HomeMy WebLinkAbout10152641 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Building Permit #: {O15264,1
!nspector's Section: (714) 647-5853
Project Address: 2621 S Poplar St
Assessor's Parcel 140-27 3-05 Lot: 9
Suite:BIdg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 5953 Historic: No
Building Use: Single Family Dwelling
Job Type: Alteration
Nature of Work: Window C/O
Existing BIdg. & Use: SFD w/att garage
Proposed Use: Residential
Occupancy:
Constr Type
Code:
Flood Zone:
R-3/U-1
V.N
cBc 2001
x-0602320259H
1st FL Area: 0 Patio: 0
2nd FL Area: 0 T.l.Area: 0
Other Areas: 0 Yards Req'd: @
Garage Area: 0 Valuation: $5.800.00
Total: 0
(1) sliding glass door, remove front securityDescription of Work: Ghange out (1) bedroom, replace living window with bay window, change out
barc/handout given
Planning Conditions:
?
Owner:
Address:
Phone:
Tenant:
Petra Banuelos
2621 S Poplar St
Santa Ana, CA 927045743
(7141 545-3743
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation Insurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
(: its of Snntg Ann
FD : L2/28/2IJIJ5ID:SIIARTINELOC: C]-YH [II-I1(:l.l5t: IHV:1[1152641
ulf,51 rlr_rr-rl rJLlrJl4t 12 L2/29/2t-1lt5 4 :241:'i1
I rIAHSA(:T l0r'l T0TAL : t?I I .75
Buildins t211.75(:[( $?11.75(:HAHGE $Ll. [t[t
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Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Ellenbecker, Marvin Date: 1212812005
Date:
Date: 1212812005Ueernandez, Kathy
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
077-07-5977 Permit Fee
077-07-5977 Field Verification
077-07-5977 lssuance
Fee Tota!:
Paid to Date:
Balance Due:
$1 1 1.75
$67.50
$32.50
$zt 1.75
$0.00
$zt 1.75
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 wo* authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time afterthe wo* is commenced for a peiod of 180 days.
Before such work can be rccommenced, a new permit shall be first obtained to do so.
Account#: 011-01-591t lnspector MID#:2005-65936
BUILDING- INSPEGTOR REGORD
SITE.WORK DATE ID/SIG.COMMENTS
Set
F S
UFER Ground
Floor
lation
Shear I
D il
Ext./lnt. Lath
ason
Fence
f
H irements
Final
ineer Final
Certlflcate of O
Notes, Remarks, Etc.
I h6oby rf,lrn uodrr patdq of ,([rory th.t I an crqnF fona lhc Cofier' Llcau. hr for thc followln3 reofi ($0,70, t .5 Budnqt
rod tt^oforrlo Codc): Ary CltycCoumy rhlch Equlnt rplarll o ootruc$ rftcr,lnrFovq doolLh anpdrly tuan, prloro lu
lsueoqdroEqulllrlt rgpllcrlrfrrtu.tFmh!orll..dfn dra.Lm.lt lhnhc(rh.lrlioau.d Fl.nmt!o0r.Fwllonrofrhc
Conrraor'r tlmrd Lr' (Ouplr 9. Cocmach3 rlli Scalar 7000 olDlvfilm ! of lhc Burincrr md D,ofdridn Codc) or rh|t ha a
tho lr acmpt thaoftotn rd lh. tdt la 0E dlcpd cmpdm ,tuy vlol.dm of S.adoo ?0! I .5 by uy epllmt for r p.nnit ub,er ih.
@lisil to.clvll pot.yof icrnqttts fiw lno&rd dollu (t500),
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olrE?oflh.Dmpany,anryrrrlCr.orl$m|r l,tdrrobcolpcncrdOrllldorhcrodcmdthcrtilctu!bnotlmdrdcd
c otfcttd fc rrlc ( Scc.Zx.l, Ell.lftrt !d hofrslonr Codc Ifro Co8rncd, L,lc.ru3 L? doar lld .prly !o ]l orltar oltto lmDrfywhotoll&chFrott.tlaa;rd*todortu.[xf,tlilmllrt r.ltattrorthhiroah.rmsrployr.r,Fpeld.drhdreh
lnFrrv.nrru.$c mt lor.n&d aolr.sad ftrrda l(, horcvrr,thc tdldlnt orirpllvlindltlr rold rlthln arcycrof conplalooi $c
Orncr€uilda wlll hrw{rhrdar of ptwvint 6a h. arhr rcr buildclmpmw fcttr glrpu of nlc).
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rr omcr of 6c Fopctty, un .Edullll, cqltnctlrf ?hh llcaBod orulrcto,r to con uucr rh. Drcjccr ( Scc. ?01,t Sujngr rnd
hofcuion Cods ThcCotr.rdtUcaucLlrdocrnoa4ply 6eo*rrcrof froptyrtobull& c ftn?rcru tlr.ilcoo.rd vho
cdlmcr for rsch Fqrci. rirt r Coltr.io(r) llcaued prmrnt lo lhc C.olttLlo?rt Ucqu. Lw.).
_I m Gxcmpt
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I hereby rfllrm underponrlty of paJury oro
-lhrvttrrdrlllrdalllneCortltlorofCfi06r!oSclGl8nlr.farroatlrr'coolpoutidr,ll
povldrdfcbyS.Gdoor?ooof0a
Lrbor &do, for rho p.rfsilnco of rh. !vo.t fc?hlclr tto Flri|lr b lxr$4
-lhrwrdrillmiilrlnrslsr'comparti{ftrlrrrlrc.,., roqdrldbrSccdorST00ofth.L.borCod.,forrlropcrfonnrnccof6c
wrk foc which thir pcnit lr bruod. My w*a' cqcnrdion luumcc crrlor rnd pollcy nunbcr rrc:
PollcyNumbg: _ ,. . , Expltrr:
(Thlr rccdon nccd not trq complacd if thc pctmlt h for orrc hun&od dollrn (S100) or lcr)
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certlfl thrt ln tho pcformmco of thc work for whlch thlr pennit ir irucd, I rhdl not cmploy uty pertm in rny muncr ro r to
became rubjcct to tho wqkon ' compcrurtlon hwr of Crllfcnir, rnd r3rlc thrt lf I rhould bccomo rubjcct to thc workcn'
,
(acompcnmtion povklorr of Scction 3700 of thc Labor Codc, I
a-
WARNINC: Frituro to rccuro workcn'compcnntion
(tl0o,ooo),in
cov6rtt0 rhrll rubjcct m cmploycr to crimlnd pcarlder rnd clvil
rddition to tho damrga u p,rovidod for thc Soction 3076 of
thc lrbor Code, interert urd rnorncytl fecr.
IhctcbyrlIirmundcr*.,,,o,,oi**nfficin3withSccrion?00o)ofDivirion!of
fic Burinsr md Prcfsior Codc, ud ny llcquc ir h full forc. md cficl
Liccnro Llcenro Numbcr
Dlto: Connactor_ , . - . ,
CoDISTRUC'nON LENpnYq A GnNqI'
I hcrcby rflirm undcr pcndty of perjury thrt there il r conrtnrction lcndin3 sgsacy for itiipcrformencc of thc work for which rhir permit il
isrued (Sec. 3097, Civ.c.).
Lsnder'r Nrmc:
Lcnder'r Ad&err:
APpr rc^N?'s 4ECI/I8ATI9N
Dcmolition Permlr-Arbcrtol Notiflcrdm Fcdonl Ro3ulrtionr (Titlc 40, Prrr 6)
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