HomeMy WebLinkAbout101101734 - PermitNcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Building Permit #: {01101734
Pin #: 93826
Proiect Address: 2605 N Towner l-na
Assessor's Parcel. 001 -241-04 Lot: 21
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1824 Historic. No
t
Building Use: Single F.mily Ow.lling Occupancy: R.3, U 1st FL Area Patio:
Job Type Rerco, ConslrType V B 2nd FL A.ea T.l.Area:
Natureofwork Reroot Code: cBc 2016 OtherAreas yards Reqd
Existing Bldg. & Usq Sfd wratt garage Flood Zonq X{6023201,t4J
proposed us". # of stories: Garage Area vtluttion: 120'000'00
Total
De6cription of Work Rarool houao E.tl.ched ger.ge - remove comp, roplaco any damaggd Eheathing, in8tall25 3qua.as Clasa A comp shingloB, repail
temite damaga. Handouta givan.
t'"nnt" "ono'oon"t aor.,,,rara*, *ara,rr*r, a'. '
* 'Engineer: off ice! CTYH t'fqn*:+r ,''
Own6r: Judysuiwong Contractor: Le! Bullders lnc Ac.t+: ,q,rl-:, ir'.i r"
Addross: 2605 t{ Towner Lrn€ Addr$s: 8951 llcclure Av.nu. Address: R.ot+r112772149 ' lt/7!::11-., :tl.' :l
S.nta an., cA 92705 w..tmimter, ca 926E3 'frslts(lction Totdi i38''!ll'
Phone: (714] 2o8-gooo Phon6: (71a) 615-5870 Phone: Le,s Burlders rnl:
T.nrnt Slate Lic *: ?0a2$ LEens€ *:
LicType c.38, B, A, c-lo archirecr/ !t'l}9,il^, ..
Bus. Lic*: 37.'ifl,1 ---:'--" Urrl6{ru2- irdtltrrld-
workers compenrarionrnsurancq ff:[::l ffii:iirltifiifli||: '*Carier: State Comp Fund Btds StdE Hevolvins
Poticy *: $m249 Phone: 6lt16tl12- 5161?0[fl]-
Expires:12113t2019 License #:U isn
Planning Approval By.
Plan Checked By:
Permit lssued By.
NPDES Insp. 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
Arabe, Jill
Verduzco,
No
No
No
No
vior"NJ
Misc. Receipt
Misc Receipt
Misc. Receipt
Date: 1A10712019
Date:
Date: 1010T 12019
Subject to Field:
071-76002 57607 Permit Fee
077L6002 5761-2 BIdg. Stds. Revolving
07L76002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$333 06
$1 00
$22 95
$57 20
Account#Total
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
$22. e5
$390 26
$1.00Every 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.
$41 4.21
$0 00
$41 4.21
lnspector MID#. 2019-154921
BUILD!NG. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenU! nsu I ation
Roof Sheathing 74.1 4.Er-r ISZ
Shear Wall
Framing
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL l-lo-/r'-8 lo>
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDI'R DELCARAI'ION
I hereby affirm untler penalty of perjury that I am exempt from the Contractors' License Law ftrr the following reason (Sec.7O-11.5
Business and Profession Co'de): Any City or County which requires a Jrrmit to construct. alter, improve. dermlish <lr repair any
structure, prirr to its issuance, also requires the applicant frrr such perrnit to file a signed statement that he or she is licensed pursuant
to the pnrvisions of the Contractor's Licensed Law (Chapter 9. Commencing with .Section 7(XX) of Division -j of the Business antl
Professions Cotle) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violatkrn of Section 703 L5 by any
applicant for a Jrcrmit suhjects the applicant to a civil penalty of not nxrre than five huntlred dollars ($5(X)).
_1, as owner of the prcpeny. or my empkryees with wages as their srle comJrcnsation, will do the work and the struclurc is not
intended orofferedforsale(Sec.TO44.BusinessandProfessionsClode:TheContract()r'sl,icenseLawdoesnotapplytoanownerof
the property wtxr builds rlr improves thereon, and wtxl drrcs such work himself or herself or through his or her own empkryees.
provided that such improvenrnts are not intended oroffrred for sale. If. hrwever. the btrilding or inqrnrvenrnt is sold within one )rear
of cornpletion. the Owner Buikler will have the burden of proving that he or she dil not build or irnprole the proJrerty for the purprse of
sah).
-1,
asownerof the property. amexclusivelycontracting with licensetl contractorsto construct the pnr.iect (Sec. 7044, Business
and hofersilnCotle:TheContractor'sLicenseLawdoesnotapplytoanownerofpropertywhohuildsorimprovesthereon,
and who c()nlracts filr such prnjects with a C()ntracto(s) licensed pursuant to the Contractor's License Law).
_l am exempt under B. & P.C. frrr this reason.
Date:_Oryner:
WORKI.' RS' COMPENSAI'ION
DECLARATION
I hereby affirm under penalty of perjury one of the ftrllowing declarations:
_l haveandwill maintainaCertilrcateofConsenttoSelf-lnsureforworkers'conrpensation.as pnrviderlforbySection3T([ofthe
Latxlr Crlde, for the performance of the work for which the permit is issuetl.
_l have and will maintain hy Section -17(X) of the Lahor Code. for the Jrerformance of
carrier and plicy number are:the work frrr this
)
r Policy
_l certify that in the performance of lhe work frrr which this permit is issuetl. I shall not empkry any person in any rnanner
so ilsto hecorne suh.iect to the workers'comp€nsation laws of California. and agree that if I shrukl beconrc sub.iect tothe
wrlrkers' cotnpens:rtion
WARNING: Failure to
prtrvisions of Section 37(X) of the l.ahrr Code, I shall. frrrthwith comply with those provisions.
secure wrlrkers'compensati()n c()verilge
tkrllars ($ l(X).(XX)). in
is unlawful. and shall an employer to
civil fines up to ()ne hundred thousand adtlition to the as provitletl frrr thc
Section 3O76 of the Lahrr Code. interest antl attorney's fees.
,r,.", lAftTf /?
DE,CI.ARAI'ION
I herehy affirm untler penalty of perjury that I aln licensed under provision of Chapter 9 (comnrncing with Section 7UX)) of Division
of the Business and Professions Code. and my license is in full ftrrce arxl effect.
,l
License
Date:_
c36 Nulnber:
Contractor:
CONS'I'RUCTION LI'NDING AGENCY
I herehy affirm untler penalty of Jrrjury that there is a construction hnding agency frrr the performance of the work for which this permit is
issued (Sec. 3097. Civ. C.).
L.ender's Name:
Lentler's Address:
AI'I'LICAN'I' DE,CLARA'I'I ON
I hereby affirm under penalty of perjury one of the following tleclarations:
Demolition Permits-Ashestos Notification Federal Regulations (Title 40, Part6)
_Required Letter of Notification
_l certify that the federalregulations regarding asheslos rerxlvalare not applicnhle to this
_l certify that I have read this application and state that the
ordinances antl Stlte [.aws relating to huilding
atxrve mentioned proflerty for inspection
Applicant or Agent SifnatuT6:-
Iternritee name (print ): __-w-
crlrrect.I agree
0B-07-201 5
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all City and County
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