HomeMy WebLinkAbout10298071 - PermitE
Project Address: 826 E Fourth St
Assessois Parcel 398-483-07 Lot: 8&POR7 Blockr A
Bldg:
Tract; HALL'S ADD
Address Range: 825-834 .
Historic: No
Suate Range:
Zoning: SD84
City of Santa Ana 20 Civic Center Plaza (M-19), SantaAna, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O298O7{
Pin #: 26,4lJ1
Building Use:
Job Type:
Nature of Work:
Existang Bldg. & Use:
Proposed Use:
Commercial
Alteration
lnterior Demo
Commercial
B
VB
cBc 2016
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: S2,000.00
0
Description of Work: Remove unpermitted walls. Owner-Builder form on file.
Planning Conditions:
Ownerl
Address
Phone:
Tenant:
Salvador Jimenez
826 E 4th St
Santa Ana, CA 92701
(7',t41913-7647
Contractor
Address:
Owner-Builder
Engineer:
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lac #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd
Guevara, Jerry
Ahangian, Kalhy
Chavez, Davgr.}.a-
Fire lnsp. Req'd:
Police lnsp. Req'd
Date: 10/'18/2018
Date: 11/19/2018
Dale: 1'112012018
Subject to Field:
0777600 2
07176002
07716002
0 7776002
07776002
0 7776002
0 7776002
0 77760 02
51607
s3600
57770
57607
s7507
5 7672
57600
57607
Permit Fee
Plan Check Fee
lvlicrorilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc. Receiptl
Misc. Receipt:
Misc. Receipt:
71681
Total
$160.25
$444.32
$3.76
$86.78
$243.16
$1.00
$22.08
$5s.04
No
No
No
No
No
No Account#
Flood Zone Cert. Req'd; No
Every pemit issued shall become invalid unless the wo* on lhe sile authoizod by
such permil is commehced wilhin 180 days aftor its issuance,ot if lhe work authoized
on the site by such permit is suspended ot abandoned for a period of 180 days aftet
the tine the wo* is comfienced
lnspector
0'11't6002 51600
011'16002 51601
01 116002 516'12
o1116002 57770
$22.08
$545.23
$1.00
$3.76 Fee Total:
Paid to Date:
Balance Due
Unit:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
$1,016.39
$444.32
$572.07
MID#: 2018-146886
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS O\ NER BUII,DER DELCARATION
I hs.by aflim undq pdalty of nrjury $a! I @ .rcnp 6om rh. Conlracto6 l-icense l,as for rh. follosing r.Mn (3(.7011.5
A6in6s dd Prof6si6n Codc): Any City or Counry trhicn rcaut6 a p€rni to enntud. altd, inpror., &nolish or Epat dy
srtucr@. pior ro irs isumc€, alr. r.quirs lh€ applicst lor such pcmir ro fiI. a si8n.d $atmml lhol he or she B li.d.{ pcuaJtl
lo rhc Fovi.ionr ol rh. Co"lraclois Li.enscd Low (Cisp'd 9, Commcncins wilh S*rion 7000 of Division :l oalhc Bus'n.ss dd
Pmfsions Cod.) or lhar hc or sh€ is €rcopr rh6€thn &d rhc bsis lor $. .ll.B.n .xmprion. Any ri.lation of Sari.n ?01 I 5 b! tny
applic l for a p.mn subj(t tl. rppli.mr to a civil p6ahy oi.or ,nor.lha five hundr.d dollss ($t00)
5f;*- .nn. *.*r. or my ehploye sirh rvas6 s r hcir $1. .o,npssrion. will do rhc rvort dld rhc srelE 6 mr
inrfl&l or o,Icr€d lor el. 1Sd.7044, Busin6 dd Pn'l6iom Codc Thc Co.tacrors Li.d{c tn$ d.a nor apply to o o*n( ol
rh. poFny who hrilds or imrovGlhr@r ddsho do6such \rc hihself or h6cllor lhoush his or hd own mployc.
provid.d thar such imForffiB e not i dded Gofi4d torsl€.1[ hory66, tc boilding or impmvmdl is sld q'nhin on. tu
otcomplerion. thc O,n.r auiBs will hav. rh. hrdft oltioving ta h. or sh. did not boild or imp.ove lhe p(p6t, aor rh. Pu'Foe of
l. d owns o I thc prop6ry, d crclusiv.ly co.ta.ring lvnh licmsd conlmroE ro co6lruc1 lh. I'.jd (se 7 t, Ausins
and ft!ftssion ( od. rhcCotrrracl.r's l,icms€ ljs do6nollpplyh do(nd Drpiop.nr\io buildtori'npr.vs rhsmn.
and trho contracrs lor such [roj4t virh a co.ta.'o(, licmcd pu suer h lhe conra.d s l.i.e6. h\!)
unds Sdioa-- B. & P c
"".",11'20- ?dJg
I hqeby amfln und6 pe!flhy or pejury o.e of rhe aollo{ins d..lararioB
I hav. ed Nill nai.tai, a Ccninc.r. o I cotuor to sela-lcur. lor $orker conDen$rion, d rrorid.d lor b, S(tion 3 700 oilh.
l,hor Cod.. aor lhc p.rlom crof Ih.uort for*hich th.p@n is i.!!.d
Ihav€andwillna,nh,nwo ers .onpeBarion is!r.n.c. s requt.d by Sct on 3 700 ol rhc tibor (nd.. lor lhe psfom ccoI
the Nort tur which rhis p.nni is iie.n My {ort.rs comp€.sarion insurmce cari6 and Poli., nu,nba tre
PolicyNumb6r-E$ir6
1S-.c,1'6 rhar . rh. pnaom&r.orrlr n'orl tor shrch rhis psnir is issucd, I shallnor.mrlo, any p€son in dy nend
$ ri! ro b.(,m. subrd ro rhc worL6' (ompsauon la*s ofcalifomia. Md asE th0l ill should b.come subjat to llE
{orlLrs'compmalionprcvisionsofSdio 1700olrh. t.ab.r Cod.,I shall.lonh$ilh comply *nh lhd* porisiom
NARNINC: r.ihrc ro sur€ s.rkql omposrion covgasc is unlarrul, Md drll subiar an o.plo)€r lo rnniml p.n lri6 and
.ivil fincs up to onc hundren lhousod dollss ($100,000
sLlion 1076 oarhc ljbor Codc. inls61 ed riiomey's f6
st olcomFNorion, dina,scs s provided fo! the
I hseby amrm unds poallyofrEjury Ual I an lic..sd u.de l'o\ ision oachapt6 9 (.onmo.ins wnh sdion 7000) oIDivisrcn l
ol
'lE
Bosi.6 md Pbl6ioN Codc. d By lic€N is rn irll lor. dld efid
co.NualcullN.lrNDlN(ilcl,lcI
I h6cby fl,Im undr Fnalry of pojury rhd thd. i. t codtudion lddinB asocy for lhc pafommce of th. \rork for Nhich fiL pdmil is
issu.d(sd 1097.civ c ).
AIIII(AILDICLAsAIIAX
I h6*y ailm unds p6ahy ol p€rjury on. ol rh. aollo*i.s d-l-rt ions
D.nDhion Pdnits-Asb6tos Notification l-.d@l RcsuLrions iTirlc 40, Pd16)
_R€qun d Lard ol Notificalion
I cdiay thar the aedsal r€rulatioN esardiry 6b.skx r.hoval dc .or arplicablc to lht projNr.a-<-21 (+
'E lha I har c rcad r his ,pplnarion dd iarc rhar thc abolc infomation i! c@er I agrd to conply wilh all Cny and Coudry
ord'na.c6and Sr .Irssrl.ringro blildin8 aulhoE. r.F.srdils of lhisCity d Couoly lo drd rp.h fi.
abovcn€nrionedDropeny lo, i6p<r n purros
11- 22'2",/ UApplicatrl or \Aut SiBnsl'nc €/+2-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing
Shear Wall
Fram inq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I
FINAL // /z///7 ,.&y'/.
Certificate of Occupancy 7-\-v
Notes, Remarks, Etc
-+
o,,", l(- >c>-l1^
L.nds s Nrmc
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