HomeMy WebLinkAbout101106882 - PermitProiect Address: 1048 N Cabrillo Park Dr-a-
Assessor's Parcel: 931 -774-59 Lot: 2-5 Block: NA
Unit: D Bldg
Tract: 10580
Address Range: 1002-1098
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspector Section. (714)647-5853
Permit #: {01106882
Pin #: ,yXT
Building Use:
Job Type:
Nature of Work.
Existing Bldg & Use:
Proposed Use:
Condominium
Addition
Bedroom Expansion
Condominium
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2019
x-06023201 64J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Patio:
T.l.Area:
Yards Req'd
Valuation:
133
133
$20,000.00
Description of Work: Master bedroom expansion of 133 sf
Iotat
(infill within existing footprint)TUSD #4940
i*1J JU
--l. : - --L IUIPlanning Conditions:
Owner.
Address.
Phone:
Tenant
Job Villa
1048 N Cabrillo Park Dr. Unit #D
Santa Ana, CA 92701
(7141 862-6861
Contractor: The Loftcrafters, lnc.
Address: 8 Hammond, #102
lrvine, CA 92618
Phone: (949) 456-1 234
State Lic #. 463944
Lic Type: B, C-16, C-10
Bus. Lic #: 347414
Workers' Compensation ! nsurance:
Carrier: Ace America
Policy #: C68631695
Expires'. 1110112021
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
Shucri "Chuck" f,. Yaghi
Shucri l. Yaghi
112 E Chapman Avenue, D
Orange, CA 92866
(7141 ss7-s120
c43205
i'eE
I 6LILI] - iI Stds t
I a [ttri -. :i
Planning Approval By:
Plan Checked By: ._
Permit lssued By: a)-,
NeDES lnsp. Req'd '
aho
PWA lnsp. Req'd: ' -" No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Orozco, lvan
Lee, Wayne
Amsden, Julie
Date 0610T 12021
Date: 06/1 Ol2O21
Date: 0612912021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
077760 02
0 77760 0 2
08907007
07776002
07776002
07776002
57607
53600
57770
24000
57672
s7600
5760 7
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
I ssuance
Fee Total
Paid to Date:
Balance Due:
$51 7 92
$71 8 02
$20 25
$2 60
$1 00
$23 79
$59 30
$1,342 88
$zt 8 02
$624.86
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Every permitissued 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
Inspector MrD#'. 2021-166469
01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 57770
08901 001 24000
$23 7e
$577.22
$1 00
$20.25
$2 60
tlEI :r r
. . ta tt t'
T L!.l-lL.
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby allirm undcr pcmlty of pcrjury that I m cxcmpt frcm tlE Contraclon' Liccns liw for thc following rcamn (Sec.7031.5
Busincss ard Prcfcssion Codc): Any City or County which rcquircs a tEmh lo @nstrucl. altcr. improvc. dcmlish or rcltrir any
structure, prior to its issuancc. alrc rcquircs thc applicant for such Jrcrmil to aile I sigrcd statcrcnt that hc or slrc is licensd puunt
to thc prcvisions of tlrc Conractor's Lbcnsd [lw (Chaptcr 9, Comrcrcing with Scction 7000 of Division 3 of thc Business and
Prcfcssions Codc) or that hc or shc is cxcmpt thcrcfrom und thc basis for thc allcgcd cxcmption. Any violation of Setion ?03 1.5 by sny
applicBnt for 8 lrcrmit subjets thc applictrnt to a civil pcnalty of nol rurc tha[ fivc hundrcd dollus ($500).
-1.
as owncr oFthc propcrty. or my cmployccs with wagcs as thcir solc compcnsation, will do the work arxl thc structurc i.s not
intendcd or ofFcrcd for sale (Scrc.7044, Busincss and Profcssions Codc: Thc Contractor's Liccnsc Law does not apply to an owner of
thc propcrty who builds or improves thcrmn, and who docs such work himself or hcrsclf or through his or her own cmployces.
providcd lhat such impnlvcnrcnts arc not intended oroffcrcd for salc. If. howcvcr. thc building or irnprovctncnt is sold within onc ycar
of complction, thc Owner Builder will have thc burdcn of proving that hc or shc did not build or improve thc propcrty for thc purpsc of
salc).
-1,
as owner of thc propcrty, am cxclusivcly contracting with licenscd contraclors to construct thc projcct (Scc. 7W, Busincss
and Prrofession Codc: Thc Contractor's Liccnsc Law does not apply to an owncr of prolrcrty who builds or improvcs thcreon.
and who contracts for such projccts with a Contractor(s) liccnsed pursuant to thc Contraclor's Licensc Law).
-IamexenlptundcrScction-'B.&P.C.forthisrcason.Il.. r.,.
EOETEsS:CQMPINSAIION
DECI.ASAIIqN
I hcrcby aftirm undcr pcnaltyofpcrjuryonc ofthc following dcltrations:
-l
havc and will rointain a Crnificatc of Conrcnt to Sclf-lnsurc for workcr$' @mlrnsation. as povidct for by SstioD 3700 of thc
Labor Code, for tlrc prformne of thc work for which the Imit is issucd.
$ L nu"" ona *ilf *intain workcrs' comlrnsation insurancc. rs rcquircd by Section 3700 of thc tnbor Codc, for thc pcrformrce oF
thc work for this My workcrs'insurancc carricr and policy numbcr are:
Policy (It a
-l
ccrtify that in thc pcrforrnancc of thc work for which this perrnit is issucd, I shall not cmploy any pcrson in any manncr
so as to becomc subjcct to thc workcrs'compcnsation laws of California, and agrce that if I should bccomc subjccl to thc
workcrs' compcnsation provisions of Scction 3700 of the [:bor Codc, I shall. lbrthwith comply with thosc provisions.
WARNING: Failurc to sccurc workcrs' conrpcnsation covcragc is unlawful, and shall subjcct an employcr to crirninal pcnaltics and
civil lincs up to onc hundred thousand dollars ($100.000), irr addition to of comgrcnsation. danuges as provirlcd for the
attorney's fces.
I hcrcby aff rrrn undcr pcnalty of pcrjury that I anr liccnscd undcr provisiorr (cornmcncing with Section 7000) of Division 3
ot' the Busincss and Prol'cssions Code. and my liccnsc is in t'ull frrrcc and cffcct.
License Numbcr:
,[
6 h(
W
I hcrcby sffirm undcr Jrcmliy of lrcrjury that lhcrc is a construction hnding sgcncy for thc pcrformncc of the work for which this lrcmit i!
issucd (Sc. 3097, Civ. C.).
lxndcr's Namc:
[rndcr's Adtlrcss:
APPLICANT DECLARATION
I trcreby aftinn under pcnalty of pcrjury onc of thc following dcclarations:
Dcrnolition Perrnits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Part6)
-Requircd
lrttcr of Notification
_l ccrtify that the tbderal rcgulations rcg:uding asbcstos rcmoval are not applicablc to this project.
Wrccrtify that I have rcad this application and state thar thc abovc information is correct. I agrcc ro cornply with all City ancl Counry
ordinances and Statc Laws rclating to building construction.rcprcscntatives of this City and County to cnlcr uJxrn thc
abovc rrrcntioncd propcrly l'or inspcction purposcs.0nApplicant or
PcmllE Em (DrlDl):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf !oor/Ve nUI ns u I atio n
Roof Sheathinq
Shear Wall
Framing *l$tht
lnsulatio nlEnergy Ql,Q,I ,l-A k)
Drywall d/,7b,'l\lo
Ext./lnt. Lath //tv
Brown Coat I
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I
FINAL ?/tft,
Certificate of Occupancv I I l//
Notes, Remarks, Etc.
0wner:
Contractor:_
,Jofa