HomeMy WebLinkAbout10198238 - PermitProiect Address: 416 W Fourth St
Assessois Parcel 398-593-02 Lot: 34, POR 33, PORBlock: NA
U nrt Bldg:
Tract: BIRCH ADD
Address Range Suite Range:
Zoning: SD84Historicr No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{98238
Pin #: 56229
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
N/A
Miscellaneous
O/T lnspection Stage
Special Event
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
N/A
N/A
cBc 2016
x-0602320276J
Patio:
T.l.Area:
Yards Req'd:
Valuation: $0.01
1st FL Areal
2nd FL Area:
Other Areas:
Garage Area
Total:
Description of Work: O/T lnspection for Stage for special evenusaturday Nov 3rd. Contact Manny 714-390-4563. Jose Desoto 714-240-3581.
lll
nns+: 6[ 1Refi: t r-r19ll
1l /1 /'r(tl1, 11r'lil
Owner:
Address
Phone.
Tenant:
Lft Property Management Llc
405 S Teri Ln
Orange, CA 928694652
Contractor: Risk Enterprises DBA Coasl
Address: 6'10 E SANTA CLARA
Santa Ana, CA 92706
Phone: 17141234-9160
State Lic #: 623480
Lic Type: B
Bus. Lic #: 2401
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Hopper EhEineering Assoclak i li
Wesley Brown
3oo vi;ta oet Mar ' lf i 'r" I L
Redondq Beach, CA 90277
i11
2A979
Engineer
Address
r:l . :-ir
Architect /
Desiqner:
Addressl
Phone:
License #:
Phone:
License #:
Planning Approval Byl
Plan Checked Byi
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
$320.50
$0.00
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd; No 011i6002 51601 $320 50
Every permit issued shall become nvalid unless lhe work on lhe site authorized by
such pemit is commonced within 180 days aftet its issuance,ot if the work authorized
on the site by such pe nit is suspended ot abandoned lor a period of 180 days after
the ume the wotk is cofimenced.
lnspector
$320 50
$0 00
$320.50
Planning Conditions:
Date:
Date:
Chavez, Dave \i2- ? Date: 11101/2018
Subject to Field:
Total
01116002 51601 On lnspection
07776002 57672 Bldg. Stds Revolving
07176002 57600 Genetal Plan Update
Fee Totall
Paid to Date:
Balance Due:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
MtD#. 2018-147402
BUILDING- INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Fjnal Report
.t*,-" ^ ltFI NAL 1,rrB ar)
Certificate of Occupancy U I
Notes, Remarks, Etc
+
OWNERBUILDER DliI,CARATION
I hercby aflimr unds poalty of tdjury lh.l I dn c\dnpr liom lh€ ( onr.cto^ Liccns! ti\ for rh. followin8 EMn (S(.?01 1.5
BNin6s and Proasio. Codc): An, cny or Counr, stich r.qut6 a p€nnn to cotrsrtuci. .1t6. nntrolc. d.frolish r rqEn ry
snlctulc prior io irs isru ce. also requtB the applic r tor such pcmit ro filc a sisn€d srarndr rh.l lE or sfu is liccnsed p6umt
io th. Folisio6 of tne contr.cto.s Li€enFd Ln\r (chaflo 9, comm.ncing wnh Sdiotr ?000 of l)ivision I oarh. Busin*r ed
ProLsions Code) or lhat heorshc is excmpl thr€lron and th.bsis forlhcallcscderoflnJn Ant!ioldtionofSc.lionT0ll.5byuy
applicdr lor a p6frn subj@Brhe rpplicam ro a.ivilpc.axroanor norelhm fivc hu.drcddolla6($500)
l. 6 owncr oflhe proFny. or my cmployG rvilh Nas6 6 rh€t $lc compasalion, *ill dd ir s ork dd lh. slnrlG. is nor
Dtod.d or oflqcd lor elc (Se 7044. Rusin* ed lrolsions Cod.: Th. Conr.clois Li.m. ta$ do6 nol apply to o owncr ol
rhc Frp.ri, \rls hril& or inprovB thson, ud Nho do6 such *!rl himselfor h6.ltor rhtuuah his o. hB o\n.mploys,
prov'drd rhar such inpmvdEnrs m nor inhd€i or ofdrd for $L ll no\v6 d. lhe b{ildins or iDprevflol is $ld wirhi. onc let
otcoDplelion. the Owe. Ru dg will hav. lh. bud6 ollfovins lhd h€ or she did not bild or nnprov. fie p,op€ly lor the purF* of
_1, a oMcr olrhc pmpdr. m d.lusilcly cohhdinB qnh licm.d conirrtoB to conshrr r hc r.oj.cl (Se 70.14, BL$ns
od PFfesionCod€:'l h. contrcrols Liccilc Law do6 nor dpoly ro d o$n6 ofF.openy who builds or nnprov.s rhadn.
and who cof,racrs for sucn pmjdswith r Conrr.cro(s) lica*d puB@r ro rh.Contlcloas Lk.e I2w).
_l an.xe rp( undes{tion_. B & PC. ao.rhisreason.
Drte osncr
woRxERs; aollrPENSATtoN
!&c!.axAllQ!
I hd.by afiim trndd pemlty of pGjury on. ofdr€ tollorinB delmtioas
_l h.!c dd will daimain a cdiar.al. olcoBdr to Sclf-lnsrrc lor \wrker!' cotup.nsarion, 6 p.ovd.d lor by sdrtun 3?00 o alhc
libor Codc. ror lfie psfolr@c. ofrh. *orl for trtich rh. p6nn i! isuai
_l hrvc ,nd will m.inlrin work.G comp.Balion insra.ce. s r.guned by Sdlion l?00 of Ihc L!t{r Code, aor lhe pdfom ceof
rh. *ork aor shkh thi! p(mn is isu.d. M, worlsi .om!.Mio. i6urMcc cuir sd Flicy nu'nbo de:
-l
csriry thar in Ihc pdfomecc ol rh. vo flr *hich rhis p6mn is issu.d. I shall nor onploy any p€Mn in dy Edn r
$ Bro bdom. srbj*t lo th. Mrtc'comFMion lawsolcaliaomi4 ud lrrelh ial should b.<on.subjel lo th.
mrtm' compcNotio. povisioN oasslion 3700 ol lhc kbo! Code I shlll, lodhshh onpl, *irh lho* pmvlsions.
wARNlNci Failr. to cu. worte6' comp.Gdion covcmse is unhwtul. ed shall subjet d dnplord ro sinirul pouhiB ud
civil finB up ro on nu.dr.d lhoMd dollm (ll@.000). in addilion lo lhe osr of co,np.@lio.. d.na86 6 provid.d io. rhc
sd1id, t0?6.lrh.l.lnr (-.(1. inrered.nJ z
><l-t\Q
IIICIASAIION
I hdeby artrm und6 p6ahy ot Fjury that I e liccnsdj unds prcvi.io. ofchaqs 9 (commacins wilh Scdion 7000) or Dirision l
of rh. ausins ed Prol6sions Cod.. !d ny licdsc is in full forc. od cltd.,&
n -( -tE
c.0 sIaucIr0NLENDlNG-dcli!.cI
I ficreby ailtrrn undd p.nalty o t p€rjury Ihal lhse is a .odNclioo Endi.s aBdcy for lh. pdfommc. ol lh. vort for whi.h rhL t6frn i.
isuen (sd 1097.civ c).
AIIIII;AAI.DDCI,AsIUOX
I Eq* amm und6 pcnalty ol r.dury on. oa rhl rolknvins dftlda' ions
DcnDlitioo PdDils-Asbeslos Nolifrcalion l_.dqal Rqulal ions { rnk 40, Pon6)
-Reluir€d
lnls olNolifi cation
I cdify rld rhe ledcral rcgulal io6 r+ddine 6b6ros rcmoval 6e lor aprlicablc ro rhis p(jdl
I ceriay rhar I h.v.,od rhis appli€alion ud starcrlEt rhe abov. inlonnartun is coder. I alieb.omtly siih ill City a.d Counry
ordinan.B dd Sratc LaNsrclalir8ro bui rirc rcpr6drarivd olrhis ( n, md ('ounlyto ml6 ulon the
abo\ e menlioned prop.rry lor ins
c-,t1-( 4I
DATE
T-Bar
Flood Zone Certif .
tonrratrorif
Lendd r Ad&-s
-
Apllic!tr|or Ag.trl Sig trltr.c
f-------T------
tit