HomeMy WebLinkAbout102100696 - Permita
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 hP
Permit #= 1o.21 00696
Pin #: 118,27
Proiect Address: 2317 S Laura Linda Lna
Assessor's Parcel. 408,013-06 Lot: 63
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 2041 Historic: No
Building Use: Slngle Family Dwolling Occupancy: R3, U 1st FL Area Patio:
Job Type: Altor.tion ConslrType: V B 2nd FL Area T.t.Area:
Natur€ otwork l{ew B.thrcom Code CBC 2016 other Areas: yerds Reqd: O@O
Existing Bldg. & U8€: SFO W,ATT GARAGE Flood Zone: X{6023202S9J
p,poaed u6e: .ator Barh & Bodroom # oI stories: r GaEgeArca: valuatlonl t'15'000'00
Tobt' uor.n$roou.j - r/2r/,a''u1 {l: t:1.*11:itr:
D6crlptlon of Wo.k: L.g.llze conv.rslon of (l) bodroom lnto (l) m$tor b.throom & construct now clos.t inqt, H.rt6lt wimhlbaFdht of std 04o16.lilliiu""o* ,rr!i,;'o il,1l''l'li ' '
Plannlno Condltlona: No exterior alLletlon! or ftodificetionS. Tronsoction Totdl lt'rl3i ri
Owner:
Address:
Phone:
Tenant:
Emma Wilson-Hill
2317 S Laura Linda Ln
Santa Ana, CA 92704
(7141 549-3245
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Hmnin tlilson-HiII
fie'rietr'ctl l"'1fln t.lpdcrt,i: [- i=ir.:
r.r L l I {l r_r rr ? "- li I ri t:u:t rJ r-rrl "
Fluilclinsi
r-rl I 1.1r"rrl? " i1,6r"11 r-rr.ill--
tilds 5bcls. [ievciJ.v i n.:i
rl l I 16r.ru:l -- :r 1{i 1 :?rlrlu -
R J ThonTBp; Brf,qqsHt€t,,_. rjin er ri t :;
Roy Thot111l l rir-rr-rli - li7'l7r-rrtr-rrl -
6200 Morlllng Place
Ra nc ho C dddtofigef Effi 9t737 rr :i li
(310) 874-0563
c-29369
$?2. ?5
- $576 .g?
tl . [r[r
$3?. 1[r
$1r[r39.66
Auth*:l7rJ41rJ
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner.
Address:
Phone:
Licerise #:
'r.l' J 07776002
07776002
07776002
0 77760 0 2
07776002
07776002
07776002
07776002
s7607
53600
57770
s7607
57607
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
lnvestigation
Penalty
BIdg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$166 53
$230 87
$3e.1 0
$100.57
$252.69
$1 .00
$22.9s
$57.20
$870.91
$230.87
$640.04
Planning Approval By
Plan Checked By:
Permit lssued By.
NPDES lnsp.
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Kathy
Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Date: 0710812019
Date: 1012412019
Date: 0112312020
Subject to Field:
Account#
73172
Total
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
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.
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$22 9s
$s76 99
$1.00
$39.1 0
lnspector MID#: 201 9-152773
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Vent/l nsu lation
Roof Sheathinq
Shear Wall ,
Framinq nl1s,lfu)Dl\nhr t#f,|
!nsu lation/Enerqy I lr
Drywall
Ext./lnt. Lath
Brown Coat
[t/asonry
Poo! Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
F!NAL zl t1ltp -F>*+*t
I n-.VW
Certificate of Occupancy I /I I
NoJes, Remarks, Etc.
I hereby affirm under penalty of JErjury that I m excmpt fmm thc Coilractom' Liccnrc Law for thc following rcason (Scc.703 1.5
Busincss ard Protbssion Codc): Any City or County which requircs a Jrcnnit to conslrucr. altcr, improvc, dcmlish or rcpair iiry
structure, prior to its issuance. also rcquircs lhc applicant for such lrcrnrit to filc a signcd statcrrcnt lhal he or shc is liccnsd pursuant
to thc prcvisions of thc Conracto('s Liccn*d ljw (Chaplcr 9. Commcnchrg with Scclion 7000 of Divi*i)n 3 of lrr,' Business srrd
ProfcssionsCodc)orthathcorsheisexcmptthcrcfromandlhcbasisforlhcallcgcdcxcmFion. AnyviolationofscctirnTi3l.5byany
applicant for a pcrmit subjccts thc applicant to a civil pcnalty of nol morc than five hundrcd dollds ($500).
_1. as owncr of the ()r willdo thc work and thc structurc is not
License Law does not apply to an owncr ofintcndcd or offcrcd frrr
thc proprty who builds or and who docs such work hirnsclf or hersclf or through his or hcr own crnployces.
providcd that such are not intcnded or offercd for salc. If. howcvcr. thc building or improvenrent is sold within onc ycar
of cornpletion.Buildcr will have thc burden of proving that hc or shc did not build or inrprovc the propcrty for thc pur;nsc of
sale).
of the property. ant cxclusivcly contracting with liccnscd conlractors lo construct thc projcct (Scc. 7M4, Busincss
and Pnlfcssion Codc: The Contractor's License Law docs not apply to an owt'rcr of property who builds or improves thcreon.
and who contracts for such projects with a Contractor(s) licenscd pursuant to thc Corttractor's Liccnsc Law).
-l
arn cxcnrpt urrdcr B. & P.C. tbr this rcasotl.
DI,l(:1.,\RA'l'l()N
I hereby affirm undcr penalty of perjury one of thc dcclaratiotts:
_l have and will maintain a Certificatc of Consent to Sclf-lnsurc lbr workers' compensation. as providcd for by Section 37fi) of the
Labor Code, for the pcrformance of thc work tbr which the permit is issucd.
_l have and will maintain workers' conrpensation insurancc. as rcquired by Sect ion 3700 of thc Labor Codc. for thc perf<lrnrance of
thc work for which this permit is issued. My workers' compensation insurancc carrier and policy number arc:
Policy
certify that in the pcrformancc of thc work for which this perrnit is issucd. I shall not cnrpkry any pcrson in any tnanncr
so become subjcct to thc workcrs'cornpensation laws of California. and agrec that if I should bccotne subjcct tothc
workers' compensation provisions of Scction 37fi) of the Labor Code. I shall. lbrthwith comply with those provisiotts.
WARNING: Failurc to secure workers' contpensation covcragc is unlawful. and shall subjcct an entployer to crinrinal pcnaltics and
civil fincs up to onc hundrcd thousand dollars in addition to the cost of conrpcnsation.darnages as providcd for thc
rScctiorr 3076 of thc Labor Code. intercst and
l)ECLAlt,\'l'lON
I hcreby atfirm under pcnalty of pcrjury I ant liccnscd undcr provision of Chaplcr 9 (conrnrcncing with Scction 7fiX)) of Division 3
of thc Business and Professions Codc. and my liccnsc is in l'ull fbrce artd elfect.
Liccnse Class: Licensc Number:
CONS'I'RI,]C'I'ION I,IiNDIN(; A(;IiNC}'
I hcrcby afnrm undcr Fnaltyofperjury thot therc is a construction lcndirg agcncy for thc performncc ofthc work for which lhis Jrcnnil is
issucd (Scc. 3097, Civ. C.).
lrndcr's Name:
lrnder's Address:
APPLICANT DBCLARATION
I hcrcby aflirnr undcr penalty of pcrjury ortc of thc lbllowing dcclarations:
Dernolition Perrnits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
Rcouircd Lettcr
-I
thc fcdcralrcgulations rcgarding asbcstos removal arc not applicablc to this projcct.
ordinanccs
with all City and County
and County to entcr upon thc
ab<lve
Applicant or
Pcrnrilee
[or purposes.
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