HomeMy WebLinkAbout102102947 - PermitProiect Address: 221 0 S Olive St- -a-
Assessor's Parcel:015-173-06 Lot: 33
Unit Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 581 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714\667-2738 lnspectorSection: (714)647-5853
Permit #:1o21o2947
Pin #: 15342fin
Building Use:
Job Type.
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Miscellaneous
Nru-Demo/Patio Cover
SFD w/ garage
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area:
2nd FL Area:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
435
$1 ,000.00
Other Areas.
Garage Area:
llrr L, : h'l ; li 4';ll:ll:l
I otal: tit f I ,:80 (:Tyti
Description of Work: Demo unpermitted room addition and demo patio cover
Planning Conditions:
Acct * :
Rcpti: O2897177
Tr on sorrt i on Tot o I
Annstnc i o Lopez
Owner:
Address:
Phone:
Tenant:
Anastacio Lopez
2210 S Olive St
Santa Ana, CA 927072507
(7141 427 -0e37
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone:
License #:
Lrt t 161[J2- 5t6fit0lrCI-
Getrernl Plnn Updnte F
Ltl I t6lrCI2- 516r.u.r0llll-
H,Ids SLds Revolv ins
rJl I 160t12- 5t6t ztllJlr-
Il it rof i lt & DocunentE
cr 1 1 I 6LtL12 - fi7'l7r[:llju -
(:a sh
Viso
(:(:i : rr *f; r*r* * r r r6?6Ll
,
*1'16 -9'
$8trtr. 0[t
t2? . 4L
Planning Approva! By.
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Chavez, Dave ,aTur
Date: 0111512020
Date:
Date: 0210312020
Subject to Field:
Gomez, Pedro Misc. Receipt
Misc. Receipt
Misc. Receipt
0777600 2
077760 0 2
07776002
07776002
0777600 2
0 7776002
07776002
57607
57770
57607
57607
57672
57600
57607
Permit Fee
Microfilm Records
lnvestigation
Penalty
BIdg. Stds. Revolving
Genera! Plan Update
I ssuance
Fee Total:
Paid to Date:
Balance Due:
$1 66 s3
$3 e1
$1 00 57
$252 69
$1 00
$22 9s
$57 20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 51612
o1 1 16002 57770
Account#Total
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 daysafter
the time the work is commenced.
lnspector MID#: 2020-157 122
$22.9s
$576.99
$1 .00
$3.e1 $604 85
$0 00
$604.85
a
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI'ARATION
I hoeby aflim undo poalty of pcrjury that I m cxcmpt from thc ContractoB' Licffi law for the following rcen (Se.7031.5
Businss md Profession Codc): Any City or County which require a pomit to congruct. alt6. improvc, dcrnolish or repair uy
struclue. prk r to its isuocc, also rcquirs thc applicut for such pcmit to filc a sigocd statmmt that hc or slrc b liccns€d ptNilt .
to thc provisioE of thc Contractor's Liccnscd Law (Chapts 9, Commcncing with Setion 700O of Division 3 of thc BNincs ed
Profsions Codc) or that hc or shc is exempt thsefrom od thc bosis for thc allcged empion. Any viol.tion of Sdtion 7031.5 by uy
applicantforapemitsubjCtsthc applic8nttoacivilpcnaltyofnotmorcthmlivchundreddollrs($500).
-1,
as owner of the property, or my employees with wages as their sole cornpensation. will do tlie work and the structure is not
intended or offcred for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the prrrperty who builds or improves thereon. and who does such work himself or herself or through his or her own employees,
provided that such improvonents are not intended or oflired for sale. I[, however. the building or improvement is sold within onc ]car
of complaion. the Or,vner Builder will have the hrden of proving that he or shc did not build or improve the property for the purposc of
salc).
-1,
as owner of the property. am exclusively contracting with licensed contractors to construct the pro.iect (Sec. 7M4. Business
and Profcssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contractor(s) licoued pursuant to the Contractor's License Law).
I arn exemot P.C.reason.
Datc t
DECI,ARATION
I hereby affrrm undcr penalty of perjury one of the following declarations:
-l
have and will maintain a Certificatc of Conscnt to Self-lnsure for workcrs' comperuation. as p,rovided for by Section 3700 of the
Labor Code. lbr the performancc of thc work for which the perrnit is issucd.
-l
have and will maintain workcrs' compensation insurance. as required by Section 3700 of the Labor Code. for thc performancc of
the work for which this p,ermit is issued My workers' compcnsation insurance carrier and policy number are:
any manner
to the
rvorkers' compersation provisions of Section 3700 of the Labor Code, I shall.rvith those provisions.
WARNING: Failure to sc'cure workers' compensation coverage is unlawful.shall an anployer to criminal penalties and
civil fines up lo one hundred thousand dollars ($100.000). in addition to of compensation. darnages as provided for the
Section 3076 L:bor Code. interest and attorncy's fecs.2 It
DECI.ARATION
I hereby affirrn under penalty of perjury that I am licensod under provision of Chapter 9 (comnrencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
Licensc Class:_- License Numbcr:
W
I h@by 8ffm undd pcnslty of pcrjury thsr th@ is a construclbn lcndiry agocy for thc po fommcc of thc rcrk for which rhis p6mil b
issucd (S(. -1097, Civ. C.).
lrndd's Nmc:
I-ender's A<Jdress:
APPLICANT DECLARATION
I hoeby affinn under penalty of pcrjury one of the following declarations:
Dernolitron Pcrmits-Asbcstos Notification Federal Rcgulations (Title 40. Part6)
___ _Required l,etter o f Notification
with all City and County
and
above nrentioned properly for inspection
rtpplicnnt or Agent
a 2
cnter upon the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUI nsu latio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drynruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
,A
FINAL l6-{-A \lJD,r)trl\
Certificate of Occu
Notes, Remarks, Etc.
-+
Dale:( orrl raclor.
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