The URL can be used to link to this page

Home My WebLink About101102616 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {O11026{6 Pin #: !E 80533 Proiect Address: 1242 112 W Pine Sta Assessor's Parcel. 777 -777 -77 Lot: Unit:Bldg: Address Range:Suite Range: Zoning: Rl 4v4/ Block: NA Tract: 1363 Historic: No Building Use: Slnglo Famlly Dwelllng Occupancy: R-3, U lst FL Area: Patio: Job Type: N.w Consk Type: VB 2nd FL Area: 694 T.l.Area: Nature ofwork N.w 2nd story atteched ADtl Code: CBC 2016 Other Areas: yards Reqdl Existing Bldg. & use: Vacant Lot Flood Zonq X.0602320257J proposed r.Jse: N.w sFD wratt 2nd fl. ADt # of stories: Garage Area: valuatlon: t70'0(x)'(x' Totat G94 D6c,iption of Work: Con3truction of e now socon*sto.y ADU attached to new SFO (on sep.r.l. pe.mit). --LOT IIIERGE TO BE COI$PLETED PRIOR TO F[{AL I{SPECT|ON-- Planning Conditions: Owner: Address: Phone: Tenant: Life Cycle Management, LLC 25 Brookline Aliso Viejo, CA 92656 (e4e) 412-821s Contractor: Address: Owner-Builder Phone: State Lic #. Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Shucri "Chuck" L Yaghi Shucri l. Yaghi 112 E Chapman Avenue, D Orange, CA 92866 (7141 997-9120 c43205 Dream House Drafting & Design Leticia Portocarrero 5096 Tolowa Avenue Riverside, CA 92509 (7141 721-3412 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: No Planning lnsp. Req'd: Yes Guevara, Jerry Scott Fazekas & Assoc Chavez, Dave No Fire lnsp. Req'd: Police lnsp. Req'd: Yes No Account# Date: 0312712020 Date: 0312612020 Date: 0410912020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 0 77760 0 2 07776002 07776002 08907007 07776002 0 77760 0 2 077760 0 2 Permit Fee Plan Check Fee Microfilm Records SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance/New Structu $1,188.40 $2,411 .94 $3.e1 $e 10 $3.00 $22.95 $1 52 5s $3,791.85 $2,411 .94 $1,379.91 73926 Total 57607 53600 57770 24000 57672 s7600 57507 Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permitissued shall become invalid unless the workon the site authorized by such permit is commenced within 360 days after its issua nce,or if the work authorized on the site by such permitis suspended or abandoned for a period of 360 daysafter the time the work is commenced. 01 1 16002 51600 01 1 16002 51601 01116002 51612 01 1 16002 57770 08901001 24000 $22.es $1,340.95 $3 00 $3 91 $e 10 Fee Total: Paid to Date: Balance Due: lnspgctor r MrD#'. 201 9-156679 a BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/S!G.COMMENTS OWNIiR BI,ILDER DIiLCARATION r' ' I hereby affirm under penalty of perjury that I am exempt from the Contractors' Licensc l-aw for the following rcason (Sec.7031.5 lJusiness and Prolbssion Code): Any City or County which requires a Jrermit to conslrucl. aller. improve. demolish or repair any structure. prior to its issuance. also requires the applicant for such pernrit to file a signed slaternenl that hc or shc is licenscd pursuant to thc. provisions of the Contractor's l,icensed Iaw (Chapter 9, Commencing with Scction 7fiX) ol' l)ivision 3 of the Bu.siness and Prof'essions Code) or that hc or she is exempt therefrom and the basis tbr the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects thc applicant to a civilpcnaltyof not more than five hundred dollars ($stXl;. _1, a.s owncr ol'thc propcrly, or my employces with wages as lheir sole compcnsation, will do the work and thc structure ls rnt interxlctl or offered for sale (Scc'.70+1. Busincss and Pnrfessions Crxle: The Contractor's Liccnsc Law rlocs nol apply to an owner of the propcrly who builds or improves thereorl arxJ who tkxs such work himself or herself or through his or her own employecs, provided that such improverrcnts are not intended or oll'ered for sab. Il. however, thc building or improvcnrcnt is sold within one year of conqrhtion, the Owner Builder will have thc burden of pnrving that lrc or she did not build or improve tlrc propcrty for tlr purposc of sale). _1, as owner of the property, am exclusively contracting with licen.sed conlraclors to construct thc project (Scc. 7(X4, Business and hotbssionCode: TheContractor'sLicenseLawdoesnotapplytoanownerofpropertywhobuildsorimproveslhereon. and who contracts lor such pnriccls with a Contraclor(s) liccnscd pursuanl to lhc Contraclor's License Law). _l am exempt under Section_, B. & P.C. tbr this reason. Dale: W( )RK I.IRS' C( )Nl PENSA'I ION DI.]CLARATI0N I hcre'by alllrm undcr pcnalty of pcrjury onc ol'thc t'olkrwing dcclarations: _l have and will maintain a Certilicatc of Consent to Self-lnsure frlr workers' compensation, as provided for by Scction 3700 of the Labor Code, for the Jrcrformance of thc work lbr which thc Jrcrmit is lssued. _l have and will maintain workers' conrpensation insurance, as required by Section 3700 of thc Labor Code, for thc pcrfornrarre of tlrc work tbr which this Jrcrmit is issuctl. My workcrs' compcnsation insurance carricr arxl gxllicy nurnbcr arc: Policy Nurnbcr: Expires: _l ccrtity that in the pcrtbrnrance of thc work firr which this pcrndt is issued, I shall not employ any pcrson in any nunncr so as to become suhjcct to thc workers' conrpcrrsation laws of California, and agree that if I should bccome subjcct to thc workers' conllrcnsation provisions of Section 3700 of the Labor Code, I shall, forthwith conrply with thosc provisions. WARNING: Failure to secure workers'compcnsation covcrugc is unlawful, and shall suhject an cmploycr to criminal Jrcnaltics civil fines up to one hundred thousand dollars ($l(X),(Xru). in addition to lhe cost of conrpensation, damages as providcd for Section 1076 of the Latxrr Cbde, interesl and allorney's fees. and the a LICENSED CONTRACTOR DECLARATION I hereby aflirm undcr penalty of perjury that I am licensed under provision of Chaptcr 9 (cornnrncing with Scction 7000) ol'Division 3 o of the Business and Prcfessions Codc, tuxl my license is in full tbrce and effect. License Class: License Number: CON.STR('CTION I,ENDING AGF:NCY I hercby atlirm under Jrenalty of perjury that therc is a construction lendfurg ager&-y for the performance of the work lbr which this permit is issued (Scc. 3097, Civ. C.). lrnder's Name: hnrtcr's Address: APPLICANT DECLARATION I hereby affrm under penalty of perjury one of the ftrllowirrg declaralions: Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6) _Required l-etter of Notification _l certi$ that the federal regulatioru rcgarding asbestos removal are not applicable to this project. _l certify that I have read this application arxl statc that thc abovc information is corrccl. I agroc to comply with all City and County onlfurances and State l-aws relating to building constnrctiorl aill hcreby authorize representativcs of this City and County to enter upon thc above rnentioned propcrly for inspction purfxJses. Applicant or Agent Permitee name (prlnf): Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/Ve nVI n s u I atio n Roof Sheathinq Shear Wall Framing Insulation/Energy Drywall Ext./lnt. Lath Brown Coat J\Iason ry Pool Fence T-Bar Handicap Req Deoutv Final Report Enoineer Final Report Flood Zone Certif FINAL Certificate of Occupancv Notes, Remarks, Etc. L ! AP PROVALS MECHANICAL-I NSPECTOR RECORDDATEID/SIG COMMENTSiances taMe Fi re Place Furna ce Eva Com Misc.ent Duct Work NSPre-l u latio n Smoke Detectors lnstalled Ductwork T oilet IRoom thesClo R an Vents Other Hood ll Hood Grease I Hood Test Fire o lnstalla F.D. Above T-Bar Above Lid Meter tT-FINAL tl \-- htrcby rflkm rurxlct pemhy of yrrjury thu nrn ctrrnrrt [ttrnt thc ('ontnclotr'ticcn*c l"rw [trr thc folbrlingBurirrcsrnJProfssionCtr&l;Ary Citf or Courty s'hkh rfiFrrcS tql*trn (.$.r.7o.l r5 Slrrrlurc.itr pcnnrl lo coltinrcl.rlto.amFntr dorplil ol rqrrr lnr I to l3SU'rrc.rko reqrbcr thc e;Plkrnn fot tuch rrf?rri to fik rrrncd rhlu hc or rhc rl liccrurrttheFI)I llriottt of thc Contrrctor'r Liccntsl l an,1(lrprcr 9.Comnrrx'ing q'ith Strtirn 7r)00 of f'tlrr$ril Prufr:sionr ftxlc) or ttrlt rlr b Drtbirn 3 of ths []usrng:ls 3rul o;rylic.rnr c.rcmFI lhrrc0urn nnd thc hrsit lor the nllcpcrl crrrnpirn Anr'viuhtkrn trIScrtirn ?01 Ity anvfrrro p:rrnit nr$cor tlrc opplrcanr citil pcnrhy of txrt nnre lhrn firc hunrfocd dollnn (S5ut1. -l' sr olvncr of rht Fopsrly. on crcllivcly corlrocting rdrh lhcrurel crlnrnxrorr ro corranf,1 rlr pulrr (scc. 7G14. thrrincsattd tt.,fc,rin c<rdc Tlx contnstor'r Lir'crtc u.,, ,r"L nor epply ro en or"ncr of pnpoty rrho buigr ar imprurcr tScrsrarnd rr'ho clmrlc8 for rrch polxrs uith r Codrador(rt lkcnrcrt prrrru"rril to rhc (irntnorr'r Lir:rrrc l,r.). ,t, P.C.rEtroo. I hcrclry ullirrn under gnalryof plrry-ooâ‚¬ of rhc -l harc lxl $'rll rnainain e Ccttlfruc of Conrcat to sctGlnnnr for *urkat' conrpcrrrrinn. n prrtilrt fr b.sortnn l?lJo rrf thct.ahfi Codc. firr thc pcrfonruroct of thc 'nort frr *lrich rhc pcnnil tr bgrqL -l hrtc orxl will rn'riCIria rvottcrr' ctnryrnroriorr imonare. ar. mquitd by strrbn t?o of the llho, ftxlc. for thc pcrfonnencs ofthc '*rrt fo'r rvlrich thb pcrnrir b i'od My,rrurrtrr' ;n*;ion im,ruro ;; ond ,,oliq nunrbs 'e(larrcr l'olky Sr lo tlrir frnnh is of Cslifornh. bsrrcrl.th;rll ,xll onploy,xll}.r(TE$n tn any monnc, rrot*cn'clrnpcrrsUion JrovLirm of .trrrbn ontl ngrcc ttrat irt slmrrld hosoux,suh.ierr lo tlrc.17(D of thc l-rhrr Codc.3lrrll.ftnhu'hh conqrl;-whh thorc provirnns.. llAltNlN(i; l:rilurc lo iecurc sorlcrri.corqrcrr$iln cor.cnrSi dolhrs (5100.00C), in r ir unhryfirl. nnd rhall rutr,|ect an anrploytr to trtniut gnrltir end(unpGynuion. drrrugcs r ptovidcd for the ciril frno up lo orr hrrn&cd tbounnd e&Jititm to rhc cou ofSctbo .1076 of rhc lrbor Corh htcrcr rrd ruonry'r fer:r I lanr4, affu m unrlcr purrly of Jujury rna t on hctnttrd undcr 0 (crrmrxrrcrng u.irh Scaion ?Um) of Divirion tof the Oushcss rnd profcsrbm ('odc. rnd my licansr b in ftrll force ond cffcrt. l.tcenrc Dntc: .thcc il r conclruairn lrrtting "$*,r), tb,,l*,*{i*u.rrrcc of rhe r,rorl for *.hich rhb }rrrrua c lrntlcr'r Addrcr: I hcn6) allinr urrls prmly of gcrJury onc of th. fotbwirg dcshrdiorrr: Dcrmlibn ltrmirs-Arbcrrc i{qiirrrim Fcdcrrr Ra3ukuiou (tnle 40. prn6) -Itcrluircd [*.ttcr o f l-torificuhn -l cstify thu rhc lhbot rq;uhbru rcarrriq rrbcrror rurrorel rrc n.{ arylk$h ro ('omty u[no Agrlicmr rr Agcrr l'crrnrlcc ntrntc rlrt thtr prtjr.ct. O the q-ra - Final --- _l an t)rte: I NU]!IB': t Contnctor: Lsxler'r Nrnrc ccrtify thut hme rrnrl thir anrl Stntc buiUingrhrtc rortbnett propcrry frr .L (1rinr)' H SH5nl9+E $EgoEl CI I.!l E."g iEgC,, (,EU{ ct LIold EI EI @o[ BI'6[ f, o $rEO;=th Jozf ^O^, >Eo - H HH EH N 3 g5,s[; <ilEo.od)u{ oX ro>-'5; E 0( 'E b 8bBH E Bdocl F-X8pE Esfr8,fl rlcl I $g rdrd GI|dOIg rtl =d g ETf;f T crlLIol F'l f;8f,.F .EI 5,E g Eefl S T.EI.f,>g EN bt8dE,g s'g oz:)oo to e Fz @ saeBE t ce B F e e E'â‚¬ ** a ge â‚¬ Eâ‚¬ E'u ": ftFgBfgeiE6gErBEE EEgEEE-EEEgEgEiEgi iggEEgggg;lg*Egte; EEEEEgEEgifigEgfiEEg EgfEEEEEEg,iEigiEgEg gEgEF* EE EE, EE iEg EEF* jffEE sE= p F E iEE*ug NE f,g**1â‚¬ siF.ffrggf, ioo\ t(u ahL,tr.orLr-\t\ lnrS-rL ,b.E o \oE-\ol}Jo\oE A\3 =o\ E.-\b at4 o+. =o..roa lr-\o-L\oLELI v,-\,ooo -l G.b*r,a5- a\ E-\G R Got EaL.q- EO)oi = o-Eâ‚¬ E g HE Ee3E rcj 0E g* PE oE E-c i: -Lr-.9o .93 -tG ,9 O EI E gE EI i EE gl I â‚¬g bl .E p E:IE EdgA EuEl.c p E EIE E8 El [ : sel-p A eIIE ier-I r Q;l a-r HA EE.gl.E 'E i- .-;li H pâ‚¬ 8l B er g|islg Yl .- ;-= olEIP = 8S5ls EgE ?'fr [E sId q,E5. i=L- .LOO-'=g p$ o aI i = g P= E 8.,8 E E .fr 3.*=gE E:E H g ;E; -o = o.u? 53 g BE o too.o o. o -C r+-o f-o ==-oo -E oo ra- 0)at- =o o)C .9, o Ec,c L.:fo .g rooy{-,.E -of, U' coo -oaoc =ELoo. BiEu.. 3 (l)h -oE 5 EBes*8. Hpg .9Ho- q> E :Eo <.E fr z2 s o r*+egr 3i EgEH bEgI=P F1!=Uo. R , $ \ $ -9 cl o \r.-s J .t