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HomeMy WebLinkAbout10197874 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Permit #: 1()197474 Pin #: 48OO4 q Proiect Address: 1050 N Cabrillo Park Dr Assessor's Parcel 931-775-56 Lot: 2-5 unit: C-A Bldg Tract: 10580 Address Range: 1002-1098 Historic: No Suite Range: Zoning: R4 Building User Condominium Occupancy: R-3, U 1st FL Area: Job Type: Alteration Constr Type: V B 2nd FL Area: Nature ofwork: Kitchen Remodel Code: CBC 2016 Other Areas: Existing Bldg. & Use: Condo Comptex Flood zone: x-0602320164J Garage Area: Proposed Use: # of Stories: Total: Description of Work: Kitchen remodel to include minor repairs including backsplash replacement and drywall replacement. Patio: T.l.Area: Yards Req'd: Valuation: $8,000.00 Botch+:461i9 - 9/25/2tJtB off ice: CTYH Tronsi: 39 IO3 I'IGARC IAlof3Planning Conditions: Ket i. Lt)t'/ I itt ) Owner: Address Phone: Tenant; Lorraine Doyle 1050 N. Cabrillo Park Drive Bldg. SatleiEha, cA 92701 (714) 309-6868 Contractor: JasonSimcikConstruction Addressr 7 Windy Hills Laguna Hills, CA 92653 Phone: (949) 402-7138 State Lic #: 1o427o4 Lic Type: B Bus. Lic #: 370684 Workers' Compensation lnsurancel Carrier: Exempt Policy #: Expires: Rcpti:02402123 - ?/28/2018 1(1343 All Tronscct ion ToUoI t513. ?7Joson Sircik Joson S irc ik Construction Engineer Address: Architect / Desiqner: Address: Phone: License # 6Enerql Plon Updote Fee 011160U2- 51600000- 8u i ld ing 01116002- 51601000- Elds Stds Revolv ins 01116002- 51612000- llosten Cord C(:i ! **r rrr;**I110917 - 5?2. r_t8 _ t21i.?9 _ tl.rJo f513, ?7 Auth+ ! ?1S232 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 Chavez, Dave Date: Date: Date: 09/28/2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt $160.25 $1 .00 $22.O8 $55.04 07116002 51501 Permit Fee 07776002 57672 gldg. Stds. Revolving 07776002 57600 Gene.al Plan Update 07776002 51601 lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd U Account#Total Flood Zone Cerl. Req'd: No Every pemit issuod sha becone invalid unless the wo* on tho site authorized by such pemit is commanced withh 180 days aftet ils issuance.or if the wo* authorized on the site by such pemit is suspended or abandoned fot a peiod of 180 daysaflet the time the wotu is commenced. $238.37 $0.00 $238.37 lnspector MID#: 2018-14649'1 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 $22.08 $215 29 $1 00 Fee Total: Paid to Date: Balance Due; Block: NA Phone: License #: BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DF]LCARA'TION I tercby allnD undcr Dcnalry.f ri..jDry rhar I m.r.mDr rm,n rh. Contrtrdon Li.cns l,$ (,ihc rollowinS rcasn (Scc .ll5 Busincss tud Prcf.ssnrn Cdl.): Any Ciry or Counl, shi.h rcquirc\ x pcnnir b .onntud, alrcr. imptovc. dc.Dli\h or (nnn ,ny srudm. priffro irs tsu0tre {ho rcquncslhc !!pli.a,l tor skh lErnir h rih. si8rcd (dcmnr rhar heni sh. is licc.scn Pusu.nt ro rh. Iln,v^n,n\ of rlt Conra.lols Liccncd liw tchnpicr 9. ConmErcing wirh Sc.tion TOfiJ ol Divhion I ofrh. Bu\i.cs rnd Pn'tisn,rscdlc)orlh.lhcorshcisexcmplrhcrclromlndrhch\iatnrh.rlLtcdcxcmptnnr.Anyvn,hiionorscctionT03l5hyrny aptliclnr iorr F nrir subjcchrhc amlica.r ro a.i!ilp.nalryornor nnmrhr livc hu ndrcd d.llm lsnn) l, d .wmr or rhc pnFny. or nry cmtn,)es wilh wrscs us rhci! s,l. compctrsrtiotr. will do lhc so.I ed tu ntu1w s r{ ift lcd or olTcrcn lor slc (Sa 704.1. BtsnE{\aid l)iJfcsnN Gilcr ThcConlncrois l,i.en\e l,tredocsnor0lllytoatro*Nrol' rhc nmrcny *h, brilds or in{,n)vcs rlEmtr. lrd qho dfts sucn sork hinsclfot hcrscltor lh&lah hk or hcr own c'nployc.s. pror cd lhur such imporcmnr\m ni.b Ldorofi.rcdforsh ll howcrr. rll. tnildin! or in{lowmnl G eld wirhin .nc ,to or.o'nphoon. th. ow.cr Buildq will hNt lhc burdc. of l)r,!ios rhor hc ur sh. did.oi buikl or inrprove Lhe pnr!.ny lor tfu Puilns ol -,. ff nu'ncr oI rh. F,pcn!, :m cx.lusivcl, cotuldi08 sirh li.cn*d .ontrtn\ b .otr{fl.t rku pr.l$r ( S.r 7O1.1. Btr.irrcs ind l\ofssnfl Codc thcConlrscrorst-icriscl-rsdo.snorrpnlyro!no*ncroltn)Il. y wh. huildlor iDlrovcs rhcrcon. lnd who conrrk for such trrj.lts wirh ! ornrru(ro( n liccn$J ^urN rorhc('onracxni l-icen\c li*) -l rmcrcmar utrdcr sccri D.le o*mr WORKIiRS' CI)NIPEN.ATIoI'i DEI;ITIBAIION I hcr.l,y umlnoodc. p.nrlryotn rjuryorcof ihc r'ollowin8 dcch,arion\: -l tu!. dl will mintri,r r Ccnificdc of Comcnr lo Scli lnsurc Lr $orlcrs .onf.nsrnnr, os ,rovidcd fttr by sdion 11?00 oi thc kntr Codc- ldrhc n rrornrn.corrhc wort lor*hichlhc ncrnrir h issucd I hnrrrnd will nri air sorkcrr co'npcnsari,n, ntrunmr. A r.qur.d hySc.ri(rl7lX),'frh.l-ahor Codc, rorrhc ncrfonmncc or rh. trurk ror whichrhi. m,mtr '\ trtkJ Mv tr u t(v .ommni0rx $ conrr ' L&ne / urarcc cadc, anr rolky nunb.. dc: Poli.y Nunrbc. ' Ic.nifyrhiinrh.p.nirnurccol'rhcworkturwhichlhnpcrn,ir n i\\ucd.I slulltrol carPloyrny P.ron inrnynr ncr $ s ki h..otrf, uhjcd r0 rhc Nork.rs .o p.n\d idi hws ol crlilirirrin. ini +rcc rhJr il l sltr,uld h.oN subJc.l l,i rhc workcr.onrpcn\rinn,Ifuvni(,nsofScdionlTtX)ofrhcLlluCodc.lshrll.lnnhsirh.onlily$irhrhosprovhi{tr^ WARNIN(;: F,ilurc b ccurc $ortcr .o'npcn{rn,n $lrflgc is unhwful. snrll su},]ecr J, cnlPl.yd k, Lrnninrl PcBlri:\ xnd civil fitrc\ nf b otrc huDrlr.d rhourrnd dollm lSllx).o(X))- in:l(tl i(idrorhc.ri ffi;:,"'"'* '""^":::!{ttri:::;(= I hcrcb,arfi, undcrrEnrhyorpcrjryrhdl3rli.cnscdundcrl"ovisionofChaprcr9(.o'nMn irtgwithScclion7(xr0)orDivi\i.il of rhc Businc$and Pmrc$ionsC{rlc, dxl my l'..n\c ir i'r tullntrcd d cli.cr -D-to4zV( )A*",.4,f2,+/tt (.,,,,,.,.,,,. ><b;It-e"Z CON,IIBU(:IIONII'NDIIC.{IjENC} Ih.nlJyrfi n uM.r t'ctr,lry olFrjury th{t rhcrc h ! conrlruclhn knding r!.tuy ror rltr Frlornutrcc olrhe work lbr qhi.h rhis F-nnn t issucd (Scc.309?. Civ. C ). AITUCINLDES.AAAIIAN I hq$y inim undcr p.nllry otr.lury om or Lhc rolhwnrS dRlarntions: Dcmolition Pcnnih A\trsros Nori6c bn F.dcrulRcSulario s{r,llc 40, Pnn6) -Rcquircd lrllcr ol Norili.orbn lr.diltrhrr rhr Ldcrxlrcgulnrtr rs rr!trdirg r$lt(o( rcmrvnllc nor rfl,li.rhlc ni rhi\ txiic.r l.cnili rhrr I hrrtrc lhis t'tlicrlonlnri..\ rtr.lSr"r. trssNldirE ro hu ir r,'rl {.i.r rrrr.)rri\. riL{trr!r,l ^.r"r.r I r!tuLhdntlyqlrhrlLCir!r C.rdrv r.|nr\cdrxrirr\ otrlr\ Ciry ini (ind)_ ro. n.r u|ln rlr''[;;-- -9Lq<Z fut,t Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathinq Shear Wall Framinq 'o/41 k t 'r/Y|[>rA-/ tt- lnsulation/Energy Drywall Ext./lnt. Lath Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Cefiif FINAL TrlqfH -/1L' Certiticate ol Occupancy Noles, Remarks, Etc Set Backs Brown Coat tl /,w//y xbvc nrtrri,nrn tnJlnf lnr l::::"":::;"::x- A. 'l