HomeMy WebLinkAbout10197359 - PermitProject Address: 1422 E Cherrv St
Assessor's PaIceI 396-253-32 Lot: 10
Unit:Bldg: Address Rangel Suite Range:
Zoning: R'lT.acl:7481 Historic; No
city of santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg27o2 Building
PermitCounten (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: {O197359
Pin #: 84260
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwolling
Miscellaneous
lnsulation
SFD w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320163J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $1,500.00
Oescription of Work: lnstall insultion in the attic
Planning Conditions: No Exterior Modifications
Owner:
Address:
Phone:
Tenant
Juanita Vazquez
1422 E Cherry St
Santa Ana, CA 92705
Contractor: Builder Services Group dba
Address: 475 N WILLIAMSON BLVD
DAYTONA BEACH, Fl-3211.
Phone: 13861304-2222
State Lic #: 1034351
Lic Type: B, C-61, C-2, C-20, C-33
Bus. Lic #r 368185
Workers' Compensation lnsurance:
Carrier: ACE AMERICAN INSURANCE COM
Policy #: WLRC4858i47
Expires: 06/30/2019
Engineer:
Address
ir
Fr
I
aptilt
|-qn S(1,
en..:l q
' s 174 i:!-lttv,rt(ll I
ut r"11,r rr ciBfl
t.lF do Lr,, lBr
rLr:.rLrLr'Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
i) tr 1 LI-lr-r -
vo I'r ing6ltLi rr-
r:r111c' fr
Bu ild i
ldr illl ] 16LI
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
VT\Hernandez, Kathy
Date:
Date:
Date: 08/14/2018
Subject to Field:
Misc. Recejpt
Misc. Receipt
Misc. Receipt
$160.25
$1.00
$22.08
$55.04
07776002 51601 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07176002 57600 cene.al Plan Update
07776002 51601 lssuance
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01'116002 51600
01 116002 51601
01 1 16002 51612
Account#Total
$22.08
$215.29
$1 00Every permit issued shall become invalid unless lhe wo* on the site authoized by
such pemit is commenced wilhin 180 days after its issuance.ot if the wotk authoized
on the site by such pemil is suspended or abandoned for a period of 180 days after
the time the wo* is commenced.
lnspector
Fee Total
Paid to Date:
Balance Due
$238.37
$0.00
$238.37
Block: NA
MID#: 2018-145389
BUILDING- INSPECTOR FECORD
SITE-WORK DATE ID/SIG,COMMENTS OWNER BUILDBR DELCARATION
I hcrcby ofinnt undcr Fnnhy oi pcrjLtry lhal I 0m crcnfl norn lhc Conrrcror' l,iccnsc l,aN ln! rhc rdlbwirg rcdon lsc..70ll.5
Busirrcs fln Proicsion C.dc)r Any Cily or Counry Nhic[ rcqutcs ! Frmir k, con{ .t. allf. iryrcvc, dcnrlhh or Epat my
srrucrurc. pritr ro irs hsulice- dlv, rc+nes rhcapflicrtrr ior skhttnnirb lil. rligncd n,remnt rhal hcorshc i\ li.cn\cd punuanl
lo thc |Nvkiotrs ollhc Conlractor's Liccnscd t w (Ch,prcr 9. ConnEncins wirh S.crn'. 7(x)o.r Divisi.n I .f rhc Busirrcs rtrd
PmlcsionsCodc)orrhrthcorsh.hcx.n{rrhcrcftofltrnJlhchasislnrlh.allcgcdcxcmplion.AnyviolalionotScclionT0.)l5hynn,
rtplimnr for a pcnn subja* rhc applic.nr lo rcivilFtrrhyofnol nFrcrhan iivc hundrcd d.llars($500)
-l.asowncrofrhcrmpcrry,ornryenrpk,yNsNirhelscs!\rheirs,h.o'nr.is,ri{ri.eilldohcworkudrhcslruclurcisnolinrcnd.d oronircdf.rsrle(Sd.7O{1.Busin.*Mdt'rofcsbnsCddcThcCotrtrclo.sLiccnscL!*docsmiapflyroa0owrcr.f
rhcpmpcny who builds or in{,r.vcs rhcrc,n. nlrho dms such Nd( hiisclfor hcr*lf.r rlmu8h hr or hcroNn e'nployccs.
flovidcd rh.t such irprowmnls e mr inrendcd or oflend for s]c li howekr rhc building Dr inProvdrc n st wirhi'r on. )Br
of onpLrion. rh. Ownf Buitlcr will hrvc rhc burdcn of pii,wrg thar hc or shc did trol ttrild or iryrrt ih. I}n)ldy lor lte pur f.sc oi
-1.
as owncroarhc pmpcny. inr.xclurivcly.onrrriin8 *i(h liccn*d conrrnB r. .otrnnr.[hc tor:cl lScc.7Ot-1. BusiE.r
and hsic$tr rCoJcr ThcCotrt..tofs Liccrsc Lrwdocs nor rDnlyro !n.wncrolpfl)pcnywho buil,l\or inDrorts thctcon.
lnd uho conrrrlslor such prcjcch *nh r A,nta.bnn liccn\cd pu(umr lorhcabntucrors Liccnsc Law).
lorncr.'norundcr Sccrion .8.&PC f!thtrr "i,
UAAtrE85_EITMS'NIATON
D&CI,AEAIIQN
I hc.cby iftnflundcr D.n.lry olpcrjury onc oflhc rbllo$ins declarulions:
I hrvc d willtrnirldn.C.nificatcolCoD$trIro SclflNurc,or workers L1,np.Ndknr, as rolidcdlorbyScclionlTOl)ofrhc
t!b.i C.dc. forrh.r. anndi.c.lth. work for which thc Nr.rir is hsucd
I h.rcand qillm.i .in$o*crs cowctrsntnnr nsurrncc. rs rcqutcd hySocri{n1l7fiJofrhc ljb.r c'odc. tbr rhc Frlornuncc ol
lhcworkr'orwhichrhhpcmtilisissucdMyworkersc.n,ri.nsrlioninsLrlncecarierrtulBnicynuftcrtrc
PolicyN!mbcr:-
I.cnify rh $ rhc |crfonM..c olrhc work tor which thh pcflnit is knrd. I shlll nor cnpby ri, lcnon nr rnt nrtrrcr
y, s to bccoN suhtc.l lo rhc so cr' conr Dcnslr io n liNsolcrliionrir. and rsrce rhnr irl sh,uld b..otrt subiccr ro llrc
work.n'.onrpctrsirionpro!nbnsolSccii{nr:17(x).IlhcL!6orC.dc-lrhall.lnrh(irhcohpl!$ithrltoscPovisions
WARNINC: Failure xr srrc w(rk.* co'nrcns rn,n.a,vcDa. ir unldwful. md shill subicd aI cmploycr h.ri'ni'd n Mlric\ rid
civil fincs up ro onc hundrcd rhodsnnd dolllrs isl(rl,o{XD. in rddnbn b rhc.otl .i c.mpcnsation. dlnnacs Js rr.vid.d for rhc
Sc.(oD 1074of lhcIihtr(inlc inrcrc{nn,lrrtrnncv \fcrrg't'{'tb
DECI,ABAII9II
I hcEby aliirn undcr l..alry ofpcrjury lh l an li.cnsd utrdcr pLovision of Chatlcr 9 (comtuncing wiih Serbn ?uJo) of Dirisiofl l
ol lhc Bu\inc$ and PDfc$ions Codc, and my liccnsc i\ in tull rod,trl.r..r
IANEIB!]CIIQNIENIINCJGINCI
I h.rchy firnridcrpcndlryotpcrjurythn[hcrcisa.otr(rx.riorllcndirpr8cncylorlhcpcrlonmnccolrheworkfnwhi.hlhirp. nir is
nsued (sec 1097. Civ C )
AIIUEANLDECLAA ION
I hcmhy rninn trndcr pcirlry ofpcrlury onc orrhc lnlbwinF dcclrarnr\l
Dcnmliliotr Pcnnils Asbcios Norifi.ari{'n l-idclilllcAUhli{,,\ (l.nh r0- P,(6)
-Rcquirci
L.rlcr o, Norill.ari{)n
l.c ilirh rh Ldcrdlrc8nhlnrtrs r_gednrS asbcslos rctrFvnl c nol.frllcihlc roIhis prcj.cr
l.cnilyrhrrlluvcrcrdrhisrpplicaltnrflaln!terhrrrhcah.r.0n)rn,:iiori\con r IagrNro.. rtrywirhillCiryafdCounry
ordimmcs rnd ShrcL.ws rchrln8 ro huildins n(n,dirr d hcrchy lurhori2c rcflc{dkrn$ ofrhi\ Cilyand Coutrry ro cnter unon rM
rho!r n'.nrnn'rd lrrtr'1! l(r i'Nt(rri,rr
^,"9-l'1'/fi,\ppliu l.r ,\sr.l Sixn lurr
Set Backs
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation
Roof Sheathing
Shear Wall
Framing
ln s u lation/E nerqy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 6/eo/ls Arq\
Certilicate of Occupancy
Notes, Remarks , EIC.
l-ctrdc . AJ,[c.,
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