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Home My WebLink About102107137 - Permitr)' city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CA92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 102107137 Pin #: 20871 Project Address: 1012 W Richland Ave Assessor's Parcel: 01 0-1 91-21 Lot: POR 12 Bldg: Address Range: Tract: HILLYARD ADD Unit: Historic: No Suite Range: Zoning: R3Block: 1 Building Use:Single Family Dwelling Occupancy. R-3, U 1st FL Area Patro: Job Type Alteratlon Constr Type V B 2nd FL Area T.l.Area: Nature of Work NrV Demo Code: cBc 201 I Other Areas yards Reqd Existing Bldg. & Use: SFo wrdet garags Flood zone: x{602320257J GaEge Area v.tuaflon: ,i,ooo.oo Prcposed Use: # o, Stories: Totat Daacriplion of Work Remove unpomittod petio attached to ga.ag., remove and fiame ln unper itted window and mandoor in garage, ltmova unpâ‚¬rmltted bsthrcom and rrtum the garago to lntendod uag Planning Conditions: All materials to match existing (Owner: Address: Phone: Tenant lgnacio Rodarte 1012 Richland Santa Ana, CA 927034811 (7141 7es-821e Contractor: Address: Owner-Builder Phone. State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Engineer. Address: Phone. License #. Architect / Desiqner: Address: Phone: License #: 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 Pezeshkpour, Ali Hernan dez, Kathy 07776002 s7607 07776002 57770 07776002 57607 07776002 s7607 07776002 57672 07776002 s7600 07776002 57607 Permit Fee Microfilm Records lnvestigation Penalty Bldg. Stds. Revolvtng General Plan Update I ssuance Date. 0710212021 Date: Date: 0710212021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: $172.64 $4 05 $104 26 $261 96 $1 00 $23 79 $59 30 Fire lnsp. Req'd: Police lnsp. Req'd: No No Account#Total 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 its issua nce,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. 01 1 16002 51600 01 1 16002 51601 01116002 51612 01 1 16002 57770 $23 7e $598 1 6 $1 00 $4.0s Fee Total Paid to Date: Balance Due: $627 00 $0 00 $627.00 lnspector MID#' 2021-167249 I BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I lrcrcby affirm undcr pcnalty of perjury Ihul I am cxcmpl frcm lhc Conlroclors' Liccnsc liw for Ihe follouing rcarcn (Scc.?0{5 Busincss {nd Profcssion Codc): Any City or CounIy which rcquircs a lEmit lo s)nstruct. allcr. improvc, demlish or rcpair any slruclurc. prhr to its issuancc. alw rcquircs Ihc applicant lor such ,rrmil lo filc a signcd stilcmnl lhat hc or shc is liccnsd pursont to Ihc pmvi$ions of thc Contractor's Licenrcd hw (Chaptcr 9, Commencing with SEtion 7000 of Division 3 of thc Busincss and ProfcssionsCodc)orthothcorshciscrcmptthcrcfrcmandthebasisforlhcallcgcdcxcmption. Anyviolationofs6tionT03l.5byany applicunt for a pcrmit subjects thc applicant to a civil pcnalty of rot mrc than fivc hundrcd dollus ($50O). -1. as owncr of the propcrty. or my cnrployecs with wagcs as thcir solc conlpcnsation. will do thc work and thc structurc is not intcndcd or ofTcrcd for salc (Scc.7B4, Busincss and hofessions Codc: Thc Contractor's Licensc Law does not apply to an owner of thc pnrpcrty who builds or irnprovcs thcrmn. and who drrcs such work himsclf or hcrsclf or through his rlr her own cmployccs. providcd that such imllrovcnrcnls arc not intcndcd or offcrcd for salc. lt, howcvcr. thc building or irnprovctnent is sold within onc ycar of conrplction. thc Owncr Buildcr will have thc burdcn of proving that hc or shc did rrot build or improvc thc propcrly for thc purpnsc of sale). -1, as owncr of thc propcrty. anr cxclusivcly contracting with liccnscd contractors to construct thc projcct (Scc. 7U4. Busincss and ProfessionCode: The Contractor's Liccnse Law does not applyto anowner of propcrtywho builds or inrproves thcrcon, and who contracts for such prqccts with a Contractor(s) liccnscd pursuant to thc Contraclor's Licensc [aw). -I under B.& I)I'CI,ARA'I'I()N I hcrcby allirnr undcr pcnalty of pcrjury one of thc follow ing dcclarations: -l have and will nrairttafur a Ccrtificatc of Conscnt to Self-lnsure for workers' compcnsution. as providcd for by Scction 3700 of thc [:bor Code, for thc pcrfornuncc of thc work for which the Jrcrmit is issucd. -l havc and will maintain workers' compcnsation insurancc. as rcquircd by Scction 3700 of thc [:bor Codc. for thc pcrfornuncc of the work tbr which this permit is issucd. My workcrs' compcnsatiorr insurancc carrier and policy numbcr are: Policv Numbcr: Exnires: -l ccnify lhal in thc Jrcrfonmncc of lhc work for which this pcrmit is issucd, I shall not cnrploy any lErson in any mnncr s as lo bccom subjcct lo thc workqs' onrlrcnsation laws of Californiu. md lgrc that if I should bccotrc subjcct to thc workcrs' mmpcnsation pmvisions of Scction 3700 of Ihc titnr Codc, I shall, fonhwilh comply with tlbs prcvisions. WARNING: Frilurc to scure workcrs'compenstion covcmge is unlawful. dd shall subjet an emplo)rcr lo oiminul Fnrltics andi civil fincs up to ore hundrcd thousnd dollils (S100.0O0), in addition to lhc cost of compensation, daroges os providcd for thc Scctiorr 3076 of the l.abor Code. intcrest and attorrcy's fecs. Dale:7n2- ) / DECLARATION I hcrcby aftlrm undcr pcnalty of pcrjury that I am liccnscd undcr provision of Chaptcr 9 (conrnrcncing with Scction 7000) of Division 3 of the Busincss and Profcssions Codc, and my license is in full force and effcct. Liccnsc Class: Liccnse Numbcr: Date:_Contractor:_ W I hcrcby aflirm undcr Fnalty of pcrjury that thcrc is a <rnstruction lcnding {gcrcy for lhc pcrforure of thc work for which this lErmit is issucd (56. 3097, Civ. C.). Lcndcr's Narnc: [rndcr's Addrcss: APPI ICANT DECLARATION I hcrcby afiinn undcr pcnalty of pcrjury onc of the following dcclarations: Dcrnolition Pcrmits-Asbcstos Notification Fcderal Regulations (Title 40. Parr6) -Requ ired [*t tcr of Notilication -l ccrtily thal thc lbderal rcgulations rcgarding asbcstos rcrnovalare not applicablc to this projcct. -l ccrtily that I have rcad this application aftl statc lhal thc atnvc infornution with all City and County orulinanccs antl Statc l,aws rclating to building cotlsttuctiolr. and and County to cnter upon thc atxrvc rrrcntioncd proprty for Applicant or Agent Pernritce nanle Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl nsu lation Roof Sheathinq Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif lA FINAL p/ nh,-1,frr^ Certificate of Notes, Remarks, Etc.I I , Applicarrt: