HomeMy WebLinkAbout101107221 - Permita
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O1107221
Pin #: 69607
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Proiect Address: 1010 W MacArthur Blvd-a- -Unit: 52 Bldg
Tract: 10643
Address Range: 1000-1040
Historic: No
Suite Range.
Zoning: R4Assessor's Parcel. 937-382-00 Lot: 1, 2,3, 4, 5 Block: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Condominium
Alteration
Deck Replacement
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R-2
VB
cBc 2019
x-06023202s8J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $+,500.00
0
Description of Work: Remove and rebuild (e) deck
Planning Conditions:
Engineer.EJD Engineering lnc
Ernest De Leon
14726 Ramona Ave (Suite 410-Wl )
Chino, CA 91710
(909) 517 -24s1
67755
Owner:
Address:
MV HOA
1000 W MacArthur
Santa Ana, CA 927048260
Contractor: MCC Construction
Address: 928 E Arlee Place
Anaheim, CA 92805
Phone'. ./ (7141 533-7300
State Lic #: 734151
Lic Type: B, C-33
Bus. Lic #: 345866
Workers' Compensatron I nsurance:
Carrier: Carolina Casualty lns
Policy #: BNUWC013389
Expires: 0212412022
Address.
Phone:
Tenant
Phone:
License #:
Architect /
Desiqner.
Address.
Phone:
License #:
Planning Approval By:Machado, Miriam
Heidari, Fred
Amsden, Julie
Date: 0T11412021
Date: 0712212021
Date: 08/1 112021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
75731
0 7776002
077760 0 2
0 77760 0 2
08907007
0777600 2
07776002
0 7776002
57607
53600
57770
24000
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$172.64
$478.68
$20.25
$1 26
$1 00
$23.7e
$5e 30
t Plrn Checked By:
-' Permit lssued By:
t NPDES tnsp. Req'd
PWA lnsp. Req'd:
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#TotalPlanning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No 01 1 16002 51600 $23 79
$231 .94
$1.00
$20 2s
$1.26
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days after ifs issuance,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.
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
08901 00 1 24000
Fee Totat
Paid to Date:
Balance Due:
$756 92
$478 68
$278.24
lnspector MID#: 2021-167419
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm undcr Fnrlty of lErjury thlt I am ercmpt frcm lhc CoDlractoB' Liccnsc law for lhe following rcawn (Scc.?031.5
Busincss drxl Profcssion Codc): Any City or County which rcquircs a lrcrmit to conslrucl. allcr. iilrprcvc, dcmlish or rcpir agy
slructurc. prior to its issuuncc, rlso rcquircs Ihc applicanl for such lErmit to filc a siSncd stalcrent that hc or shc is liccnrcd pursuant
to thc prcvisions of fic Contrrctor's Licenscd law (Chaptcr 9, Commcncing with Setion 7000 of Division 3 of thc Busincss and
PrcfcssionsCodc)orthathcorshciscxcmptthcrefronrandlhcbasisforthcallcgcdcxcnption. Anyviolationofsccti,nTO3l.5byany
applicant for a pcrmit subjsts thc applicant to a civil penalty of not mrc than fivc hundrcd dolltrs ($500).
-1.
as owncr of thc prcFrty, or my cmployes wilh wagcs ss thcir mlc compcnulion. willdo thc work ard lhc stnrtrc is ml
intcndcd or offcrcd for slc (Sc.7044, Busincss md Profcssions Codc: Thc Conlractor's Liccns ljw dms nol apply to an owncr of
lhc pmFrty who builds or in{rmB thcmn, ud who dm such re* himsclf or hcrsclf or threugh his or hcr own cmployccs,
providcd thilt such imprcrcrrcnls m not inlcndcd or offcsl for sah. lf. howcrcl thc hoiHing or imprcwmnt is sld wilhin onc )M
ofcompbtion. lhc Owncr BuiHcr will havc thc burdcn ofprrving thrt hc or shc dkl nol buih or improvc thc prc1my for thc pur[Ds of
$h).
_1, as owncr of thc propcrty. am exclusivcly contracting with liccnscd contraclors to construct thc projcct (Scc. 7W. Busincss
and Protbssion Codc: The Contractor's License Law does not apply to an owncr of propcrty who builds or improvcs thcrcon,
and who contracts for such projects with a Contractor(s) liccnscd pursuant lo thc Contractor's Licensc [aw).
-l
am cxempt undcr Section-, B. & P.C. for this rcason.
Dale: Owner:-,%ilfiftff*
{h!p!y aflirm undcr pcnalty of pe{ury orc of lhe following dclatations:
Al"r"onawitl mintainaCc(ilEatcofConscnttosclf-lnsurcforworkcrs'compcnstion.$ pmvidcdforbysstion3T0Oofthc
tabor Codc, for thc pcrformncc of lhc work for which thc pcmit is issucd.
{*lt and will maintain workcrs' compcnsation insurancc. as rcquircd by Scction 3700 of thc labor Codc, for the pcrformancc of
for this pcrrnit is My wrlrkcrs''T?r'riTi'lx'*ffi;7
\ roticr Z
_l ccrtify that in thc of the work frrr which this pcrrrrit is issucd. I shall not ernploy any pcrson in any rnanncr
so as to bcconrc subict to thc workcrs'compcnsation laws of California. and agrcc that if I should bccotne subjcct to thc
workcrs' compcnsation provisions of Section 3700 of the Labor Codc. I shall. tbrthwith comply with thosc provisions.
WARNING: Failurc to secure workcrs' cornpensation coveragc is unlawl'ul, and shall subjcct an cmploycr to criminal pcnaltics and
civil fines up to one hundred thousand dollars ($100.0001, in addition to thc cost of cornpensation. damages as providcd for the
Scction 3076 of thc Labor Codc. intcrest L Cunsllrc.i--(lO'tl-T-l
LICENSEN CONTRACTOR
DECI ^ RATION
I hcreby affirm under pcnalty of Srerjury that I am liccnscd undcr provision of Chaptcr 9 (conrnrcncing with Section 7mO) of Division 3
of thc Busincss and Professions Codc, and my liccnsc is in full forcc and cffcct.
l3+t (,(,
Nunrbcr:
1O 'rl-?\rALL L 4 rrol* u .-
W
I lrcrcby aflirm undcr pcnalty of lrcrjury thtrt thw is a onstructhn lcnding rgcrcy for thc lrcrformrce of lhc uork for which this lmit is
issued (Sa. 3097. Civ. C.).
lrndcr's Namc:
;[rndcr's Address:
APPLICANT DECLARATION
I hcrcby aftinrr undcr pcnalty of perjury onc o[ thc following dcclarations:
Dcrnolition Pcrrnits-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Re<luircd
lrttcr of Notifrcation
_l ccrtily that thc tt'dcralrcgulations rcgauding asbcstos rcnmvalarc nol to this projcct.
l;--l ccrtily that I havc rcad this and statc lhat thc corrcct. I agrcc to cornply with all City and County
ordinanccs and Statc laws rclating to of this City and County to entcr upon thc
abovc nrcntioncd propcrty for
I
and
rfl/Crt
I)alt':ig) .ll'/t
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
f,tAffiloor --. I I A
Su bf lo orN envl nsu latio n v It ,J l.\DA,rt>1
Hooffheathinq I
Shear Wall ,l ^/n_
Framing Dlrtvt I
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
ltlasonry
Pool Fence (
T-Bar
Handicap Req.\
Deputv Final Report /
Enqineer Final Report
Flood Zone Certif.
.h l--i \tl q,
FINAL u //t)vl.Y 5/
Certificate of Occupancv
Notes, Remarks, Etc.
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