HomeMy WebLinkAbout10197842 - PermitCiE of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
lnspection Requests: (714) 667-2738 lnspe*r Section: (714) 647-5853
Permit #: 10197A42
Pin #: 57497
q
Proiect Address: 2045W Martha Ln
Assessor's Parcel 004-163-02 Lot: 5
Unil Bldg: Address Range Suite Range:
Zoning: R1Block NA Tracl '1458 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Bathroom Remodel
SFD w/att garage
1st FL Area
2nd FL Area
Other Areas
Garage Area:
Totat
SiiiHj-8iil - li;liil'i,. "' 'i^xl'3Engineer: Ac.t+ r Ref+: lfJlg7:at,i
Owner: Elaine Hoffman Contractor; Line Electric lnc Rcpt+:tr23?1320 - 9/2?/2t119 9:36 All
Address: 2O4SW Martha Ln Address: 4055 Witshire Btvd #S24 Address: Tnqnsortion Tottl 1426.6,:\
Santa Ana, CA 927063219 Los Angeles, CA 90010phone: phone: (2131272-3364 Phone: [-ine Elertrr': Inrrenan'i ::T;:. :l'Jii ", ffi,""""] []Tfik,'ll.t',,ltl, '"" ,l;;:;lBus. Lic #: 346s60 Desioner: ;iii;6'6i_ r 16r-11r-,lrl_Workers' Compensation lnsurance: Address: giJ, StOs ievolvins i1,r-lCarrier: NATIONAL LIABILITY AND FIRE lN 01116002- i1612[]0[-
I A- Policy #: A9WC88557'I Phone: I(L (:heck nu1925 $4:n.i,d,
Sot r-lao rZ B Expires: O3l07l2o19 License #:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Patio:
T.l.Area:
Yards Req'd
Valuation: $11 ,000.00
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
\d Hernandez, Kathy
Fire lnsp. Req'd: No
Police lnsp. Req'd. No
Flood Zone Cert. Req'd: No
No
No
No
No
Account#Total
$22.O8
$215.29
$1.00Every pemit issued shall become invalid unlesslhe wotu on the site authorized by
such permil is commdnced within 180 days after its issuance.ot if the wo* authorized
on the site by such pemit is suspended or abandoned for a period ofl80 days after
lhe time the wotk iscommenced
$238.37
$0 00
$238.37
lnspector MtD#. 2018-146441
0'1 116002 51600
01 1 16002 51601
01 1'16002 51612
Fee Totat
Paid to Date:
Balance Due
Description of Work: Replace tile in bathroom/auth on file
R-3, U
VB
cBc 2016
x-06023201 44J
Date: N,lisc. Receipt:
Date: lvlisc. Receipt:
Date: 09/2712018 l\4isc. Receipt:
Subject to Field:
07776002 5t601 Permit Fee
01776002 57612 Bldg Stds. Revolving
07776002 s76oo Cenerul PlIn Update
07776002 51601 lssuance
$160.25
$1.00
$22.O8
$55.04
SITE.WORK ID/SIG COMMENTS OWNER BUILDDR DN!,CARATION
I hcrcby aintrr und.r pcndlry.r pcijury rhd l am dxcnu liom rh. CotrM.rrs l,i.cnsc tiw lir rhc lbllosirE rcN)n (Scc?Oll5
ausincss d.d Profcssion Codc) Any City or Coutrry which rcqutcs r lcnnit lo con\rruct. lllcr. imrrovD, icmlish nr rrin Jn,
nrucrurc, prhlro ils nsulnce. aho requts rhc atplicanl for such pern r ro lilc a siancd srdemd thrr lE.r shc is licctr*d puru0
lo rhc provisiotrs ollhc Contrclols Lienscd kw (Ch.rrer 9. Comnrnci.E sirh Scclii,n 7000.l Divkn,n:l Dr rh. au*inc$,nd
Ptufcsn,n\ Cod.) or rhd h..rsh. h.xcmrr rhcrcrR,fl rd rhc ltrNis f.rrh.rllcgcdcxctrrtli,rn. Anyvnnfllion.aScclion?(J:ll5nyony
l'lpli.nnrtorapcnnitsuhjNlsrhc,pplicanttoacivilpcnalltolnotmorcrh0nfilchundrcddollm(55u))
l.aro*ncrofrhcpn,pcrlr-ormycn,tlorteswnhsrgcsasrhctw'lcco'nFnsrrnnr,willdodusurtand$csmrurcisnor
i cnLd .roffcr.d r srlc (S(T(x4. Ausincssnnd Pofc*i(,n\Codcr ThcConlhcktr s Liccnsc Ltrw docs .or lpplr i, rn ownrr ol
rhcpmFny wtu huilds or imrmvcs rhcrlr)n. md sho dms \uch sork hinN.ll or hcr\clf or rhrulah lris or hcr ow c.'ployccs.
D.ovidcdrh such rmrrotmnr m mt intcndcd oroll!rcd for srh li howcEr rhr hilding or in{'ormnr i\sold *irhinond Jtar
of (nirlcrtnr rtr Osncr Buiuer willhalr rh. burddnof!rcvin! rhrr h.orsh. did k hoild or iiryrovc rhc pm|cnr lor rhe purF){ol
-1.$ownerollhctbpcny.amcxclusivclyco.liaLlingwirhliccnsLlconlra.ronroconsrru.lhcrujkr(S..7014,3u\ir'csx l IbfssixrCodc'fhcContr.txrLi..n\chwdocsiorapplyr.ni.wncr.flropc ywho huilds orimprovcs rhcrcon.
and who conln.r for such pmiccrs rirh. Conlmdons) liccn(d purua ro thc Conkocrois l-i.cn{ ljw)
I mcx.6pi undc. Serion . B. & P.C. ro.lhk rca$n
Dat. O*ncr
IYaErllBLCAUfli8S/r:Il(2!
DECIANAIIOX
I luch,rlln undcr If,ulirofpcrJUry oi. ofrhc f{,11,)$i',A dc.larain,n\
-lhave
d will nuinllin a Ccnificale of Coleor ro Scl{ lnsurc ftr sorkoi cdmp.nsar i. . as prcvid.d fo. ny Sd ion l7m oI rhc
L$or Codc, rorIhc psforrorcc oflhc wort for shich lhc ptrir nkued.
I hr$ rtut *illnuinrrin *o cre comp.n\rri{,n in\uraicc. r\ rcqdtcd bl S(rnr lTtD.trl!- IjtDr Codc, itrrhc pcrli,nnrNc of
rh. work i{tr shi.h rhi\ p.rnrir is hsLd My sorkdN .!nrp.n\rrn,n in:um c.inicr.rxl t'ol[y nunrti.r nic:
lccniryrhrr inrhc F,rronmrccofrhc wort for qhah rhk plirnn n Gsucd.l shallnor cnDlor!!y pcN)n inanymrnncr
$ r k, bccorE subjccr ro ihc wo,lc mmFnsari,n lass of Cllifornia, md ssft. rh,r it l sh)uld lE om suhFrl ro l6c
No*er conri.nstion prevGions ofSccrion]r00ofthc Lltnr Corlc.l stull. Lnhwnh..mfly *nh
'hoc
pnvhionr
WARNIN(;: Failnrc ro $.ur workctr coq).niarion ..vcdgc is uihwrul rnd shlll {bJcd !r cnllLylr ro oiminll Fnrlri\ niJ
.ivil l,ncs xp kr onc hundrcd rhauend dolltrs ($lm.{XX
sccrn r :1076 of rh. hbr c'odc. inr.rc{ and axonEy s f&s
i,rn. drtrEgc\ r\ pnridrd f(tr thc
,1 ({n
q+Lw"-,.*".,4 =_-
I lrrcby rlftrn u.dcr Fnalry of pcrjury rhlt lh.r is i connruci.tr hndins a-qcrcy lor rnc pcdortu.c. orrhc $.rk lor which rhn P.rnrit is
hru.d (Scc.1097. Civ. C ).
APSLICANLD&SAAAIION
I lrEby ofmn u ndci lcnany of,rcrjury onc ofrhc lollowin8 dcclarali.rs:
D.molirio. Pcnnirs^sbcaos Notiti.arion FcdctuI Rcgullrions (Tirlc 40. PM6)
Rcquirol t xcr of Nodf cali.n
-l
enilrth0t lhc ictlcralrc8ulalions rcBardnrs aslEsl,x rctr&ral rrc nor rpllic$lc tu rhis lm+cr
;,,;_;;;;;_,;;";''L"tritt,4 &,ula ^,", -f 1lf rr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/Vent/lnsulation
Rool Sheathinq
Shear Wall
Framing ia-2'/ B 4zz-
lnsulation/Energy
Drywall
Extlfni2ath 17 -?-t8 ,---<da >?A
Brown Coat
[t/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
-''2 L_-\)
FINAL //-///'/ z).4C tS,ttZ,z-Y'{ Z//
Certilicate of Occupancy
Notes, Remarks, Etc.
BUILDING- INSPECTOR RECORD
DATE
I hcaby,rauD u.dft penalry oi pcrjury lh.t I an liccn*d rndu pmvnion oIChryrs 9{o'nmacina wirh Sdri,n 7fiD) ofDivhion.l
or rhc Ahinc$ and Protcsri.nr C.dc- ,J'd 6y liccn* is in fnll ion dl dlrc.r
Lrn'lo . Addrc*