HomeMy WebLinkAbout101104164 - PermitO
City of Santa Ana 20 Civic Center Plaza (M-19), Santa nna, C(gZZOZ
t Building Permit #: {0110416,4
Pin #: 21842PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 2114 112 S Cedar Sta
Assessor's Parcel: 016-213-01 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: NA Historic: No
Building Use: Acc€aoiy Dwelllng Unlt-Oetachec Occupancy: R.3 1sl FLArea 799 Patio:
Job Type: N.rv Constr Type v B 2nd FL Area T.l.Area:
Nature of Work New ADU Code: cBc 2019
Other Areas yards Reqd
Existing Bldg. & Use: SFD wrdet Geragc Flood Zone: X{802320276J GaGgeArea V.luatlon: $45,000.00
P.oposed Use: SFD wrd.t ADU .nd det Gar.go # of Stories: Totat ?99
o.scription ot Work Constructlon of a nsw ADU, detlched from SFD Oemolish exlstlng det.chod Garage to construct new ADU consltlng ot2
b.droom6, kltchon, livlng ,oom,2 bathroom& SAUSD pald on #1057. Auth on file.
Planning Conditions
Owner.
Address:
Phone:
?u'nant
Sergio Romero
2114 S. Cedar Street
Santa Ana, CA 92707
(7141 321-7085
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 #:
Kamal McHantaf
Kamal McHantaf
23315 Saratoga Springs Place
Murrieta, CA 92562
(s4s) 307-6346
51 050
Kamal McHantaf
Kamal McHantaf
23315 Saratoga Springs Place
Murrieta, CA 92562
(e4s) 307-6346
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd.
Planning lnsp. Req'd:
Landscaping !nsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd:
Noyes Account#
Soto, Ricardo
Lee, Wayne {V
Zuniga, Allissa I \
Date: 0111112021
Date: 1211812020
Date: 0211712021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Plan Check Fee
Microfilm Records
Res. Dev. Fee - S/E
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance/New Structu
$677.34
$1 ,001 .94
$44 ss
$4,781.00
$5 85
$2.00
$23 7e
$1 58.1 5
$6,694.52
$1 ,719.12
$4,975.40
7 4597
Total
07776002
07776002
0 77760 0 2
37373002
08907007
07776002
077760 02
0 77760 0 2
57607
s360 0
57770
s330 0
24000
57672
57600
57507
No
No
Yes
No Flood Zone Cert. Req'd. No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 57770
08901001 24000
31 31 3002 53300
$23 7e
$11821
$2.00
$44.55
$l;.85
$4,781 .00
Fee Totat
Paid to Date:
Balance Due:
Inspector MID#: 2020-1 60266
BUILDING. INSPECTOR RECORD iD
SITE-WORK DATE ID/SIG.- corilannENTS OWNER BUILDER DELCARATTON
I hcrcby allirm undcr pnalty of prjury that I am cxempt from thc Conlraclos' Liccmc Law for thc folktlvirg rcuurn (Scc.7)31.5
Busincss srx.l Profcssion Crxlc): Any City o. County vhich rcquircs r [Ermit lo construcl. altcr, improvc. dcmolish or rpair any
slruclurc, [rirr o its issume, also rcquircs lhc applicanl for such Ircmil kr fib i sigrcd statcmnl lhal hc or slrc Ls licen$d pmuant
to thc provisions of thc Contract(['s Liccnrcd l:w (Chaptcr 9, Commcncing sith Settrn 7000 of Division .] of lhc Busircss and
Prufcssions C(xlc) u that hc or shc is cxcmpt thcrcfrum strd thc basis tor thc allcgcd cxcmption. Any violalion of SNtion 703 1.5 by any
applicant for a Frmit suhjets the {pplicant to a civil pcnally of not morc tha[ fivc hundrcd dolles ($5fi)).
_1, as owncr of thc propcrty, or my cmployccs with wagcs as thcir solc comlrcnsation, will do the work and thc slructurc is not
intcndcd or oll'crcd tirr sale (Sec.7044, Busirrcss and Prof'cssions Crxle: Thc Conlractor's Liccnse l,aw docs not apply to an owncr of
thc propcrty wlxr builds or improvcs thcrcon, alxl wlxr docs such work himsclf or hcrsclf or through his or hcr own cmpkryecs,
providcd that such improvcrncnts arc not intcmlcd or olfcrcd ftrr salc. ll, howcvcr. tlrc buikling or improvcnrcnt is sokl within onc year
ol'complctnln, thc Owner BuilJcr will havc thc burdcn of proving that hc or shc did not builJ or improvc thc pmpcrty for thc purprsc ol'
salc).
_1. asowncrof thc property, amexclusivclycontracting with liccnscd contractom lo construct the pntjccl (Sec. 7044, Busincss
arxl Pnrtbsskrn Codc: Thc Contraclor's Liccltsc Law docs not apply to an owncr of propcrty who builds or improves thcrcon,
and who contracts krr such projccts with a Contractor(s) liccnscd pursuant to thc Conlractor's Liccnsc Law).
_l am cxcmpt undcr B. & P.C. lirr this rcils()n.
t>rt",/z- I -I -71 s, l?o ,.,<^ 1+
I hcrcby all'irrn undcr pcnalty of pcrjury onc of thc ftllklwing dcclarations:
_l have arxl will maintain a Ccrtilicalc ot'Conscnt lo Sclt-lnsurc tilr workcrs'compcnsation. as providcd filr hy Scclion -1700 of thc
l-ahlr Crxlc-. lirr thc Jrcrlbrmancc o[ thc wrlrk filr which thc Jrcrmit is issucd.
_l havc anrl will maintain workcrs' comJrcnsation insurance, as rcquirctl by Scct ion .1700 of thc Labor Cotlc. lirr thc Jrcrlilrmancc of
thc work lirr which this permit is issucd. My workcrs' compcnsation insurancc carricr arxl Jxllicy numbcr arc:
Policy Numbcr: Expircs:
_l ccrlily that in thc Jrcrtbrmancc o[thc work filr which this Jrcrmit is issucrl. I shall not employ any pcrson in any manncr
s() as to bccomc suhjcct to the workcrs'compcnsation laws of Calilirrnia, and agrcc that if I should becomc subjcct to thc
workcrs' comJrcnsation provisions of Scction 37ffi of thc l-^abor Culc, I shall. tilrthwith comply with thosc pnrvisions. r
WARNING: Failurc to sccurc workcrs'conrJrcnsation covcrage is unlawtul. and shall subict an employcr to triminal pcnaltics and
civil lincs up to onc hundrcd thousand dollars ($100,UX)), in adtlition to thc cost of compcnsation, damagcs as prcvj{cd firr thc
Scction 1076 ot'thc Latxrr Cule, inlercst anrl
l1 - 7-t \s, 1<^Z^-, <>O
DECLARATTON
I hcrcby alfirm undcr ;rcnalty of pcr.iury that I am liccnrcd undcr provision of Chaptcr 9 (commcncing with Scction 7U)()) of Division 3
of' thc Busincss and Professions Codc, arxl my liccnse is in full tbrcc and ell'cct.
Licensc Class: Liccnsc Numbcr:
Date:
W
I hcrcby allirm undcr Jrenalty of Frjury that thcrc is a construction bnding agcncy lirr the Frtbmnce of thc wo* lbr which this Frmit is
issucd (Ss. -1(P7, Civ. C.).
kndcr's Nam:
l.crtdcr's Atldrcss:
APPLICANT DECLARATION
I lrcrcby allirm undcr Jrcnalty of pcrjury onc of thc lirlkrwing dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd lrttcr of Notilicatiorr
_l ccrtily that thc l'cdcral regulatiorts rcgarding ashcstos rcmoval arc not applicahlc to this projcct.
_l ccrtity that I havc rcad this application and slatc that thc ahrvc intirrmatiorr is corrcct. I agrcc to comply with all City and County
ordinanccs arrd Statc [-aws relating to construction, arxl hcreby autlxrriz.c rcprcscntatives of this City anrl County to entcr uJxln the
atxlvc nrcntioncd pro;rcrty tilr purF)scs.
Applicant or Agent r'e ?_- lJ-
Penrritce nanrc
4 c,h= >a4<
C.-.
Set Backs t,n
Forms/Steel/Holdowns t.J ID N \il
Erection Pads r I rt /"l ,a
UFER Ground l0 fi UN
SLAB Floor dl hn
S u bf loor/VenUl nsu latio n
Roof Sheathinq -7^l - )t At Cb
Shear Wall ./Lt
Framinq
lnsulation/Energy
Drywall )+,l[hl,
Ext./lnt. Lath 5-17-zl
Brown Coat 7uz)
@ .f4_nt.tC$r €a NlHx[
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL -6-A \{t5L
Certificate of Occupancy \-/
Notes, Remarks, Etc.
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