HomeMy WebLinkAbout101107092 - Permit7 \._
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 1903 E Fruit St-a-Unit:Bldg: Address Range:
Assessor's Parcel: 400-171-06 Lot: 4 Block: NA Tract: 9208 Historic: No
Permit #: 1O11O7O92
Pin #: 82238
Suite Range:
Zoning: R4
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Alteration
lnsulation
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320164J
1st FL Area
Znd FL Area
Other Areas:
Garage Area
Totat
Patio:
T. !.Area:
Yards Req'd
Valuation: $2,400.00
Description of Work: lnstall blown-in ceiling insulation
"t"nntn' "ono"ton"'
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Owicr: lnar GuerEro Contmcloi Futura En6.gy lnc
AddEss 1903 E F.uitst Addr6ss: 13142 B.rton Ro.d Address:
' s.nt An ,CA 9270t whittier, cA 90605
Phone: Ol4) 5E5-36?o Phone: (552) 941-7459 Phone:
Ten.nt state Lic : 985427 Licens€ #:
Lic Type c'38, B, c-10, c-20 Arcnibct /
Bus. Lic *: 351485 Desiqner: '' . ". l
Wo*erc'Compensation lnsuranc€: Address:CaTTieT: TRUMBULLII{SURAI{CECOMPAiI
Policr#: 76wEccB7317 Phone:
Expires.07 t25t2021 License #:I I CrOl' I Iflt & UOCUttefit s
07776002 s7507 Permit Fee $172.O4
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA Insp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Zuniga, Allissa
Date:
Date:
Date: 0710112021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 57770 Microfilm Records
07775002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$4 0s
$1.00
$23.79
$se.30
$260.78
$0.00
$260.78
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Tota!
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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
01 1 1 6002 51 600
01 1 16002 51601
01 116002 51612
01 1 16002 57770
$23.7e
$231 .94
$1.00
$4.05
Inspector MID#: 2021-167136
a
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BUILDING- INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl ns u lation
Roof Sheathing
Shear Wall
Framinq I I
lnsulatio nlEnergy I
Drywall .l \J
Ext./lnt. Lath
Brown Coat
[\/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I I
FINAL lolal z b
Cefiificate of Occupancv /
tL
Notes, Remarks, Etc.
I hcrcby aflinn under pcnalty of pcrjury that I arn excmpt from the Contractors' Liccnse [,aw for thc 703 r.5
Busincss and Prof'cssion Codc): Any City or County which rcquircs a pcrnrit to construct, altcr, inrprr rcpair any
structurc, prior to its issuancc, also rcquires thc applicant for such lrcrrnit to filc a signed statcment thatl .nsed pursuant
to thc provisions of the Contractor's Liccnscd Law (Chapter 9, Commencing with Section 7000 of Busincss and
PrclbssionsCodc)orthothcorshcisexemptthercfrcmandthebasisfortheallcgcdcxcmption. AnyviolationofscctionT03l.5by"any
applicant for a JErmit subjcts thc spplicant to a civil pcnalty of not mrc than live hundrcd dollus ($500).
-1.
as owner of thc proFrcrty, or nry employecs with wagcs as thcir sole compcnsation. willdo the work and thc stnrcture is not
intcndcd or ot'fcrcd for salc (Scc.7044, Business and Profcssions Codc: The Contractor's License Law docs not apply to an owncr of
thc propcrly who builds or funprovcs thcrcon, and who does such work himsclf or hcrself or through his or her own cmployccs
providcd that such improvcnrnts arc not intendcd or offcrcd fior sah. If, howevcr, the building or improvcnrcnt is sold within onc )rcar
of cornplction, thc Owncr Buildcr will have thc burden of proving that he or she did not build or improve the property for thc purpose of
sah).
_1. as owncr of thc property. am cxclusively contracting with licensed contractors to construct thc projcct (Scc. 7M4, Busincss
and Prptcssion Codc: The Contractor's Licensc Law docs not apply to an owner of prolrcrty who builds or improves thcreon.
and who contracts for such projccts with a Contractor(s) liccnsed pursuant to thc Contractor's Liccnse t-aw).
_l am cxcnrpt undcr B. & P.C. for this rcason.
SIIBrEIIITOMPJNSAIIAN
DECI.AB{IION
I hcrcby aflirm undcr pcmlty of psjury onc of thc following deleations:
_lhavcandwill mintainaCcrtifrcateofconscnttoSclf-lnsurcforworkss'compcnsation,&s prcviiedforbySstion3?00ofthe
LitDr Cqlc. for thc pcrformncc of thc work for which the permit is issued.
[t hvc ana will mintain workcrs' comlrcnsation insurarcc. as rcquircd by Scction 3700 of thc kbor Codc, for lhc 1Erformre of
thc work for
Carricr:
APPLICANT DECLARATION
I hcrcby allinn undcr pnalty of perjury onc of thc following declarations:
Dcmolition Pcrmits-Asbcstos Notification Fcderal Rcgulations (Titlc 40. Part6)
_Requircd lrttcr of Notification
_l ccrtily thal thc fcdcralrcgulations rcgarding asbcstos rcmovalare not
(-l ccrrify that I havc rcacl this application and state that thc abovc
ordinanccs and Statc Laws rclating to building construction. and
atxrvc rncntioncd propcrly for
Applicant or Agent
which this pcrmit is issued. Ilty workers' compensation insurance carrier and plicy numbcr are:rTYurqbvl,l -
qKsK e-1
Policy r1 u
-l
ccrtify that in thc pcrforrnancc of thc work for which this permit is issucd, I shall not cmploy any person inly manner
so as to bcconrc subjcci ro rhc workers' compcnsation laws of California, and agrce thar if I should become JUp.t to thc
workcrs' comlrcnsation provisions of Section 3700 of the [:bor Code. I shall. forthwith comply with ttnsc provisions.
WARNING: Failure to sccure workers' compcnsation covcrage is unlawful. and shall subjcct an cmploycr to criminal ;renalties and
civil fincs up to one hundrcd thousand dollars (5100,0001, in addition to the cost of compcnsation. damagcs as providcd for the
altorney's
DECLARATION
I hcrcby alfirnr undcr pnalty of pcrjury that I am liccnscd under provision of Chaptcr 9 (commcncing with Scction 7000) of Division 3
of thc Business and Professions Code. and my license is in full force and
a
effc.ct.)
LLiccnsc Numbcr:
W
I hcrcby affirm undcr Fn.lty of perjury that thw is a @nstructbn lcnding rgcrcy for thc trcrfol1Mce of thc work for which this pemit is
issucd (Scc. 3@7, Civ. C.).
kndcr's Namc:
lcndcr's Addrcss:
1
Pcntrilce nanre
1
Scction
Date:_
?,o L, lrr^"rNQ
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