HomeMy WebLinkAbout10198254 - PermitCity of Santa Ana 20 civic Center Plaza (l\4-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714') 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 10198254
Pin #: 84746
Project Address: 1015 S Hickory St Unit Bldg: Address Rangel Suite Range:
Zoning: R'l
E
Assessor'sParcel: 011-076-04 Lot: 4 Block: F Tract.466 Historic: No
Building Use: Single Family Owelling Occupancy: R-3 1st FL Area
Job Typer Miscellaneous Constr Type: V B 2nd FL Area
Nature of Work: Windows/Doors Code: CBC 2016 Other Areas:
Existing Bldg. & Use: SFD w/d6t garage Flood Zone: X-0602320276J _ 11, ' r ,
Garage Area
Proposed Use: # of Stories: Totat i,,
Description of Work: Replace (1 1) existing windows and remove (2) windows and install (2) new sliding doorsl Auth oh file. l
1i
Patio:
T.l.Area:
Yards Req'd
Valr,tAtipn:,
i'li: t
l $7,5oO.OO
1ll19r;
1(13 39
t25S .3
l1i5/?t11:j
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Planning Conditions
Engineer 1 6lii7 - i1 6trur,rlt:r-
Owner:
Address
Veronica Orozco
1015 S Hickory St
Santa Ana, CA 927016003
(714) 664-8854
Conlractor:
Address:
Owner-Builder
Address:$r 516r-1 1t]0t-
Rt',,olv r ns
5161?r:[]r'l-
Phone:
Tenant
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone.
License #x**r*xx7441 Auth+:r:l
Architect /
Desiqner.
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
t.andscaping lnsp. Req'd
Guevara, Jerry Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51601 Permit Fee
07776002 57672 Bldq. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 51501 lssuance
$160.25
$1.00
$22.08
$55.04Zuniga, Allissa
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
$238.37
$0.00
s238.37
lnspector MtD#. 2018-147437
01 1 '16002 51600
01 't 16002 51601
01 116002 51612
$22.08
$1.00
Fee Total
Paid to Date:
Balance Due:
Date: 1l/05/2018
Date:
Date: 1'l105/2018
Subjecl to Field:
Every permit issued shall becofie invalid unless the work on tho sito authorized by
such pqfitt ts commenced Mthin 180 days after its issuance,or if the wotu authoized
on the \fie by such pefin 6 suspen.ted or abandoned for a peiod of 180 days aftet
the time the wo* iscommenced
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDI'R DELO\RAAION
I h6eby sfim undd penah, ofrclurr lhal I m €x.mF trm lhc Contrclon' Licens L,w for the fouovinB lten (5(7011 5
BBin6 and Prot6ion Cod.): Any Cily or Cou.'ly shich rcqund a pdnh ro coNtxcl. ahe. inprolc, dcmolish or rclAir my
srrrcrure pdor to its i$uecc. al$ alut6 rh€ ,ppli.d for such p.mit to filc a sisn.d sladnor rh8l h. or stc is licoB.d p6uor
to rhe provisiotu ol tnc Contractois LiGnicd La* (Chrprr I, Co6mcnci6S $ilh Se.lion ?000 of Division I oarh. BushN ud
Proaesio.s Codc) or that h€ or she is.xcmfl rhftnod add rhe tusb for thc allcs.d cx6nflion AnyriolarionofS.clio! 70ll t by.ny
applicnnrroraFnnirsubjersrh.applicanlloacivilpenoltyoinolmorclhannvchundr.ndollds(!500)
l.6orndo|lhcp.o!.ny,o'6y@plotGsnhwa!6s.irel.conrp€dsalion.*illdo$.wo md lhc slrudE. n nur
inrfldcd orolTold for salc (Se 7044, Bosins and Prof6sio6 Codq fic Co.tnclols Lic@ L€* do6 nol arpl, ro oNnsof
Ihc pmpdv uho btrilds or inp,ov6 rh@n. od*ho do6 su.h kri( hims.lfor hmclfor lh.oush his or hd oM dnploy.6.
rrolidql rhar 3uch iittuvomts e. mr i odei or olIqEd lor el. I I hoNdr. rh. huildins or inProlmdl is sld rithin nn. )d
ofcomplero( lhc O*Ts Builds {iU h^ c lhe lEd.n of proins dd he or si€ did nol build or imFovc rh. propd} for rh. purlDs ol
-1.
s o\sd ollh. propdy, mcxclGi!€lyconrncriis wirh licdsed contactoG to coNlrucl rhc ,@jd (S(. ?044. AGin*
and t\oli:sion Codc -t'h. cotrlEcioas Liccns. Law dos nor 0pply to e owns o lprordy qho btilds or inProvd rhden,
and \no codnds for such pmjats silh a Cont6clo(r ltdcd pu6udt ro lhc Contracrd s Licosc t-d*)
ll*,///^vL<
PECI.ASAIIO!
I hd.6y rmrnr.d6 p.nahy ofpsjury on. oflll. tullosins d<ldalioa:
I nav. a.d will mainrain a Cdtia,€le oacoNnr lo Sdf-16@ for mrkdr @n9.n!ario\ s providdl aor by S6tion 1700 of lhc
Lahor Code aor lh. pdfom c.otlhcworl fo, {tich lh. pdnn n su.d.
-lhsv€andwillmaflainwo*.B.omp.s.(io.iBuranc..6r.quncdbyS<lion3700oflh.bborCod..forficpdlof,n..oirlE vorL for wnich lhis p.mil is isuoL My vo,k6i conptrdion insurec cri6 a,i Flicy .!mbq rc:
Polr! Numbd Erpn6
I ccniryrhar in rhc pdfomoce of rh. wo& for *hich this Fnit is i$ucd.l shall nol dnploy any Psen in anyndnn
$ s kJ h.comc lubj<t to E work6' comp€Nlion hws ol Calilod'!, dd.grslhar if I should bsone subjd' b tnc
vorl6'.onp4ario.pmlisiosoas6tionl?0OoatheLaborCode,lsttsll,fodhwilhonplywilhlho*pN
NARNIN(;: Failue to sculc \orkc6' comp.Bario co unl.wful. aod shall subjd d
civil ntrcs op tu on€ nund,.n llouend dollds (
s(riLnr 1076 olrhe l2tor
DECIAIAIIQN
I nmby aiim uod6 poalry of psjory rhar I m lic.oe.d undr pmvtion of Chapla 9 lomnocins vilh Sd ion 7000) of Division l
of lh€ Busins od Prcr*ioG Cod.. md nr li.cM is in foll aora od cfid.
calllalcllQN-LElDllclcDlcr
I hsrby aftm undr !..rlr, oa palury lhar th6€ is a coNlrudion l€.dins asm.y lor ihc psfomance oflh€ sor[ aor ehich rhn Fmn b
issucd (S(.1097. Cir. C.)
ATTLICANLDECIASAIIO!
I @ afim unds pdaltyoapdjury onc of ln. aollowint delealions:
D.holirion Pmtu-Ast6ros Notilication F.ddll R.sulations (Tn[ 40, Pan6]
RqoiEd L.rt6 otNorilic.tion
I cdilyrhal $. t.i6alr+"l.tioN resddins 6b6tos rdroval & nd appli.abl. ro lhis projd.
I.dilvrhar I h.ve rad rhis ed sr .nh thd atsrc nrfonnalion is co ro..nlPly \rnh all Cilyand Counry
ordinatrcs and Shle lAVs rclanry ro ofrhis ( ny md Cofryto cnr6 urrn rhe
dhovc nEdtion€d pmlEny for
r cc!",/4s//-t'
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathino
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
n
FINAL ///ta//Y .rrffi>
Certificate of Occu anc
Notes, Remarks, Etc.
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