HomeMy WebLinkAbout101108167 - PermitProiect Address: 1600 W Memorv Ln
Assessor's Parcel: 101-055-28 Lot: NA
Unit.Bldg: Address Range:Suite Range:
Zoning: OBlock: NA Tract NA Historic: No
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {01108167
Pin #: 58396
r/A-a
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Multi-Family (5 or more units)
Alteration
Vehicle Damage
Multi-Family Residential
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-2
VA
cBc 2019
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:$8,000.00
Description of Work Repair existing colums, like for like repairs due to vehicle damage.
Planning Conditions: Like for like repairs
Owner: EAH
Address: 22 Pelican Way
San Rafael, CA 94901
Phone: (41 5) 259_1900
Tpnant
Buildian Gonstruction Servi,
62', S B Street, Ste B
Tustin, CA 92780
(512) 944-2050
Contractor:
Address:
Phone.
Engineer:
Phone.
License #:
Architect /
Desiqner:
Address:
Phone.
License #:
utldton
2- 510(tu00tt-
ldg Stds F:evoivrns
Ltl 1 16ttLt2- Ila 1 ?rrrrri-
P/(. Euild rns
Ltl I 160tJ2- 53ottu[t[tti-
: o,ilorolesli
li: 1tr11Ltsl6'7
tI21 ITITT AH
t+33, +3
vrces
r.'t231 . ?+
323 ,'79
11 , tJ0
tr72,65
I
State Lic #: 1029288
Lic Type: B, C-6
Bus. Lic #: 379023
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9262403
Expires: 1110112021
dnue l-ee
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
;:::: ::K
Date: 1010512021
Date:
Date. 1010512021
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
J. DeSoto
0777
0777
0777
0777
0777
0777
6002: 57'607 Permit Fee $1lZ.O4ii :- trir r ".
60'QZ'.5?6"9A - $ybjegl to Field j , .$,1 72'"65
Fire lnsp. Req'd:
Police lnsp. Req'd Account#
No
No Total
6002 57770 Microfilm Records
6002 s7672 Bldg. Stds. Revolving
6002 57600 Genera! Plan Update
6002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$4.05
$1.00
$23.7e
$se.30
$433.43
$0.00
$433.43
Flood Zone Cert. Req'd: No 01 1 16002 51600
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#: 2021-169251
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 57770
$23.79
$231 .94
$1.00
$172.65
$4.0s
-al.r r
Addresr' 10
3,it
t t,I
c1
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BUILDING. INSPECTOR RECORD
S!TE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DEI,CARATION
I hwby affm unds pcnalty of pqjury thst I m cxcmpt ftom thc CotrtractoB' LiccE [aw for thc following |ten (Sc.7031.5
Buins md Profsion Code): Any City or County which rcquir6 a pqmh to coGtruct, altq. imprcvg danolish or rcpair my
strucluc' prior to its issuocc, also rcquiro thc eplicmt for such Fmit to filc a signcd stalmat that hc or she is licascd p|lMt
to the provisioB of thc Cotrurctor's Liccnscd t w (Chaptq 9, Comencing with Sction 7000 of Division 3 of thc BuinB ud
Prcfeions Codc) or rhat hc or shc is qcmpt thscfrom and thc basis for thc allcgcd umpion. Aly violatiol of Scrion 703 I .5 by ey
applicut for a pcrmit subjets the applicut to a civil pmalty of not more thm five hundrcd dollffi ($500).
-1.
as owner of thc p,ropcrty, or my cmploye€s with wagcs as thcir sole compcrsation. will do the work and thc stnrcture is not
intcnded or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an owner of
the property who builds or improves theron. and who does such work himself or hersclf or through his or her own employees,
provided that such improvonents are not intandod or offired for sah. lf, howorer, the building or improvement is sold within one ]€ar
of complaiorL the Orvner Builder will have thc burden of proving that he or she did not build or irnprove the propoty for the purposc of
sale).
-1,
as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business
and hofissbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licaued pursuant to the Contractor's License t aw).
-l
arn exempt undcr Section_, B. & P.C. for this reason.
Dete:
WORKERS' COMPENSATION
DECLAIIATION
I hoeby affrm under penalty of perjury one of the following dcclarations:
-l
havc and will maintain a Certificate of Consent to Self-lnsure for worketrs' compcnsation, as p,rovided for by Section 3700 of the
I-abor Code, for the performance of thc work for which the perrnit is issued.
_l havc and 3700 of the Labor Codc, for thc pcrfonnance of
the work for and policy number are:
I
Policy
-l
certi$ that in the performance of the work for which this permit is issued. I shall not ernploy any person in any manner
so as to become subject to the worters' compcnsation laws of California. and agree that if I should bccome subject to the
and
the
0 t
I hcrcby aflirm under poralty of pojury that I am licqrscd undcr p,rovision of Chapter 9 (commencing with Section 7000) of Division 3
of thc Busincss and Profcssions Code. and my license is in full forcc and effect,
License Number:7
n
W
I hotby alfm mds pcnaly of pcrjury that th@ is I condruction knding agocy for thc pqforrmcc of thc rcrk for which this pqnh ii
issucd (Sc. 3097, Civ. C.).
Lender's Name:
I-cnder's Address:
APPLICANT DECI,IIRATION
I hody affim unds poalty of pcrjury onc of thc followiag dclararions:
Dcrnolition Pmits-AsbBtos Notificstiotr Fcd(al Rcfulstios (Titlc 40, Put6)
-Rcquircd
Lrtts of Notificdion
. x cdiry that thc fcdoal rcgulatiom rcgrding ubctos moval uc not applicablc to this prcj€l.
>l cdiry that I havc Bd this application ad stalc thst thc sbovc infonnation is concl. I agrc to @mply with 8tl City ed Couty
ordinmcG ed Statc [:w rclaling to building costruction, ard h@by authoria rcprBstativd of this City 8d Couty to otq upon thc
abovc mertioncd propcrty for
Applicant or Agent
Permitee nrtnre
purposes.
sctL
o*", (e/t(>(
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUI ns u lation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL /6-2sa( a
Certificate of Occupancy
Notes, Remarks, Etc.