HomeMy WebLinkAbout101102819 - PermitProiect Address: 241 8 W Elder Ave-a-
Assessor's Parcel: 109-1 23-04 Lot: 81
Unit.Bldg: Address Range:Suite Range:
Zoning: RlBlock. NA Tract. 1346 Historic: No
t
*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 #: {O11O281 9
Pin #: 37691
Building Use: Single F.mily Dvrelllng Occupancy: R-3, U lst FL Area 380 Palio:
Job Type Addltlon ConslrType: VA 2nd FL Area T.l.Area:
Nature of Work AddnrRomod.troomo Code: CBC 20t9 Other Areas yards Reqd
Existing Bldg. & use: sfd wratt garage Flood zonq x{602320257J GaEge Area vatuaflon: ,5o,ooo.oo
Proposed Use: Sfd wrd6t garagsrAou # of Sto es: I lotat 380
Ooacrlp8on ot Work Naw maator bodroom, b.throom, & leundry.ree. Extendrremodel kitchen & ('t) exbting bathrootn Domollsh (o) attached l-car
g.rago (8.o l0ll02E20ior now del.ch.d gerage).TSAUSO p.id on f4031
Planning Conditions:
Owner:
Address:
Phone.
Tenant
LDM Properties LLC
909 W Walnut Street
Cerritos, CA 90703
(7141 s01 -726e
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 #:
Christina R Silva, P.E.
Christina R Silva
7652 Ontario Dr
Huntington Beach, CA 92648
(7141 307 -7101
37201
A.L. Drafting Service
Walfred Camargo, Designer
1345 Cabrillo Park Drive, #N-8
Santa Ana, CA 92701
(7141 317-0212
Planning Approval By.
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd. No
JLeeE
Zuniga,
No
No
Yes
No
Gomez, Pedro Date. 0913012020
Date: 09/1 412020
Date: 1110312020
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
07775002
07775002
07776002
08907007
077750 02
07776002
01776002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
Account#
74022
Total
57607
53600
57770
24000
s7672
s7600
57607
$613.44
$790.34
$8s.0s
$6.50
$2.00
$23.79
$s9.30
$1 ,580.42
$762.87
$817.55
I
eirp permitissued shall become invatid unless the work on the site authorized by
sucD 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 timb the work is commenced.
lnspector MID#: 2019-152268
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
08901001 24000
rlturwa g>w
$23.7e
$672.74
$2 00
$8s.05
$6 50
*.N,Y'J
2
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/S!G.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loo rlV enV lnsulation
Roof Sheathing
Shear Wall
Framing
lnsulatio nlEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
ltlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
,/\
FINAL q-A-7^V.TL\1
Certificate of Occupancy \-/
Notes, Remarks, Etc.
owNER BUILDER DELCARATIoN 'ID Il tI hcrcby afhrnr under penalty of pcrjury that I am exempt from the Contractors' Liccnse Lrw for the following rctrson (Sec.A3l.5
Busincss and Profession Codc): Any City or County which requircs a ;rrmit lo construct, alter. improve. demolish or rcpair any
structurc. prior to its issuancc. also rcquircs the applicant f<rr such Jrcrmit to filc a signcd statcment that hc or she Ls licenscd pursuant
to thc provisions of thc Contractor's Licenscd L:w (Chaptcr 9. Comnrcncing with Scrction 7000 of Division 3 of the Busincss and
ProfcssionsCode)orthathcorshciscxcmptthcrcfrornandthebaslsforthcallegcdcxcmption. AnyviolationofSectionT03l.5byany
applicant for a pcrmit subjcrts thc applicant to a civil pcnalty of not morc than five hundrcd dollars ($5001.
_1. as owncr of thc propcrty. or my cmployccs with wagcs as their solc compcnsation, will do thc work and thc stnrcturc ls nrt
intcndcd or offercd for salc (Scc.7044, Busincss and Professions Code: Thc Contractor's License l-aw dcres not apply lo an owner of
thc property who builds or improves thcrcon and who does such work himsclf or hcrself or through his or hcr own employces.
provided that such improvcnrcnts are not intcndcd oroffercd for salc. lf. howewr. thc buiHing or inprovenrent is rcld wilhin onc ycar
of complction, thc Owncr Builder will have thc burdcn of proving that hc or she did not buikl or improve the propcrty for tlrc purpose of
salc).
_1. as owner of the profrcrty. am exclusivcly contracting with liccnsed contraclors to construct thc project (Scc. 7U4, Busincss
and Prrofesskln Ctxle: Thc Contractor's Liccnse Law docs not apply to an owncr of proJrcrty who builds or improvcs thercon,
and who contracts lbr such projects with a C-ontractor(s) liccnscd pursuant to thc Conlractor's Licensc Law).
_.1 rrn cxcnlpl undcr B.&
Date:(-.- lt l^' '
DECLARATION
I hcreby affirm urrder Jrcnalty of perjury one of thc following dcclaratiorrs:
_l havc and will maintain a Ccrtificatc of Conscnt to Self-lnsurc for workcrs'compensation. as ;novided for byScction -1700 of thc
l.ahor Codc. for the performance of thc work for which the permit is issued.
_l havc and will maintain workcrs' compensalion insurarcc, as rcquircd by Section 37fi) of thc Labor Codc, for thc pcrfornuncc o[
thc work for which this pcrmit is issucrl. My workcrs' comJrcnsation insurarrce carricr and plicy numbcr arc:
Policy Nurnbcr: Expircs:
_l ccrtify that in thc pcrforrnance of thc work for which this pernrit is issued. I shall not employ any pcrson in any manncr
so as to bccomc subject to the workcrs' compcnsation laws of Califomia. and agrcc that if I should bccornc subjcct to thc
workers' compcnsation provisions of Section 3700 of the l-abor Code. I shall. forthwith comply with thosc prcvisions.
WARNING: Failurc to sccure workcrs' compensation covcrage is unlawful, and shall subject an employer to criminal ;rcnaltics and
civil fincs up lo one hundred thousand dollars ($100,000), in addition thc of conqrensation. danragcs as provided for thc
allorney's
I hcrcby aflirrn under prralty ol'prjury that I arn liccrrsed 9 (comrncncing with Scclion 7fin) of Division 3
of the Busincss and Professions Code. and nry licensc is in full force and cffcrt.
Liccnse Class: Licensc Numbcr:
Date:-
W
I hcrcby aflirm undcr Fnaltyof lErjury lhat therc is a @nstruction lcnding agcrcy for thc pcrfornmcc of thc work for which this lrcrnlit is
issucd (Scc. 3097. Civ. C.).
Lcndcr's Namc:
kndcr's Address:
APPLICANT NECLAITATION
I trcrcby aflinn undcr pcnalty of perjury one of the following dcclarations:
Demolition Pcrnrits-Asbcstos Notification Fedcral Rcgulations (Titlc 40. Part6)
_Rcquircd lrtter of Notification
-l
ccrtify that thc fcderal rcgulations rcgarding asbcstos rcnnvalare not applicable to this projcrt.
{
-l
ccrtify that I have r"u.t tilliupplicarion and state thut thc atnve infornration is conccr. I agree ro comply with all Ciry jd County
ordinanccs and Statc laws relating building constructioru and herchy authorize rcprescntatives of this City and Counly to enler uJxrn the
abovc rrrcnlioncd propcrty ltrr
Applicanl or Agent
Pernrilee nanre
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