HomeMy WebLinkAbout10159592 - PermitProiect Address: 2004 N Ross Sta
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Assessor's Parcel: 002-103-05 Lot: 8
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 788 Historic: No
a
city,of Sapta Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
' r'ermitCounter: (714)647-5800 lnspeckp.RedUests: (714) 667-2738
Building Permit #: {O{59592
Inspector's Section: (714) 647-5853 ffuu
Building Use: Single F.mlly Dwelllng Occupancy: R3 lstFLArea: 223 Patio: 355
Job Type: Additlon Constr Type: V-N 2nd FL Area: 5G3 T.l.Area: O
Natu.e ofwork addltton code: cBc 2001 otherAreas: o yards Reqd: @
Existing Bldg. & use: sfd wrdgt ger.gc Flood zo[e: x4602320163H ca.age Area: o valuation: s1to.8az.oo
Proposed Uae: # oI Stories: , ,*l: Zg6
O6criptlon of Work: lst floor-.dd study 2nd floorddd (l) bedroom with slttlng raom, (l) bathroom, extend exlbting b.droom and add dock Roroot
Gxbtllng sfd and restructuIr portion ot tho roof. SAUSO *316,1.
Pl.nnlng Condltlona:No Fleld Changoa Without Pl.nning Approval.
Owner:
Address:
Phone:
Tenant:
RubenR&BeatriceRaya
2004 N Ross St
Santa Ana, CA 927062506
(7141 541-1104
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
TD Engineering
?::l"l-!JP,lil+[ 4+fii r:rrlr:r 7/t.ts rD: rrGrtrF:
?3911-LiptaF{;-,=iriivn Tr.nnE*:2r1 zor'ILake Foreqfi,Sfq92630 ftei+ : trJ t:i?ItI
(7141 730-041*,N,,: i-n:t?iS33? ill /?trrr.q 4 : Il Fl1
C31619 '[t'(ti,::11,]L i ori Tu'bn I tl r.-.iII .4.ii
l.lr-ititi,': R & BectLr.i,:e F(nycr
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
5HIF,
P,uiI'Jins "
Ch e,:It 1IJ7
$11 . t:tg
$g?1 .23
$1r535.46
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
McCann, Melanie
Marzara, Fred t- I
Verduzco, Violef.N
Date: 06/1 412007
Date: 1012512007
Date: 0110712008
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
077- 07-5 977
0 77- 07-5407
0 77- 07- 5977
089-07-3677
077- 07- 5 977
Permit Fee
Ptc 65%
Microfilm Records
SMIP - Category 1
lssuance
$8t 5.1 0
$52e.82
$49.30
$1 1.09
$35.50
$1 ,440.81
$508.49
$e32.32
50924
No
Yes
No
A
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
This permit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time afterthe wofu is commenced for a peiod of 180 days.
Before such wo* can be recommenced, a new permit shall be first obtained fo do so.
Account #: 01 1-01-591 1 lnspector
Fee Tota!:
Paid to Date:
Balance Due:
MID#: 2003-51695
BUILDING. INSPEGTOR RECORD
SITE.WORK DATE ID/SIG.COMIUENTS <r\-
-
Ow-BuildcrDclrnrb! ' - .
I hgcby aflum uadq pcrhy of pajury thet I u aup fom ttc Cofircor' ikre bw for & OlUowing m! (e7ct t . 5 Buir6r
ud Prcfssion Coda): ADy City or Coutrty which rcquirc a pamit to connruc! rls, inprcve, dmlbh or nrpair &y ttsuctug Fior to itt
Lrurncc' abo rcquirc tbc rpplisd for sudr Fmit to filc r rigtEd natm! rher hp or rlE it liadod purlun b lt! prcviriou of tho
Conrrcior'sLisn$dL.w(Clupts9, Coffiing wO Scctbo 7000ofDivirion3 of thoBuim ud Profariot!Codc)orth.thctr
rbc ir mp ttac&on ud rhc b.rit for ttc dlcgcd ffiptbn .Ary vbhtba of Scctioa 7031.5 by uy rgpliear for r panil rubjccrr tto
ryplioDt to r civil pcrlty of not mrc rhrn fwc hudrd dollu (Ssm).
-I,
u ow of thc prcpqty, ot my mploya with rnge u thcir mlo mmpcartb4 will do thc worL ud thc atute b Dt iiladld
or offctcd for rb ( S€.1X4, BuiEs trd Profcriou Codc: Thc Coilrrdor's Licffi hw dc tDt rpply ro a ow of thc prcpsty
wlE buildt or improE th@n, ud who do6 srrl mrk hirelf or hcrclfor tkougb hir or ha m cmpbyccl providcd tbrt ruch
inprovcmou re m htadcd or ofiacd for rb, If, how, thc buildhg or impromcat ir rold wirtia orc ya of oEp!.tbq thc
Ow-Builda will hrw thc burdcn of proving ther hc or shc rct build or inprcrc for tho purpos of nlc).
Busincss and
, end who
_I rm excmpt undcr Section _ .B.for
I hereby affirm under pcnalty of perjury ono
_IhrvcmdwilluiilriorCqrifErcofcoEotbSclf-IEucbrmrta'6np6rtbllu FwidldfosbyScioa3?00oftts
bbor Codq for th€ pqfo@ of thc w* for which ttc pcmh ir i$ucd.
-I
hrvc ud will oitlrh mrld' ompciltion iunrcq s rcquircd by Sc.rion 37@ of tlo Irbor Codg br $a parfomncc of dr
mrk for wtilh ttir pmh ir inuod. My rcrka' ompmrion inrume mlr rod policy nuba uc
any in any manner so aE !o
worke$'
WARIING: Failure to secure workers' compemation coverage is and shall subject an employer !o ponalti$ and civil
fines up to onc hundred thousand dollars ($100,000),in addition
the t.abor Code, intcrest urd attorney's fe6.
cost of compcru&tior1 damagcs ss providcd for thc Soction 3076 of
LrcENSDD CONTXACTOIS DDCIJTNATION
I tscby rffum undq padty of pajury ttrt I u limcd undc Amvirba of Clupa 9 (oming wih Scabn 7@0) ofDivbbn 3 of
tho Buirc and Prcftuior Code, rnd my lirc ir in firll ftre ud cficct
Licerse Number
Dato: Contnrclor:
CONSIRUCTTON LENDIITG AGENCY
I lrcrdy rfum undq polty of pcrjurythrt tlEc ir r ostuction lcoding rgacy br ttc pcr&macc of rhc wt br wihhthir pcmit ir
LnEd (Sa 3(ylr, Civ. C.).
Iads'rNrm:
Lcnder'r Addreg:
APPLICAI\TT'S DECI. ^ ITATION
Dcrnolition Pcrmits.fubcstos Notifrcation Foderal Rcgulrrionr Cmh 40, Plrt 6)
_ Rcquir d I'cnrr of Notifi carion
_-*I cortify that the fedcral rquhtions regsding asbertos
lrcertiry that I heve read this spplicEtion and ststc that
remo\ial are not applicsblc to this projcct
the above information is correct I all City and County
ordinances End Stste [-swr relating to b,uilding and
abovc mcntioned propcrty for
Applicant or sgent I
Permittee name
o
to
md County to erter upon the
Set Backs
Forms/Steel/Holdowns tJ/,I
Erection Pads (n ^W)UI I
UFER Ground I #t<\ L \
SIAB Floor I -\.
Subfloorruenulnsul I ,'t0,D3 ll$/qq)
Roof Sheathing ,ftwil
Shear Wall 9,'!rtt \-/
Framing t\w4 )
lnsulation/Energy /h/r{4,4\K -,{ff (v'(
Drywall ([ 0 tv' f.-''r/fr,v/0trl MD
Ext./lnt. Lath tofr7v,;
Brown Coat I
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
t/.*A
FINAL mr%tvtw
Ge{lficate of Occupancy t
Etc.
I
' f ttAlu,U ,UA4url- l-tkt-
to construct
oontracts for such projocB with a Contrador(s) liccnsed pursuant to the
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