HomeMy WebLinkAbout10116719 - PermitCity of Santa Ana PRO'ECT
AIX)RESSi:631 N. BRISTOL ST
st tTEf SUITE
RANGE:JoBTYPE: HULTr /RR.
51 1 -663ADORESS aRAi{GE:BUILOING #:REROOF
NATURE
OF WORK:
1 Blck:NALEGAL
OESCRIPTION: Lot
NO. OF EXISTING
BUTLoTNGS & use: 8 -tlNIT CONDO/RESIDEIITIAL
R-1OCCUPANCY
GROUP:10861Tr.ct TYPE OF
coxsrnucnoN,VN
I hcrcby qwm undci pcnalty of pcrjury thet I am @rn?a it,m th. oflb.cbs'
liccngtlSw for thc tolliling r6aen:
pf_*cton 7044A, l, as mcr ot lhc popsty, d my mploF6 with mocs a
th6ir $lc @mp.nstion, will do th6 rcrk, and th. stuct E b nd inbndGd q
oltar.d for $lc.
wi0rol thc propcrty, am ffiiEly
cos-081-23ASSESSORS
PARCEL *oTENANT IMPROVEMEMI
ANO / OR REMODEL AREA:
FL@OZoNE: X-O
otlrNER: StlADOll IIOOD H.O.A.oNEW / ADOL,
1st FLR. sO. FT.:oNEW/ADDL.
OTHER SO, FT,:
oNEW / AODL,
GARAGE S, FT,]511 N BRTSTOL ST/OTFICEAOORESS:oNEW / ADDL.
2nd FLR. Q. FT.:
zoNrNG:$p-1 (EL)VALUATION:L2L8.OOsAtfTA At{A, CA 92703
PHoNE: 7Ll/502-3525 PLANNING
APPROVAL BY:DATE]
CONTRACTOR:BLDG. SAFEry
PLAN CHECK 9\
vrr -rt -v
DATE:
,,ffP) ,nPERMIT
ISSUEO DATE:
tlq
ADDRESS:
IMPROVE,IET{TS
REourREb/II t
LANDSCAPING
REOUIREO:
PHONE:
a OWNER 'STAIE
LICENSE 't
ryPE:
SAAITA ANA
BUSNNESS LICENSE #:
ENGlNEER/ARCHITECT:
AOORESS:
PHONE:
LICENSE *
I hcrcby aftirm undcr pcnalty ol pcrjury that I am li(us.d undGr Fwisirc oa
Chaptcr 9 (commcncing with Section 7000) of Oivision 3 d thG Buiffi and
Prolcssions Codc, and my licensc is in lull tor@ .nd Gficct
Liccnt il.$:_ Lk r. 15.:frOatc: Contraclor:
PARTIAL RER@F W/T.O..REXIOVEB. U. R. A}ID APPLY NEH B. U. R,. TOFLAT AN,E,A ONLY
HA}IDOUT GIVEN
JOB DESCRIPTION:
B
City of Santa Ana
uilding Safety Div. M-19
P.O. Box 1988
Santa Ana, Ca.92701
206 W.4th. Street
2nd Floor
(714) 647-s8OO11ilb .bo
FEES:
I
1
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o
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o
6
o
QTY FEEL ttl.oo
1
52 .30n:ffi,bi00
o.oo
AilOUIiITr4.oe52.30
I hcrGby atfirm under p"natty of periury that thcrc is a msfiuclim lGndir! agprcy
lor thc p.rformancs of thc mrk for wtlich this pcmit is issuGd 56. 3(107, Civ. C.)
Oemolition Permits-Asbostos Notification FcdcEl Regutilims (fidc 40, Part 6)
not
lrE
tris City
Lcndc/s
Applient or ag6nt sig. .
Pcmino n.mc (print):
OWNER.BUILOER DEC LARATION
WORKERS COMPENSATION DECLARATION
LICENSED CONTRACTORS DECLARATION
CONSTRUCTION LENDING AGENCY
APPLICANT'S DECLARATION
Mailing Address Puhlic Counter
This permit shall expire by limilalion and become null and void if the work authorized
by this permit is nol commenced within 180 days from the date of lhis permil, or if the
vrork authorized by lhis p€rmit is suspended or abandoned for 180 days, al any lime
after v;orl was commenced, ln such case a new permit shall lirsl be oblained b€fore
such work can be recommenced.
BUILDING PER]VIIT
I hcrcby atfirm undor p€natty ot p6riury one ot th. iolbwing OGc{arrtids:
haw and wll maintain a Certificate O{ Conerit to Salt-ln$rc fo{ Wdtffi'
pcdormancc
as puidcd lor by S€clion 37@ oa lhc L.bd CodG, tq tE
thc rcrk for which this Pcrmil is isuGd-
atc:
or
-ertify that in the pedormance of the rc.t ior whidr lhas pcmit is isucd, I
n not
forthwith
ol California, and
provisions of
I agree that if
Section 37q)of the
I shald
those
OE
is unlilful. and
b m hundrcd
damagG 6
ie6.
Account No. 011-01-5911 - Pemit Vafidation cs-oos
_ INSPECTOR COPY -
PERMIT NO. 10116?1e e<
c L5l
Address:UniUSu
a'
BUTLDING -.. TNSPECTIO[i RECORD
Site Work Remarks Date Signature t.D.
Setbacks
Forms/Steel/Holdowns
UFER Ground
Slab Floor
I
Stee]
Pool Fence
Masonry
7a
Building Remarks Date Signature
Under Pinning (floor ioist)
Foundation Ventilation ffil*-Roof Sheath 3rG+g <e
lnsulation / Enerqy
Div waii
Exterior Lath
Brown Coat
TSar
Handicap Requirements
I
FRAMING
FINAL (Shell only)I
FINAL (Tenant lmorovernent)4.r"-*z )H-J^4",Notes, Remarks, etc.:
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of periury thal I am exempl from lh€ Contraclors'for lhe follorrring reason
(Sec. 7031.5 Business and Professions Code): Any City or County which require a permil lo conslruct, alter,
improve, demolish, or repair any slructure, prior lo ils issuanc€, also requires lhe applicant for such p€rmil to lile a
signed slalomont thal he or she is licensed pursuanl lo lhe provisions of th6 Contractors' License Law (Chapler 9,
commencing wilh Seclion 7000 of Division 3 of the Business and Professions Coda) or lhal he or she is oxempl
lherofrom and lhe basis for the alleged exemption. Any violation of Seclion 7031.5 by any applicant for a permil
subjects the applicant to a civil penalty of nol more than five hundred dollars (9500).
-1,
as-qw19! cfr fttg. plq€r$rof riy employees wilh wages as lhoir sole comp€nsalion, will do lha wo*, and lhe
slructur€ ia nAl intoqlgd or-ofetertlir sate (Soc. 7(X4, Business and Profassions Code: The Conlrac,lors' License
Law does not apply io?n ownei of the property wtro builds or improves lhereon, and who does such urcrk himsolf or
h€rseJf or through his or her orn employaes, provided lhal such improvemenls aro not inlended or ofrered for sale, lf,
hovnever, the building or improvemanl is sold wilhin one year of completion, lhe Orvner-Builder will have the burden
of proving thal he or she did not build or improve for lhe purpose of sale).
-1,
es otlrner of lh€ property, am exclusively conlracling with licensed contraclors lo conslrucl lhe projecl (Sec.
7044, Business and Professions Code: The Conlraclors' License Law does nol apply to an or.rn€r of prop€rty who
builds or improves thereon, andwho conlracls for such prorocls with a Contraclor(s) licensed pursuant lo the
Conlraclors' Licenso Laqr): . , -.-
' :'Il,i
_l em exompl under
Orner:
B. & P.C. for lhis reason.
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