HomeMy WebLinkAbout10197576 - PermitProject Address: 3636 S Main St
Assessor's Parcel:932-910-07 Lot: NA
Unit: D Brdg AddressRange: 3620-3640
Historic: No
Suite Range:
Zoning: C4Block: NA Tract: NA
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702
lnspection Requests: (7'14) 667-2738 lnspector Section: (7'14) 647-5853
Building Permit #: 1019757fi
Pin #: 34923
Building Use: Condominium Occupancy: R-2 1st FL Area: Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: wall Opening Code: cBc 2016 Other Areas: yards Req,d:
Existing Bldg. & Use: Condo/Alteration Flood Zone: X-0602320278J Garage Area: Valuation: $3,000.00
Proposed Use: # of Stories:
Total:li.r I ,r , r, 1,'1..i,/:lli1r-1 lr): NCA ' I
Description of Work: Applicant proposes internal alteration to create a new 6ft wide opening in a kitchen walldeading to dining 0oofrt. Os/ner-Buildor
rorm on fire. l; ,,rli,fi,,',,,li]li ,,:,
Planning Conditions: i r"r L :;?'ir;;":;i
Engineer: lnnovatiVsCivilEngineering
Owner:
Addressl
Phone:
Tenant
Conlraclor
Addressl Address
Georgia R. Kloos
3636 S. Main Street Unit D
Santa Ana, CA 92707
(616) 706-1657
Jesse Smith
2481 Volley'Road
MEADoW vISTA, CA 95
(530) 457-5r00
c-szosc,6 r:r 1 rlrtl8 -
.11!' i n9
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Architect /
Designer:
Address:
161?0[t-
Er**li{861
Phone:
License #
Phone:
License #
01116t:lir2- :
V isn
CC+: xrtrr)AUL h + r r'.r li:ir_rl:i
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: 08/31/2018
Dale: 1012912018
Date:1111312018
Subject lo Field:
077760 0 2
077760 0 2
077760 0 2
017760 0 2
0177600 2
57507
53600
57672
5 7600
5 7607
Gomez, Pedro
So, Anson
Chavez. DaveVQ-
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every pemit issued shall becone invalid unless lhe wo* on lho site authoized by
such permitis commenced wilhin 180 days after ils issuanco,or il the work authodzed
oh the site by such permit is suspended ot abandoned for a period of 180 daysaftet
lhe time the work is cofimenced.
lnspector MID#: 2018-145801
$160.25
$222.16
$1.00
$22.08
$55.04No
No
No
No
U Account#
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
$22.08
$21s.29
$1 .00
Fee Total:
Paid to Date:
Balance Due:
$460.53
$222.',t6
$238.37
Owner-Builder
, iral
Permit Fee
Plan Check Fee
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
71470
Total
BUILDING- INSPECTOR RECORD
SITE.WORK DATE COMMENTS OWNER BUII,DER DEI]'ARATION
I bd.by amnn undr FrIy oa pejury tbat I m €rcmpr fiom the Conttdo6' Li.er$ li* lo.lhe lollovins r.M. (sd.70ll 5
Busin6s Md Prolsion Codc) Any City or Counly which r.qui,6 a tEnil lo @nntud, all6, nnprove &nolish or Ep.t y
slrudue rio, to irs isuan ., also requir6 rhc applicd tor .uch ,onir ro 61. a sig..d statdml dEl he or sh. h licc6.d psuer
to the prcvisions ot the Conticroas Licenscd ljv (Chaprs 9. Connocinr vith Sdrion 7000 oa Divisio. I oathr Busins ud
Proaesioro Cod.) or rhal h. or sh. is.r.npr rhd.nom md $. ba3i, aor th. alles.d.rdrFion Ary violalion ofscclion 70ll.t by a.y
aDnlr(dd ro, a Im subKuthc @rhcanl ro ao\rlDenalrl oltror mcr.rhu,trc hundr.d dolld(i<00)V
,/ \ 6 owno ofih. pmrd). or m) €mnlo)e6 \irh wid6 s rh.ir sl. comp.Mrrcn. trrll.h t\.sort ed thc nlrl(@ 6 not
,lnlqxH or ofldcd lor sl. (Sa.704,1. B6in6 od PmfsioN Cod€ Th€ conracior's Lic@ Lrw do6 not .pply b s oMd ol
rhc ptuDdy Nho borldr or inpo6 thd@n, and who do6 such wo& hidrcll or hNlf or rhrouSh his or hd owD anploy6.
poliddl rhBr such iml'ovffls e. nol inrod.d or oafs.d aor $! I[ how6,q. rh. trilding or trqrc@r b $ld wirhin onr ]s
or moplcrion. $c O\sd ooilld vill havc lhc b{.do of provins rll{l te or slE did nor llild or ihFovc th. pibpdy aDr fi. purFs ol
l. soMdoffi.propdy, m.rcl$iv.l, .onlra(ing trirh li.G.d cont0cro*lo onn d the proj€cl (Se. ?Lt14. B6in6
,nd Psbsion Cod. The c.ntrcioa s Liccosc l,av do6 nor opply to e ownr o apropdly who buil& or ihprovG rhdon.
and who co.rra* aorsuch Projdu wnh a Coirmcro(, licftcd pusw io rh.Conrradois Lic€e L€v).
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I h€rcby ailrm undq Fnaltyolpqluryoncofthe follo$in8 ddleatioB
lh.v€edNillnDnnainaCerlifical.ofconsdtlosclf-lBur.lorwort.Bconrp.nsalion,cpoid.dforbySdion3T00ollh€
tnbo! Cod.. fo. rh. pdfonnance ofrh. $ or[ aor wh i.h rh. Fnrit is isu.d
_l have and *ill mai ain{ork.acodp€nsarbniNurance,6r.qunedbySalFnlT00olrh.tnborCode,aorlh.tdfomanceof
rhe $orl aor which lhis lEmir is ,sucd. My workds' comp€Narion insur cc can6 ed Dolicy nurnbd tu
Il cd,0 rh.t u rhe pslo.man(c orrh. Nort ior \hrh rhis psnil is issucd. I slEll nol otrphy dy p.en i,r anl mdn.r
<.arohdom.sLbJe"^,hcso,ld'coi1pctua'^nla$r.fcal'lomd.Mdarrmrha'illsh^uLdbA^m.sbjdrrorhc
$0*6' .omp.@rion pmvi.io6 of sdion 1700 ol rh. l4or Codc, I shall. lonhsnh comply $irh rho* provisions
TVARNINC: r{ilur.lo sue {ortc compssalion corru. is unhvtul. tud shall subj<l 6 drployd lo oi,ntEl poEhi6 dd
.ivil lin6 up lo one hundred thoBtud dou6 ($100,000), ir .ddiiion to lh. cosl orcoo ion. ddoalcs 6 prorid.d ior rh.
scclio. .1076 oilhe tib.r Code. inrad dd anomcy s t6
I hftby afiiln u.dr pdalty of Fjury thd I an li.a*d mdd FDliriob,tr f ChaflE 9 (commocin8 Nith Saiion 7000) ol DiYision 3
of rhe Bsins dd Pror6io6 Cod., a.d ny lic.e is in tull lbr.. dd eII..r.
Li.cBcClN: t.i..di.Nu'nb.r
calslxllclIa!1[Bl1llc-dcEl(:x
I hcrcby afiimundd penaltyofp€rjurythat lh@ G a coNtruclion lddins.socy aorlh€ p.rlom c. or$cvorl frr $hich rhi. Fdn b
issu€d (S( 1097, Civ C.).
ASIUCANLDICIAAAUOX
I netby allm undd paahy oa pdjuy on oflh. aollo$irs d6Lr.rioa:
Ddnolnion PmnsAlb.ros Norilicarion F.ddal R.lubrio.s (Tillc 40, Pan6)
Rquirc{ Ldrs or Norifierion
2{:r .o, ir} rt'u, ,t'. i"a. ot .s,huob ,cssd'ns 6b6,o( rmovar a c n4 apprrabr€ b rhs pDrd
I.dirrrhd I nnl. red $is applicar
ordinan.B sd sratc Lr\vs nlarinS lo bui
ahovc ftnlio..d prepdly for inspedion
i()n d srarc rh.! rhc ahr c inri)n .rnr is .oner l aEero.o lfl]\n[ rll (-nr itrd (iiunrt
lding coBttu rio., ed h@ly aurhoriz. rq,srarive of rhis cnt md co$tlr\t)plic. i o. Ascnl Sipniru,c
,..,U"" ""-",,,Ur,,r<
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framin s
lnsu latio n/E ne rg y
Dryivall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
Handicap Req
Deputy Final Report
Engineer Final Report
A/zz //z;--'r^//xt )
Certificate of Occu n
Not marks, Etc
n
Urrl AuzAn<.tt--
ID/SIG.
T-Bar
Flood Zone Certif.
FINAL ^-, al/o</tX
T 4p>=LL6rS'*
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