HomeMy WebLinkAbout101108202 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2314 S Shelton St Unit:Bldg: Address Range:
Assessor's Parcel:140-144-04 Lot: 37 Block: NA Tract: 2460 Historic: No
Permit #: 1O11O82O2
Pin #: 26-104
Suite Range:
Zoning: Rl
Building Use:
Job Type:
Nature of Work:
Existing BIdg. & Use:
Proposed Use:
Single Family Dwelling
Alteration
Windows
Sfd w/att garage
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area
Znd FL Area
Other Areas:
Patio:
T.l.Area:
Yards Req'd
Description of Work: Legalize (14) windows changed out.
Garage Area: Valuation: $5,000.00
Totat
Planning Conditions:
Owner:
Address:
Phone.
Tenant
Ho Wai Ng
13256 Arabella St
Cerritos, CA 90703
(408) 310-0507
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Gerierctl F'l0n Updnte Fee
Lrl 1 161t02- 51601t001r-
Hurldins
Ltl I t6ltu2- 5 I 6Lr1 rtlilJ-
Blds Stds Revolv i ng
t-tl I 1601t2- 51 61 ?t-tut-t-
11 i rrrof i Im & Document s
Ul1 l6lJU?- 177 TLluuLr-
Viscr
C(:+ : tr**r*****x*992 1
$?3 .7?
- $?31 . !'4
$1 . tl[t
$4,05
$260.7g
Authi: t-r7'7?6C.
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #.
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd:
Machado, Miriam Date: 1010712021
Date:
Date: 1010712021
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07176002
07776002
07776002
57607
57770
57672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
$172.64
$4.05
$1.00
$23.79
$59.30
$260.78
$0.00
$260.78
Amsden, Julie
Landscaping lnsp. Req'd
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs rssuance,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.
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#TotalNo
No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23.7e
$231 .94
$1.00
$4.0s
lnspector MID#: 2021-169301
/'
t'
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNI:R BUILDER DELCARATION
I hereby aflirm unda poalty of psjury thar I m cxcmpt from thc Contracton' Liccre Law for thc following rmn (Se.7031.5
Busines and Profsion Code): Any City or Comty which rcquira a po'rnit to @n$ruct, alts. improvc. danolish or rcpair oy
structue, prior to its issumcc. also rcquire thc applicilt for such pcmit to filc a signcd statmmt that hc or slE h liccns(d pwarn
to the provisiore of thc Contnclor's Licoscd l3w (Chapts 9, Commcncing whh Setion 7000 of Division 3 of thc Buine ud
PrcfeionsCode)orthathcorshciscxcmptth@fromedthcbasisforthcallcgcdcroption. AryviolationofsdionT03l.5byey
applicqnl
du*
for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
owner of the property. or my employccs with wages as their sole compensation, will do thc work and the structure is not
or offered for sale (Sec.7M4. Busincss and Professions Code: The Contractor's Liccrse [aw does not apply to an owner of
,.
the properly who builds or improves therqrn. and who does such work himself or herself or through his or her own employces,
provided that such improvonents are not intcnded or offered for sale. lf. howwer, the building or improvetnent is sold within one year
of complction, the Orvner Builder will have the hrden of proving that he or she did not build or irnprove thc property for thc purpose of
sale).
_1, as owner of the property, am exclusively contracting with licensed contractors to construct the projcct (Sec. 7044, Business
and hofession Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Licerse taw).
_l am Section-.for this reason.\
DECLAITATION
I hereby affirm under penalty of perjury one ofthe following declarations:
-l
have and will maintain a Certificate of Consent to Sclf-lnsure for workers' cornpensation, as providcd for by Section 3700 of the
Labor Code, for the performance of the work for which thc pennit is issued.
-l
have and will rnaintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the pei'formance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy numbcr are:
that in the pcrformance of the work for which this permit is issued. I shall not onploy any person in any manner
if I should become subject to theto become subject to the worktrs'cornpensation laws of California, and agree that
workers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal panlties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
Section 3076 of the labor Code, interest and attorney's fecs.76
I hereby affirm under penalty of pcrjury that I am licensed under provision of Chapto 9 (commencing with Scction 7000) of Division 3
of thc Business and Professions Code, and my license is in full force and effect.
Number:
W
I hwby aflm unda Frulty of psjuy thst th@ is a @rsructbn lcnding agocy for thc pqfomcc of thc rcrk for which this pqrnit b
isucd (Se. 3097, Civ. C.).
[fldq's Nuc:
Lender's Address:
APIIJCANLDECT.AEAIIAN
I hqlby affm undq penalty of p€rjury one ofth€ following delaalioru:
Dsnolition PmiteAsb6tos Notification Fcddat RcgulatioN (Titlc 40. Pan6)
-Rcquircd
t tt6 of Notilicalioo
-l
cqtifu that thc fcdoal regulalioE rslardiry sbGtos rmovd uc not applicablc to this pmjet.
-Hlotify tU t t o" Bd this applietion Ed state that thc abovc informatiotr is coret. I agrts to @mply with all city md Coutrty
ordi@c6 md Statc ttws rckuing to buildiag consrrudioq sd hqeby authorizc rcprsil8tivB of this City md Couty to at6 upon thc
above mentioned property for inspection purposes.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUI n s u latio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif /
,tI
FINAL Yolrl h,
Certificate of Occupancy I I / \,,
Notes, Remarks, Etc.I
Y
v
Can'ier:
License Class:-
Contrector:_
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