HomeMy WebLinkAbout101101321 - PermitCity 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
Permit #: 1O11O{ 321
Pin #: 34474
Project Address: 1308 S Orange Ave
Assessor's Parcel: 014-022-16 Lot: 15
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: E Tract: 245 Historic No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Miscellaneous
Demo garage
Sfd w/det garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
U
VB
cBC 2016
x-0602320276J
1
1st FL Area
2nd FL Area
Other Areas.
Garage Area:
Totat
Patio:
T.l Area.
Yards Req'd
Valuation:
0@0
$4,000.0035
rH
Description of Work: Demo detatched garage (300sf) & attached workshop (250sf)on 50 lof,nl
el ect Drsunl I & (:onstruct i on
Planning Conditions:
I
Owner.
Address:
Phone:
Tenant
Omar Alvarez
1308 S Orange Avenue
Santa Ana, CA 92707
(7141 882-9673
1 16tttt2
ds St,d
I 16rr(r2
nr:ro I
I l6LtLt?
1?tt[tt:r
Updnt
0tttttttl
r1051
Contractor. Select Drywall & Constructir
Address: 3 Darwin
lrvine, CA 92604
Phone: (7141 573-1 414
State Lic #: 853873
Lic Type: B, C-9
Bus. Lic #: 375029
Workers' Compensation ! nsurance.
Carrier: State Compensation lnsurance Fur
Policy #: 1234905
Expires: 0 410112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd.
Landscaping Insp. Req'd
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No
Graham, Jeffery
Hernan dez, Kathy
Date: 09/03/2019
Date:
Date: 0211112020
Subject to Field.
Misc. Receipt:
Misc. Recerpt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57500 General Plan Update
07776002 57607 lssuance
Fee Total
Paid to Date:
Balance Due:
$1 66 s3
$1 00
$22 95
$s7.20'.(-}
No
No
No
No
Account#Total
01 1 16002 51600
01 1 16002 51601
01116002 51612
$22 95
$223.73
$1 00Every permitissued 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.
$247 68
$0 00
$2q.68
lnspector MID#' 2019-152122
I
BUILDING. INSPECTOR REGORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hftLy aUirm undo penalty of pajury that I m cxmpt from thc CoilracloB' Licce Law for thc following lwn (54.7031.5
Busin6s ud Profsion Codc): Any City or County which rcquira a pannit to co$iruct. altq, imprcvq &molish or npair uy
struc1[c, prior to ils isumcq also rcquirB thc applicet for such pcmit to filc 8 signcd stalmot thar he or shc is licqtscd pmuut
to thc prcvisioB of thc Contnctor's Liccnscd Law (Chsptq 9, Comcncing with Setion 7000 of Division 3 of thc Bwins ud
Prcfe$ionsCodc)orthatheorshcisqmptthecfromadthcbssisforthcallcgcdcxoFion. AtryviolationofSctbnT03l.5bymy
applicat fur a pcrmit subjats the applicut to a civil pcElty of noi more thu fivc hundrcd dollas ($500).
_-1, 6 ownfi of thc prcpcny, or my mploye with wags r thcir $lc comp€Eation. will do thc wo* ad thc siluctrc is not
inodcd or offqed for slc (Sc.7044. Busins md Prcfsioro Codq Thc Contmctor's Lic6c taw do6 not apply to e om6 of
thc pDpsty who builds or imprcv6 th@n, ud who do6 sch wotl himsclf or hmlf or through his or hq ou mpby6.
providcd thar such improvqHns dc not intqdcd or oflqcd for slc. lf. howqq. thc tuiHing or imprcffit is $H within onc )€r
ofcomplction, the Ovma Builda will have the hrdqr ofproving thd hc or she did not buiH or inprore the prcpoty for thc pruposof
slc).
ft, o o*no of thc popcny, m cxclusivciy contracting wirh hcascd contractoF to oostruct thc prcjcl (Se. 7044, Buine
ird Proftsbn Codc, Thc Contrrctor's Liccnsc Law do6 not apply to a owns ofprcpcny who builds or imprcvcs thq@n,
and who conancls for such prcjG{s with a Contruto(s) liccEcd puNwt to the ContBctor's Lic€e Law).
-l
arn exempt under Section- , B. & P.C. for this reason.
Date:_
WORKERS' COMPENSATION
DECLARATION
I hereby afiinn under p€nalty of perjury onc of thc following declarations:
__l havc and will maintain a Certificate of Conscnt to Self-lnsure for workers'compensation. as provided for by Section 3700 of the
Labor Code, for the perforrnance of the work for which the perrnit is issued.
'lrrand will maintain workcrs' cornpensation insurance. as required by Section 3700 of the labor Codc. for the pctformance of
the work for which this pcrmit is issued. My workcrs' compensation insurance carTier and policy numh are:
,A C)c D
Policy ra3 y1 dg Exoires:v ,/" r,/za ?. o
6 r*rrthar rn the performance of the work for which this permit is issued. I shall
so as to become subject to the workers'compensation laws of California. and agrec that
workers' compensation provisions of Section 3700 of thc Labor Code, I shall. forrhwith
not ernploy any person in any manner
if I should become subject to the
comply with those provisions.
*
,tu
the
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an employcr to criminal penalties
civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for
Section -1076 of the Labor Code. interest and attorney's fecs.
Orl"r.
-
I hereby affirm under penalty of perjury that I zun licensed under 9 (commencing with Sc.ction 7000) of Division 3
cf the Business and Professions Code, and rny license is in full force and effect.
l,iccnse Number:Fss 8?3
Dare: 9,/ZrAozo contrector,i& -.ta. l, *;7- \-
th@byafFmund6pqlaltyofpcrjuryth8!*ffifomccofthcworkbrwhichthispqnitb
isucd (Sc. 3097, Civ. C.).
Lcnder's Name:
I-cndcr's Address:
APPLICANT NECLARATION
I ht:tb, aIlinn under penalty of perjury one of the following declarations:
Dcrnolrtion Permits-Asbestos Notification Federal Regulations (Titlc 40, Par16)
_Required Letter of Notification
_-t cdiry that thc fed@l rcgulstiom rcgudisg ubqtos rqnoval ac not applicablc to this prcjtrt.
4 ,rtity tt xl have red rhis application and statc thal thc abovc infomation is cor€ct. I agre to comply with all City and County
ordinuce ud State taws rclaring to building co$truction md h6cby authorize reprmtativG of this Cily ed County to atq upon thc
above mentioned property for inspetion
Applicant or r\gent Signature:
Pcrmitee n&me
t 2o?a
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloo r/VenUl nsu lati on
Roof Sheathins
Shear Wall
Framinq
lnsulation/Energy
Drnruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL /o'/ Q -z I b*otz
Gertificate of Occupancy
Notes, Remarks, Etc.