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HomeMy WebLinkAbout10158291 - PermitProject Address: 913 S Bamdal St Assessor's Parcel: 407-062-30 Lot: 6 Suite:Bldg: Address Range:Suite Range: Zoning: RlBlock: NA Tract: 9779 Historic: No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 Building Permit #: '1 O15829{ lnspector's Section. (7 14) 647-5853 4r Building Use: Singl. F.mlly Dwelllng Occupancy: R3/U-l lst FLArea: O Patio: 0 Job Type: Alter.tlon Constr Type: V.I{ 2nd FL Area: O T.l.Area: O Natureofwork Stucco & Yvlndow Cro Code: CBC 2001 Other Areas: O yards Reqd: @ Existing Bldg. & use: sfd wratt gar.g. Flood zone: x{602320257H Garage Arca: o v.lu.flon: If-i!@JogProposed use: # of Stories: o ,oot: O D.lcription ot Work Stucco and edd rock t scla to tho tront of afd .nd front of g.rago. Chango out (3) window! .nd .dd decor.tlye wlndow sllls. H.ndoutB given. Plannlng Condltlons:Stucco To iletch Exlstlng. Owner: Address: Phone: Tenant: Guadalupe Vazquez 913 S Bamdal St Santa Ana, CA 927042801 (7141 836-8949 r^A j r.J Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Bntch*:233? U2/t-t'|/t:t? ID: Uf f i re: {:TYH l r'nn s* : 41Acct*: Reflir lltl Rcpti: LrLrlLr5613 ?/7 /?ttit7 l: 19 Tr nn sact i orr ]'ot n i t324 Guqdolupe Vnzque:i ?lt Buildins Cnsh (:KELLY laf I 5S291 F'n . t-t3 ss6, 7s $237, 7r $324, [rI Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: PWA !nsp. Req'd: Planning lnsp. Req'd: Landscaping Insp. Req'd Foulkes, Matt Nguyen, Phuoc Verduzco, Violet$ Date: 0210712007 Date: 0210712007 Date: 0210712007 N N N o o o Fire lnsp. Req'd: No Police !nsp. Req'd: No Flood Zone Cert. Req'd: No Misc. Receipt: Misc. Receipt: Misc. Receipt: 077- 07-5977 077- 07- 540 7 077- 07- 5977 077- 07- 5977 Permit Fee Ptc 65% Field Verification lssuance $132.75 $86.28 $71.00 $34.00 $324.03 $0.00 $324.03 This permit shall expire by limitation and become null and void if the wotu authoized by this permit is not commenced within 180 days from the date of this permit, or if the work authoized by this permit is suspended or abandoned at any time afterthe work is commenced for a peiod of 180 days. Before such work can be recommenced, a new permit shall be first obtained to do so. Account #: 011-01-5911 lnspector MID#: Fee Total: Paid to Date: Balance Due: 2007-7437 1 -_..,1 a BU!LDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Owner-Buildcr Declaration a I hcrcby rfrirm uDdcr pculty of pejury thrt t m qcmpt form thc CotrEsctorr' Lieroc [rw for thc following ranon (roc.7031.5 Buincl Erd Prof63ion Codc): Any Ciry or County which rcquirc r pcrmit to outruct rltq, improvg dcmolbh or rcPoL my ttructuq ptior lo iE issune, rlso rcquira thcrppliont for ruch p6mit !o filc r tignod sutcmcnt d[t hc or the ir lierucd punmt o thc prcvirior of tltc Conr6clor't Licmcd lrw (Chlpts 9, Commcrcing with S*tion ?OOO of DivLion 3 of thc Buinar rnd Proforior Codc) or tht hc or shc is ucmpt thcrcfiom rnd thc h!i! for thc allcgcd qcmption .Any viohtion of Scction 7031.5 by rny rPPliont for r pmit tubjo{tt thc .ppliant !o r civil pcmhy ofnot morc lhrn frvc hundrcd dollrm ($500). _I, u omcr of the propsty, or my cmploye with mgo u thcir $lc ompcMtior\ will do tho work rnd thc ltrudur it mt itrtadcd ;-ffqcd for slc ( Se.Zitll, Bwinar rnd Profcsrioro Codc; Thc Contrrctor'r Lieruc Lrw doq not spply to u ow of thc prcpcty who buildr or improva thoroq rnd who dos rwh work himrclf or horclf or through hir or ha om cmploya, Providcd thlt tuch improvcmcnB ari not iatcndcd or offgcd for ulc. tf, horcu, ths building or improvcmcnt ir rold within orc yc of omplctiot\ $c Omcr-Builds will hrvc thc burdcn of proving thrt hc or thc not build or improw for thc putPorc ofslc). _1, rs omcr of thc propaty, am aclurivcly onraaing witlr liccGcd ontrrctors to oiltruct thc projct ( S€. 7044, Bwinst 8nd Prcfcsiion Codc: Thc CoilEc'tor's Lienrc lrw do6 not rpply to u owr of propaty who buil& or imptovq th6sn , rnd who @ntrrcts for such projcr6 eith . Conrrcior(r) licmcd pu[unt to thc Contnclor's Lienlc [:w.), _I am cxempt under Scction & P.C. for this Date:2- I hereby affrrm undcr perulty of perjury one _t havc and will mrirbh r Catifietr of Coucnt to ScU.IBurc for wrk6' @mpwtior\ u Providod fo! by S*-tion 3700 of tho Lrbor Codo, for thc pcrfomne of thc mrt for which thc ponit ir isucd. _I hevc ud will mintril workm' ompeution iuwcq u rcquircd by Scstion 3700 of thc ltbot Cods, fot thc Pdomncc of th. rcrk for which thir pcrmit it ir.ucd. My mrko' ompcution iulme mie urd policy nmba uc: Policy Numbcr: ExPires: (This scaion n. or lcst) _I certify that in the performance of the work for which this permit is icsuod, I shall not employ any parson in any mtnner so as to became subjcct to the workcrc ' compcnsation hws of Crlifornia, and Egroc thst if I should become rubjoct to the workcrt' compcmation provisiom of Soction 3700 of the Labor CodC I ltnll, Date: WARNING: Frilure to s@ure workers' compeluEtion fines up to one hundred thousend dollarc ($100,000),in the [abor Codc, interest rnd tnorncy's fecs. covcragc is and shsll subject ur employcr to criminal pcnalties and civil rddition to thc cost of compcruttion, damrgcs ar providad for tho Soction 3076 of @ I hqcby affirm undg pcnhy of psjury thrt I mlieuod undc pmvirion of Chrptct 9 (@mmoncing whh S€tion 7000) of Division 3 of thc Businccs rnd Profs3io[ Codc, md my liccs. it in full fore rnd efrcct Drte: ftntrsctor: W I hcrcby rfrirm unda pc[lty of psjury thrt th6c it r coutruclion lcnding rgency for thc pctfomtre of thc work for wtich thir pGrmh i! Civ. C.). Lctrda'3 Addrs: ATEI.ICANIILDECIdBAIJAN Dcmolition P6mit!-A!bctt$ Notiliodoo Podanl Rcgulrtiou (Tillc a0, Prrt 6) _ Rcquircd L€ts ofNotifiotiot I 6tiry tht ihc ftdf,l rcguhtionr rcgrdhg ubstor rmul uc not rpDliflblc to thit prcioct" _ I ertify thrt I hrvc rad thir rypliatbn rnd ttrto thrt th3 rbow informtion ir @rod I rgrco to 6mply with dl City end Coumy ordinances and Stste [.aws relrting to building corutruaioq utd of thic City end County to entcr upon the abovc mcntioncd property for inspection purPoscs. Applicant or sgcnt Permittec neme (print): oo Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor SubfloorNenulnsul Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall A G$,nnt(LaW L( rt (rn ltur< Brown Coat Z..--' /6o7 .dfun Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif ,/n FINAL I j.7$u[rl,)A) Certificate of Notes, Remarks, Etc. Forms 03.31.06