HomeMy WebLinkAbout10196793 - Permit!
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g21'oi Building
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {0196793
Pin #: 6,6.2fr
Proiect Address: 910 112 E Catalina Avea
Assessor's Parcel: 003-222-13 Lot: 133
Unit.Bldg. Address Range:Suite Range:
Zoning: R1Block: NA Tract: 1529 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Conversion
ADU
SFD w/det garage
Sfd w/no garage & detatched ADU
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2016
x-0602320163J
1
1st FL Area:
2nd FL Area:
Other Areas:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
-! / l-/ /,)tll:)
Ir'nns*: 173
370
Garage Area.
Total. ,,, 370lll ' .'-'1 -r ;:
Description of Work: Convert detatched garage to an ADU - with bedroom, closet, Iiving room, kitchen, and bathroom.
'[ronsttcb ion Tobttl
Planning Conditions:
$31 ,728.00
Ref*l tr:ttij,5'7'i?i
7/17/?.ltl9 4:3/ F't1
$I:ir ti64 "7 i:.
Llrrr.afr+nt) Tnr
Owner:
Address:
Phone
Tenant:
MARCO BRITO
910 E CATALINA AVE
Santa Ana, GA 927063048
(7141 371-8039
Contractor
Address.
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Homefor2 lnc
244 Redondo Avenue
Long Beach, CA 90803
(2131 804-9636
1 038048
B
370033
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Argies West lnc
5781 Rainbow Hill Road
t'T (
Workers' Compensation I nsurance:
Plan ehecked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA Insp. Req'd: No
Planning lnsp. Req'd' e Yes
Landscaping lnsp. Req'd: No
Fire !nsp. Req'd: No
Police lnsp. Req'd: o Yes
Ffood Zone Cert. Req'd: No
Chehade, Nabil
Amsden, Julie
Date: 0T117l,2018
Date: 0711712018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Account#
01 1 16002 s1600 $22.08
01 1 16002 51601 $467.30
01116002 51612 $2.00
01 1 16002 53600 $16.60
01 116002 57770 $3.76
08901001 24000 $4.12
31213002 57991 $3,206.86
07776002 57770 Microfilm Records
37273002 57997 Res. Dev. Fee - N/E
08907007 24000 SMIP - Category 1
07776002 s7672 Bldg. Stds. Revolving
Total ottt6oo2 st6oo General plan Update
Fee Total:
Paid to Date:
Balance Due:
$3.76
$3,206.86
$4.12
$2.00
$22 08
$4,150.44
$427.72
$3,722.72
07776002 57607 lssuance/New Structu $146.80
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days afterits issuance,or if the work authorized
on the site by such permitis.suspended or abandoned for a period of 180 days after
the time the work is commenced.
I
L-
lnspector MID#: 2ot{t44134
t
Phone:
License #:
077 $320 50
Planning Approval By:
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflirm undcr pcnalty of pcrjury thal I am cxcmpt frcm lhc Conlrnclors' Liccnse hw for thc following rcamn (Sa.7031.i
Busirrcss and Profcssi(rn Codc): Any City or County which rcquires a Jrcrmit lo onstrucl. allel improvc, domlish or rcpair uny
struclurc. prior to its issuance. also rcquircs the applicant lbr such JErmit to filc a signcd slalcmnl thal hc or shc is liccnscd pirsuilnt
lo lhe pmvisions of llrc Conlraclor's Liccnscd kw (Chaptcr 9, Commercing wilh Scclion ?(nO of Division .1 of lhc Busincss and
Pmfcssions Code) or thal hc or shc is cxcnrpl lhcrcfrom and thc basis for thc allcgcd cxcmption. Any violation of Sccthn 70-1 I .5 by any
applicant for a pcrmit suhj$ls lhc applicanl to a civil pcnalty of not mrc lhan livc hundrcd dollars ($50O).
-1.
as owner of the proprty. or my employccs with wagcs as thcir sole conr;rcnsalion. will do thc work ilnd thc struclurc is nol
intendcd or offered lirr salc (Scc.7044. Busincss and Profcssions Code: Thc Conlraclor's Liccnse [-aw docs not apply lo an owncr o[
thc pnrJrcrly who builds or inrprovcs thcrcrrn. and who docs such work himsclf or hcrsclf or lhrough his or hcr own cntplol'ces.
providcd that such impnrvcnrcnts arc mrt inlcndcd oroffcrcd frrr srh. If. howcvcr. thc building or inqrrovcrncnt is sokl within onc year
<lf conrphtion. thc Owncr Buildcr will havc thc hurdcn of proving that hc or shc tlid n<lt build or inrprovc thc propcrty lirr thc purlnsc ol'
salc).
-1.
as owner of the property. am exclusivcly conlractilrg with liccnsed conlrilclors lo conslrucl lhc projcct (Scc. 7(A4. Busiltcss
arrd Pnrftsskrn Codc: 'l'hc Contractor's Liccnsc Law does not apply lo an owncr o[propcrty whrt builds or itnprovcs lhcrcon.
and who contracts l'or such projecls with a Contractor(s) liccnsed pursuanl to lhe C<lntraclor's Licensc l-aw).
-lamcxemptundcrSection-.B.&P.C.forthisrcason.I)ale:Owner:-
lVORK I.' RS' COi\I PIiNSAI'ION
I)FCLAIIA'TI()N
I hcrchy all'irrn undcr pcnllty of pcrjury onc of thc following <lcclarations:
-l
havc and will nraintain a Certificatc of Conserrt to Sclf-lnsurc tirr workcrs' conrpcnsation. as providcd lbr by.Sccliolt 3700 of thc
labor Codc. for the pcrfonnance of thc work for which thc pcrnrit is issucd.
-l
havc and will nraintain workcrs'conrJrcnsation insurancc. as rcquired hy Scction 3700 of lhc l-abor Codc. for thc pcrformancc ol'
u'ork lirr which this pcrrnit is issucd. My workcrs'and Jnlicy lrurnbcr are:
t a
re_
(r,,,,.,
_l ccrtify that in thc pcrfornrance of thc u'ork for which this pcrrnit is issucd. I shall not crnploy any person in any tnanncr
so ils to hcconrc suhjcct to thc workers'cornpcnsation laws of Calilbrnia. antl ugrcc thal if I should hcconrc subict lo thc
workcrs' cornpcnsation provisions of Scction .17()0 of thc l-ahrr Codc. I shall. ltrrthwith conrply wilh those provisions.
WARNING: Failurc lo sccure workcrs' cornpcnsation covcragc is unlawful. arrd shall subjccl an cnrploycr to crintittal lrcnahics attrl
civil lincs up to onc hundrcd thousand dollars ($l00.UX)). in addition to lhc cost of contpcnsalion. danugcs as providcd lirr lhc
Sccliorr J07(r of thc and atlorney's l'ces.
I hcrcby aflirnr undcr pcnalty of pcrjury that I anr licenscd unrlcr provision of Chaptcr 9 (conrnrcncirrg with Scction 70(XD of Division .l
of thc Busincss and Profcssions Codc. tml my license is in full l'orce and cflbcl.
Nurttlrcr:
Hrntracror:W
I hcrchy aflirm undcr FrcnallyofJErjury thal lhcrc is a conslruction hnding agcncy for the perforftrncc ofthc work fur which lhis frcrmit is
issucd (Scc. 3097. Civ. C.).
[rn<lcr's Nanrc:
L,cndcr's Address:
APPLICANT DECLARA'TION
I lrrchy aflirnr undcr pcnalty of pcrjury orrc of the following dcclarations:
Dcnmlition Pcrmits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Parl6)
_Rcquircd lrttcr of Notification
-l
ccrtify that thc fcdcralregulations rcgnrding asbcstos rcnrovalare not applicablc lo lhis projcct.
tI' I certily that I have rcad this application and state thal thc ahrve inlbrnration is correcl. I agrcc to cornply
ordinanccs and State [:ws rclating to building conslruction. and hercby authorizc reprcsentatives of this City
with all City and County
and County lo enter uJxrn lhc
atxlvc nrcntioncd propcrty for inslrcction purF)ses.
(pr""nt)or Agent Sigrr:rlrrre:
1 Pennitee nanre (print):4^",-lfnflg
Set Backs
Forms/Steel/Holdowns (is/27/r<>N66
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVl nsu lation
Roof Sheathing
Shear Wall 'l/ ?.6 / t"i ;\na
Framing q/l4ta 5N#
lnsu lation/Energy dhs,/rp t -ild*./'6>
Drywall (/t'-
f- ./
q.*k
Ext./lnt. Lath (- -/ l{I rur1>l
Brown Coat
N/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
^/ ///a
FINAL Trlr'/UrIZI Mffi
Certificate of Occupancy
Etc.
,/g -l v
BUILDING- INSPECTOR RECORD
!
i$ate:
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