HomeMy WebLinkAbout101102371 - Permitt 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 #: {011o.2371
Pin#: 37W1>
a
Project Address: 1202 N Hastings St
Assessor's Parcel. 198-335-06 Lot: 106
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 1944 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing BIdg & Use:
Proposed Use:
Single Family Dwelling
Miscellaneous
Fire Damage Repair
SFD
Description of Work: Fire Damage Demolition only
Occupancy: R-3, U 1st FL Area:
Constr Type: V B Znd FL Area:
code: cBc 2016 other Areas:
Flood zone A-0602320141J Garage Area:
# of Stories'
Totar:
Rernove fire damaged members, subject to field per inspector
Patio:
T.l.Area:
Yards Req'd:
Valuation: $5,000.00
0
Planning Conditions
Owner.
Address:
Phone:
Tenant:
Alicia Macias
1202 N. Hastings Street
Santa Ana, CA 927031628
(7141 4e3-81s0
Contractor: Caelus Corporation dba Lar
Address: 17 Santa Monica Aisle
lruine, CA 92606
Phone: (949) 878-8212
State Lic #: 1032238
Lic Type: B
Bus. Lic #: 374484
Workers' Compensation lnsurance:
Carrier: California lnsurance Company
Policy #: 46280045
Expires: 0910912020
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
tlnbch*:5.i1?4
fif l ire: (:TYH
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Genern I P lan Updnte Fee
Lt I I 1 6LrLl?* Il6rJLrLt[r[r--
Bu i ld ing
Ltl I 1 6r-rr"r?-" 51 $Lt1[t[t[r.-
Bldg Stds Re,rolvins
$?2
r-r J .f .r. ot_tlt .d'rIflIjLrLil_r*
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping Insp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Chavez, Dave
Date:
Date.
Date: 1112712019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
J. DeSoto
$1 66 53
$166,53
$3 91
$1 00
$22 9s
$s7 20
0LL76002 51601' ,Permit Fee
0L1,1-6002 53600 Subject to Field
071-76002 57 7 70 Microfilrn Records
07776002 51,6'72 Bldg. Stds, Revolving
07776002 57600 General Plan Update
07775002 57607 lssuance
Fee Total:
Paid to Date.
Balance Due:
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 permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
$22 es
$223.73
$1 00
$1 66 s3
$3.91
$+t 8 12
$0 00
$at 8.12
lnspector MID#: 201 9-156206
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby alfirm undcr JEnalty of lErjury that I u crcmpt fr)n thc Contrack)F' LiccnE Law for the followin8 rcavtuscc.?0Jl.5
Business and Profcs$ion Cillc): Any City or County which rcquircs a Jrrmit k) conslruct. altcr, improvc. dcmolish oi mlsir any -
strucIurc, Fior to its issuancc. also rcquircs thc applicmt f(rr such lx]trril b tilc a signcd statemnl lhal hc or shc is liccn$d pL'sat
k) thc pnlvisions of the Contractor's Liccn$d Law (Chaptcr 9, Commcncing with Sstion ?fix) of Divistrn 3 of thc Busincss ud
PnrlbssionsCodc)orthathcorshciscrcmptthsclirnrandthchasislorthcallcScdcxcmplion. AnyviolationofscctionT0-ll,5byany
applicant lirr a Frmil subjels lhc applicant to a civil pcnally of not m)rc lhm fivc hundrcd dollus (5500).
_1, as owner ol'thc propcrly, or my cmployces with wagcs as thcir solc compcnsation, will do thc work and the struclurc is not
intcrded or oft'crcd lilr salc (Sc.,c.7M4, Busincss and Pml'cssions Crxlc: 'l'hc Contractor's Liccnse l-aw docs not apply to an owncr of
thc prcpcrty who huilds or improves thcrcrrn. arxl who drrcs such work hinrsclf or hcrself or through his or her ttwn employecs,
pr()vidcd that such improvenrcnts arc mrt intcrrdcd oroll'crcrl lirr sale. It, lxrwcver, thc buiLling or impnrvcrnenl is sokl within onc ycar
ot'complction. thc Owncr Buiklcr will havc thc burdcn of proving that hc or shc drl mrt huihl or improvc thc pnrJrrty for lhc purJxrsc of
salc).
_1, as owncr of thc propcrty. am exclusivcly contracting with liccnscd conlraclors to conslruct the pnljcct (Sec. 7O44. Busincss
arxl Pnllcssion Cotlc: The Contraclor's Liccnsc Law docs not apply to an owner of proJrcfly who huilds or improves thereon,
and who contracts lilr such projccts with a Contraclor(s) liccnscd pursuant to thc Contractor's [.iccnse Law).
-Iamexcmr,tundcrSectitln-'B.&P.C.tbrlhisreasrln.
1 t.,. ^,
IVORKERS' COI\IPENSATION
DECLARATION
I hcreby all'irm undcr Jrcnalty of pcrjury one of the tirllowing dcclarations:
_l havc and will maintain a Ccrtilicatc ol'Consent to Sclt-lnsurc tirr workcrs' cotttpcnsation, as pnrvidcd fitr by Scction J700 of thc
Latxlr Ctxlc, lbr thc Jrcrtbrmance o[ the work tirr which lhc grcrmit ls issucd.
J7fi) of thc l-abor CorJc, tbr thc pcrtbrmance o[_l havc and will nraintain wrlrkers'conrJrcnsation insurancc, as rcquirctl byScction
thc work lirr which this Jrcrrnit is issucd. My workers' c()mpcnsalion insurancc carricr and nunrber arc:
1o
I)olicy a
_l certily that in the pcrlirrmancc ol'thc work lbr which this pcrmit is issucd, I shall not cmploy any lrcrson in any nlanncr
so as to bccomc suhjcct to thc workcrs' compcnsation laws of Calitbrnia, and a-trec that if I slrculd bcctlmc subject to thc
workers' compcnsation pnlvisions ol'scction -17fi) of lhc Lalxlr Codc, I shall, tilrthwith comply with thorc
WARNING: Failure to sccurc workcrs' comJrensation covcrage is unlawl'ul, antl shall subjcct an I tt Jrcnaltics and
civil tincs up to one hundrcd thousand dollars (S100.fiX)), in lhc ol'as providcd for thc
Scction 1076 of thc Labor intcrcst and atlrlrncy's t'ccs.
a2
I,ICF]NS F]I) ('O N'tR,\CTO R
DI.t('t.ARATt(N
I hcrcby allirm undcr Jrcnalty of pcrjury that I anr liccnscd undcr pnrvision of Chaptcr 9 (commcncing with Scction 7firu) of Divi-'pr 3
ol' thc llusurcss and Prol'cssions Crlrlc, ard nty liccnsc is in lull tirrce antl cttcct.
I-iccnse Nurnhcr:t $2e
e
CONSTRUCTION LENDING AGENCY
I hcreby aflirm undcr Fnalry of pcrjury thar thcrc is a q)nsrruction bndinS aSency lbr thc trcrlirmrec of llrc work for which this tEmil is
issucd (Scc. J097, Civ. C.).
kndcr's Namc:
APPLICANT DECLARATION
I hcrcby aflirm undcr penalty of pcrjury one of the tblkrwing dcclarations:
Demolition Permits-Asbestus Notification Fcdcral Rcgulations (Title 40, Part6)
_Requircd [*ttcr of Notilication
rcmovitl arc not applicable to this projcct.
atxlvc mentioned proprty lilr insgrcction
Applicant or
Pernritee nanre
atxlvc is
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation
Roof Sheathing
Shear Wall
Framing
Insu Iation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/\
FINAL s-z -7 Ylfvltt
Certificate of I
Notes, Remarks, Etc.I
\-/
+
,
-
to cornply with all City and
of this City and
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