HomeMy WebLinkAbout101108094 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (7'14)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O8O94
Pin #: 93978
lan
Proiect Address: 2246 S Standard Ave-a-
Assessor's Parcel: 016-21 1-25 Lot: 26
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: A Tract: 1541 Historic: No
Building Use. Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio:
Job Type: Demolition & Clear Lot Constr Type: V B 2nd FL Area T.l.Area:
Nature of work: Demo & clear Lot code: cBc 2019 other Areas yards Req'd
Existing Bldg. & Use: SFD w/ det garage Flood Zone: X-0602320278J Garage Area: Valuation:
Proposed Use: # of Stories: Total
Description of Work: Demo SFD and detached garage and clear lot. AQMD on file. t**NO FEE-CITY PROJECTTLETTER ON FILE*'*
Planning Conditions:
$10,000.00
Owner:
Address:
Phone:
Tenant
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
(7141 647 -s641
Contractor: J&G lndustrieslnc
Address. 18627 Brookhurst St #302
Fountain Valley, CA 92708
Phone: (7141 903-2002
State Lic #. 571859
Lic Type: ASBS, A, HAZ, C-21
Bus. Lic #. 160248
Workers' Compensation I nsurance:
Carrier: State lnsurance Fund
Policy #: 0802847
Expires: 10/01 12022
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#
Orozco, lvan
Zuniga,O,,,rrr$/
Date: 0912712021
Date:
Date: 0912912021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Microfilm Records
Fee Exempt
Bldg. Stds. Revolving
General Plan Update
lssuance
Bond
$172.64
$4 0s
$-1,260.78
$1 00
$23 79
$se 30
$1 ,000.00Total
07776002
07776002
07775002
07776002
07776002
07776002
05376002
57607
57770
57607
s7672
57600
57607
s3636
Ffood Zone Cert. Req'd: No
Every p€rmitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of 360 days after
the time the work is commenced.
N/A - No Balance
N/A - No Balance
N/A - No Balance
N/A - No Balance Fee Totat
Paid to Date.
Balance Due:
$0.00
$0.00
$0.00
lnspector MID#: 2021-169052
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DE1CARATION
I haclry alfm undo pcnalty of pcrjury thal I m crcmpt 6pm thc Cotrtreton' Licere law for thc following twn (Se.7031.5
Buins srd Prof*ion Code): Any City or County which rcquire a po'rnit to @nstruct, aftc, imprcvq dmolish or rcpair oy
structqq prior to its is@cc, also rcquL6 rhc eplicet for such p6mit to filc I signcd statoat that hc or shc is lic@scd pEmt
to thc provisioa of thc Contrrctor's Licoscd Law (Chapts 9, Comocitrg with Sction 7000 of Division 3 of thc Bsins ed
Prcfcsiom Code) or th&t hc or sh€ is qmpt thqcfrom 6d thc bosis for thc allcgcd amptior Ary violslion of S61iotr 7031.5 by my
applicutforap6mitsubjctsthc applicmttoacivilp@llyofnotmorcthmfivchundrcddollm($500).
-1.
ds owner of the property, or my employee with wages as their sole compensation. will do the work and thc stnrcture is not
intended or offered for sale (Se.7M4, Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the propcrty who builds or improvc thenor\ and who docs such work himself or herself or through his or hcr own employecs,
provided that such improvernants are not intended or offered for sale. I(, howcver, thc bnrilding or improvement is sold within onc year
of complaion, the Ovner Buildcr will havc the hrdcn of proving thd trc or she did not build or impnove the property for tlrc purpose of
sale).
-1.
as owner of the property. arn exclusively contracting with liccnsed contracton to construct the project (Sec. 7M4, Business
ard Professbn Code: The Contractor's License Law does not apply to an owncr of propcrty who builds or improve thereon,
and who contracts for such projects with a Contracto(s) liccnscd pursuant to the Contraclor's License Law).
-IamexemptundcrScction-,B.&P.C.forthisreason.
f )o to.
WORKERS' COMPENSATION
DECL r IU{TION
I hcreby affrm under penalty of perjury one of the following dcclarations:
_I have and will maintain a Certificate of Conscnt to Self-lruure for workers' compensation, as provided for by Section 3700 of the
Labor Codc, for the pcrformance of the work for which the permit is issued.
_l have and
the work for
will rnaintain 3700 of the Labor Code, for the performance of
and policy number are:
^L ) 0 -\-T-
Policy
-l
ccrti& that in the pcrformance of the work for which this perrnit is issucd. I shall not
so as to become subject to the workers'compensation laws of California, and agree that if I
anploy any person in any manner
should become subject to the
workers' compensation provisions of Section 3700 of the l-abor Codq I shall. forthwith comply with thosc provisions.
WARNING: Failure to secure workers' compcnsation coverage is unlawful, and shall subject an onployer to criminal penahics and
civil fines to one hundred thousand dollars ($100.00q). in addition to*".y{e
a jr
the cost of compcnsation, damages as provided for the
4;,,rSectionCode. interest
2
LICENSED (ION'I'R,IC'TOR
DECI,ARATION
I hcreby affrm under pcnalty of pcrjury that I am licsrsod under provision of Chaptcr 9 (commcncing with Section 7000) of Division 3
of the Busincss and Professions Code, and my license is in full force and effect.
Licensc
('1_1 tbc4-
W
I heby affm udr pcoalty of pojury thd th@ is a con$ructbn knding agocy for thc pqfotlmcc of thc mrt 6r which this pcrnit is
issucd (Sa. 309?, Civ. C.).
I-cnder's Name:
Lender's Address:
APPLICANT DECLARATION
I her€by affirm undcr poralty of perjury onc of thc following declarations:
Demolition Permits-Asbestos Notilication Federal Regulations (Title 40, Part6)
-Required
lcttcr o f Notifi cation
-l
certi& that the federal regulations rcgarding asbestos removal are not applicable to this project.
and County
above mentioned property for
Applicant or Agent
Permitee name
\4
enter upon the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloorNe nUl n s u latio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
I l.sA
FINAL bln Dff.fr'67
Certificate of Occupancy tt /
Notes, Remarks, Etc.
{)
and state that
t