HomeMy WebLinkAbout101101399 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: ?M) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 3630 S Bear St-a-Bldg
Permit #: {O11O{399
Pin #: 60338
Unit: B Address Range: 3600-3770
Historic. No
Suite Range:
Zoning: R4Assessor's Parcel:412433-04 Lot: 1-8, A, B, C Block. NA Tract: 1 1859
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Condominium
Alteration
Window C/O
Condo
Occupancy:
Constr Type:
Code.
Flood Zone:
# of Stories:
R-2
VB
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$15,398.00
Description of Work: Change out windows and sliding doors-same size, same style
Planning Conditions:
Botch+ 3 51897 - I /9 /2fr19 ID : EL I ZABETII
0f f ices CTYH Tronsi: 101 I of' 2Acct*: Ref*: lrlll'Jl4t:uJ
Rcpti: fr2713274 9 /9 /2119 2'.L6 PH
Tnnnc.art i nn Tntn I f, L9trr- 3A
Owner:
Address:
Phone:
Tenant
Sandra Mazal
3630 S Bear #B
Santa Ana, CA 92704
(949) 241-0439
Contractor: Home DePot U S A
Address: 12700 Stowe Drive, Suite 28
Poway, CA 92064
Phone: (858) 846-9700
State Lic #: 602331
Lic Type: B, C-39
Bus. Lic #: 365245
Workers' Compensation lnsurance:
Carrier: Ace American
Policy #: WCUC65990586
Expires: 03/01 12020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Uenus ShukoEk i
HoreDepotUSA
Generol Plon Updote Fee
0lI16002- 51600000-
Buildins
0l I16002- 516111000-
Bl ds Stds Revolv i ns
0l I16002- 51612t100-
Uiso
CCi 3 rrrrrrrrrr x*7276
922.95
: i22t. zJ
$1,fi0
$495,36
Auth + :01 4g2A
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Arabe. Jill
Hernan dez, Kathy
Date: 09/09/2019
Date:
Date. 09/09/2019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 s7600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$166 53
$1 00
$22.9s
$57.20
9247.68
$0 00
$2+1.68
Account#Total
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
$22 es
$223 73
$1.00
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2019-154239
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DELCARATION
I hcrcby affirm undcr pcnally of pcrjury lhal I am exempt frcm Ihe Conhaclors' Lisnsc lrw for thc following rca$n (Scr.703l.5
Busincss ard Profcssion Codc): Any Cily or County which rcquircs a Frmit to conslruct, altcl improve. dcmlish or rcpair any
slruclurc. prior to its issuancc. also rcquircs thc applicanl for such JErmit lo tilc l signcd slatcmnl that hc or shc is liccnscd pursuanl
to Ihc previsions of thc Controctor's Liccnrcd law (Chaptcr 9. Conrnrcncing wilh Sstion 7000 of Division 3 of Ihc Busircss ind.
Profcssions Codc) or lhat hc or shc is cxcmpt thcrcfronund thc basis for thc alhgcd cxcmption. Any violalion ofSmtiotr 7011.5 by any
applicant for a pcnnil subjsls thc opplicanl k) o civil pcnahyof nol [D]c thM fivc hundrcd dollars ($500).
_l.as owncrofthepropcrty.ormyemployeeswithwagcsasthcirsolcconlpensalion.willdolhcworkandthcstnrcturcisnot
intcndcd oroflcrcd firr sale (Scc.7044. Busincss and Prolcssions Cotle: Thc Contraclor's l.iccnsc Law does not apply to an owltcr of
thc pnlpcrty who huilds or inlprovcs thercon. and who docs such work hirnsclf or hcrsclf or through his or hcr own enrployecs.
providcd that such inrprovcnrnts arc not intcrxlcd orollbrcd ftrr sah. ll. txrwcver. thc buikling or inrprovernnl is sold within onc ycar
of cornphtion. tlrc Owncr Buiklcr will have thc burdcn of proving that hc or she did mrt huih or improvc thc propcrty for thc purJxtsc of
salc).
_1. as owner ol'thc propcrty. am exclusively contracting with liccnsctl conlraclors to construct lhc projcct (Scc. 7(X4. Busincss
arxl ftrrfcssion Codc: Thc Contraclor's Liccnsc Law docs not apply lo iln owner of propcrty who huilds or improves thcrcon.
and who contracts for such projccts with a Contraclor(s) liccnscd pursuant to thc C<lntractor's Liccnse Law).
-latncxemptundcrScction-.B.&P.C.ftlrthisrcason.
I)ale:( )rr ner:
WORKT.]RS' COt\I IDDNSA'I'I()N
DFCI,A IIA'I'I0N
I hcrcby aftlrnr undcr pcnalty ol'pcrjury onc ol'thc followirrg dcclaratiotts:
_lhavcandwill maintainaCcrtificateofConscnttoScll'-lnsureforworkcrs'compcnsation.as providcdforbySection3T(Dofthc
Lrbor Codc. forthc perfornrance of the work firr which thc pcrntit is issucd.
_l havc and will maintain workcrs'compcnsation insurancc. as re<luircd hy Scclion 3700 of thc Lrbor Codc. for the Jrcrformance of
lhc work for which this perrnit is issucd. My workcrs' conrJrcnsation insurancc carricr und Jrolicy nunrtrcr are:
Carricr:
Policy Number: Expires:
_l ccrtify that in thc perfornunce of thc work for which this perrnit is issucd. I shall not employ any pcrson in any manncr
so as to bcconrc suhjcct to lhe workers' cornpcnsation laws ol'Calilbrnia. and agrcc thal if I should hcc<lmc subjcct lo the
workcrs' comJrcnsation provisions of Section 3700 of thc l;rtnr Codc, I shall. forthwith comply with those provisions.
WARNING: Failurc to sccurc workcrs' cornpcnsation co!'cragc is unlawful. and shall subject an cntploycr to crirninal Jrcnalties and
civil lincs up lo onc hundrcd lhousand dollars ($1fi).(XX)). in lo the cost of compensation. danrages as providcd for the
allorncy's l'ccs.
I hcrchy affirrn undcr pcnalty of pcrjury that I artt liccnscd uttdcr provisiolt 9 (corrurcncirrg with Scction 70m) of Division 3
of thc Business and Professiclns Code. antl nry liccnsc is in t'ull forcc atxlclfect.
Liccnsc
Date:
CONSTRUCTION LENDING AGENCY
I hcrcby atfirm undcr JEnalry of lErjury that thcrc is a conslruct ion hndirg agency l'or lhe Isformncc of thc work for which lhis lErmil ls
issucd (Scc. 3097. Civ. C.).
lrnder's Name:
I-crttlcr's Addrcss:
APPI IC ANT DECLART{TI(TN
I hcrcby allimr undcr penalty of pcrjury one of lhc following declaratiotts:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Part6)
-Rcquircd
Lcttcr of Notification
_l ccrtify that thc t'cderal rcgulalions rcgarditrg asbcslos rcrnoval arc rrol applicahlc lo this projcct.
_l certify thal I havc rcad this application and slatc thll lhc atnvc infrrnrtitliort is corrcct. I agrcc to contply
reprcscntativcs of this City
with all City and County
and County lo cnter upon thcordinanccs and Statc [.aws relating to
abovc nrntioncd propcrty for
Applicanl or Agenl
I'entrilee nanre ( ;lrirtt ):
and hcrehy tulhorizc
,rr",4%
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu lation
Roof Sheathinq
Shear Wall
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
l\/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Fina! Report
Flood Zone Certif .
I
FINAL tlnlat Arld 7n
Certificate of
Notes, Remarks, Etc.t
Scctiorr 3076 of thc Latnr Codc.
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