HomeMy WebLinkAbout102105636 - Permitl"
Proiect Address: 2446 N Bonnie Braea
Assessor's Parcel: 002-1 23-28 Lot: POR 3
Unit:Bldg: Address Range.
Tract: POTTS, BORDEN, & SIDWELL Historic. No
Suite Range:
Zoning: RlBlock: NA
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 #:1o.21 05636
Pin #: 71252
/
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Patio Cover Constr Type: V B 2nd FL Area:
Nature of Work: N/V-Awning & Block Wall Code: CBC 2019 Other Areas:
Existing Bldg. & Use: SFD w/ garage Flood Zone: X-0602320163J Garage Area:
Proposed Use: # of Stories: Total: O
Description of Work: New freestanding 120 sq ft trellis and 93 lf 8' high wood fence. Owner-authorization form on file.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuationt $t,500.00
Owner:
Address.
Phone:
Tenant:
KUNIKO ISHII
24/}6 BONNIE BRAE
Santa Ana, CA 927061605
(7141417-3850
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Shucri "Chuck" l. Yaghi
Shucri l. Yaghi
'112 E Chapman Avenue, D
Orange, CA 92866
(7141 997-9120
c43205
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
Arabe, Jill
Le, Tung
Chavez, Dave
No ->_a
Date.0711312021
Date: 06/1 412021
Date: 08/1712021
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Account#
75117
Total
07776002
077760 02
07776002
077760 02
07776002
07776002
07776002
57607
53600
57770
57607
57607
57672
5760 0
Permit Fee
Plan Check Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
Fee Total:
Paid to Date:
Balance Due:
$37e.00
$225.00
$4.0s
$1 04 26
$261 e6
$1.00
$23 79
PWA lnsp. Req'd: No Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd: No
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 after ifs 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#: 2020-1 62038
01 1 16002 51600
01 1 16002 s1601
01116002 51612
01 1 16002 57770
$23 79
$745.22
$1 00
$4.05 $999 06
$225 00
$774.06
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aftirm undcr pcmlty of Frjury Ihat I m cxempt frcm thc ContnctoN' Lbensc ljw for thc following rclsn (Scc.7031.5
Busincss ard Profcssion Codc): Any City or County which rcquircs s pcrmit to construct. alter. imprcrc. dcmlish or rcpair my
structurc, prk r to its issuece, also rcquircs lhe opplicsnt for such [Ermit lo filc a sigincd statcrcnl that hc or slE is liccnscd puBuant
to thc prcvisions of thc Controctor's Liccnscd [aw (Chaptcr 9. Commcncing with Sction 7000 of Division 3 of ]hc Busincss and
Pmfessions Codc) or that he or she is cxcmpt thtrcfrcm and the b&sis for thc alleScd cxcnrption. Any violalion ofs4liotr 703 1.5 by atry
applicant for a pcnnit subjcls thc upplicanl lo a civil pcmlty of not morc than fivc hundr€d dollus ($500).
_1. as owncr of thc propcrty. or my cmployccs with wagcs as thcir solc compcnsation. will do thc work and thc structurc is nol
intendcd or ofl'ercd fbr sale (Scc.7O+4. Business and Profcssions Codc: Thc Contractor's Liccnsc [-aw docs not apply to an owncr of
thc proJrcrty who builds rlr inrproves thcrcon. and who docs such work hinrsclf or hcrself or through his or hcr own cmployccs.
providcd that such improvernents arc not intcndcd orolfcrcd frrr salc. If. howcvcr. thc building or inrprovcnrnl is sold within onc ycar
of conpletion, thc Owncr Builder will havc thc burden of proving that hc or shc did not build or improve the propcrty for thc purposc of
sah).
-1.
asowncrof the propcrty, arnexclusivclycontracting with liccnscd cotrtraclorstoconslruct thc projcct (Sec.7W, Busincss
and ProtLssion Code: Thc Contractor's Liccnsc Law docs not apply to an owner of propcrty who builds or improvcs thercon.
and
-I
who conlracts ttrr such projccts with a Contractor(s) liccnscd pursuant to thc Conlraclor's Licensc Law).
Section-, B.lbr
-I t1 LI
I hcrcby affirm under pcnalty of pcrjury one of the following dcclarations:
-l
have and will maintain a Ccrtificatc of Consent to Sclf-lnsurc for workcrs' corrpcnsation. as providcd for by Scction 3700 of thc
Labor Codc. for thc pcrformancc of thc work for which thc permit is issucd.
-l
havc and will maintain workcrs' compensalion insurancc, as requircd by Scction 3700 of thc labor Codc, for the lrcrformancc of
thc work for which this pcrmit is issued. My workcrs' compensation insurance carricr and plicy number are:
Policy Number: Expires:
-l
ccrtity that in thc lrcrformancc of thc work for which this pcrnrit is issued. I shall not cmploy any l&-rson in any manncr
so as to bccorrc subjcct to thc workcrs'comJrcnsation laws of California. and agrce that if I strould bccome subject to thc
workers' cornpcnsation provisions of Sccti<ln 3700 <lf the Latxlr Codc. I shall. ltlrthwith conrply with thosc provisions.
WARNING: Failurc to sccure workcrs'compcnsation covcragc is unlawful, and shall subjcct an cmploycr to criminal Jrcnaltics and
civil fines up to onc hundrcd thousand dollars ($100,000), in Io c<lrrrpcnsation. darnagcs as providcd for th,r'
Scction 3076 of thc intcrcst and attorncy's fccs.
o t1,t1
I hcrcby allirnr undcr pcnalty of prjury that I am liccnscd undcr provi.sion of Chaptcr 9 (commcncing with Scction 7000) of Division 3
of the Busincss and Profcssions Code, arxl my liccnsc is in t'ull forcc and cffcct.
Liccnsc Class: Liccnse Numbcr:
W
I hcrcby affirm undcr Fnalty of Frjury lhal lhcrc is a construction lcnding agcncy for the prfomuncc of thc work for which this Imit is
issucd (Sec. 3097, Civ. C.).
Lrndcr's Nanrc:
[.cnrlcr's Atldrcss:
APPI ICANT NECLARATION
I hcrcby alilrm undcr pcnalty of pcrjury onc of thc following dcclarations:
Dcnrolition Pcrrnits-Asbcstos Notification Fedcral Rcgulations (Titlc 40. Part6)
-Rcquired
[,etter of Notification
-,*
ccrtify that thc
il *nnrrhar t havc
federal regulations rcgarding asbcstos rcntovalarc not applicable to this projcct.
rcad this application and with all City and County
and County to enter upon thc. rlttlu
ordirranccs and Statc Laws rclating to
abovc rrcntioned property for inspcction
Applicant or Agenl
Pernritee nanle
that thc ahlvc
ll.rlrr.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf I oo r/Vent/l ns u latio n
Roof Sheathinq
Shear Wal!
Framinq
!nsu Iation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Jtlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
n
FINAL ,Jr/t /,/7,\
Certificate of Occu
Notes, Remarks, Etc.I
Carricr:_
Date:_Contractor:
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