HomeMy WebLinkAbout10195600 - PermitAssessor's Parcel: 405-294-16 Lot: NA
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: NA Historic: No
9r
Permit #: {Ol95600
Pin #: 74r',69
Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: Kitchen Romodel Code: CBC 2016 other Areas yards Req,d
Existing Bldg. & Use: 5pp w126 g313gg Flood Zone: X-060232O14/.J
proposed use: #orstories: GarasemFH;:4ii+i'i - I/#4&; $lo'S{,!oi'
'o''' iiili;,s.*.rr, *rtliii*rlll';ii1"
oescription of work: Remove pony wall in kitchen, frame in (e) door to garage and add n6w door between latmdlsddon an tgeragdreplacb{&) d6or with
window
[:.rtd ie 6ttl ]ordo
Planning conditions: ..a^..dr ',r,* ,6dna^ E.. iL1-i iri
Owner:
Address:
Phone:
Tenant
Conlractor
Address:
Owner-Builder
Engineerl
Address
Eddie Gallardo
1111 N. Baker St.
Santa Ana, CA 92703
(7',t41 478-9791
AT EngirU&H0(FbrvEttll000n-
Alex Le€eu i Id ins
p.O.Boxriltbl60tl2- 5 16rl I ttr)rl-
t'.11 ."."&}$iffi?fl ff :i il !ll:
C49321 rl1 1160112- i36rlDr_fl]0-
fl irrsf i1Ir & Docul{entB
01 1 16r1tl2 - 17 7 7 fiiJtltJ-
V isrt
CC+ r xrrlxxrlr*I(94:19
_ t37r.:;4
_ $ 1 .1-l[l
_ 68. rtr"i
$3. 76
t41n . 39
Aulh+:t184,520
Architect /
Desiqner:
Address
Planning Approval Byl
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp Req'd:
Landscaping lnsp. Req'd
Gomez, Pedro
Ahangian, Kathy
Hernandez, Kathy
Date: 02/16/2018
Date: 07/30/2018
Date: 08/0'l/20'18
Subject to Fieldl
NIisc. Receipt
lvlisc. Receipt
[.4isc. Receipt
0777600 2
0777600 2
0717600 2
07776002
0771600 2
0777600 2
576 07
53600
57770
57672
57600
5760 7
Permit Fee
Plan Check Fee
lvlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
\0[\o
No
No
No
70614
Total
$320.50
$222.16
$3.76
$1.00
$22.08
$55.04Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cerl. Req'd: No
Account#
Every pefinil issued shall become invalid unless the wolk on the site aulhoized by
such permit is commenced wlhin180 days after its issuance,or ifthe work aulhoized
on the site by such permit is suspended or abandoned for a peiod of180 days aftet
lhe timo the work is cornmenced.
lnspector MID#: 2018-141531
01 1 16002
01 1 'r6002
01 1 16002
01 1 16002
01 1 '16002
51600
51601
51612
53600
57770
$22.08
$375.54
$1.00
$8.30
$3.76
Fee Total
Paid to Date:
Balance Due:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requestsr (714\ 667-2738 lnspector Section: (714) 647-5853
ProjectAddress: 1111 N Baker St
Phone:
License #:
P hone:
License #:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
$624 54
$213.86
$410.68
BUILDING. INSPECTOR RECORD
SITE.WORK ID/SIG.COMMENTS OWNER BUII-DER DELCARATION
I hcfuby .fllnn uM$ Nnalry ol lcrjury lh l 0n cicnpt lio'n lhc C.nrr.roF Liccn* Ltrw ior rhc hlnr*ins rc $n lscc 70ll !
Burincss oRl t'roli$nin C{nlc) An, City or Couniy *hich rcqun $ Fnnir lo conrlrucl. llrcl imPolc, dc'fl,l1sh or RrT€n n,
\rrucrurc. lnior t, irs i*itrr,f,e. als. rcquies rh.npllic.nr tor such Frmir ro l]le ! rign.d iaicmnr rhdr hcorsh. n liccnscd llrrurnl
Io lhc tmrisions of lhc Conlracrors t-i.cn\crj L'w (ChrPrs 9. codmcrtirrS wilh Secrnnr 7000 of Divi\iotr I ol rh. Bnsincs lnd
P,ofcs\ioisGde) orrh r h..rsh. ircxctr,flrhchno r dlhubo\krbrlhcallcscdcrcrrrri{nr.Atryvid,rn,nolSccri,nrT0:]l5hytrn,
rpplicad rdrpcanir suhjels thc aprlicanrlo!(ivilpcnalryolnor ttrc rha fivc hnndrcd dolloF ($5(x))
l. r\ owndr .f rh. ln,rrny, or my cmnloyecs with woscs rs rhcir sok co llcn\d ion. will do rhc woA dlhcntrruro n mi
i ctrdcd or olltrcd tbr salc ( Se 71144- Busincs snd pmacssn,ns CGlc. Thc G r.clolst,icctrrct wdocrnor.nlilyhnnowncrol
rhc F,pcny sho hoilds or imprcvcs rh-Mn. and who des srrh worl hi'n\cll.r h.sclfor rhrcush hn or hcr ostr c'nlk,r.cs,
providql rhlr su.h iarpn,vcnrn6 m 'i{ in.ndol.r ofic6d tur *rt.li honocr.lh. huildiq or ifrpro\tdnt issllrirhinon ycE
or c.nll)r.rion, rhc Owmr Buildcr will hlrc rh. hrdcn of povins ltu tE or \hd did fr, buikl ot inprerc lh. F'Pcny r.r rh. N{Ds oI
l. rsowncroilhc flopcny. n c(ltrsihly.onkd ins wirh li..n*l cotrtrkkns ro con(ru.r lhc pr+cr (S(. 701-1, Ilusnc$
ld hnfs\i,n Cod.: Thc Conkrctols Liccnse Law des nor ap,'ly b an o*ncr ofproFny aho l,uilds or nnpn,k\ rhcr.\,n.
ond who conrBds tor skh tr,tccr\ wirha Contd.tun, li.cn\cn puruanr ln rhc C.nrrrctr's l-kcn{ tn*)
(-scdi{r ru"/{"t!--"-qic
D[rlAaa.IaB
I hcrchy rlfirD undcr p.mlryorpcruryonc oflhc f ll,)wi18 d$hrrrions
-lhavc
ond will nuinr,in a Ccd ir*.rc ot cotr*n' b sclf.lnsu.c ror worl cr' co mpensar io.. ns povdcd lor bySc.rion 3700 orrhc
tjbor Con.. tu lhc pcrlonurcc ol rhc {ork fttr shi.h rhc lcrmii is ksucd
-l
hlvc and willron'ui'r workcrs .onlcnsarion inwramc.,s rcqutcd htSffrn,n 1700 ol rhc bt{tr Codc. lbr rhc ,x 'n,n'ri.. nr
rfu wo.kf{nehichrhi ll.rnir is ilsk{. My worlcF .onrrcn$rim insuran.. crni.rtn Fnicynumbcr !rc:
PolicyNun$cr-ErPnc\
I.cdi,yrh nrrhc lcrfoflnanccol rhc w.rk ln *hichrhis p.'j i\ nslcd,I shrll rol cnv'by ofy pcAon in ttryn nncr
yr 6 ro hcconE \!hj.d io rhc witrkcn con\pcn\diotr lnwsofCrliloirrio. nnd trsrcc rhd irl sln,uld b..o'N n$jccr ro rh.
*orkcr\'compctrsrrionpn,eiln,isofSc.lionllmrlrhchhtrC.d.-lshrll.fonh$irh.rnqltwirhthotPrevisn'ns
WARNINC llilurc ln s.-urc wo.kcri c.n .n\.rn n .ov..JBr ir utrldsful rHl \hall suhr.cr r. cmPk,}!r r. aiNmrl pcmtics rnd
.ivil filcs ut ro om hundred rhou\and dollu\ (S100,ffn). i'r rddirioi nr rlD cosl oi corrlcnernnr, dr qlcs ar nov cd for rhc
:":-,itE"Tp*-":il,12 c!-o; )3.!t*9t
Lrd[ rN* ll ( :tlN rR^('T(,R
DFtt aRATI()N
I hctoby rlrirrundd pctrrlryolfErjury Ihrl I !m licctr\cd undcr novnion ol Chtfrn 9 (connncNin3 wilh S$ri(r 7(x[) ol Divirnr -]
oi rhc lltrsirc$ rnd h.l.*kJnsC.dc, flrd nry li.cne h in tullforen lclllcr
AfILLCANUIiELABAIIO!
I ffi'ylfrnnundcr pcnallyof ptrjnryonc.rIhc rrrllsirgd.cltrt,rions:
D.ftri'iotr Pcirnils.Ashcsros Nolificorion [edcrll Rcs!hrnna (lirl. 40, Pd6]
RL\tuircd kncr of Ndificarion
I.c'rillrhi r]t lrd.'nlrcgrlrri,)tr cgtndltr! r.l{n"srrtrtrrrixr. n.r.r n'rxl,tu n, rl,n f'(r..r
l.cnilyrh0rlh^.rc l rhis.folicdmn md xhrc rhnllhe fi,vc itrri)rturi{,n N.onLrr I rtrc. b comnlJ wirn!llCirr"rtrd Coufry
ordinan.cs a d srarc Ltrw\ Eldi.s k) huildins connrudion, md hcrchyxurlntri,c nlx.scnririvc{ ofrht Cir, and Counrt k) cnrd uFrr rrt
*," 8.t-l(l; :.,:,-::,,-:;. l* ; ?a"o; )tr)! .,-$
.crn,i,e. nntr,.,,,rin,,: EJI )<. G.r( lcrdo
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/Vent/l nsu lation
Roof Sheathinq
Shear Wall
Framing 14 e sr) <<z/A TDi CA:?-b Cluqfi
lnsulation/Enerqy
Drywall )\k*
Ext./lnt. Lalh
Brown Coat
l\4aso n ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Reporl
Flood Zone Certif
FINAL t0t o L/A,rA )
Certilicate ol Occupancy
Notes, Remarks, Etc
DATE
-T
CQNjiIIII(:IIOI{IENDTUjIIiINII!
Ihcrch,rflnnund.r|xrlryofpcrjuryrhnlthcrcisrcon(nrcrionlcndinE4ci.yntrrhcFrturmrnccolrhc$ortr(trtrhi.hrhisl.rnriril
i\sucdrScc l0g7 Civ C )
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