HomeMy WebLinkAbout101102116 - PermitPin #: 17E'
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Project Address
Assessor's Parcel: 008-21 1-04
Unit:Btdg:
Tract: HEIL
Address Range:Suite Range:
Zoning: R2Lot: 10 Block: N Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7141647-5853
Permit #: 1O11O21 {6
Building Use: Single Family Dwetling Occupancy: R-3, U 1st FL Area: Patio:
Job Type: Atteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Vehicte Damage Repair Code: cBc 2016 other Areas; yards Req'd:
Existing Bldg. & Use: SFD w/det Garage Flood Zone: X-0602320257J Garage Area: Vatuation:
Proposed Use: # of Stories:
Total:
Description of Work: Vehicle damage repair to existing SFD rear wall consisting of minor replacement of studs, repapering, and restucco.
Planning Conditions:
$1 ,000.00
Owner:
Address:
Phone.
Tenant:
Jim Colombo
1030 W. Walnut
Santa Ana, CA 927033949
(7141 914-7094
Contractor: Ventmart Hoods Master
Address: 1800 E. Garry Ave. Suite #lC
Santa Ana, CA 92705
Phone: (7141 866-7210
State Lic #: 1020158
Lic Type. B, C-16
Bus. Lic #: 374251
Workers' Compensation I nsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
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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 lnsp. Req'd: No
Arabe, Jill
Chavez, Dave
Date. 1110412019
Date:
Date: 1110412019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57507 Permit Fee
57770 Microfilm Records
s7672 Bldg. Stds. Revolving
57600 General Plan Update
57607 lssuance
$333.06
$3.91
$1 00
$22.95
$57.20
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permit rssued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs tssua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 201 9-155619
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$22.95
$390.26
$1 00
$3.e1 Fee Total:
Paid to Date:
Balance Due:
$418.12
$0.00
$41 8.12
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BUILDING- !NSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATTON
I hocby allim undo poalty of pqjury that I m cxempt from thc ContractoB' Licmw Law for thc following lffin (Ss.7031.5.
Businas ard Profesion Code): Any City or Counly which rcquiE a pcrnit lo coEtruct. alta. improvc. dcmolish or repair my
structure. prior to its issuuce, also rcquirc thc applicut for such pemit to filc a signcd statmmt thd hc or she b licmscd plmilt
to thc provisios of thc Contractor's t,iccnscd taw (Chapto 9. Comcncing with Setiotr 7000 of Division 3 of thc BNiocs ild
Profsions Code) or that hc or shc is cxcmpt thqcfrom ed thc basis for thc alleged exmplion. Any violation of Setiotr 7011.5 by an.
applicant forap6rit subjctsthc applicanl lo acivilp€naltyofnot morctho livchundrcddollus($500).
_,1, re oms of thc prcpc(y. or my cmployc with wagc c thcir slc mmpqsation. will do the wo* ald the structuc b not
intqdcd or offord for slc (Sc.7044. Buins ud Prcfcssioro Codc: Thc Contractor's Licry l:w doc not apply to m ownc of
rhc pmpdty who builds or infmvc thon. md who dm such wrt himsclf or h6clf or thrcugh hb or ha own cmploycc.
providcd that such improvqMts e not intqdcd or offqrd for sh. lf. how@q. thc buiHing or improvelmt is sld wilhin onc )ar
ofcomplaion, thc Ovm6 Build6 will havc thc hldo ofproving thd he or shc did mt build or improvc lhc plopqty for thc purpos of
slc).
-1.
re orvno of thc propqty, m exclusively contracting with licqscd contraclorc lo corutruct the projccl (S6. 7044. Bwins
od ProBsbn Codc: Thc Contractor's Licosc Law do6 nol apply to il owns ofpropcrty who builds or improvB th66n,
and who contracts for such pojets with a Contmcto(s) licorcd purewt to thc Contractor's Licm taw).
I m cxcmDt und6 Setion-. B. & P.C. for this rcen.
Drlc:_ O*rq:_
YOB6E&LCOIAPTNSAIIAN
DECI.ABAUqN
I hqeby amm undo pcnaltyofperjury onc ofthe following delilatiom:
_l havc od rvill mintain a Ccrtificate of Comt to Sclf-Irourc for workm' compostion. r provided for by Sction 3700 of lhc
Labor Cod€. for thc pqfolmcr of thc work for which thc pqmit b i$ucd.
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havc and will maintain workm' compensation iEumncc. I rcquircd by Srtion -1700 of thc t bor Codq for thc pqfomilcc of
the u'ork for s'hich this My compensation insurance calTier and policy numkr are:
o
Policy lrrpircs:)
_l certifythat intheperfonnanceofthework forwhichthispermit is issued. I shall not employanyperson inanymanner
so as to become subject to the workers'compensation laws of California. and agrec that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions.
WARNING: Failure to secure workers' compensation coverage and subject an employer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in
Section 3076 of the Labor Code. interest and attorney's fees.
to the of damages as providd for the
b(
I
I hereby affirm under penalty of perjury that I aln licensed under 9 (cornrnencing rvith Section 7000) of l)ivision 3
of the Business and Professions Code. and rny license is in full force and e ffect.
tLicense_l.icense
C
CONSTRUCTION LENDING AGENCY
I hrcby aflirm undo penalty of pojury that th6e is a construction lmding agocy for thc pqfonnuce of the work for which this pcrmit is
issued (Sec. -1097. Civ. C.).
Lender's Name:
Lender's Adclress:
APPLTCANT DECLARATION
I her,eby aflinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
asbestos removalare not applicable to this project.
the above u'ith all City and County
and County to enter upon theatttl
above meartioned propeny for inspection
Applicnnt or Agcnl
Pernritee nttnre t
/r
is correct. I
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUI ns u lation
Roof Sheathins
Shear Wall K\
Framincr I -b-l-,uilJlhel
lnsulation/Energy il- C* l''v"\i@
Drywall I -\.tW)
r'Ext//lnt. Lath I -5- lal tr-'$fu,
tsfown Coat \\ihf I )^,\[PY0
Masonrv \,\-/
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
A
FINAL €YN*}U
Certificate of Occu pancy \J
Notes, Remarks, Etc.t
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