HomeMy WebLinkAbout10198200 - Permita
Permit #: 1O1982OO
Pin #: 40605PermitCounter. (714\647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Proiect Address: 2145 W Civic Genter Dra
Unit:Bldg: Address Range:
Assessor's Parcel: 004-1 53-12 Lot: NA Block: NA Tract. NA Historic: No
Suite Range:
Zoning: Rl
cify'of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building
Building Use: Single Family Dwelling
Job Type: Alteration
Nature of Work: Demo Patio Enclosure
Existing Bldg & Use: SFD w/det garage
Proposed Use: Sfd w/det garage & det ADU
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R.3, U
VB
cBc 2016
x-0602320144J
1
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area.
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $1,000.00
Description of Work: Demo unpermitted patio enclosure (240 sf) attached to sfd.
ut r tle.
A--LlrHt-l- L 1l r
ft,:r U*:t-t2Planning Conditions:
Owner:
Address:
Phone:
Tenant:
MARY CHANDRA
PO BOX 8005
Huntington Beach, CA 926158005
(7141 336-1 110
Contractor: HD Engineering Constructio
Address: 1402 N Parson Place
Santa Ana, CA 92704
Phone: (7141495-0056
State Lic #: 934742
Lic Type: B
Bus. Lic #: 350983
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
HD Engineering Construction
Hoang Dan Pharn
1402 N Parson Place
Santa Ana, CA 92704
(714149s-00s6
c79089
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Duc Van Tran Designer
Duc Van Tran
16436 Vernon Street
Fountain Valley, CA 92708
(7141 713-3597
Designer
Planning Approval By:
Plan Checked
Permit lssued
NPDES lnsp.
J ill Date: 0412512019 Misc. Receipt
Date: Misc. Receipt
Date: O4t2Sl2O1g Misc. Receipt
Subject to Field:
No
No Account#
01 1 16002 51601
01 1 16002 51612
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07176002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$160.25
$1 00
$22 08
$s5 04, Teri
PWA !nsp.
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 201 8-143070
No
Yes
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Total
$22.08
$21 5.29
$1 00
$238 37
$0 00
$238.37
(
BUlLDlNG. INSPECTOR RECORD
SITE-WORK DATE ID/SIG,COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nUl n s u I ation
Roof Sheathinq
Shear Wall
Framing
lnsulation/En ergy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonry
Poo! Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I I \A _,,I
FINAL l0lo L -L ') Y'|\trY't6Ltr61
Certificate of lv--I
I
Notes,Etc.
orv NER tf tlt t.l)lrR I)r.1.(:A RA't'toN
I hereby affirm under penalty of per.iury that I am exernpt from the Contractors' License Law firr the fotlowint reasondSr:c-7031.-5
Business antl Profession Cule): Any City or County which requires a prmir to construcr. atter, improve, a*q,f, n. ,.p?i, ,ny
structure. prirr ttl its issuance. also requires the applicant for such Jrermit to file a signetl statetnent that he or she is licensed pur!il.tant
to the provisions of the Contractor's Licensed Law (Chapter 9, Clommencing with .Section 7(XX) of Division -1 of the Business and
PrtrfessionsCode)orthatheorsheisexempttherefromantlthebasisfrrrtheallegedexemption. AnyviotationofSectionT0.ll.5byany
applicantforalrcrmitsubjectsthe applicanttoacivitpenaltyofnotrnrrethanfivehundreddollars($5(X)).
-l.as
()wnerofthepnrperly.ormyernployeeswithw:lgesastheirsrlecornpensation.willdotheworkandthestnrctureisnot
intended or offered frrr sah (Sec.7044. Business and Professions Crile: 'fhe Contractor's License Law does not apply to an owner of
the proJrrty wlxr huilds or impnrves thercon, and whr does such work himself or herself or through his or her own employees,
provitled that such imprrrvernents are not intended or offere<l frrr sale. lf. hrwever. tlre huilding or inpnrvenrnt is sold wilhin one year
rlf crlntpletion. the Owner Buikler will have the burden of proving tturt he or she dkl not buikl or improve the pmperty forthe purJxrseof
sah).
I
-1,
asownerof the property. amexclusivelycrlntracting with licensetJ contractors to cons(ruct the pntject (Sec, 7044, Business
and PnlfessirnCode: TheContractor's License Law does not applyto anowner of propertywho buildsor improves thereon.
antl whrt contracts frrr such pn)jects with a Contractor(s) licensed pursuant to the Contractor's License Law).
_l am exempt untler B. & P.C. for this reason.
Dale:_0wner:_
WORKERS' COM PT'NSA'!'ION
Dl.'CLARA'l'tON
I hereby affirm under penalty of perjury one of the folkrwing declarations:
-l
have and will maintain a Certifrate of Consent to Self-lnsure firr wrrrkers' compensation. as pnrvided for by Section 3?(X) of the
Labor Crile. frrr the performance of the work for which the perrnit is issued.
-l
have and will maintain workers' comJrcnsation insurance. as requiretl by Section 37fi) of the Lahor Code. for the grcrfrrrmance of
the work ftrr which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy Number: Expires:
-l
certify that in the Jrcrfirrmance of the work for which this permit is issuetl. I shall not employ any person in any manner
so as to become subject to the workers'compensation laws of Califrrrnia. and agree that if I shoukl become subject to the
workers' compensation provisions of .Section 37fi) of the latxrr Crxle, I shall, forthwith comply with those provisions.
IVARNING: Failure to secure r.rrrrkers'
civil fines up to one huntlrerl thrrusantl
Section 3O76 of the Lahrr Crxle. interest ;
comJrcnsation ls subject an employer to criminal penalties and
tk r llars rrtltlit iolr of compensation. damages as providetl for the
l)ate:
I herehy aflirm under penalty of under of Chapter 9 (comrrncing with Section 7(XX)) of Division .1
of the Business and Professiuns and my license is in frrll frrrce and eft'ect.
License
Date:
I hereby affirm under penalty of Jrrjury that
issued (Sec, 3O97. Civ. C.).
Lender's Name:
ls agency ftlr the perfonnance of the wrrrk frrr which this permit is
APPLICAN'I' DI.'CLARAI'ION
I hereby affirrn under penalty of perjury one of the following tleclarations:
Demolition Pennits-Asbestos Notification Federal Regulations (Title 40, Parr6)
-Required
Letter of Notification
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that regulations regarding asbestos renxrvalare not applicahle to this project.
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read this application and ahrve infrrrnntion is correct. I agree to comply with all City and County
rlrtlinances nnd herehy au(hrriz.e representatives of this City and County t() enter ugrn the
atxlve
Applicnnt or Agent
TI
l'rrnrilre
[-aws relating to huilding
I
[:]ev 08-07-201 5