HomeMy WebLinkAbout10198533 - Permit_rleo-cg
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 #: 1O198533
Pin #: 13472
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Project Address: 1123 S Magnolia Ave
Assessor's Parcell 013-012-24 Lot: 20
Unat Bldg: Address Range:Suite Range:
Zoning: R1Block: B Historic: No
1st FL Area 0
2nd FL Area 0
Other Areas: 0
Garage Area:
Totat 0
Description of Work: Legalize (2) previously changed out windows and replace (2) additional windows all located in the front. Auth_on file.
Building Use:
Job Typel
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Planning Gonditions:
Single Family Owelling
Miscellaneous
Windows
Sfd w/det garage
Occupancy:
constr Type
Code:
Flood Zone:
# of Stories:
R.3, U
VB
cBc 2016
x-0602320257 J
,|
Patio:
T.l.Area:
Yards Req'd
Valuation: S2,000.00
: tl(
nnE+: .'ig 1
ftefir 1Ll1?tr
ll/29 /2t\l$ 3?14
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Owner:
Address
Phone.
Tenant
Nancy Marin
1123 S Magnolia Ave
Santa Ana, CA 927071009
(7141-270-17s5
Contractor
Address:
Engineer
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Architect /
Designer:
Address:
Phone.
License #
Phone:
License #
ttn'_ '
!rror1te Fee
600rlr.l0-
6!1000-
vn1\11n9
6i ?tltltl-
II
**xri*1361 Aulh*: I1
Planning Approval By:
Plan Checked By:
Permat lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Kelaher, Selena
Zuniga, Allissa
Dale: '11129120'18
Date:
Dale1112912018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51501 Permit Fee
07776002 57672 Bldg. Slds. Revolving
07176002 57600 cenetal Plan Update
07176002 51601 lssuance
$ 160.25
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Every permit i'sued shall become invalid unless the wo* on the sile authorized by
such pemit is commonced within 180 days aftot its issuance,ot if the wotk authorized
on lhe sile by such permit is suspended or abandoned for a period of180 days after
lhe time the work is commenced.
$238.37
$0 00
$238.37
lnspector MID#: 20'18-'148030
01116002 51600
01116002 5160'1
01 116002 516'12
$22.08
$215 29
$1.00
Fee Total
Paid to Date:
Balance Due:
Tractr 603
[Jf f i ,]e: (
Owner-Builder
l
13 31^rC 0Z,eS 6LllPllnB
,nB ? 6uluueld
IC:IUUOC
.ioN
BUILDING- INSPECTOR RECORD
SITE-WORK COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
U FER Ground
OWNER AUILDER DELCA&4TION
I hd.bt .fim undo penahy ol prjurr thot I an er'npr fio'r rhc Contraclou' l,rcensc La{ lor rh. lollosirS reMn (Ss.7031.5
ausinss ad Prol6rn Codc): Aiy Ciry or Counrr rhich rBtun6 r p6nh lo onslru.1. altd. nnpolc. domlish or Epat t
srucrue pno, to ils isuM.e. also rcqutc rh. applicd for sr.h po n to fil€ a sisncd slaod lhar Ir o. she is licmscd pu6u t
ro rhe polisioc ollh. Conhctoas Licensd Lsw (Chapicr ,. Comm.ncins wilh Sdtion ?000 olDivision :r oflhc B6i..ss 4nd
Ptulsio ns Codc) or rhd h. or shc is .xmpl lfi6c6om rd thc barD ror rh. .ll.!.rl .xdnprior. Any \ iolalion ol sd ion 701 1 5 b, a.y
applicanl 6, a pmnil subjcds rhc applic r ro o civilpcnahyofnor nDrelhao fiv. hundr.d dollars ($500)
-1.
s oN.r olrhc prcpe1y. o ny onployc $ irh *ag6 * lhct $1. compsel ion. sill do lh. s!ll( and t sruclre is no!
imdded oro,Ie,ed lorsl€(se 7014, Businssdd ProIBioB Code 'lhe contr,crois Li.m. t w do4 nol a$iy ro M orvnd ({
rh.rmp€ny $ho tuilds or i,nF.v6 rh@n. ed rvno do6 sch sorl hi'nslf .r h6clro. rhrculh his or hs otrT.nploys.
provid€d rhar such in[mr€ndrs R nor irhdcd or olTdrd for Fle tf. hos--d, rh. hiildin8 or inlprcvoml B $ld eihin one )s
ofcoDplelion. rhe OvnE Buildd will ha!. th. budd olprcvins ld h€ or she did n r boild or nnprole lh. pmpqq ror rhc l)triF.e of
l,6orv.{oflhc pmp€ny. m .ic lusivel, .onlia.r in! {nh licmed c()IllrsctoB to coistuct rh. Ploid (S€c 7044. B6'ns
and PFfssio. Cod.: The Conlra.loa! Lic6s€ L3v do6 nol apply to d o{nd o f propsly \rho builds ot inprov.s lhdsn,
and who conkds for strh p.oj&l t licds.d p!6uer lo lhccodtrcror's Li.@ tiw).
oEc-t4-84ft0r
I he eby nmrnr rnder p€nahy orrsiuryoncoa'hc aolnrvins de.ldalnu:
I have dd \v ill nuinlain . Cdi6c.t. of coBdr io Sell-l6urc for sork.6 conrPenerion. s provided lor by Sdtion lT00 ofrh.
L.b.r C.dc. lor th.prlomdcc olthc $ol1{ lor $hich Ihc pmil is issued
-lhavernd\rillmainrainNorters'comp.ns
ioninsulancc.a\.equtdbrsdion3T00oflhcl2b.rCodcforlhcPsionneccof
thc rork tor $ hi.h this parnil 6 issu.d My {or ke4 con,peNtion iNtrrmce c.nid dpolicynlmbqde:
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.dliiy rhat in the ptrformanccoalhc work lor whi.h rhii prmil is issuen. I shall nol dpk'y any pcr$o in anymdner
e 6lo be.ome subjd ro rh. $oA6' compcB0rion laws olcalitomia, dd ald thd ifl should b€comc subje o 'h.\vorts colDenexonDrevisioN ols.crion 1700 ollhe ta&tr Code.l sh.tl fonh*nh conll,ly withlhoseDrevBiods
WARNING: Failrr. ro KU€ uorlGs' conDsdnrn .ovdarc is Mla\ful. and shall subj{t m mplord to dirninsl p.nahi6 a.d
.ivil fr.s up to onc nundEd thoMd
sNrion :\116 oarhc tibor code inrddr
in addnion ro rhc cosr llcodp.Mrio.. dm.s6 6 providql aor lh.
I hd.b, amm und6 p€.ah} ofpojury rhd I on licdE d ondd provisioo olchaptd 9 (cormmcinB wnn S€clion 7000) ofDivisio.l
ol rhc lrsins ed Prol6sio6 Cod., and ny li.mc is in loll lorc. od ciI*t
l,iccN€ Cl6s:-Licc6€ NuDbs:
-
caNiraucuoNlE![llctcENlr
I hncby sftim und6 p.6hy ol pdjory that lhft is a constrction lmdin! asdcy foi rhc pElomuce ot the rvor[ aor $hich this Ponn b
kucd (Se.1097. Ci!. C )
Affuc NfDfcuaArlg!
I @ afam, undo pdahy olpdjury on€ oflhe tollowi.s d(luations'
Dmolirion Pmils-Asb6ros Norincar ion F.d...l R.sulations ( l'ille 40. lan6 )
-Requncd
L€lt6 o I Noli66non
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rdify rhd rhe f.d6al r.gulatioG reg{dins 6b6los Enov.l ar. not applicable to this prejrt
l.oriayrldlh.veEadlhisapphcalionddstalelharthcatnlci fonn.lion is corecl I asr< lo comPl, wirh all Ciiy and Counly
ordinincs ind Skte LaNs cllling 0urlDlizc rcpr6enrariv6 ! I liis cn!
abov. henrion.d p'oped, aor
ApplicNnl or Ag.nl Sigm
^;i/;;ft-
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drpvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL / //e //q /\
Certificate of Occupancy //=-r 't'-/
Notes, Remarks, Etc
M4
;:.Li:l 21 tYtt
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