HomeMy WebLinkAbout10197867 - PermitProject Address: 522 E Santa Clara Ave
Assessor's Parcel 003-132-10 Lot: POR 9
Unit Bldg;
Tract: DERICOT
Suite Range:
Zoning: R1Block NA Historic: No
cify of Santa Ana 20 civic center Plaza (M-19) santa Ana, cA 9?702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspectoi Sebtion: (714) 647-5853
Permit #: {O{97867
Pin #: 678{7N
Building Use:
Job Typel
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Addition
Addn
SFD Wdet garage
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Description of Work: New addition to existing SFD with 1 bathroom, 1 bedroom and 90 sq ft. addition to existing porch.
Planning Conditions:
Occupancy:
Constr Type
Code:
Flood Zone;
# of Stories:
R-3, U
VB
cBc 2016
x-0602320163J
200
200
Patio: 90
T.l.Area:
Yards Req'd:
Valuation: $22,000.00
Owner:
Address
Phone:
Tenant:
Pablo A Ruiz
522 E Santa Clara Ave
Santa Ana, CA 927062959
(7',t4) s85-702O
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Planos Drafting
Gonzalo Guillen
718 S Hickory Street
Santa Ana, CA927O1
(714) 667-0892
Phone:
License #
Archilect /
Designer:
Address:
Plannang Approval By
Plan Checked By
Permit lssued By
NPDES lnsp. Re
PWA lnsp Req'd
Guevara, Jerry
So, Anson
Amsden, Julie
Date: 09/28/20'18
Date: 1'l126/2018
Date 1'112912018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
No
No
No
No
71597
Total
0 7 77600 2
07776002
07776002
0I90100 7
0 7116 00 2
0 77760 0 2
0 71160 0 2
57607
53 600
57770
24000
57672
51600
51607
$450.00
$375.00
$26.32
$2.86
$1.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Planning lnsp. Req'd:
Landscaping Insp. Req'd Flood Zone Cert. Req'd: No Ot 1 16002 51600
Every pemit issued shall become invalid unlessthe work on lhe site aulhoized by
such permit is commenced within180 days after its issuanco.or if lhe work authoized
on the site by such permil is suspended or abandoned for a period ofl80 days aftet
the time lhe wotk is commenced
lnspector MID#: 20'18- 145490
922.O8
$505.04
$1.00
$26.32
$2.86
$932.30
$375.00
$557.30
Address Range:
Contractor:
Address:
Phone:
License #:
Permit Fee
Plan Check Fee
lvlicronlm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Oue:
011 16002 51601
01116002 51612
01116002 57770
08901001 24000
BUILDING. INSPECTOR RECORD
DATE tD/stG..
Set Backs llt rq /uts
, COMMENTS
Forms/Steel/Holdowns nt1.z{tfd)r{.- 4..r* t<-h b t&t.
Erection Pads
UFER Ground
SLA loo L4.44(0
ubf en lnsulation
/</44,Roof Sheathinq (t 7)
Shear Wall 4 .|,/,tr cfi.D
'Lq -,.u4crVFraming
.{zzZt,)ln s u lation/E ne rgy
Dywall Lt .zo!\1 -,<.lAhnc/</4,tr1lnt. Lath It/))
'{rown Coat 'l l',r9 Plt(f L"o s ,^Pn .'n rve'1+*\
lt4aso nry
Pool Fence
T-Bar
Handicap Req
Deputy Frnal Report
Enqineer Final Report
Flood Zone Certif
1 I I
FINAL 6L
Certificate of Occupancy I
Notqs, Remarks, Etc
_A
I o
;.c
8v
r.utlf
1, t4,-
'li ^ a..
ih2d n /
I
OWNER BUILDER DELCARA ION
I hs.br alfirm undcr p(6lry oi petury rhat I m .rdnE norn th€ cont,crou' Lic€.sc L.w lor lhc lolb*ins rcen (Sd.7oll s
Busin6s and Ptufsion cod.) Any city or counly \rhich leNiE a pdrn ro codruct. ahs. ihprove, denolish or E!€n s)
stodda lrior ro irs issumc€. ale rcqun6 ln€ applicd lor 3uch pdmit ro filc a siSned slalqncnt lhal h. ot sb. is licdsed purul 'ro rh. provisions of t. Contractois Lianscd LaR (Chapt6 9. Commencin! $nh Sdrion 7000 ol Division I oflh. Busin6s md
Proacsioft cod.) o.lh.l hcorshc is crempt lh6c6om md lhc bdis foi llB all+€d cxonplion. Any viol.tntdoaselion 70ll 5 by any
.pplicdr aor a ptfiit subjds Ihc .pplicut r. a crvil tm.lly o f not mor c lhan 6!c hundEd dollds (t500)
2,h* **. * rn".o**'1y. or my cmplo!6 th*d!.\6rlri,v,le.on[Ensato.*illdorhewo,kadrhenruduei'lot
inrod.d oro,Iscd tr sl. (sd.?o4,1. Buins ud Profdi!tu cod. Ihe conlrador's Lic.B. bs do6 ,ot applv lo e ownd of
rh. pDDdy $ho boikreor ihpmBthooh. d$ho dGsu.h{o* him.lao, ntrllorthourhhborhd osn cmplovG
povidcd rhat srch nnpBEmls e ml htsdsJ or ofdcd aor sal l[ now6'6. lh€ hl drs ot inpio\mr is $ld s ilhin on€ )a
ofcompl.lioG lhr Owncr Builda si hart rhc bttrdm of pmrinS that hcorshcdi1@l build or in!rcw th€ toFry lor (i. FlFsol
l, * osld orrh. rrpdy, m .rclusively contEclins wnh tcens.d co.racrou lo codrucl ll'c poje.l {ss 7044. t rsins
dd Pi.A.sion Codc: rh. Contrctof ! l-icds. t,a$ do6 not apply ro oNno ofproFnysho builds or inprov6lhndn,
and who conrdds for such prejdrs silh . Contmto(, lic6s.d puBudt ro rh. Conlraclois Licetr Law).
I ancxcmpt undr Serion-.ll 4-,,^," // zr-/V o,,,,
DlclAA4IlO!
I hcreby afirm und6 p.nalry ol pdjury on. oflh. aollou'ins d€cl@lioN'
I hav€ od $ill mnimain a cdirLal. ofcoMl lo Sclf-lnsurc i)r sorl?6 con,p.nsarid,, 6 provdcd for bv Setion 3 700 o r lhc
kbor Codc. for rh€ pqfodac. of rhc *ork lor which lhc pmnil it isu.d
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h.!c a6d Nillnrainlain*orke6 comp.Balion iGurancc. s rotuned byS4non lT0oolnE LaborCodc.lorlh.psfot6a..ot
rh. *ork lo. which this p€mil is isued. My wort.B comlensarion i6ur c€ cdis dd F.licy nu,nbd ae
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l4Z,^.u,r^.tn n""mm..orlh.$oh ro, whichr\F pom r sru.'r.I sharr
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wor16 c"mnFsaron r'o\is,oN ufSdion r'00 alrlr Lib"r a.Jc.l shall. fonh$nh
WARNING: I;ailurc ro s(u. {o 6 snp.Mrion .ov.ra8c is unlar'aul. and shd
nol mploy any pd.on in dy mmn6
itl should b.come lubjct lo thc
coDply wilh lhoe prolisios.
I subjd o dplo)€r lo oihintl p6alti= ad
cnil ,in6 up to o.c hundr€d rhotrsdd dollds ($100.000). in addn6. lo rh. .ost of Jmdsey'E aroud.d ror rhc
/
Sdion 1076.frh€ tihr CoJ.. inldd and all lz
u(-u!1,il2l!Nr! lll)a
DICLi.&\Ulltr
I hs.by airm unds pstlly oa pqjury lhal I d lio<d und.. Folisiotr ot Chapt6 I Grnin.ocio8 with Sc.lion 7000) 'r l)ivisi'n I
ol Ihe BBi.6 od PmfseioB Codc. od my licse E in rnll lor.. tnd .ffat
coll$.lcllaNrENDlNc.6ffl.cl
I hftby aiItrr und( !.n.lryoip.du.yrhd rh6. is t cotrnrudion lddins as...y fo. thc pdfom&ce ollhe sort for whichlhis peftn is
issu.rr(se 1097, civ. c ).
alrlcAar.llclJBAuax
I balby.nim ondd paaliy ofp6jury onc ofrh. aollowin! &.le.lions:
Dcnolirion Pmilekb6tos Nolificatiotr F.d@l Rclulaliotu (Tn1.40, Pel6)
-R.q!n
d til6 of Notifrcdion
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cqi ily lhal rhc l€ddal (*ulalions rcsaldins sbdlos rmoval e nor .pplicsbL to lhls pojdt.
/Ll tait, rrar t nztc raaln6.pphc.uun an<t star. rhar lh. abo!. inaomarion n corr..r I alc ro comply wirh all ciryand countv
[?ffii'-.* -a s,",. r-,*' *rauu io bu'rdhs confid,or 6d hd.by aurholnc tcrr*dsii; orinis cly sd co@ryro ai6 uP.D rh..tu',"EA'z ," /l z*/
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SITE.WORK
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Lender s Nm.
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L.ndd't Addrs:
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