HomeMy WebLinkAbout10146627 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Project Address: 817 N Raitt St Suite:
Assessor's Parcel: 405-1 31 -05 Lot: 5 Block: NA Tract: 572
Bldg: Address Range:Suite Range:
Zoning: R1Historic: No
Building Permit #: {O'l 46627City of Santa Ana
-I
Building Use:
Type of Work:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling - Detached
Reroof
Reroof
Sfd w/att garage
Constr Type:
Occupancy:
Code:
Flood Zone.
VN
R3/U1
GBC 2001
x-0602320144H
1st FL Area: 0
2nd FL Area: 0
Other Areas: 0
Garage Area: 0
Total: 0
Patio: 0
T. !.Area: 0
Yards Req'd: @
Valuation: $1 .644.00
Description of Work: Goint over (1) layer of comp w/ comp. Handout given.
Planning Conditions
Anna Borboa
817 N Raitt St
Santa Ana, CA 927032947
(7141 953-2162
Owner:
Address:
Phone:
Tenant:
Contractor:
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers
Carrier:
Policy #:
Expires:
Blue Shoe Roofing
16 Capstone
lrvine, CA 92606
(949) 387 -9428
81 0900
c-39, HIC
0003861
' Compensation lnsu
State Fund
1713452-2003
1110112004
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!t 3ui
i:K
i:HAHGI:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Hori, Shion Date: 1011312004
Date:
Date: 1011312004
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
077-07-5977 Permit Fee
0 77 - 0 7 - 5977 Pre-lnspection
077-07-5977 lssuance
Fee Total:
Paid to Date:
Balance Due:
$60.00
$64.25
$31.00
$ 1 s5.25
$0.00
$ 1 55.25
1$",Janet
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
This permit shall expire by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1-01-591 1 lnspector
Phone:
License #:
r[r[t:
BUILDING. INSPECTOR REGORD
t-
SITE.WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfl oorA/e nUl ns u lation t'
Roof Sheathing )-r" 0 tt 't1l -, lofiq lnq n&lq U
Shear Wall I
Framing
Insulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Requirements
Deputy Final Report
Engineer Final Report
Flood Zone Certificate
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
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Ihcrcby affim un&rPadty ofFjurylhil mqoFfmthcCammcro'Lire Lm fcrhcfollwiryl!a6 (H.?03t.5 BulFsr
od Profaio Codc): Any Oty a Coug ?hidr rcquic r Frdt to cdmuc4 dta, irprcvc damtirh * rtpeir my stucte, Fitr to itrimcc'drorcqliBthcTpliotfcndpamiitofilcrrigncdrtdaMt thdhcathcirlimrcd prrrmtoorcpoviriqsofthc
Cnre'tLicadIr (Chrpta9, Cormdng with Scrim 70{nof Divi:im 3 of thcBuino md Prcfaim Codc) arh*hcc
lhc it qmB 6@fmr rd rhc bqtit fa lhc dlcgcd cmptio .Any viol*io of Serio ?03 l 5 by [y lppli@t fa r pqmit lubjeE rhc
+plimtto rcivil pqdty of ndrnrcdm fiw hu&cd dolhn (3500).
-1,
I ma of th. FoPqty, c my arylcy€ with wrgc a thcir rclo snFserio, will do rhc wort ud thc lruaw it nor iiladcdc ofiacd fc rdc ( 38.704{, BuiE Dd Profaim Codc Thc Cqrtoctq'r Liw lrw dc oca rpply to o w of rhc propagr
who buildr cimprcu lhm, mdwhodm rwh wqt hirelf c hf,clf athugh hircham orploya, prcvirtcdth*nchimprcmlr e not inta6rd a ofrfrd fa nlc. lf, hw, thc building c impmmt i, rold within mc ya of cornplaim, rhc
Owna-Buil&r will hrw thc hrdcn of proving thd hc tr rhc not build c imprcvc fc rhc pupoc of ntc).
-1,
u mr of thc piopaty, m acluircly wrtrcliag with limrd mfrrs ro cdutnrct thc Fqj6-t ( SE. ?Oa,t, Buina udProfaio Code Thc Cqrtnao/r Ucre Iry du not rpply o o m6 of Fopaty rho buil& a improu thffi , md who
cfilac{r fc tuct prcjcE with . CoErts(r) lisucd pumt to thc CooE ctfi'r Ucru Lsw.).
lmacmprundrSc-tim .8. &P.C. fathirm.
Date:
WORKERII COMPENSATION DECIJ\RATION
I hatby afEm udrpcodty of pajury mc of thc follwiry dclmtimr:
I hlw md will mhtrin r Ccrtificrrc of Cmt o Sclf-hre fq wq'k6' mFildio, a prcvidcd ftr by Serim 3?OO of lllc
fq thc perfqmancc of thc work for which the permit is issued
-I hlw md will mintain wqto' olrpaultim irorrue, u rcquircd by Scri@ 37OO of thc Lrbor Codq fc rhc pcrfme of thcwct fq which lhir pstnir ir irruod My wolsa' mpouatim ime mia ud policy numba rc:
Policy
(This scction not is for Onc hundred dollan ($100) or lcss)
this is issue4 I
agree that
shall not anploy in any manner so as to
thc wqkcrs'1
I$or Codc, I
WARNING: Failure to securc coveragc is unlawful, and shalt subject an crnploycr to criminat penalties ana ciril
addition to thc coot of compcrrsatiqr, damagcs as providcd for the Scction 3076 of
the l-abor Codc, intcrest urd anorney's fees.
LICENSED CONTRACNORS DECI.ARATION
I hmby afiim undcr padty of pcrjuty $at I m limcd uda prcvilim of Chaptg 9 (cmcing with Scctim Tooo) of Divisim 3 of
thc Buinq ud Prcfsim Cldc, udmy limc ir in full fm mdcffet.
License
Date:
I hatty rftim m&r padty of FjEy thd **ffi of thc wqk fa which rhis pcrmir ir
issued 3097,Civ. C.).
APPLICANT'S DECI.ARATION
Demolition Pqmits-Asbcstos Notification Fderd Regulations (Title 40, Part 6)
_ Required Lctter of Notification
I certi$ that the fcdcral regulations regarding asbcstos rcmoval arc not applicable to this project.
read this applicuion and stile that the above information with all City urd County
and County to cnter upon thc
above mcntioncd property for
or agcnt
(print):
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