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Home My WebLink About101107209 - PermitCitfo$Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests. (7141667-2738 lnspector Section: (714) 647-5853 Permit #: {O11O72Og Pin #: 5o^772 Proiect Address: 1224 W Cubbon St-a- - Assessor's Parcel 010-272-06 Lot: POR 10 Unit:Bldg Tract: NININGER Address Range:Suite Range: Zoning: RlBlock: NA Historic: No Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio: Job Type: Miscellaneous Constr Type: V B 2nd FL Area T.l.Area. Natureof work: lnsulation code: cBc 2019 otherAreas yards Req'd Existing Bldg. & Use: SFD w/det Garage Flood Zone: x-0602320257J Garage Area Valuation: Proposed Use: # of Stories: Total Description of Work: Exterior wall insulation throughout property done from inside. New drywall. Owner-Builder form on file. Planning Conditions: $5,000.00 Owner: Address: Phone: Tenant Naui Huitzilopochtli 1224 W CUBBON ST Santa Ana, CA 927034924 (7141 248-3821 Contractor: Address. Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Engineer: Address: Phone: License #: Architect / Desiqner: 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 Chavez, Dave Date: Date. Date: 0711312021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 57770 Microfilm Records 07776002 57672 Bldg. Stds. Revolving 07776002 57600 General Plan Update Fee Total Paid to Date: Balance Due: $4.0s $1.00 $23.79 Fire lnsp. Req'd: Police lnsp. Req'd: No No Account#Total 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 rs suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51612 01 1 16002 57770 $23 79 $1.00 $4 0s $28.84 $0.00 $28.84 lnspector MID#: 2021-167398 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG,COMMENTS OWNER BUILDER DEI{:{X?IION I hmby alfum undo pcnalty of pcrjury thst I m cxmpt fiom thc Coilrados' Licw Law for thc following Iwn (Se.7031.5 Buins and PrcfNiotr Codc): Any city or County which rcquirc a pcni to oEtruct, altq, improvq dstrolish or rcpair my sructur, prior to its isue, also requiB thc applicmt for such p6mit to 6lc a signcd statdat thar hc or shc b licoscd pmuarr to thc provisioB of thc Contractor's Licoscd Law (Chaptc 9, Conrmming with Satiotr 7000 of Division J of thc Buins ud Prcfcsiore Codc) or that hc or shc is qmp th@from atrd thc b6sir for thc a.Uslcd amption. Any violatiotr of Setion 7031.5 by ey spplicilt for a pcmit subjets the applir'&t to a civilp@ltyof not morc thfl fivc hundrcd dolles ($500). -1, r omq of thc popary, or my mplo)6 with wags s thcir elc @mpasatiotr, will do thc work ard thc strudrc is rct intadcd or offscd for slc (Se.7044. BEine ud hofsioro Codq Thc Contraclor's Lic@ kw doB rct apply to m omq of thc propsty who huil& or improrc ttE@n, ed who dG sch wrl hirelf or h@lf or thrcugh his or ha oM cmpby6, providcd that such impromts rc mt intqrdcd or offacd for slc. lf, howq. tho buiHing or imprcwt is eld withh onc ,ur of omp&riorL thc Olvno BuilCs wil turc thc hd6 of pmving dra hc or slrc did mt buiu or impiovc thc propqty for thE trrpo$ of sle). -1, r oms of thc propoty, m crclusivcly conrraclitrg with licfiscd conracloB to @Gtruct tlE Foj6{ (36. 7044, &tsirc md Proft*sbn Codc: Thc Contraclor's Licsc Law doe not apply to u owno of propqty who builds or improvB ths@rL md who coilracls for such Fojets with a Contmto(s) licaMd p6wt to thc Contrsdor's Licffi Llw), -l m cxcmpt udq Setiotr-. B. & P.C. for this rruon. Drtc _ O*ns' YAEXEESSOMfJNIAIIAN DECI.ASAIION I hocby alfim undo pcna.lty of pojury onc of the followhg delamtioa: _l havc ad will mintsin a Cdificatc of CoMt to Sclf-lEurc for workn' compqxaion, c prcvidcd for by Sâ‚¬1iotr 3700 of thc kbor Codq for thc pqfoImcc of thc work for which thc pqmit is isucd. _l havc and will maintain workm' compcEation iEwecq 6 rcquired by S*tion 3700 of thc tabor Code for thc pa'fomocc of the work for which this Frmit is isuod- My workc' ompqrsatioo iroumcc mia ald policy numbo rc: Policy Number: Expires: _l ccrri& that in the performance of the work for which this p,ermit is issued, I shall not employ any pcrson in any manner so as to become subjcct to the workers'compcrsation laws of California, and agrec that if I should bccome subject to the workers' compensation provisions of Section 3700 of the l-abor Code. I shall. forthwilh comply with those provisions. WARNTNG: Failure to secure workers' compensation coverage is unlawful. and shall subject an snployer to criminal porahies 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 fees. Drte: Applicant LICENSED CONTRACTOR DECI,ARATION I hereby affrm undâ‚¬r penatty of pcrjury that I am licensod under provision of Chaptcr 9 (cornmencing with Secrion 7000) of Division 3 of the Busincss and Professions Code, and my liccnse is in full force and effect. License Class: License Number: Dete: W I h@by 8ffm mdq pcrElry of pqjury that thft is a @nstruction Loding sgocy for the pqfollmcc of thc mrk for which this pqmit b isucd (Se. 3097, Civ. C.). ladq's Nmc: Lender's Address: APPLICANT DECLARATION I hereby affinn under penalty of pojury one of the following declarations: Demolition Perrnits-Asbcstos Notification Fcdcral Regulations (Title 40, Part6) -Required Letter o f Notification -l cqtiry lhat thc fcdGal rcgulatioE râ‚¬gardiq abetos rmoval uc not applicablc to this prcjâ‚¬l. _l cdi8, rhsl I havc rad thb applicstion dd statc thrr thâ‚¬ abovc infonnation is conâ‚¬{. I 8gE to @mply with all City ud County ordimcB ud Statc taw rclaling to building snstructioil ed hqcby authorirc rc?rstarivB of thb City md Couty to ot6 upon tlE abovc mtioncd prcpsry fu irepetion purpos ADDllotrt or Alat Slqmt[rc: Drle PemllE um. (DrlDtl: Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloo r/Ve nul n s u latio n Roof Sheathing Shear Wall Framing lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif I FINAL tA //4 h,Lql h Certificate of Occu pancy tt Notes, Remarks, Etc.