HomeMy WebLinkAbout10298257 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (tu1-19), Santa Ana, .CAj27O2 Building
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1o298.2!i7
Pin #: 15414
EProiect Address: 11225 Broadwav
Assessor's Parcel o'13-142-18 Lot: POR 6
Unit Bldg: Address Range Suite Range:
Zoning: R2Block: NA Tract 458 Hisloric: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
N/V-Windows/Demo
SFD W att garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320276J
1st FL Area:
2nd FL Area
Other Areas
Patio:
T.l.Area:
Yards Req'd:
veJttllq?., q
r.0ns+:133
0@0
000.001Garage Area
Total Lll I
Description of Work: Legallze unpermitted window change outs and remove unpermitted open patio cover. Remove (2) unpermittbd,.sheds and leave
one shed to be less than l20 sq ft. to be used for storage only. Owner-Builder form on file.
Planning Conditions: ;
Owner:
Address
Conlractor
Address:
Owner-Builder
Address.
Updote Fee
.r r-r0r:[:r-Cruz Bernal, Maria Elena
1122 S BROADWAY
Santa Ana, CA 92707
\ren (
ui1.L
.l lr
Phone:
Tenant: Not Specilied
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:
Landscaping lnsp. Req'd
Guevara, Jerry Date: l'l/05/2018
Date:
Date; l1105/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
017 76002
0 777600 2
0 7776002
0 77760 0 2
017 7600 2
5760 7
57607
5760 7
57612
5760 0
57607
Permit Fee
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Chavez. Dave
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
$160.25
$86.78
$243.16
$1.00
$22.08
$55.04
No
No
No
No
Total
Flood Zone Cert. Req'd: No
Every permit issuod shall become invalid unless the work on the sile authoized by
such permit is commencod within 180 days after its issuance ot if the wo* authorized
on the site by such permit is suspended or abandoned for a peiod of 180 daysafter
the time the work is comfienced.
$22.08
$545.23
$1 .00
lnspector MtD#. 2018-147446
01 1 16002 51600
01 1 16002 51601
011'16002 516'12
Fee Total:
Paid to Date:
Balance Due:
$568.31
$0.00
$568.31
,11.
Engineer:
Phone:
License #;
I "r-l
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMilENTS
I a'n.r.n.r unda sRton .lt. & PC fo' lh8 rdn;..1!- s- ur "*-v-.42f l.nrc-t)ot)"
woRl(ERs' coMPihsAl loN
s
DECIAEAIP!
I h6eby amm u.d6 poall, oapEjury on€ ollhe rolbwins d<lmrioN:
-l
hav. i will mainrai. . Cdifical. oacoNol ro Self-lnsurc lor *otk.tr coniptutriofl. B pmvid.d fot bv S*tion 1700 o athc
kh., Coda lor thc psfomoc. ollhc wod for wnich rh. psfln G isu.d.
-l havc dd sill m6imsin wod(.rs .odp€Balion Guanc.. s r.quir.d by S.clion l70o ollh. Lat r Cod., for lh. p6fomue of
fie work aor wni.h lnis pcmil is isu.d. My worl.rs compssarion iNr&c. clrid dJ polky numbd &cl
-l
c.nify thar ir th. psforfucc otlhc w.rt for which lhis permit 6 qsu.d. I shaU not mDloy !n, pdso. in onv hdnd
e 6lo b.cooc slbjdl b ih. M 6'clmpc,salion laus oacalifomia. md asE rhar ial should b<.om. subjel to rh.
\rcrl4' coipgMlio. pevilioB ofsrrion ]TOO of lhc l.abor Code ! $all. lonhwith .omPly with thos pmvisioB
WARNINC: Failur. io su€ wo*6' composdion .oe.mB. is unLslul. &d shall subj(t o dplorr lo siftinal FEti6 dd
civil 6n.s !p ro on. huDdr.d lhousdd dolls ($IOO.O0I)). in addnion $ rh. cosl of compmalion daMSG 6 Providcd lor$c
S$xon 10?6 olthcLabo,Codc. i.l66l ddttrorncyi ls
€(o,t- 3- 2a a--,,L|"t,\.lal9as
UCI'NIED.CONISACIAA
ECIJAAIIO!
I hereby affm u.d6 p.nally o f pdjury $ar I m licds.d undd Fovision of Chaprd 9 (onmocins s nh sdlion 7CO0) of r,ilisio. ]
of thc BGine dd Pmfsions Codc. dd hy lictu. is i. lnll fotcc md €ftel
l,imc Numbs
calirBJJqllaNuxDllcicENcr
I hmby alliirn trndq penalry of r.itr.y ihat ihsc is a codruclio. loding aBmcy aor lh€ lqfonnMc. of lhc \rc* lor sti.h rhL Fmit is
isued (se 1097.Civ. C ).
Forms/Steel/Holdowns
Erection Pads
UFER Ground
Subf loor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
/)
FINAL /h//O 4 h-1, )c/
Notes, Remarks, Etc.
J
Set Backs
SLAB Floor
Flood Zone Certif .
-
owNnR BU|LDERDf,LCAR TIoN
I hseh! amm lodr pa,lly oa psjury rhal I d .&mpr ftom tn Co.ra.brc' Licens. Ltw aor lh€ followi.s r.e. (5(.703 1 .5
Dusins a.d Profsion cod.) Any Ciry or Coudy shi.h t.qui6 a Fon ro @drud. ak6 ioprolc ddnolish or rcDat dv
.rtudN, pnor ro ns isuucq aLo r.quirc thc opPlicel for such Frmil to 6L a sisned slalddl lhar h. or shc is licd.d p@ant
lo rh. prolisioE oflh. Conl,acrbas Lic.ns.d tlw {Chapl6 9. Comma.ing wnh SEtion 7000 olDinisio.I ollhe B6inB ed
P,ofsios Codc) or lhal hc or sh. b .xmo rhqelion dd lh. b6!is aor the allcs.d qdplion. Any violation ol S.dion 701 I 5 bv €nv
rppli.d foi. p€f, slbjcls lne lppli.ml to a .ivil pcnahy of nol hotc rhm five hundr€d doud ($100)
-1,
6 owhd oflh. prop€rry. or sy @ploy6 $iih wa86 s fi.n sk compcdi.lion, sill do lhc sorl ad the erudrc k nor
inl6& or oficrcd ior slc (Sd.7gl4, Bosins &d PrcfBioN Cod.: Thc Conrrlcloa3 l-i.d. La$ do6 ool apdv ro m otrnd ol
rhc popdy vho tnilG or tnr.o!61h66n. snd wtr {b6 sch slt hins.lf or hmlfor thmugh his ot hr om rnplor.6,
prolidcd thal such i,nprovo6ns ft nor inddcd or oil6.d for s€1. ll how6q. lhe buildio3 or impmv.1Ml is sld wirhu onc va
ofamgldio.. lh. O*td Britld will h,vc lhc budn orFovinr lh, he or shc did nol build or imprc!. lh. pmldtv tur th. pxtPc. oa
l. 6 ornd oflh. Fopelr. m .rclusircly conlracli.s wnh [ccN.d conlrrclo6 lo <odtuct (h. proj€cl (Sd 7M4, BGi6
and Proisirn Codc Th. Conlr&roa3 Lic.@. Law dod nol otply lo d o*nd oaPrcp.ny who buil& or imProlB lhqon.
ed who co.rEcrs lor such FojeB wnh a Conlracto(, lic*.d p!B@ lolh. Co.lrtctols Lica* t w).
AIETANLDECIAAAIII}!
I rE by a]fhn ondr Fftlly of pdjury one of th. followins d(l6alio6:
Donol'rioo PamiteAsb€los Nolifi carion F.daal RcSularions (1 ill. 40. Pan6)
-Rcquir.d
kr( of Notifirzlion
I cdiry rh.l rhc acdsal ..gularions €gdditS Gb6tos rfloval dc n.r .pplicabl€ lo thls pojdr
lltY"*r, **.*o*ir applicarion dd sbr. rhd de !bov. i..onnarion is corr..r I 686 to compry {nh
'rr
cirv and couniv
ordinec6 dd Stalc h$ r.lrrnB ro buildins .oi5ltuclioq afllheby surhor?e rcprdard n 6 o I rhs Crlv ud codnit ro mtr upon lh.'i*:::,1:T-i.W
^* - t r's'z&
pemr,en'n.,pr,n,r Lru4ia e. Itrla Iq,)Ser