HomeMy WebLinkAbout101106476 - Permitr
Proiect Address: 2950 S Greenville Sta
Assessor's Parcel: 933-071-01 Lot: 2, 611, 2, 4, 5 Block: NA
Unit: D BIdg:
Tract: 8236/8868
Address Range. 2900-2970
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {01106476
Pin #: 44192
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Building use: Condomlnlum Occupancy: R-2 1sl FL Area: Patio:
Job Type: Altoration Constr Type: v B 2nd FL Area: T.t.Area:
Nature ofwork Oocucarago H..dor Code: CBC 2019 OtherAreas: yards Reqd:
Existing Bldg. & U8e Condomtntum Flood Zone: X-t 60232025C,
p,posed use: # of storiea: Garag€ Area: v'luttion: $14'900'00
Total:
Dclcrlptlon of Woak Ropalr dock - ramovo deck coating, replaco rcttan floor ioista, roplace guardralle, lnatall new dock systen Roplace garuge door
header.
Planning Conditions:
Owner:
Address:
Phone.
Tenant:
I
Jarnes Hoopes
2950 S Greenville St, Unit D
Santa Ana, CA 92704
(7141 336-8340
Contractor: Martin Garcia dba MG Cons'
Address: 12582 Tours Avenue
Garden Grove, CA 92843
Phone: (7141 595-1 479
State Lic #: 1054607
Lic Type: B
Bus. Lic #: 375629
Workers' Compensation I nsurance:
Carrier: Accredited Surety and Casualty Cc
Policy #: 1ATCA16003097
Expires: 0211812022
Tindall Engineering, lnc
George L Tindatl
610 Malabar Dr
Corona Del Mar, CA 92625
(s4s) 222461s
19921
Engineer
Address:
Phone:
License #.
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Guevara, Jerry
Lee, Wayne
No
chavez' Dave
, !-
Date: 0412012021
Date: 0512112021
Date: 06/1 712021
Subject to Field:
07776002 57507
07176002 53600
07776002 57770
08907007 24000
07776002 57672
07776002 s7600
07776002 57607
Permit Fee
Plan Chec:k Fee
Microfilm llecords
SMIP - Category 1
Bldg. Stds Revolving
General Plan Update
lssuance
Misc. Receipt
Misc. Receipt
Misc. Receipt
75439
Total
$345 28
$478.68
$28 3s
$1 .94
$1 00
$23 79
$59.30
Fire lnsp. Req'd:
Police lnsp. Req'd.
No
No Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
lnspector MID#: 2021-165614
01 1 16002 s1600
01 1 16002 51601
01 1 16002 51612
01 1 16002 s7770
08901001 24000
$23 7e
$404.58
$1 00
$28 35
$1 e4
Fee Total:
Paid to Date:
Balance Due:
$938.34
$478 68
$459.66
D
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCANATION
I hcrcby affirm undcr Fnalty of Frjury th.t I m excmpt fmm the ContractoE' Liensc liw for thc followitrg M$n (58.7031.5
Busincss and Prcfcssion Codc): Any City or County which requircs a pcrmit lo @nslruct. alts, imprcvc, dcmllsh or rcpair ey
structurc, prior to its issuarcc. also rcquircs thc applicant for such Frmit to filc a sigrcd statcrcnt that he or shc is liccnsed pursuant
to thc prcvisions of thc Contractor's Licen$d law (Chaptcr 9, Commncing wilh Sslion 7000 of Division 3 of thc Busiress 8nd
hofcssionsCodc)orthathcorshciscxemptthcrcfromandthcbasisforthcallcgcdcxcmption. AnyviohlionofSctionT03l.5byony
applicant for a pcrmit subjccts the applicanl to a civil pculty of not nErc thon fivc hundred dollds ($500).
_1. as owncr of thc propcrty, or my cnlployccs with wagcs as their solc compcnsation. will do thc work and the stnrcturc is not
intcndcd or offcrcd for salc (Scr.7044, Busincss and hofessions Codc: Thc Contractor's Licensc Law does not apply lo an owncr of
thc propcrty who builds or inlproves thcrcon. and who docs such work hinrclf or hersclf or through his or hcr own employecs,
providcd that such improvenrcnts arc not bltcndcd or offcrcd for salc. If, howcvcr. thc building or improvcrEnt is sold within onc )rcar
of conpletion. thc Owner Builder will havc thc burdcn of proving tlurt hc or she did not build or improve thc proprry for thc purgnsc of
salc).
-1.
as owncr of thc prolrcrty, am cxclusivcly contracting with licenscd contractors to construct thc projcct (Sec. 7W, Busincss
and Pmfbssion Codc: Thc C<lntractor's License Law docs not apply to an owner of propcrty who builds or improves lhcrcon,
and who contracts for such projects with a Contractor(s) licenscd pursuanl to thc Contractor's Liccnsc taw).
-Iamcxcn1ptunderSection-'B.&P.C.forthisrcason.
flola. llunor.
WORKERS' COMPT'NSATION
DECL{RATION
I hcrcby affirm undcr pcnalty of pcrjury onc of thc following declaratiorrs:
_l have ud will rnaintain a Certificate of Consent to Sclf-lnsurc for workers' compcnsation. as provided for by Scction 3700 of thc
Lahor Codc. for thc pcrfornrancc of the work for which thc pcrmit is issucd.
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havc and will maintain w<lrkcrs'compcnsation insurancc, as rcquircd by Scction 3700 of thc Lahor Codc. for thc pcrformancc of
thc work for which this pcrrnit is issucd. My workcrs' compcnsation insurancc carricr and plicy nutnber iuc:
-rtA yt
Poricy*,*n",, ' [J AWcrJ q 5/{ Expircs:
J
_l ccnify thal in thc lrcrformnce of the work for which this prmit is issucd. I shall not cmploy any 1rcmn in any manrcr
s as to bcrom subj$t to thc worktrs'otrrpcnsation hws of California. and agrc that if I slDuld bccorc subjst Io Ihc
workcrs'onrpcns.lionpmvisionsofSmtion3T00ofthctiborCodc.lshall.fonhwithcomplywiththorcprcvisions.
WARNING: Fililurc to suc workcrs' compcnsation svcmgc is unlawful. and shall subjcct a cmploler to oiminal tEmllies and
civil fincs up to onc hundrcd thousand dollars ($100.000). in to lhc cost of comlrcnsation, damages as provided for the
Scction 3076 of Labor Codc, interest and altorrrcy's fccs.
t-t
I)ECI ,\RA'I'I0N
I hcrcby atlirm under pcnalty of prjury that I am licensed undcr provision of Chaptcr 9 (comnrcncing with Sectbn 7000) of Division 3
of thc Busirrcss and Profcssions Codc. and nry licensc is in full forcc and cffcct.
a
Liccnsc ?t
t
W
I hcrcby afftrm undcr Fmlly of pcrjury that thcrc is s @nstruction hnding agcncy for thc lErformrcc of thc work for which this pqmit is
issucd (Scc. 3097, Civ. C.).
lrndcr's Namc:
APPLICANT DECLARATION
I hcrcby atfirm undcr pcnalty of pcrjury onc of thc folkrwing dcclarations:
Dcmolitkrn Pcrnrits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd Lcttcr of Notification
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ccrtify that thc l'ederal rcgulations rcgarding asbcstos rcmovalarc not applicablc to lhis pnrjcct.
S!, certify that I have reud this application and statc that the abovc information is corrcct. I agrcc to comply
ordinanccs and Statc l^aws rclating to building construction. ard hcrcby authorizc rcprcscntativcs of this City
with all City and County
and County to cntcr ugrn thc
abovc nrcntioncd propcrty for inspcction I
Applicant or
IDermitee
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu lation
Roof Sheathing
Shear Wall I I
Framinq vl ,l 'hlL bfl'V6n,/
Insulatio nlEnergy I I
Drvwall ,l
Gxt]lnt. Lath (I p*r?/
Brown Coat q 'r,,i ,'7-l Dk# *4 7
N/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I ,l .< D/
FINAL LO Dltr)ru o
Certificate of Occupancv I
Notes, Remarks, Etc.
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lrndcr's Address:
,,r",. ulll ll 2(
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