HomeMy WebLinkAbout101100408 - Permit (2)l
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests'. (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: {O11OO4OE
Pin #: 7439o^
Proiect Address: 2900 S Bradford Pla
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
Alteration
Fire Repair
Condo Complex
U, R.2
VB
cBc 2016
x-0602320278J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Tota!:
Patio:
T.l.Area.
Yards Req'd.
Valuation: $24,000.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
0
Description of Work: Repair due to fire damage-repair roof, walls and drywall.
Planning Conditions: All materials to match existing I I l-llj
Engineer:
Address.
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Hansen
Hans Christopher Hansen
180 E Main St, Suite 201
Tustin, GA 92780
(7141 573-0073
sE3027
Structura lEn
Owner:
Address:
Phone:
Tenant:
Bradford Place Santa Ana West HC Contractor: 24 HRC dba 24 Hour Restori
15661 Red Hill Ave *210C Address: PO Box7124
Tustin, CA 92780 Laguna Niguel, CA 92507
17141285-2626 Phone: (888) 5244687
State Lic #: 895339
Lic Type: B
Bus. Lic #: 371971
Workers' Compensation lnsurance:
Carrier: Great Divide lnsurance Company
Policy #: WCA200939816
Expires: 0712612020
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Anson
sden, Julie
07776002 57607
07776002 53500
07776002 57770
08907007 24000
07776002 57672
07776002 s7600
07775002 57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Planning Approval By:Escamilla, Manny Date: 06/1 112019 Misc. Receipt: 12714
Date: 06/1 112019 Misc. ReceiPt:
Date. OglZOt2Ol g Misc. Receipt:
Subject to Field:
Account#Total
So,
$333 06
$230 87
$35 1I
$3 12
$1 00
$22 95
$57 20
a\
Planning Insp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued 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.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
08901001 24000
$22.95
$3e0 26
$1 00
$8 71
$35 19
$3 12
Fee Total:
Paid to Date:
Balance Due:
$683.3e
$222 16
$461 .23
lnspector MID#: 2019-1521 00
o
BU!LDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUII-DER DEL('ARA'I'ION Je .
I hreby affirrn under penally of pdjury that I m cxempt frem thc Conlraclo6' l-icsse Lau' for thc follorving reen (Sec.70-l1.5
Businss ud Profmion Code): Any Cily or Counly which requirs a tmnit lo comlruct. alte, improve. demolish or rcpair any
structurq lrior (o its issuance. also requir6 the applicant for such pnnit to lile a signed statcmml thal he or she is licosed pursuanl
lo thc provisions of lhe Contraclor's Licosed Larv (Chaptq 9. Commencing s ith Sation 7000 of Division 3 of thc Businas and
Prcfesiens Code) or thal he or shc is excmpt thqeftom and the basis for lhe allegcd exernption. Any violation ofsection 703 I .5 by any
applicant for a pcmit subj(ls lhe applicant to a civil pmahy o f nol more thm fitc hundrcd dollas ($500).
_ _ l. as o\\'ner of the propert!'. or rny emplo)'ees $'ith $'ages as their sole cornpensation. u'ill do the s'ork and the structure is not
intended or ofFered for sale (Sec.7044. Business and h'ofessions Code: '[he ('ontractor's l,icense l.arv does not apply to an orvner of
the propmty s'ho builds or improves thereon. and rvho does such $'ort himself or herself or through his or her ou'n employees.
provided that such irnprovorrents are not intended or offerc.d for sale. l[. hou'ever. the building or irnprovemenl is sold u'ithin one ]'ear
of cornpletion. the Orvner Builder will have the burden of proving that he or she did not build or improve the propoly for the purFnse of
sale).
_ _1. as o\r'ner of the prop€rty. arn exclusively contracting s'ith licensed contractors to construct the project (Sec. 7044. Business
and Pnrfession Code: 'fhe Contractor's License l-arv does not apply lo an owner of property rvho builds or inrproves lhereon.
and who contracts for such projects rvith a Contractor{s) licensed pursuant to the Contractor's License Larv).
l*4^ exempt under Section- . B. & P.c. for this reason.
l)ale:_ Owner:
\},ORKERS' (:O[I PENSATION
DE(:I,ARA'tION
hereby afftrm under penalty of pojury one of the follorving declarations:7'
-l
have md rvill maintsin a Cedificatc of Consnt lo Self-lnsure for sorkm' compmmtion. ro providcd for by S(lion -1700 of the
Labor Codc. for the p€rfonnance ofthe $ort for shich rhc p@nil b issucd.
\l ha*c and u,ill maintain lvorkm' comlENation iNurance. 6 rcqilirod by s(tion -1700 of the Labor ('odc. for thc pqfonnancc of
the work for rvhich this pmnit is isucd. My workss' comlEnsation insurance cmis and policy numba rc:V*-6*rt \-ryr4- 5g 0-.
4.,*,*rpeag""oa.1r." - -;jl lzd,Z.-/\
- _l cedify that in the pqfonnancc of thc $ork for rvhich this pcnnit is issued. I shall not mploy any pcrmn in any mmno
w u to bccorne subjet to the wo]tm' compcrsation laws of Califomia. and agre that if I should becomc subjet to thc
uo*qs' compmmtion pre\'isions ofSation -1700 ofthc Labor Code. I shall. fonhrvith comply rvith tho* prorisions.
WARNING: l:ailure lo secure n'orkcrs'
civil fincs up lo one hundrctl thousand
compensalion and shall sub.iect an employer lo crirninal poralties anrl
dollars ($ I to the cost of contpensation. datnages as provicled for tlre
Section the ('otle. interest and attonrey's
20
l)tt('1.,\R \,l'l()N
I hereby affrrnr under penalty of per.iury that I arn license<l under provision of Chapter 9 (cornmencing rvith Section 7000) of l)ivision .1
of the Business and Professions Code. and rny license is in full force and effect.
X e/;ll. -
I
/ I hereby affirm under penalty of perjury that
[:x*1:ft"io.:''
civ c )
tqq eB,
Contrrctor:_L)
/
there is a construction lending agency for the perfonnance of the work for rvhich this pennit is
Lender's Addrcss: _
A PPLICAN'I' DEC I,ARA'[ION
I ltcreby affrnn under penalty of perjury one of the follow'ing dec'larations:
Demolition Perrnits-Asbestos Notilication Federal Regulations (Title 40. Parl(r)
_-_Required Letter of Notification
-l
cqriry thal the fcdaal rcgulatiom rcgrding ubctos rmold uc not applicablc to this prejcl.
-l
catify thsl I have red this applicstiog'snd natc that the aboye infomaion is corct. I agrc to comply rvith all City and County
ordiqrncs and State taw relaling lo buijding yottsrctioa..ufficby ailhorizc rcprGotativG of lhh City ed tounty to ml6 upon lhc#;:::il:il"i:W _ _.*"g,hoJl1 _
4.*.".",0.,";, Li\t 6@G^r,^^7- - - -----T---
0
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl n s u latio n
Roof Sheathing lzt 'tt lt1 I *ttoat- *??
Shear Wall
Framing I 2 N6p,v*tr
lnsulation/Energy b*ria ll't? f (an-,tr6- -bA,.yp,
Dfywall 2t DtW)€a *nl
4r, lO tf I
nfrn /ffi
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
.l ,
FINAL t)hlto DfttA/ltv t,#T7
Certificate of
_]!eteq, Rpmarkg, Etg.I I //il lltllq ilw /?'p{u J tfu
I ,,
z 1-L a
I
,I J-
\
)
/?a
-Ext,7lnt. Lath
I g I
n l.L t*t I /t,. *\