olthc pmFny. d dclusivelr.o.kacrin8 wnh Lcss€d comado6to coBlruct lh. rojNr (Sec. 7044. BKincs
dd Pr.l6sion Cod.: Th. Co.lr.€tois Lic6s. L.w do6 nol applylo d osnq ofplop€nt \vho builds or impovcs lhd@n.
and who comncB lor such pmj..ls wirh a Co.tado(s) licmd puNwi lo tbe Conlrlclois Licqsc tiw).
_l m.rcmB undd Sdr
IAatrE8S:(AMIIN.:A]!AID[Ct/3dfI9r
I hd€5y .mrm und€r pmahy ot p.9ut, on. oathe aollosins dddalioG:
Ihaveddwillnrainrar6Cdlific.rcofCo6cnlloSelf-lnsurclorMrk.c'conrpenstnn,,6[rovidL!aorbySslion.lT00orrh.
Labor Codq aor lhe pgfomacc of th. {.d fot $hich lhc pqnil b nsu.d
-lhav..nd$ill'nannainwork.6
conrpc6alFn ituuid... s r.quned by S6lion.t700 ofthc L.bo! (od. forih. pdfonDdc. ol
th. uork tu hi.h n s p.flnil ir issued. My worktrt co'rpdsttion insurancc caria and policy n,mbd sc:
PolicyNumb6 ' ExPt€s
Xr-nirr,r,, .['"p-r"-dccorrh. surl lor \ h'ch rhis Psmir is Budl.l sh6ll nor cmployany pc6on r mv mmng
'{ arobc.omcsub|ki ru I h. q o*4' comFnsalivn ld iorCdl'l"mm, mdaalelhar l 'hould bltom.sLbar r'rrh.
*0116' comp.Balio. povisioB oas*lion 3?00 of thc Lrtxr. Codq I sh,ll. fonhB ilh enply virh thos prcvisioN
wARNlNc: Failur€ Io $.ue work6' .omp.Narion cove?ae is unlawful. ..d shall subjccl o mpl6y.r ro dininal poali6 dd
civil fines xp lo on€ hundrcd lho@d dollm (llO().OL\)). in addilion ro rh. con of comp€Nrion. damB6 6 pro d.rl for rh.
Secrion 10?6 ofrhe Labor Code, inrdBl tudanorney's 16.
oOOUo*M
IICENIELCANI8ACIOA
DECI,ASAI]O!
I h.rcb, afmn n.d€. p.nalry o I pdJury dd I m licas.d und.r FovGion ol Chapr6 9 (co,nmocins *'nh sdion 7000) or Divtsion ll
or thc Busins dd Pmfsions Code, a.d fty lic@ is i. atl lotce ad efre.l
q B\r-o r1
,",",p \\Wt [t9, c-,'*.'! \I,L \\$t'Ag'
coNiraucuaxli[ Dldc.AcElcr
I hftby arm u.dd p.mty of Frjury that lhd. b a codruclion lcnding asacy aor rh€ pdlomdcc oarh. Mrl for which rh6 Fsit i!
i$ucd (S€ 1097.Civ. C ).
APP! I(]ANT NECI ARATION
I holty .trm undd paalty oa Fjury oDc of lhc following d<lerioN:
Dmolirion Pmils-tubdos Notificalion feddal Rcsulgtions (Tilc 40, Pan6)
-Rcquncd
Lar6 of Nolifrc.lior
-l
ccniry that $c f.d6.l r.glhtios r€gEdirg sb6los rdor.l de nol .pPl,cabL to lhs projd
B.&" ,n,, , *'. .oo *o appli.ar ion ed srarc thar rh. ah.v. inromarion is cor6t. I asc ro comPlv wnh au cirv a.d counrv
olnrM(6 Md Srar. tiu rcld bs !o burldrs conhd'o( dd hd.by tuthorie r€pr6a$1iv6 oalhis Cnv &d Courv to atd upon tn
rbov€ m6tion€d ploFny lor LBF.tion purpos6
.,.,. \tl1r\ tuAppliotrr or Asent Slgnrl!r.
t done nrme (prinriK
Set Backs /:\
Forms/Steel/Holdowns \ .,4
Erection Pads 1,,,ill -.a
UFER Ground U
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing ')a)n ^l , o..:':(?
Shear Wall 7'-1"' I I'I l"-^
Framing Ytltot Ta^x,
ln s u lation/Enerq y ;i-/t*'id ,4J,*)
Drywall i)r,l,,t rt'i4t i)
Ext./lnt. Lath U
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 4lultn 1 A)
t t)1Certificate of Occupancy
Notes, Remarks, Etc
+
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L.nd.r's N.n<
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Len,.ld s Add.s'-
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