HomeMy WebLinkAbout101102141 - PermitProiect Address: 2122 112 S Shelton St-a-
Assessor's Parcel: 015-204-06 Lot: 68
Unit:BIdg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 1192 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (7'14)647-5853
Permit #: 1O1102141
T' Pin #: ssnzz
Building Use: Accessory Dwelling Unit-Detachec Occupancy:
Job Type: Revision Constr Type:
Nature of Work. Revision Code:
Exrsting Bldg. & Use: SFD w/det Garage Flood Zone'.
Proposed Use: 2nd Dwelling Unit # of Stories:
Description of Work: Change to contractor/replaces 101 101365
Revision-reduce size of porch
Planning Conditions:
R-3
VB
cBc 2016
x-0602320257J
1
1st FL Area
2nd FL Area
Other Areas:
Garage Area.
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation:
Owner:
Address:
Phone:
Tenant
Maria Janet Avila
2122 112 S Shelton St
Santa Ana, CA 927073'134
(7141 878-6468
Contractor: First Stop Construction
Address: 20201 Sherman Way #206
Winnetka, CA 91306
Phone: (818) 859-6923
State Lic #: 101 4721
Lic Type: B
Bus. Lic #: 373691
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #. 922328A
Expires: 1212212019
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
RA Structural Engineering, lnc
Reza Asgharpour
8949 Complex Dr., Unit A
San Diego, CA 92123
(760) 360-se98
c67613
Dream House Drafting & Design
Leticia Portocarrero
5096 Tolowa Avenue
Riverside, CA 92509
(7141 721-3412
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd. No
Landscaping Insp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Hernan dez, Kathy
Date:
Date:
Date: 11119/201 I
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57770 Microfilm Records
07776002 57600 General Plan Update
Fee Totat
Paid to Date:
Balance Due:
$0.00
$0 00
Account#Total
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.
lnspector MtD# 2019-149607
$0 00
$0 00
$0.00
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS olvN I..R lt U I l.l)FlR I)l.ll,CA RA'l'lON
fScc.7o.1l.5I hcrchy atlirnr undcr Jrcnalty <lf Jrcrjury that I am cxempt liom the Contractors' Licensc Law litr thc lirllowing Gason
Busincss and Protbssion Ctrlc): Any City or County which rcquircs a Jrcrmil k) conslrucl. altcr. improvc. dcmolish or rclair,ay
structurc, ITi)r to ils issuancc, also rcquircs thc applicant lbr such Jtrmit kr lilc a signcd statcmnl lhat hc or shc is liccnrcd pmuanl
to thc fovisions of thc Contractor's Liccnrcd law (Chaplcr 9. Commcncin8 wilh Scction 7m0 of Division J of the Business and
Prclbssions Code) or thtt hc or shc is cxcmpt thcrclhrm and thc basis tirr thc allcgcd cxcnption. Any vblati(rn ofScction 70J I 5 by any
applicant for a pcmit suhjccts lhc applicanl k) a civil pcnalty (rf nol morc lhan fivc hundred dollars (S5U)).
_1, as ()wncr of thc propcrty, or nly cmployees with wagcs as their solc compcnsation, will do thc work and the structurc is nrtt
intcnrlcrl or 6tl'crerl titr sale (Sec.70rl4, Business and Profcssions C<xlc: The Contractor's Licensc Law docs not apply lo an owncr of
thc pn)pcrty wlxr builds or impntvcs thcrcrln, and wtrr docs such work himself <lr hcrsclf or lhrough his or hcr own cmployees,
providcd that such improvcrncnts are not intcndcd or otTercd lirr sale. ltl howevcr, thc building or impnrvcrncnt is sold within onc ycar
of complctign, thc Owpcr BuiUer will havc thc burdcn ol'proving that he rlr shc did not buikl or improvc thc propcrty firr the purJxrsc of
sale).
_1, as owncr ol'the proJrcrty, am cxclusivcly contracting with liccnscd contraclttrs lo conslrucl thc prcjcct (Sec. J0dd, $usingss
arxl Pnltbssign Codc: Thc Contractor's Liccnse Law does nol apply lo an owncr of pnrJrcrty who builds or improvcs thereon.
and who contracts lirr such pnljccts with a Contractor(s) liccnscd pursuant lo thc Contractor's Licensc Law).
-l
am cxcmpt under Section-, B. & P.C. tilr this rcason.
I)alc:
WORKERS' CONIPENSATION
DECLARATION
I hcrcby all'irnt undcr pcnalty of pcrjury onc of thc tirlklwing dcclarations:
_l havc arxt will maintain a Ccrtiticatc of Conscnt to Sclt'-lnsure tbr workcrs' comJrcnsation, as prcvidcd lirr by Scction 3700 of thc
Labor Codc, lirr the perlbrmancc of the work fbr which thc pcrmit Ls issued.
_l havc antl will maintain workcrs' compcnsation insurancc, as rcquircd hy Scction -1700 of thc l.abor Crxle, tirr the pcrftrrmance of
the work lbr which this prmit is issued. My workcrs' compcnsation insurance carrier and prlicy number iuc:
Policy Numbcr: ExPircs:
_l ccrtity that in thc Jrcrtbrmancc of thc work tilr which this Jrcrmit is issucd, I shall not employ any lrcrson in any manncr
so as lo bccomc subjcct to the workcrs' comJrcnsation laws ol'Califilrnia, and agrcc that if I should hccomc suhjcct to lhe
wrlrkcrs' compcnsation provisions of Scction J7fi) of the Latxlr Ctxlc, I shall, titrthwith comply with thosc provisitlns.
WARNING: Failurc to sccurc workers' contJrcnsation covcrage is unlawtul, and shall subjcct an cmpktycr to criminal pcnaltics and
civil t'incs up to onc hunrJred thousand dollars ($lm,m0), in addition to lhc cost of compensalion, damagcs as providctl ftlr thc
Scction -1076 ot'the Lahtr CuJc, intcrest and attonrcy's lbcs.
I)alc:
LICENSED CONTRACTOR
DECLARATION
I hcrcby a1irnr under pcnalty of pcrjury that I am licenscd undcr provision of Chapler 9 (commcncing with Scction 7m0) of Division -J
of thc Busincss and Prol'cssi<lns Codc, anl my liccnse is in tull forcc anl ct'l'cct.
CONSTRUCTION LENDING AGENCY
I hcrcby affrm unrlcr Fnaltyof Frjury lhat thsc is a construcllrn hnding aScncy tbr lhc fErformnce of lhc work lbr which this lrmil is
issucrl (Scc. 1097, Civ. C.).
[.cntler's Namc:
APPLICANT DECLARATION
I hcrcby allirm under Jrcnalty of pcrjury onc tlf thc lirllowing declaralions:
Dcmolition Permits-Ashestos Notification Fedcral Rcgulations (Titlc 40, Part6)
-Rcqu
ircrl l.et ter of Notiticat irln
-l
certili thal thc fcdcEt rcSulatioN rcganling asbcsk)s rcm)val rc not apPlicablc k, this Prujcct.
_l €rtily thdr I have rcad this application axt statc thar thc at$ve inlomlion is corect. I a8re lo @mply with all Cityand County
ordinaets md Sttle Laws rclating to builling construclion. ard hcrchy authorizc rclrcsntatives ofthis City and Counly lo cntet uF)n thc
abovc mntioncd pDJpny for insFction purlx)es.
Applicant or Agenl
Set Backs
Forms/Steel/Holdowns *n
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framing
lnsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
I\/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
L
FINAL I Nl7/))v $r ',&fl, 5ra * lollbarLto
Certificate of Occupancy ,rl
Re Etc.
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7 I
lt
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