HomeMy WebLinkAbout10297565 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 10297565
Pin #: 43597
EProject Address: 1115 S Shelton St
Assessor's Parcel: 013-051-06 Lot; 69
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock. NA Tract: 557 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 'lst FL Area: Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Demo Addns/Alterations Code: CBC 2016 Other Areas: yards Req,d: O@O
Existing Bldg. & use: (1) sFo WATT GARAGE Flood zone: x-oao232o257J carage Area: vatuation: $3,ooo.oo
Proposed Usei # of Stories: ,
ao,r,,
Description of Work: Demo illegal 2nd unit in rear yard, bathroom/shower adjac€nt to pool room, walls around lsgal patio cover @ rear, room addns on S
& NE side of sfd, drywall on garage ceiling, mandoor from garage to bedroom, & mandoor from garage to exterior.
Planning Conditions: Demo all unpermitted additions & alterations.
Owner:
Address:
Phone:
Tenant:
Contractor
Address:
Owner-Builder
Engineer
Graciela Lopez & Sergio Arargon
1115 S Shelton
Anaheim, CA 92AO2
(7',t4l-398-6342 Phone:
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
Permit Fee
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Date: 08/30/2018 Misc. Receipt:
Date: MiSc. Receipt:
Date: O8/30/20t8 Misc. Receipt:
Subject to Field:
No
No Account#
$160.25
$86.78
$243.16
$1.00
$22.O8
$55.04
ki, Teri
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
No
No Flood Zone Cert. Req'd: No 011i600251600
Every permit issued shall become invalid unless the worr( or, lhe slto authoized by
such permit is commencod within 1E0 deys aftet its issuance,ot il the work authorized
on the site by such pemit is suspended or abandoned lot a peiod of180 days aftet
the time lhe wo* is commenced .
Fire lnsp. Req'd:
Police lnsp. Req'd
01 1 16002 5160'1
01 1'16002 516'12
$22.08
$545.23
$1.00
$568.31
$0.00
$568.31
lnspector
Address:
Elu
tl1
,.ren dot€ l-
-rirU"
0 7776002
07776002
077 7600 2
07776002
077750 0 2
07776002
5760 7
5160 7
57507
57672
57600
57607
Fee Total:
Paid to Date:
Balance Due;
Total
MID#: 2018-145780
, BUILDING. INSPECTOR RECORD
SITE-WORK DATE IDiSIG.COMMENTS OWNER I'tIII-DIJR DEI,CARAf N)N
I h.r.hy nilnr undd t--.Dilly,,i p.rjury ihtt I . cxc.rI tmm rhc Coirtuckn{ Licttrr ltr+ ir rh. lollosirg rcrsr (S( 701 1 5
Bu\inc$ rnd Prncsi,nr cl c): Atry ciiy or Counry qhkh rcqunc\ I pcnNr ro c.tr{tucr- alkr' mProvc. dcri'li\hJr rnrt Mv
nrucrlrc, p'irb ii i$u.ncc. rho rcqntcs lhc lPpli.nnr f,n \u.h Nnrir lo lllca \ilicd {rrcrrc.t rhir hcot \hc s liccn\cd idlsua.r
rr) rhc F)vtions of rhc cof,rrr.rd r Liccnscd La* (ChrPrcr 9- Co rntncii! wirh scction ?un ol Dirhk'n I ol rh Busincs
'trdP&tc$ionrCodc) orrhd l.. or shc i\crcmpr rhrr.rronr d rhc hrsis lirr rhc allcgrd clcnlrion. Anr vnrhrn ofsc.r6n?l).l15hrr'iy
applicr.r lnrrr.nnir suhjclrsrhc |lptlicanri.a.ivill[nllryoiNlmorcrhrtrfivchu rcddoll$lS5lX))
-1.
rs owncrol rhc jroNny. or nryenrlloye\ wiri $r!c\ \ lhct $lc .onDctr\arnnr. willdorhcuotknndrlt dturun kmi
imcntud or olTcr cd ,irr sk (Sc ?04.1, Brsi,rcs and Pmrcs\i(rr Coilc: Thc Cotrh.c!tr s l-icc.sc h$ do.i nor lptlv lo m os .i of
ihcDo|cny s ho huilds .r improvcs rhcrctr. md *ho &f,s {.h m,rk hnn{ lf ot hcr*lf or rhn,ush h it or hcr owi cni u}ccs-
roridcd rhrr such imtn'Enrtrhscn i,ncfrlcdorolfutul lit qb.lt ho*Tvc. rh. builiiry or inpmvcntnr ir vnd uirhinonc )tir
ol dnnpkri('n. rh. Owncr auiBs sillhavc rhc honlcn oflloing rhlr lr.r \hc did tror hdild or inlomw rhc pmFTry r(tr rhc purJxBol
I. r\ own.r or thc |,orny. nm ciclu\ntl, .onkd in8 wirh licco\cd .lnnrklo \ kr consrrucl llE tnic.r lSs TlIr4 Bri'rs
i.d Prlission Coft: Th. C.ntrtr's Liccnsc Lrw de\ nor trpIly k, rtr owrcr oiproPcny wh(, builds or inrnnrvcs rhcrc'[
rtr,l sho..tuicklo.uchr,+.(wirhdC.nrNr.(s)liccns.{lpu^u! t,rhcContrdcroi\l,i.tistLtrw)
-l
rncx.ml, undor Sdi(in-;J,:^'"iii-'u.(ez-
]YQ8trti&::lauf!!l rIoN!!:(L &luoN
I hcreby rllnd Lid$ FmlryolI'crjuryonc ot
I hrvc flrrl I ill rui'nlin r ccn incnlc ol Consctrr h Scll ln\rrc r{n sorkcr' omPc6rn,( a\ PmrAcd tu hv sNr ion 37()(J ol lhc
Irtrn O)dc. forrhcl).rl'omlnccofrh. wtrk forwhichlhc permir k isu.d.
-lhlvcandwill'n.nd,nworkcnconrp..\rri.nnr\urrRc.isrcqutcdhyS(rn:l?0Oollhcl.|horCodc.forlhcPrnmDi"r'lrhc sorl Lr{hi.hrhi\ t'cnnir is nsu.t Mrsorkd^.onPctrsitioninsurMc..rnicrrndrolicynlnhjrucl
r'J"i" _
I currilylhrlirlrl[ ndrtunn Nolthc$ork ior{hichrhi\P.nnn is i\\uBl.Idrlln.rcnrdovrnvI.60i inrDvmrtr.cr
h trs t, hc.onh subr.\l rorhc workcr( comp.nsi ion hw\ olC.linnni|. rnJ r!n. rh ill \hould h.com suhjc.l lorlt
*orkcrs conrn isrridr t"o!i\ ionr.f Sccr ion l?m of rhc Lrhn (ndc. I sh'll. tunhwilh .oDDly wirh rho$ f)vis i(u\
WARNIN(; Frilurc lo surc *o*tr(.onr|f,nqrior covcmsc i\ !trhsrrl r.d shall \uhj..r dr cnrd.)cr lo rinii rl Nm[ics ind
r* I tutr\ r D h '{n htr rrd rhourxtul dfl]r^ I (rO.OU)r. ir rJdirnnr r' rh. c.rr o, c.mrcns,nnr. drmuc\ r! p idcd ld rhc
S.1j(rr r(ra.l rhc lrhtr Cdr
G-.a-etc't4
I hcEhy aifir'n!!d.r p. rhyolNriury I I rmlnri*lutrd$ pnni\i.nofChrprcr9(..nnrf,Nilg{irISc.iiD?(xO)tl l)n^ii ]
ol rh. ausilcss nnd Polcr\i{nrr Codc. and my liccnsc n in tull nlrcc Mdcri.cl
Liccrsc Clds:-
Dhlc:
-i.cf.c Nrn'rtr:
-
coNsl Rlicl-!()N I tsNDlNc al;FN(lY
I hcrchy lmro und.r Fnrlryol'Dcrjury lhrr rh.rc ir t.on$ru.liotr lcndins 4ci.y lor rhc pcrtulrRc orrhc work rbr *hich rhr tinni h
itsucdlscc.3097. Civ C )
APPI I(]ANT DECLdTL(TII IN
I lE$y 0lllnn uldcr p. dlty .i ttrJury orc ot rhc lnllotring dltlrdl ions
Dcnfu lirion Pcrnrirs shcdos Norit.dion Fcdcfil R+!hrions (lirlc'1(r' Prn6)
l{cqtrr.d Irn.r ol Norificrriinr
fcJ.nlrcguhrio.\rcErnliirg J\h.{osr. xrrltrr. nirmlic$lct)
- Drre L
r. l rhs rtllicnnnr r nrrcrhi rlr.,rr^. i'rl(tr , tD r!..n..r t
1',i
1
w\r.ldi',! kr htr'ldr8 condrudion. J h.rcbyurlNrncrelr.!. ril;ar YogsZ-:
Grac 'e\rt loPez 2ollji
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
It/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Heport
FINAL llllt4-)tu/ivt/^?,,1,/-?-)
Certif icate of Occupancy tt U I
Notes, Remarks, Etc
Set Backs
Flood Zone Certil.
I