HomeMy WebLinkAbout101101485 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2
PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Building Permit #: 1O11O1485
Pin #: 12276J
Proiect Address: 2900 S Bradford PI-a- -
Assessor's Parcel: 933-1 20-77 Lot: 1, 211 Block: NA
Unit: D Bldg
Tract: 758317161
Address Range: 2900-3080
Historic: No
Suite Range:
Zoning. Rl
Building Use:
Job Type:
Nature of Work.
Existing Bldg & Use:
Proposed Use:
Condominium
Supplemental
Deferred Truss
Condo Complex
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
U, R-2
VB
cBc 2016
x-0602320278J
1st FL Area
2nd FL Area
Other Areas.
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:
0
Description of Work: Roof truss drawings
ili;,',;;;'ii;ii ';", ,; -' 'u ', "
owner: Bradford pr.c6 s.ntr an. w€t Hc conrrscro. 24 HRc.rba 2a Hou. Resto.r Engrneer: spates Fsn&t!ra-. i,,. ',ii,,il,
Addressi 15661 Rsd Hitt Avs t210C Address: POBotTl Add.ess: 85435 ilkdaErtbttaar; ''.i i ' .
TBtln, CA 927E0 L.guna l{lguol, CA 3260? THERm !, C, R.92?74
Phone: (714) 285-2626 Phone: (EaE) 52446E7 Phone: lzeo'1tsil'rti,l i lr' t ' I ' l:
Ten.nt State Lic f: 895339 Lic€nss*: C70068t1,r1r.i,,,.
LicType B A-hl.a I irl ii':'r ' "r'"
Bus. Lic : 371971 Desiqner: '"1 :." .'. '.
Workers' Comp€nsation lnsurance: Address:Carrior: Grcat Dlvlde lnsurance Compeny
Policy#: l/vcA2om39616 Phone:
Expires: o7l28l2o2o Lacense #;
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
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
So, Anson
Hernan dez, Kathy
Date:
Date: 09/1 812019
Date: 09/19/2019
Subject to Freld:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
73473
Total
077L6002 57607 Permit Fee
07776002 53500 Plan Check Fee
07776002 57600 General Plan Update
0LL76002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$166.53
$230 87
$0.00
$57 20
No
No
No
No
Account#
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 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.
$4s4 60
$230 87
$223.73
Inspector MID#' 2019-1521 00
01 1 16002 51601 $223 73
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/S!G COMMENTS OWNER BUIT,I)ER DELCARATION } t
I hcrcby rffirm under prnalty of lrcrjury lhill I dn cxcmpl fmm thc Coilruclors' Liccnrc kw for lhe following rcamn (Scc.70.11.5
Business arl Pmfessi$ Codc): Any City or Coutrty which rcquircs u 1rcrmit lo snslruct. allcr. improvc. dcmlish or rcpair any
structurc. prior to its issuancc. also requircs lhc ilpplicant lbr such Frcrmit to lilc a signcd slnlcrmnt that hc or shc is licenscd pu.suant
to thc pmvisions of tlrc Contrnctor's Liccnscd law (Chaplcr 9. Commcrcing wilh Scclion ?(fi) of Division .J of the Busincss and
ProfessionsCodc)orthathcorshciscxcmptlhcrcfromandlhcbasisforthcallcgcdcxcmplion. AnyviolationofscctionT03l.5byany
applicanl for a pcrmit subjccts the applicant to a civil pclally of nol morc th0n livc hundrcd dollurs ($500).
_l.as ownerofthcproprty.ortnyentployceswithwagcsastheirsolecornpcnsalion.willdothcworkandlhestructurcisnot
intcndcd or ofl'crcd for salc (.Sc.c.7014. Busincss and hof'essions Codc: Thc Contractor's Liccnsc l-aw does not apply to an ow'ncr of
the prcpcrty who builds or inlproves thcrcrn. aml who dcrcs such work himscll'or hcrself or through his or hcr own emPloyces.
providcd that such intpnrvcnrnts arc not intctxlcd or offcred for salc. l[. howcvcr. thc building or improvcnrnt is solcl within onc ycar
of conrpletion. thc Owner Buildcr will have thc burdcn of proving thal hc or shc did not build or improvc the proJrcrty for the purynscof
sale).
_1. as owner of thc propcrty. am exclusively contracting with liccnsed conlractors to construct thc project (Sec. 7(44. Business
and Profcssion Codc: Thc Contractor's Licensc Law docs not apply lo an owncr of propcrty who builds or improves thereon.
and who contracts for such projects with a Conlract<l(s) liccnscd pursuant lo lhc Contraclor's License Law).
I arn excrnnt undcr Scction . B. & P.C. tbr this rcason.
I)ate:( )rr rrer.
WORKEKS' COTVIPENSATION
DECLARATION
I hereby aflirnr undcr penalty of pcrjury onc of lhe t'ollowing dcclarations:
_l have and will maintain a Certificatc of Conscnt to Self-lnsurc for workcrs' compcnsation. as provided for by Section 37fi) of thc
l^abor Codc. for the perfornurncc of thc work for which thc Jrcrmit is issued.
_lhaveandwill maintainworkcrs'compcnsationinsurancc.as requiredbyScclion3Tfi)oflhcLaborCodc.forlheperformanccof
thc work lbr which this pcrmit is issued. My workcrs' corrrpcnsation insurancc carricr and Jxrlicy numbcr arc:
Policy Numbcr: Expires:
_l ccrtily that in thc pcrlirrrrmtrcc of thc work lilr which this;lcnnit is issucd. I shall not etnploy any pcrson in any manncr
so as to beconrc subjcct to thc workcrs'cornpcnsation laws of Califrrrniu. attcl agrcc that if I should hcconrc suhjccl to lhc
workcrs' conlpensation provisions of Section 37fi) of thc Lahrr Code. I shall. lirrthwith cornply with thosc provisions.
WARNING: Faiturc to sccurc workers' c<lrnpcnsation covcragc is unlawl'ul. and shall sub.iccl an employcr lo crirninal pcnaltics and
civil fincs up lo onc hundred thousand dollars ($lU0.ffiOl. in addition to thc cost of comJrcnsalion. danragcs as provided for thc
Scction .307(r ol'lhc Lalxrr Crxlc. interest and allorncy's fl'cs.
Applicant:_
I hcrcby all'irrn under pcnalty of pcrjury that I ant liccnscd undcr of Chapter 9 (cotttnrcncing with Scction 7Un) of Division 3
of thc Busirrcss and Prol'cssions Codc. an<l rrty liccnsc is'irt l'ull t'orce arrd cl'f'cct.
Liccnsc ,
Date:_Conlractor:-I RC
W
I hcrcby affirm under Fnahy of pcrjury rhBr rhere is a construction bnding agcncy for Ihe performrcc ofthc work for whhh this Jrrmit is
issucd (Scc. .1097. Civ. C.).
[-endcr's Nantc:
Lender's Addrcss:
APPLIC ANT DECLARATI(IN
I hcrcby afl'inn undcr pcnalty of pcrjury one of thc following dcclarations:
Dcmolition Pcrrnits-Asbcstos Notification Fedcral Rcgulations (Titlc 40. Part6)
-Rcquircd
Lcttcr of Notification
_l ccrtifythat thc l'cderalregulations rcgarding asbcstosrcnxrvalare nol applicablc to lhis projcct.
-l
ccrlily lhul I havc rcatl this applicatiott atttl that thc ahrvc inlbrnrnlion is corrccl. I agrcc to cotttply with al! City and Coultty
ordinanccs and State Laws rclating to and hcrcby authorizc rcprcscntalivcs of this City and County to enlcr u;nn lhc
abovc mcntioncd proprty for
Applicant or Agenl Signalure:
I)ernritee lrurne (
Date:-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Vent/l n s u lation
Roof Sheathinq
Shear Wall
Framinq
Insu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Jt/asonry
Poo! Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
-4 I . r . -C7
FINAL q t^L\40 bfYln^l 'qrD /rl I ICertificate of Occupancv
Notes, Bemarks, Etc.,.-6L
I
Q. z+fiRcI)ale: