HomeMy WebLinkAbout101101091 - PermitCity 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 #: 1O11O1O91
Pin #:4322\r
Project Address: 2020 N Victoria Dr
Assessor's Parcel: 002-101-02 Lot: NA
Unit:Bldg: Address Range.
TTact: ORANGE GROVE Historic: Yes
Suite Range:
Zoning. RlBlock: NA
Building Use. Accessory Dwelling Unit-Detachec Occupancy:
Job Type. Demolition Constr Type:
Nature of Work: Demo studio Code:
Existing Bldg & Use: SFD w/det garage Flood Zone
Proposed Use: Sfd w/det garage & detatched ADU # of Stories:
Description of Work: Demo permitted studio
R.3, U
VB
cBc 2016
x-0602320163J
1
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:
0@0
$5,000.00
Pt.nning condruon.: Bdtch+r5?s69 - 11i5/21119 lDr N6ii l::i0rli..r ETYII Tr.nEngineer: Acct+t Ref+l I rl111:.1f'!:
own6r: K.vtn Brfi.r e strcry ctlnGmtth confacbr Bud(h.n Brctfie[ Con.t]uc ft.pt+r02801i1r4 - 11/5/2ar1? i::li 'a
Addre$r 2o2o N vlctod. Ddve Addre.s: l2B.lbo.cov.. Addr$$ Tr(ns(ction Totol $:J4r:'ti
Srnt Anr, CA 92706 l{.wport B..ch, CA 9288 lurkhort &rother.- {:onstru(t rr,,,Phon€: Phon6: lgagl2ll+lg2 Phon.:
Ten.nt Stat6 Uc * 905510 Licen.e *: Gen€rot Plon Updote FeE " :
Lic Typs B lr"t it"a r "tl116rl0il-
5160ur:iii-
Bu3. Ltc*: 327si1 Deshn6r: i,iliin'di_ :rlrrtu,:,r,-
worker6' Comp€n6alion lnaurEnc€: Addrosa: EIde Stds kevrJl"injCafil€r: S€curity l{.tional l.[ur.nc. Comp 0t1160011- 51612r]t(-
Policy *: lilrc t22&ral Phon.: IcL ChE(l: rll?9511 i,:' 1
Explr€3: o2lo1l2om Liceme t:
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
Gomez, Pedro
Hernan dez, Kathy
Date: 08/1 412019
Date:
Date: 111051201 9
Subject to Field:
Misc. Receipt.
Misc. Receipt.
Misc. Receipt:
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$166 s3
$1.00
$22 9s
$57.20
No
No
Yes
No
Account#Total
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
$22 es
$223 73
$1 00Every 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
$247 68
$0 00
$2q1.68
lnspector MID#: 2019-152866
BUILDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DELCARA'I'ION
I hoeby aflirm undr peulty of Jrcrjury that I m exempt fiom the ContractoE' Licqs tnw for thc following rcen (56.7031.5
Busins and Profsion Code): Any City or Coutrty which rcquira a pomit to construct. alto. improva dcrnolish or rtpair my
structurc. prior to its issumce. also requirs the applicilt for such pemit to file a signcd statanot that he or she is licoscd pwant
to thc prcvisio$ of thc Conlractor's Liccnscd tarv (Chapts 9. Comencing with S{tion 7000 of Division 3 8f thc Busines md
Prcfsions Codc) or that hc or shc is cxcmpt thqcfrom od the basis for thc alleged crmption. Any l iolstion of Scdion 70-11.5 by any
applicantforapmnitsubjatsthc applicanttoacivilpenaltyofnotmorethefivchundrcddollrs($500).
__1. as o\r'ner of the property. or my etnployees with wages as their sole compensation. rvilldo the u'ork and the structure is not
intended or offered for salc (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an orvner of
the propa1y rvho builds or improves thermn. and rvho does such rvork hirnself or herself or through his or her orvn employees.
provided that such improvonents are not intended or offered for sale. lf, horvever. the building or improvement is sold within one ),ear
of complaion. the Orvner Builder rvill have the burden of proving tha he or she did not build or improve the propory for the purpose of
sale).
-1.
as o\\'ner of the properly. am exclusively contracting u'ith licensed contraclors lo construct the project (Sec. 7044. Bu.siness
and hofession Cocle: The Contraclor's l,icense Law does not apply to an owner of property w'ho builds or irnproves thereon.
and rvho contracts for such projects rvith a Contracto(s) licensed pursuant to the Contractor's License Larv).
_l am exempt under Section- __ . B. & P.C. for this reason.
WORKERS' (]OI\T PENSA'I'ION
DE(]LAITA'I'ION
I hcrcby allirrn urtdcr pcnalty of pcriury ortc oIthc follou'ing dcclarations:
-l
have zurd rvill rnaintain a Certificate of Consent to Self-lnsure for lvorkers' compensation. as provided for by Scction 3700 of the
Labor Code. for the perfonnance of the work for which the pennit is issued.
-l
have and rvill rnaintain rvorkers' cornpensalion insurance. as required by Section 3700 of the Labor Code. for the perfonnance of
the work for rvhich this pennit is issued. My workers' compensaticln insurance carrier and policy number are:
Carrier:_
l'trlicy Nurnbcr:Exoires:
-l
cerrify that in the pcrforrnancc of the rvork for rvhich this permit is issued. I shall not employ any person in any manner
so ,ls to become subject to the rvorkers'compensation lau's of California. and agree that if I should bccome subject to the
rvorkers' compensation provisions of Section -i700 of the l-abor Code. I shall. forths'ith comply u'ith those provisions.
WARNIN(i: Failure to sccure rvorkers' compensation coverag,e is unlas'ful. and shall subject
civil lines up to one hundred thousand clollars ($100.000). in addition to as provided for the
Se<tion 1076 of the l-abor Code. interest and attorney's fees.
DECLARATION
I hereby affinn undcr penalty of perjury that I zun licensed under provision of Chapto 9 (comrnencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License Class:-
Dnte:_
f ina-c a
@
I heeby allirm undu pclslty of pqjury thst thqe is a construction lcnding agocy for thc pofommce of thc work for which lhis pennit is
issued (S(. 3097, Civ. C.).
Lmds's Name:
l.endcr's Arldrcss:
APPLICANT DECLARATION
I herelry alfinn under pcnalty of pcrjury one of the follos'ing declarations:
Dernolition Perrnits-Asbcstos Notification Federal Regulations (Title 40. Pzur6)
-Required
l-etter of Notification
_l certify that the Heralregulations regarding asbestos removal are not applicable to this project.
__ I corify thal I have read this application and state that the above infonnation is I agroe to cornply rvith all City and County
ordinances and State l-arvs relating to building of this City and County to enter upon the
above mentioned property for inspection
Dare: / l- 5- (,
A;tplicarrl or Agerrt
Pcrnrilee nanrc (prilrt ):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n su lation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I
.A I .J, A ,l /1 ,A .^*/
FINAL iHl6l l7 (16F1(/2,'! 5rJ
Certificate of Occu
Notes, Remarks, Etc.
to crirrrinal gxnalties and
('onlraclor: