HomeMy WebLinkAbout10198322 - Permiter
Project Address: 2910 W Lingan Ln
Assessor's Parcel:109-692-05 Lot: 66
Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 3937 Historic: No
City of Santa Ana 20 Civic Center Plaza (N4-19), Santa Ana, CAI27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{98322
Pin #: 8523{
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Bathroom Remodel
SFD Watt Garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Patio:
T.l.Areal
Yards Req'd:
Valuation:$0.01
Descriptionofwork:Bathroomremodet -Removeexistinstubandtitewatts. tnstatt acrylicpanandacrylicf;fif,t.lgf€f&"#i&tl:SArrilt''i"''n'
[i;|i,,,'ror,.,rr" -,rr$iliir llJlnl'r'
Planning Conditions: Trctnsn,:t. iorr lotol t,.37.i!
Engineer
Address
Aren r,:on HomE Renodl ins
Owner:
Address:
Phone:
Tenant:
Diana Hironga
2910 W. Lingan Lane
Santa Ana, CA 92704
(714) 545-7309
Contraclor: AmericanHomeRemodling
Address: 4375 Prado Rd #108
corona, CA 92880
Phone: (951) 520-0654
State Lic #: 807029
Lic Type: B
Bus. Lic #; 5340
Workers' Compensation lnsurance:
Carrier: Falls Lake Fire and Casualty ComF
Policy #: FLA00797700
Expires: 0110112019
G€nerol Plon [Jpdqte Fee
01116002- 516110000-
Buildine
01116002- 515n t'100-
Blds Stds Revolv ine
01116082-:1612000-
ICL Check 2728
r-J
1
rl
Archilect /
Designer:
Address:
Phone:
License #
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Date:
Date:
Date: 11/09/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
$160.25
$1.00
$22.08
$s5.04
01776002 57601 Petmil Fee
01776002 57672 gldg. Stds. Revolving
07776002 51600 General Plan Update
07776002 51501 lssuanceChavez, Dave 2c.
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every permit issued shallbecome invalid unlesslhe work on the site authorized by
such pemit is commenced within 180 days after its issuance.or if the wo* authorized
on the slte by such petmit is suspended or abandoned fot a peiod of 180 days aftet
the time the work is commenced.
lnspector l\tllD#: 20'18-147589
No
No
No
No
il: Account#Total
01116002 5't600
01116002 s1601
01 '116002 51612
$22.08
$215.29
$1 .00
Unit:
R-3, U
VB
cBc 2016
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Fee Total:
Paid to Date:
Balance Due:
$238.37
$0.00
$238.37
BUILDING- INSPECTOR RECORD
SITE.WORK ID/SIG.COMMENTS OWNIiR AU!LDER D'L('ARATION
I hcreby aflinn unds pedly ol pqjury lh.l I m €xenp' iro'n rh. ('onlracrnu' L,..n\t L.\r lor rhc follo(ns r;'en (SS:.7011.5
aBi.ss ad Profsion Cod.) Any City o, Counly \fiich r.qut6 a p<oit lo consrrucl, ahq. improvq ddnolish or tQairey
$uclue. prior to ils isuecc. .lso requne thc appli.d aor su.h Frn b tile . siBned srarendt lhat h. or sh. G licoscd pursuant
ro lhc p,ovisios ofth{ conlractoir Lic.ns€d ll* (Chap.r 9, Con6c6ci.g snh sdrion 7000 of Dilisio.I ofrh€ Busins md
Pruf€ssions Codc) orlhat h€ orshe is excmpl tb6.tro d tlE hsis lor $e all+ed eroprion An,violaiionotstrtbn70-11 5bya.y
aptlicant for apnn subjccrsrh€ applicant ro scivilp€naltyolnot rolcthd filc hundftar dollds 1$50!).
I. c o\Td ofrhe poleny. or my cmployG rvilh Nas6 6rhen sE composarion. rill do lhc *o.I ddlhl slulde i! n r
i.bdal or oIT6.d aor sL (Sd 7044, Busind &d Prcfsiod Cod.: Th. C'ont.crols LicN Las do6 nor .pply to an own€r ol
thc pNpoly sho toilds or imrrcv6 lh@r ud who do6 sch sorl hms.lfor hdsclfor rhrouEh hh or hd own dnployc6.
providcn rh.r su.h i pmvmdk m nor ifldd.d or oftdqj nr eb I I ho$ a c, $. hiildinS or imp6\ ondr is sld wnhin onc yw
oaconDletiotr. rhc Ovner Buildo will h.\c thc hnda oapo\ inu lhd h. or slE did mt hoild or improve the pmpqry lor lhc purD(E ol
l. acoNndoarhc For,jdy, d d.lGively .o.tacrin! *ilh lioo*d Nfuadoulo..Ntud th. Fo.jd (Scc 7044.Itusins
dd hrfessir aod.: Thc Conrra.lois Lic€nsc LaN do6 not.ptly ro an osnd o I propcny Nho builds or nnprov6lhtr@n.
dd who conrEcrs for such prcjers silh a Contrrcron, licqs€d puGuanr ro rh. contactn's Licft. lr*J.
I n e\cmpl lnd.rs.rl,on .ll & l'( nn lhi\r$son
D.l.: Orn6:
woRr(.risicoirrpisaaloN
D[CtA8Arla!
I hdeby altmn u.dc. pdalr, oapajrt on ollhc follo$in! dcldarioN:
I n.!c d will m,int0io a Cdificare of CoBol ro S.lf-lEure for uork.6 conipens ion, 6 prcvid.d fo! by S(tion :1700 o r lhc
tibor ('ode, for th. FaomMc. o f (h.
"od lor $hi.h rh. rmnn il Gsued
I harc and Nill mainlaio wo,kerr coNp.Nlion nsuranc.. a requtal by Sar ion 1700 of lhe ljbo! Cod.. for lhc p6fomdc. or
Nl!itruran c.aid xi p.licy numb6 ! e:
OD
I ceniry lhal h lhc pefonn.nce ofihc trort lor $hich nris fsnrii is issued. I shaU n.r employ n.y psson in any mdn.cr
s) irs t) hcc.'nc s,bjccr i. rhcu.*ds corpcnsrion la\s or( aliromr. afti,uN thir ill sh.ul{l r$o'nc srbie.r ro lh.
$0116 emp.nsdn n polttuns ol Sd on I700 of rhc l-a&tr Codq I sh ll. l'onh\rirh.o pl! lvir[ rho* p$isions
lo lacu€ \!rk6' comD€osariotr covmge is unlawful. ud
rh.LsdJ dollrs ($100.000).
'n lddirnn !, rhc
inr.rci a d ortr! s Lsx
I h.r eb! atlth unnd pdahy of lErjury lhit I m licensal lndd pmvision o e I (connrcncirs \ ilh Sdion 7(100) oaDivrur l
ol thc Busine &d Pbfd\ioN Cod.. md n, li..nsc i1 in lull for.. dd .lTcr
/
CAIiIaI]CIIONJ.INIINC.AC.ENq
I hdcby ainlm xndd p€rally of pdju.y that lhqc is a cododion loding asency for lh€ pstonnocc ol thc work lot which lh6 Fsil is
iss!.d (Se.1097. Civ C )
AIIITIANLDECIAAAIIA!
I h.rtt, aIImu.do pcnahy olpdjury on ofthe followi.r ddl&arionr:
D.nolrtu. Po s^sb6ros Noriricdlion F.d6al R.sularions (Inb 40. Pan6)
R.qnted Ldrd olNo ncdrion
-r
cel ify r har the aedsal r+rnalions reBedin3 sb€ros lLrnoval are mt applicabl€ lo rhs prorecl
I cdify rhat I nave ud lhis ap icar
odinanc6 &d Starc lrwsrelatinr lo bu
abvc nrnrioncd propcny for inspdlion
I a,gre lo .omply $ irh .ll Cir,
Appli{itrl or Agenl Signrturc
l'(Dilrc utrc (prnrl): *
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
f,.oof Sheathing
Shear Wall
Framing
ln su latio n/E nergy
Drywall
Ext./lnt. Lath
lvlasonry
Pool Fence
T-Bar
tlandicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL ulv>lN'i '4) )
Certificate of Occu -I
rtr lpancy
Notes, Remarks, Etc.
.t
DATE
Brown Coat
L
LcnJcis Addrs
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