HomeMy WebLinkAbout101102339 - PermitProject Address: 2209 S Park Dra
Assessor's Parcel. 015-202-03 Lot: I
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1192 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O1102339
Pin #: 5{r$
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Alteration
Windows
SFD w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas.
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $9,875.00
Description of Work: Change out windows-same size, same style/handout given/auth on file
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Lobelia Martinez
22Og Park Dr
Santa Ana, CA 927073120
(7141 333-60e3
Contractor: QSP Corp dba QSP Constru
Address: 3401 Sirius Ave #3-322
Las Vegas, NV 89102
Phone: (562) 3714625
State Lic #. 1034787
Lic Type: B, C-20
Bus. Lic #: 374450
Workers' Compensation lnsurance:
Carrier: Norguard lnsurance Company
Policy #: QSWC083143
Expires. 0112212020
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
Bnbch*:53157 LL/21/2111? ID: HGARC:IA
Off ice: CTYH Trnnsir 24 1 of' ?Acct+: Rel*: lrr11ri233?Rcpt*:tr2913794 IL/21/2019 2137 Fill
Transoct i on Totnl t363.59
ASF' Corrr dbn 0SF' (:ons.tr'uct ion
Generql Plnn Updnte Fee
rrl I I6LtLt?- 516t-rurlrrtr-
Buildins
Ltl I 1601t?- 51 6u 1 0r_rrr-
BIds Stds Revolv i ns
t2?.q??_,
$?23.73
$ 1 . r_r[r
en C
0777
0ttt6o02 iVt,zb Microflkft Reeords
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$166 53
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. 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
$
Orozco, lvan
Hernan dez, Kathy
Date: 1112512019
Date:
Date: 1112512019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$3 e1
$1 00
$22 95
$57 20No
No
No
No
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 MID#: 2019-155894
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$22 9s
$223.73
$1 .00
$3 e1 $2S1 s9
$0.00
$2St.59
tt
t
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OTVNER BUILDER DELCARATIoN
I hcrcby illlirm undcr Fnahy of Frjury thlt I am cxcmpt lhlm thc ContrackrB l-iccns [jw tirr lhc following rcason (Se.70-11.5
Busirrcss aul Prolbssiur C(xle): Any City or Coutrty which rcquircs a [Ernlit to construcl. rller. improvc. dcmolish (rr rcpair anl
slnrclure. prior kr its issuarec. also rcquircs lhc applicanl lirr such Frmit lo lih a signcd stalcmnt lhat hc (tr shc is liccnscd fursuanl
kr lhc pR)visbns of thc Cultrackrr's l.iccnrcd Law (Chrylcr 9, Conrmcncitrg wilh Scction 7m0 ot Divisi(xl J of thc Busincss and
Pnrlcssions Codc) or that hc or shc is cxempl thcrcliom ed thc basis li)r lhc allc8cd crcmptirlr. Any virlatiolr ol Sccti()n 7011.5 by any
applicaotlirrapcmitsubjcclsthc applicantk)acivilpcnaltyofnolmorcthanfivchundrcddollrs(S5U)).
_l. as ()wncr ot the pn)pcrty. or nly cmployces wilh wagcs as lheir s()lc conrpcnsaliort. will do tlrc work arxl thc slrur"*turc is not
lntcnded ()r ofi'crcd lirr salc (Scc.7044. Busincss and Pnlfcssions Crxlc: '[hc Conlractor's l.icensc l-aw drrcs nol apply to an owncr of
lhc ;rnrpcrty who huiltls or inrprovcs tlrcrcon, and wlxr drrcs such work himsclf or hcrscll'rlr through his or lrcr own employccs.
providcd lhat such inrpnrvcnrnts arc not intcrxlcd or otlbrcrl lirr sirlc. Il. howcvcr. tlrc buik-ling or inrprovcnrnl is sokJ within one year
ol'complction, lhc ()wner Buildcr will havc thc burrlcn of pnrving lh:rt hc or shc tlitl not huild or intprovc the pnr;rcrly lbr lhc puryxrsc rtt'
salc).
_1, asowncrof'lhc pnlpcrly, amcxclusivclyconlracling with liccnsctl contritclorslocottstrucl lhc pnrjct:t (Scc. 7044, Rusincss
anri PrulbssionCodc: 'l'hcContraclor'sl-icenscLawdocsnotapplytoanowncrot'proJrcrtywhohuildsorintprovesthcrcon,
atrtl who conlracls lor such pnrjccls with a Contractor(s) liccnscd pursu&nl ltl thc (bnlractor's l-icettsc Law).
-Iamexc-ntptulldcrSectirlrt-.B.&P.C.tilrthisrcasrln.Orvner:
}VORKERS' CON IPENSATION
DECLARATION
I hcrcby al'l'irrn undcr pcnalty of pcrjury one ol'thc folkrwing rlcclarations:
_l havc and will maintain a Ccrliticatc of Conscnt to Sclt-lnsure frrr workers' comJrcnsatir)n. as pr)vidcd for hy Scction -]7U) of the
Lahrlr Codc, lilr thc- pcrfbrmance ul'thc work firr which the pcrmit is issuerl.
UAI haue,r,.l .17(X) ol'thc Labor (idc. lirr thc pcrlirnnaltcc ot'
llrc work lix'iurtl lxllicy nunrhcr arc:
r
Policy Nu .{7 )-o
_l ccrlity llrat in thc pcrlirrnrance ol'lhc work lirr whiclr tlris Jrcrnrit is issuctl. I shall rxrt crnploy any pr'rson irr arty rllann(.r
so aslotrcconrcsuhjccttollrcworkcrs'cornlrcnsalionlawsol'Califtlrnia.anditsteethitlil'lshtttrldbccomcsuhjccllolhc
workcrs' cornpcnsalion pnrvisions ot'Scctiorr J700 ot'llrc [-:alxrr Crxlc, I shall, lirrthwillr comply witlt tlxrsc provisions.
WARNIN(i: l;ailurc' lo securc wrtrkcrs' contlrcnsalion covcrilrc
civil lincs up to orrc lrundrr-'tl tlxrusand dollars ($l(U.fiX)). irr
is unlawful.subi'cl an to crinrinal pnaltrcs and
additiorr ol providetl tilr the
Scclion.107(r I ltt'inlr'rcst altd attrlrtrcy' s l'ccs.
I hcrchy al'l'irnr undcr pnalty ol'prjury tlrat I ant lic:crtscd undcr of C'haptcr 9 lconrnrcncing with Scction 7UX)) of Division J
ol' thc Busincss antl Prol'cssions Cotlc. arl nry liccnsc is in lirll lirrcc and clll'ct.
Liccnse
(
W
I hcrcby afl-rm uftlcr Fnalty of lrcrjury thal lhsc is a rarnslructhn lcnding agcncy for thc Jrcrlormucc of thc work br which this tEmit is
issucd (Scc. -1097, Civ. C.).
hnrlcr's Namc:
[.cndcr's Adtlress:
APPLICTANT DECLAR,\TION
I lrcr-*hy allirrrr undcr pcnalty ol' pcrjury onc of thc folkrwing dcclaral ions:
f)crnolition Pcrmits-Asbcslos Notil'ication I'cdcral Rc'gulations (f itlc 40. Part6)
-Requ
u'ctl Lcttcr of Nolilicatnlrr
with all City and County
_l ccrtily lhat thc t'cdcral rcgulations regarding astrcstos rcnxrvalilrc not lo this pro.icct.
anrl
7
Io cnlcr u;xxr thc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu Iati o n
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
1/n
I
FINAL arD 5-ful 7 x lu,l[
Certificate of Occu
Notes, Remarks, Etc.