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HomeMy WebLinkAbout10198411 - PermitT Project Address: 2205 S Bristol St Assessor's Parcel. 015-194-24 Lot. 193 Unit Bldg: Address Range;Suite Range: Zoning. SP'lTract: 1192 Historic: 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 #: 10198,411 Pin #: 75665 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Usel Single Family Dwelling Demolition & Clear Lot Demo SFD Wdet garage R-3 VB cBc 2016 x-0602320278J Patio: T.l.Area: Yards Req'd Valuation: $10,000.00 Occupancy: Constr Type: Code: Flood Zonel # of Stories: Description of Work: Demo and clear lot. AQMD on file. '--FEE EXEMPT PER MEMO*.- Planning Conditions: Owner: Addressl ,Phone: Tenant City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 (7141 903-2002 Contractor: J &G lndustries lnc Address: '18627 Brookhurst St #302 Fountain Valley, CA 92708 Phone: (714) 903-2002 State Lic #: 571859 Lic Type ASBS, A, HAz, c-2'l Bus Lic #: 160248 Workers' Compensation lnsurance. Carrier: State lnsurance Fund Policy #: OAO2A47 Expires: 1OlO1l2O19 Engineer Architect / Desiqnerl Address: Phone: License # Phone: License # 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 Date: l1l19/2018 Date: Date: 11/20/2018 Subject to Field: lvlisc. Receipt l\,lisc. Receipt l\,4isc. Receipt 011160 0 2 0777600 2 o 77760 0 2 0 777600 2 0 777600 2 57601 57507 57672 57600 57601 Permit Fee Fee Exempt Bldg. Stds. Revolving General Plan Update lssuance $ 160.25 $-238 37 $1.00 $22.08 $55.04No No No No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No N/A - No Balance N/A - No Balance Account#Total Every permit issuod shall becomo invalid unless the work on the site authotized by such permt ts connenced within180 days aftet its issuance or ifthe wo* authoized on the site by such pormit is suspended or abandoned lot a peiod ofl80 days aftet the lime the work is commenced lnspector MtD#. 2018-147756 Fee Total Paid to Date. Balance Due: $0.00 $0.00 $0.00 Block: NA 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Address: Guevara, Jerry ,/ Zuniga, afflssaN BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNOR BUILDT:R DEI-CARATION I h.r.by amm undd pe.alry of pojury thd I m .r.mfl frem rhc aonir.ctoB License Las lor the follo$ins reen (Ss.?oll 5 aosinss md Pofsion Cod.): Any Cny or ( ou y trhi.h r.qorss 0 pcnnil lo conslruc1. alt6. improle, ddolirh or r.nair oy {dciue prior ro ns issu&ce, also r.qun6 rhe alplicet for su.h pennir to fil€ a sisned srnondr rhd h. or sh. is licds.d Ereuml to rhe proris,od ofrhc Conlricro.r Lic.n*d tr* (Chao.r 9, ( onncncing wirh S(lion 7000 of Divisiotr I oflh. BGin.$ dd ProaNions (-odc) or !h{ hc or shc is crdnB lnftfroor ed lh. b6is for th. allcs.d c\nption. Any liolarion .l sdi.n 701 L5 b, ey arplicanl lo! a pcmil subj(lslhc npplicanltoacivilpeoahyornoldorelhefiv.hu.drendollds($500) l. G osnr oflhc pNp.ny. o nyenployG wilh was6 s lhct ble coh!.Mrion. trilldo rh. "ork md rhc srodft L nut imdddl or o ll6qt aor s.rc ( Se 7014, Busins and ltofsio6 Cod. 'I he Conttcttr's Li.dc krv doe not Eppl) ro M ownd ol rh. In,!6ly vho bilds di inp6'€ $mtr md who do6 *.h sod hilnrclror h6.llor rh6o8h his or hd ovn cmploy6. provid€d that such nnprovmls de ml htdxLd orofigcd iorel€.li howev6, th. btuining or inlroisnmt is eld vilhi. one )@ oiconDbnnl lhe Om6 arite $ill havc rh. t[d6 of povins $,( he or sh. dil nor build or nnFo\! lhc Plopsly for $c plqD* of I. s oNn6 oath. propsly. m cxclusivclycor Eclins silh lictu.d co.radouro coN'tud iic prcj(t (S{. 7044. &ame and Prhsin Cod€: Thc Conlr&1ols Li..nse ll{ do6 not apply ro eo$ns olprop€nyrvho builds or tnprovB (hddn. md who.ontmcrslorsuchpmj4rsBilt.Contmro(,IicsEdpuB@ttolh€GntradolsLicoetjR) _l m .x@p uda sdtion_. B. & P.C. tor this r€Nn. D.r.: Ortrd: :!0atsEa:i.l:a!!8Elsa-I&.r DECr.AE4uQ! I hdcby ami,n trrdc. Doallyoapsiuryon€ ollhc follosi.s dalaralions: _l nale ond will ,nai.tain a cdificorc oaco.Hr to S€li-l6urc lor *drkds .onlpcnstion, a provid.d aor by S(tion ll?00 of Ihc Llbor Cod., aor rb. Flomoc{ o f lh. iod for whi.h 'hc pdon is is!.d I ha\ e and will ,nainiain worl.rt comp.Ntion insu.ance. d rcqui.{ by 56r io. l7fll ofrlE bbo. ('odc, for lh. p6loDndcc ol ion idudc. !-rio lrkl poli.y numb6 ac ()n. _l co1iEn'ar in rhc prtuftdnc.oithc worl fd $hi.h nrh pami is issu€d. I shallnot employ a.y rErson in any heod s 6 ro b..omc erbjd lo lhe wort6 conrposalion la{s of Califomia, ed arft rhd if I should bccome subj$l to thc \rcrlas compensalionprovisionsofSc.lionST00oflhctiborCode.lshall.fonhwnbco ply $hh thD* prolisio6. mmp.@rion co\d*. is utrl,\vitrl. dd stall subjd u dploycr ro ondd t alris dd sddnion k' dre con ol comp.neiion. dmas.s a\ pioeded ld ihc DC-c-. nI7o I h*hy.8irm x.dd pd.lty o lp.rjury lhgI I m licctrEd undo provEion ofChaplE 9 {.ommdcinu $ilh serion 700\)) olDivision l of rh. BNin* dd Piolsiotr Code, md mr liccN is in aull aorc€ ad eftd. Lt_q1 1Bs4- ATTI.ICANIDECIAAAIION I hdtt! a1lfln undB p..alty ot pcllury onc ol th€ lollowins d(laal ions: t)a/[1ol.r'on Pmn \.Asb6ros Norificaron F.doa' Rcaulat'ons I I rlc a0. Pmo)\t --\lquncd Ldrs oaNorir(d ion -l cdliry thar rh. f.dd.l regulario.s ESddinA sb6tN ronoval se nol olplicablc ro fiis lrojel. -l cdiaylhd I havc rcad Ihis applicalion dd sratc lhar $.,hor. 'nlomanon s coEd I asetocomp,) tri/frallC.kyondCounryH:::*::ffi-i\Hlii- Pdm,ren,m.ipr,n,): /6; e L^-, r Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsulation Roof Sheathinq Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat l\,4a so n ry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL /- t'/-[2 ,/r/z{x '{fr) Certificate of Occupancy Notes, Remarks, Etc \ I a I 1 I .\] y6 kt,4 E FrvTtrJf\Y I 4 s r b^''l _/ I Set Backs ,}rt q COIEIAIqIIONI.EIDIICJCENII I h6cby arm uodr lEnalty oa pdjury tha! fi6. is a octtudion lodine a86cy lor lh. pstomrancc ol lhc {orl fo. which Ois rtmi is issued (S( 1097,Civ. C ). I l ---T------