The URL can be used to link to this page

Home My WebLink About101108093 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Proiect Address: 215 E Warner Avea Unit:Bldg: Address Range: Assessor's Parcel.403-1 42-15 Lot. 24 Block: D Tract: 638 Hrstoric: No it #: {Oi 1O8O93 n#: Suite Range: Zoning: R2 I Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio: Job Type: Demolition & Clear Lot Constr Type: V B 2nd FL Area T.t.Area: Nature of work: Demo & Clear Lot code: cBc 2019 other Areas; yards Req,d Existing Bldg. & Use: SFD w/ det garage Flood Zone: X-0602320278J Garage Area Vatuation: Proposed Use: # of Stories: Total Description of Work: Demo SFD and detached garage and clear lot. AQMD on file. *'NO FEE-CITY PROJECT/LETTER ON FILE"* Planning Conditions: $10,000.00 Owner: Address: Phone: Tenant City of Santa Ana 20 Civic Center Plaza Santa Ana, GA 92701 (7141 647-5641 Contractor: J &G lndustries lnc Address: 18627 Brookhurst St #302 Fountain Valley, CA 92708 Phone: (7141 903-2002 State Lic #: 571859 Lic Type: ASBS, A, HAZ, C-21 Bus. Lic #: 160248 Workers' Compensation I nsurance: Carrier: State lnsurance Fund Policy #: 0802847 Expires'. 10/01 12022 Engineer: Address: Phone: License #: Architect / Designer: 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 Fire lnsp. Req'd: Police !nsp. Req'd No No Account# Orozco, lvan Zuniga, Allissa Date: 0912712021 Date: Date: Ogl29l2021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt. Permit Fee Microfilm Records Fee Exempt Bldg. Stds. Revolving General Plan Update I ssuance Bond Fee Total Paid to Date: Balance Due: $172.64 $4.0s $-1 ,260.78 $1 00 $23 79 $5e.30 $1 ,000.00Total 07776002 07776002 07776002 07775002 07776002 07776002 0 s376002 57607 57770 57607 57672 57600 57607 s3636 Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterifs issuance,or if the work authorized on the site by such permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. N/A - No N/A - No N/A - No N/A - No Balance Balance Balance Balance $0 00 $0 00 $0.00 lnspector MtD#'. 2021-169075 a BUILDING. INSPECTOR REGORD SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION I hacby affm unda panalty of pcrjury thar I m qcmpt fiom thc ContracloE' Lirc kw for thc following !!en (56.7031.5 Buincs aad Prcfesion Codc): Any City or County which rcquic a pqrnit to @nstruct, altq. improvq danolish or rcpair my structE, prior to its issumcc, also rcquirc thc applicet for such pcnnit to 6lc 8 signcd stalmt thal hc or slE b licmcd pu$snt to thc provi3ioB of thc Contrrctor's Liccnscd law (Chaptq 9. Comflcitrg with Sâ‚¬1ioo 7000 of Division 3 of thc Buins md Prcfsio$Codc)orthathcorshcisacmptth@fromedthcbosisforthcallcgcdqmption. AryviolationofS4lbnT03l.5bymy spplicmt for I padt subjcts thc applimt to a civil pcmlty of not morc thm fivc hundrcd dollas ($500). _1, 6 oM6 of ahc pope'ry. or my mployG with wEg6 6 thâ‚¬ir $lc comparstion, will & dE wo* ad tlE strudrc b rct intqrded or offcrcd for slc (Sc.7044, Buine od Prcfeioro Codc: Thc Coilractor's Li@ I:w doc not rydy to m omq of thc Fopqty who tuilds or impovc thmn, ad who doc sh wrt hiruclf or hqslf or thrcugh his or ha om mploycc. prcvidcd thar such improvqrcils e rct intqdcd or oflacd for sh. lf, how, ttE hrilding or improvaErt b sH within onc )a of complnioi\ thc Ownq Buil& wilt havc thc h[do of provilrg thrr hc or slrc did mt build or irryrow thc propary for thc p[pos of slc). _1, a ow6 of thc propcty, m ucluivcly ontracting with licqEcd cortEtoB to constnrct thc Foir{ (Sc. 7(X4, B6i!B ard Proftsim Code: Thc Contrctor's Liccre Law doc not apply to il ownq of propqty who builds or improvG thqor\ md who contncts for such ptoj6t with I Contracto(s) licqEcd puBulnt to thc Conre{or's Lic@ [5w). _l am exempt under B. & P.C. for this reason. Owner: WORIGRS' COMPENSATTON DECLARATTON I hereby affrrm under penalty of pcrjury one of the following dcclarations: _l have and will maintain a Certifrcate of Conscnt to Sclf-lnsure for workers' compssation, as provided for by Section 3700 of the Labor Code. for the pcrformancc of thc work for which the pcrrnit is issued. _l havc and will maintain workers' compensation insurancc, as requircd by Scction 3700 of the Labor Code, for the performance of the work for is issued.compcnsation insurancc carrier and policy number are: \1) poricy N" *, .- O ?s 07 W1, - 1-'O Expires:I _l certi& that in the pcrformance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subjcct to the workers'compensation laws of California, and agree that if I should become subjcct to the workâ‚¬rs' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions. WARNTNG: Failure to sccure workers' compcnsation coverage is unlawful, and shall subject an ernployer to oiminal penalties and compensation, damages as provided for thecivil fines up to one hundred thouszurd dollars in addition to the cost of Section 3076 interest t C-*r DECI"ARATION I hereby affrm under pcnalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and cffect. I &Cr\ b9\License u W I h@by 8lrm undq pcnalty of pcrjury that thqc is I @nsruclion kodirg ag@y for thc pqfomcc of thc rcrt for which thb p6nit k issucd (Se. 3097, Civ. C.). Lendcr's Name: Lender's Addrcss: APPLICANT DECLARATION I heney afErrn undcr pcnalty of perjury one of thc following dclarations: Demolition Pcrmits-Asbcstos Notifrcation Federal Regulations (Title 40, Part6) -Required lrttcr o f Notification -l certi$ that the lederal regulations regarding asbcstos removalare not applicablc to this project. -l certi$ that I have read this application and staG that the above information is correct. I agree to comply with ordinances and State Laws rclating to building construction, and hereby authorizc represâ‚¬ntatives above mcntioned property for Applicant or Agent Perlrritce nanlc 1*. n all City and County Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/Ve nUI n s u latio n Roof Sheathing Shear Wall Framing Insu lation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif F!NAL /a/qa LC /9*uta5 vj Certificate of Occupancy Notes, Remarks, Etc.