HomeMy WebLinkAbout10197832 - Permit2
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o City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {0197832
Pin #: 26WV
Project Address: 123 N Jackson St- -a-Unit:Bldg: Address Range:Suite Range:
Zoning: R2Assessor's Parcel: 198-25242 Lot. 147 Block: NA Tract: 540 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
New Garage
Garage
vacant
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
U
VB
cBc 2016
x-0602320256J
1
1st FL Area
2nd FL.Area
Other Areas:
Garage Area
Total
MO
0
Patio:
T.l.Area:
Yards Req'd
Valuation: $19,200.00
4/25/?tt19 ID: omornlesl!:i
Trnns*: 51 ? of 6l?ef'*: lt.ll?793?
Description of Work: New detached garage
Planning Conditions:
Bn t ch*: 4?i1 l
':llf i:e: (:TYH
Ac,:t + I
Owner.
Address:
Phone:
Tenant
Alexander Dantes LLC
17300 Redhill
lrvine, CA 92614
(949) 383-8309
Contractor: Cirus DeveloPment
Address: 17300 Red Hill Ave. #280
lrvine, CA 92614
Phone: (916) 852-5575
State Lic #: 523605
Lic Type: B
Bus. Lic #. 346797
Workers' Compensation I nsurance:
Carrier: Hartford Underwriters lns Co
Policy #: 72WE2O3188
Expires: 06/30/2019
Apollo Structural :
Stephen Sam
4650 East Arrow Htghway', A-7
Montclair, CA 91763
i . ';'1
:
C-84945 iiri , r
': I .. ,- .;,'ii ::YNcArchitects i , .,, , , ,
Yenny Ng : .
1524 Brookhollow Drive, #6
Santa Anar.:c,A 92705 i-, r,,':i.
(7141 426.2920 ' :,,
c-32798
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Sl1 :,4llt-t .61
$32?, $[r
$22. [rB
_ $1,[r[r
f ?,StJ
$8r4gt:t.61
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping !nsp. Req'd:
Guevara, Jerry
So, Anson
Hernan dez, Kathy
Date: 01130l,2019
Date: 0112812019
Date: 0412512019
Subject to Field:
\l}
No
No
No
No
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
08907007
07776002
07776002
07776002
57607
s3600
24000
57672
s7600
57607
7 1587
Total
Permit Fee
Plan Check Fee
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance/New Structu
Fee Total
Paid to Date:
Balance Due:
$176.00
$121 .60
$2 s0
$1 .00
$22 08
$146.80Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd:01 1 16002 51600
01 1 16002 51601
01116002 51612
08901001 24000
No
Yes
No
Account#
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
$22.08
$322.80
$1.00
$2.s0 $519 98
$1 71 60
$348.38
lnspector MID#: 2017-136574
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS owNER tlt,tLDER t)lil.cARA't'toN ,
I hereby aflinn untler penalty of Jrerjury that I am exempl fnrm the Contractors' License Law frrr the following reas()n (Sec.7O3l..5
Business and Profession Cotle): Any City or C)ounty which requires a permit to construct, alter, improve. denxrlish or repair any
struclure. prkrr to its issuance. also requires the applicant frrr such Jrrmit to file a signed statermnt that he or she is licensed pursuflnt
to the prrtvisions of the Contraclor's Licensed Law (Chapter 9, Conrmencing with .Section 7(XX) of Division 3 of the Business and
PnrfessionsCode)orthatheorsheisexempttherefromantl thebasisfirrtheallegedexemption. AnyviolationofSectionTO.ll.5byany
applicant for a permit suhjects the applicant (o a civil penalty of not nrrrre than five hundred dollars ($5(X)).
a
-1.
as ()wner of the pn)f,erty, or my empklyees with wages as their srle compensat ion. will do the work and the stnnure is mrt
interxled or offered frrr sale (Sec.7044. Business and hofessions Code: 'l'he Contractor's License Law does not apply to an owner of
the property whn builtls or impnlves therc<ln, antl who does such work himself or herself or through his or her own empkryees,
provided that such improvements are not intenrled orofferetl frrr sale. lf. hrwever. the huiltling or inprovenent is sold wilhin one year
of completion. the Owner Buikler will have the burden of pnrving thd he or she dkl rxrt buikl or impnrve the pnrperty forthe puryxrseof
sale).
-1.
asownerof the property. amexclusivetycontracting with licensetl c()ntractorsto construct tlr pro.iect (Sec.7044. Business
and Professirn Code: 'l'he Contraclor's License Law tloes not apply to an owner of property who huilds or improves thereon,
and who contracts frrr such projects with a Contracto(s) licensed pursuant to the Contract()r's l.icense l-aw).
-lamexemptunderSection-,[J.&P'C.frlrlhisreason.Date:___ Owner:___
WORKERS' COMI'ENSAI'ION
DECLARATION
I herehy affirm under penalty of perjury one of the following declarations:
-lhaveandwill
maintainaCertifrcateofConsenttoSelf-lnsurefirrworkers'comfrnsation.as prnvirledfirrbySection.lT0Oofthe
Lahor Crxle, firr the perfrrrmance of the work for which the pennit is issued.
-lhaveandwill
maintainworkers'compensationinsurance.as requiredhy.Section-ST[DoftheLahorCotle,frlrthe;rrfrrrmanceof
the work frrr which this permit is issuetl. My workers' compensation insurance carrier and Jnlicy number are:
Policy Numtrcr: Expires:
-l
certify that in the perforrnance of the work for which this permit is issued, I shall not ernph)y any person in any rnanner
s{) as to become subject to the workers'comJrensation laws of California, and agree that I shruld hecome to the
workers' compensation provisions of .Section -37(X) of the I shrll.with those
WARNIN(i: Failure to s€cure workers' compensation cover:Ige
civil fines up to one hundred thousantl dollars ($lU).(XX)).:in
t\I,shall :ln Irl criltrin:rl Jrnalties :rntl
lo the as provitled frrr the
atlOrney's fees.
I herehy affirm under Jrenalty of Jrcr.jury that I am licenserl untler of Chapter 9 (commencing with .Section 7UX)) of Division .1
of the Business and Professions Cotle. and nry license is in full force antl effect.
License
u"t., Li oi1 C'ontractor:
c(tNS'l'RLj("t toN t.l.NDtNG A(;tiN('l
I hereby affirm under Jrnalty of perjury that there is a construction hnding agency firr the perfrrrmance of the
issued (Sec. 3097. Civ. C.).
Lender's Name:
which this Jrernrit is
l.ender's Atltlress:
APPLICANT DECLAR^TION
I hereby affnm under penalty of prjury one of the following declarations:
Demolition Permits-Asbestos Notification Fetleral Regulations (Title 4O, Part6)
_Required Letter of Ncxifrcation
-l
certify that the federalregulations regarding asbestos not applicahle to this project.
_l certify that I have read this application that the ahrve is correct. I to comply wilh all City antl County
rurdinances antl State Laws rclating to antl this City and County to enter upon the
o,r" vl -6 - ZollaLxlve rnentioned property for
Applicant or Agent
l'ermitee name tprintl: ILD Zr GOU D D
Set Backs
Forms/Steel/Holdowns l.l-3 rln VRloT fr Dv ah?o #
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenUI nsu I ation llt t
Roof Sheathinq h*rg,m t?--?Ur-4q IDX*/tx
Shear Wall O--lt-l q\\^o
Framing .//trtb
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 7-24-0U lLQln '€iat5.e7
Certificate of Occupancy
Notes, Remarks, Etc.
Flev. 08-07-201 5
J
Carrier:
I