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HomeMy WebLinkAbout10297244 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), SantaAna, CA 92702 Building Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853 Permit #: 1o297244 Pin #: 15566 w Project Address: 1130 S Broadway Assessor's Parcel 013-142-20 Lot: 8 Bldg Address Range: 1130-1132 Historicr No Suite Range: Zoning: R2Block: NA Tract: 458 Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Areal Natureof Work: N/v Code: cBc 2016 other Areas: yards Req,d: Existing Bldg. & Use: Residentiat Flood Zone; X-0602320276J Garage Area: Valuation: $500.00 Proposed Use: # of Stories: Totat: Description of Work: Demo unpermitted garage conversion kitchen, bathroom, partition walls and return garage to original use. Remove drywall from ceiling. Remove washer and dryer from garage, relocate laundry facilties into the main [RFtdqc9ei2:Qwn$f/F]4flor forry,or1{if9i,i1 llt :'i:n: i IYil Tr.finli: -i I i,{ F:S 4Planning conditions Phuong Phan 1130 S BROADWAY Santa Ana, CA 927071206 (71412OO-9132 Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: A.ct +: CP Tronssct i0n Totol f''hu0ne Phqn Eel Engineer Address: se?s.7nOwner Address Phone: Tenant Contractor Address: Phone: License # Architect / Desiqner: Address: Phone: License #: 6ener[1 PIsn updote Fee 01 1 161102- 51600tltltt- Bu i ld ing 01 I t60rl?- 51 60tr'l0r'r- El rls Stds Revolv ine tt111600?- i161?tttltt- UiEo CC+ r *rr*xrrI**rx7ig7 all ft(] - t54:i.23 - $1 , !r"r 9S98. 7t:l AutI'tIr:t77770 Planning Approval By: Arabe, Jill Plan Checked By: Permit lssued By: Chavez. Dave NPDES lnsp. Req'd No V?' Date: 08/03/20 t8 Date: Date: 08/07/2018 Subject to Field: NIisc. Receipt lvlisc. Receipt l\.4isc. Receipt 07776002 0 777600 2 o77 750 0 2 017760 0 2 07776002 0 7776002 5760 7 5760 7 5760 7 57672 5760 0 5760 7 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance $160.25 $86.78 $243.16 $1.00 $22.08 $5s.04PWA lnsp. Req'd: No Planning lnsp. Req'd: No Fire lnsp. Req'dl Police lnsp. Req'd U Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permit issued shall become invalid unlessthe wo* on the site authorized by such permil is commenced withtn 180 days after its issuance.or if the work authoized on the site by such permil ts suspended ot abandoned fot a peiod of 180 daysaftet the tirne the wo* iscommenced $568.31 $0.00 $568.31 lVlD#: 20'18-'145154 01 1 '16002 51600 01 1 16002 51601 01 '! 16002 51612 $22.08 $545.23 $1.00 Fee Total: Paid to Date: Balance Due: Unilr lnspector BUILDING. INSPECTOR HECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DI'LCARATION I htrcby lffifln und.r pcnallt ol p.rjury rhd I un.r.n/ arom th. C.nra.k,F Liccn{ L,w ror rh.louowin8 rcasn {Scc70JL5 Businc$ lnd Profc$ion Codc): Atry Cit, or County which r.quircs n Frnrit ro onslruc|. alrcr. nnpovc. dcmlhh or BI{t nny eo.turc. prinb irs issra.cr,,ho rcqnncsrhc lppliclnr for such pcmir ro file a stmd {8rctunr rharhcorsh. b liccnsd rxr$rnr ro lhc nmlhions of rlE Conlr..lols Liccnsrd &w (Chaflcr 9. Commcncins wilh Secrio. ?000 of tivisin I ofrhe Blsirus and Piofcs onsCod.loithr h.orshc hcftmrl rbcrcfroo and rhc Msh for rhc iucecd cx.rption Anlvtrrlio.oiSc.tiotr?0ll.5byrny amlicurr lnr a pcrmil subjsls lhc rpplicunl lo{.ivilpcnallyolnol nnnclhrtr irc hundrcd dollus(55UJ). Zl. $ os Rr or rhc pmFd r. or nly c illloyt{\ w h s re.s as lh.i, v,lc .omp.nsrtion. *ill do rl* eork and rhc slnrlure h mr inlc cd oro0crcd for $lc (SE 7041. gusimsand Pmfcsions Codc'rhc ft' mctoi s Liccns Lnw doc\ nor annly ro an owmr ot rh. ,,oFdy who hoildr or iftpows rltm,n, md wh d6 sch s('A hinsclfor hcRlf or rhtuughhi\ or h.r o*n cmploycca. pri,vidcn rhd s ch in{,rcknrnrs N mr iorcnd.t o, .ficd f.r slc lt h'wcvcr rhe hildin8 or iqreem is $kl wirhin nc ,tu olcorrtrion- lh. O*mr Bril,ls ll hoE ltE hunhn of tmvirB rhd hc or stu dil '[l blih or in[n'vc lhc pmFny lor thc purrnE of I. rr osi$ol rh. rrorun), cx.lu\i\clr.ornri'rgwirhli.ctr\crlcoikrrr\b.on{tu.rrlrtx'lc.r(Sc.7(l1-r.lnntrrcs\ drl h.l!$ir Codc lh.Cotrficktrsl.i.cDs.t.dsdocsD.rrt,tlylortrowncr.lfroncrryuhohuiksorimrnve\rhcrcon. r d who rontrd\ rr su.h Frticcrsqirhr Annmck,(n li.ctr\cd nunuJnr k, rhc ContNt, \ l-icr \c hw). ,7 /z DICLAf,AIIA! I hcrcby rfttn undcr rcnrhy oi !.rjury oft orrhc rollowirg dclarariotrs: L'lnr c, c. lnrr[c pcrlorno.cof'hc qork hr *hichlhc,,cnn]r n ls{'.d Ilrvcrndwill rinrdi'i wortcra.onfcn\ ion insu0ncc. r\ rcqutc hrSccri{{ lT0Oofthc lit\tr Codc, (rlh. Frlirnno.col rhc work lir which rhis p.nnir i\ issrdl My qorkcr' emp.isrbi nrunnrc.rftrr *kl I'nlrynunrbcrdc: Poh.yNu rtr Erti -l.cniiyrhnl in rh.pcrfonninccofihc w.rk Inr whichthis p.flnil i\ issrcd.l shnll..l c.{,kJyany ncrs.n ir anynrDNr $ ns k, btconr subjccr t, rhc wrr[LJr coDFnrllion laws oi Crli6rni0. drlrcc rh8r il! \hould hc(nrc sutjcd r.df, w.rkcrs co rp:nvri.n F,vi\ins of Sccr ion ]700 of rhc bh(, Codc, I \h3ll. fonh*irh co'rply r irh rhrr pmliiionr. WARNINC: tiilurc b corc wo cs .onrFnsaron covc.rg. i( utrliqtul. i.d shrll suhic{r an emtloyn lo aimiDllpculrics ond ciril ftrcs uD ro om hundrcd rhousnnd dollrs (Sl(x).tlfi)). ir rddiriur ro rhe cosr ot compcnrllion. danuscs !s pfl,vidcd for rhc SNrion 1076 nlrhc Ltbor CCc. inrcrc{ md hrmy ( ie\";;:." -." " ; EI' ;',"- ";;: ;: F/-,!l![Ntul( -tx,\(loBDILLr$IIQ! I hcrcl,y rfirnrundcr pcnllryolreriury lh r rm liccnr{ undcr nmvhiotr ol Ch.plcr 9 (commnc in! wirh Sdion ?fiD) ot Divki{,n .r oi rhc,:lusincs ond Profc$ionsCodc. !M nry li.ctrsc i\ in lull foruc dcfltcl gNsralcuoNt[NrtNlilcrN(.I Ihcrcnyrriir utrdcrlfnrllyoipcrjuryrhnrthcrchr.on{dcrhnlcndir!,gctrcyforItupcrri,r. n.. olrhcwork forwhichrhn pcnnn is i$xcd (sc...1097. Civ. C ). I.ndcar A{rdrssr - ATIUqIILDI;ILA8AIII}N I trthy rnnnotuicr pcdrlr, oftujurt.Dc ol rh. follotring dc.hfiri{nN Ircdniion l'.nnit Asbcno\ Noriricrri,)n licicril Rcguhrion\ r lillc,1lr llr$) It.qui,.(l l.rr.r,'iNolili.rrior -l ccnirylhlr rhc fcdcralrquhlions rcArdins a\hcsios rcnn,vilr. tror rt'di..hlc ro ihir p(xcr 4lr::llrr lh$. r.rd rlris rI/lrJri,,,rRt \rrrc rhrr rhcrh,r. i',ri,nnrri,tr, n.orfri l3!r.r con(rucriotr. iftt hcrchr rurkriTc mprc\cnrrrivc\ o atnnr Eoliorcd toFny ld ins!..I Appli.mt or /\S.DI Sigmlum:)( e"-i,* nrnr" tp.inO;,K Pl+'f iJa ) tu condy *irh all cnyand connry':^'.';"';1"7;- Set Backs Erection Pads UFER Ground Subf loor/VenVlnsulation Rool Sheathing Shear Wall Framing lnsulationi Eneroy Drywall Ext./lnt. Lath Brown Coat lvlAsonry Pool Fence T-Bar Handicap Req. Deputy Final Beport En Final Reportgrneer Flood Zone Ceftif '....-.\ FINAL t(t*tt6m >V\ttil->2-/ Certif icate ol Occu n Notes , Remarks, Etc -+ Forms/Steel/Holdowns SLAB Floor I] f --T------ I