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HomeMy WebLinkAbout101107210 - PermitProject Address: 1224 W Cubbon St Assessor's Parcel: 010-272-06 Lot: POR 10 Unit:Bldg: Tract: NININGER Address Range:Suite Range: Zoning: RlBlock: NA Hrstoric: No 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 Permit #: 1O11O72{O Pin #: 28{98 a Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Job Type: Miscellaneous Constr Type: V B 2nd FL Area Nature of Work: Stucco/Framing Code: CBC 2019 Other Areas: Existing Bldg. & Use: SFD w/det Garage Flood Zone: X-06O232O257J Garage Area: Proposed Use: # of Stories: Totat Description of Work Stucco replacement and replace framing due to rot damage (ext, int, foundation). OwnErcfunm un filo. 0ff ice: (:TYH ,r - -L I rHLLLz r Rcpti:tt334IrLl Patio: T.l.Area: Yards Req'd Valuation: $4,000.00 /2 .JL }Tr'fl ID: EI.. I ThE 66 l$t,ei*: 1r11Lt.i72it-ti;it?l 11:i6 AHPlanning Conditions: 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: Hou i Hu r tz i lopochrl i Gerrerol F'1cn Updnte F ee u I I I 6ttt tZ -. 51 6ttttt-l[ttt - Build ing Ltl 1 16rtt t2- 51ott1 [t[t[t- tllds Stds Revolvins ttl I 16tttt2- 5161 Z(tt-trt- [-'/t: Bu i ld irrs rll 1 l6r.tt t2- 53ott0[t[t[t- llicr'oi i1n & DacurilenLs ttl1I6t-tt t2- 177 7[t[tt][t- Uis0 C(.* : * * * tt**** * **7t-tl I $?i , iv $41t4.::iii $1,tr[r $4 . [tli S1r100.f,3 Authi:0[rS210 Engineer: Address: Phone. License # Architect / Designer: 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 Frre lnsp. Req'd. No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51600 01 1 16002 51601 01116002 51612 01 1 16002 53600 01 1 16002 57770 Jacinto. Heidi Zuniga, Allissa Date: 0711312021 Date: Date: 0711312021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: D. Estep 077750 02 07775002 077760 02 07776002 07776002 07775002 Permit Fee Subject to Field Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance \, / 57607 s3500 57770 57672 57600 57607 $345.28 $1 72 65 $4 05 $1 00 $23 7e $5e 30 Account#Total Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after ifs issua nce,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#: 2021-167398 $23 79 $404 58 $1 00 $1 72 65 $4 05 Fee Totat Paid to Date: Balance Due: $606 07 $0 00 $606.07 L BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcreby allirm undcr Fnaly of lrcrjury lhat I m excrpl fmm thc Contraclor' Liccn$ [lw for thc followirg rwn (Sc.7031.5 Busincss ard Pmlbssion Codc): Any City or County which rctuircs 8 frcmit to @nstrcl, altci imprcrc, dcmlish or rclEir ily slruduc prior lo its issumc, also rcquircs thc applicant for such lErmit to filc a signcd st.lcrcnt that he or slf, is liccnrcd pursuot -to the Fovisions of lhc Controctor's Liccnpd [rw (Ch8ptcr 9, Commrcing wilh Sclion 7000 of Divlsion 3 of the Busiress ud - Prcfessk ns Code) or Ihlt he or shc ir cretrpt ttmfrcm airC lhe basis for thc allcgcd cxerpiion. Ary violatbn of SNtbn TOJ l .5 by ey : spplicsnt for a pcrmit subjets lhe applicant to 8 civil pcnalty of not mrc Ihe five hundred dolhs ($500). --1. a.s (rwircr of thc propcrty. or my cnlployecs with wagcs as lheir solc compcnsation. willdo thc work arxl thc stnrcturc is rxlt intcndcd <lr offered f<lr sale (Sc.c'.7044 Busincss and hofcssions Codc: Thc Contractor's Liccnsc law docs not apply to an owncr of thc propcrty who builds or inrprovcs thcrcon. and who does such work hinsclf or hcrsclf or through his or hcr own employecs. provided that such improvcnrnts arc rxlt intcndcd or offered for sale. If, howerrr, thc building or irrryrrovcnrnt is sokl within onc )car of comphtion. thc Owrrcr Buildcr will have thc burdcn of proving that frc or she did not b,uih or improvc ttrc property for thc pur;nsc of sale). __1, as owncr of thc proprty. amexclusivcly contracting with licenscd contractors to conslruct thc projoct (Sec. 7W, Busincss and Profcssion Codc: The Contractor's Liccnsc Law docs n<lt apply lo an owner of propcrty who builds or improves thcrcon. and who conlracts fbr such projects with a Crnlractor(s) liccnscd pursuant to thc Contraclor's Liccnsc law). tbr this ( )rvner: DECI ARATION I hcreby alTirm undcr pnalty of prjury onc of thc following clcclarations: -_l have and will maintain a Ccrtificatc of Conscnt to Sell'-lnsurc for workcrs'compcnsalion. as povidcd for bySection 3700 of the L-abor Codc. for the pcrformancc of thc work for which the pcrmit is issued. _l havc and will maintain workers' compcnsation insurance. as rcnuircd by Scction 3700 ol'the [:bor Code. for the performance of thc work for which this permit is issucd. My workcrs' comlrcnsalion insurance carricr ad plicy numbcr are: Policy _l certify that in thc pcrformance of thc work lbr which this pcrmit is issucd, I shall not employ any pcrson in any rnnner sn as to bccomc subpct to lhc workers' compensation laws of California. and agrec that if I should bcconrc subjecl to ttrc with thosc provisions. an cnrploycr to crinrinal ics antl civil fincs up to onc hundrcd thousand dollars ($100.000).to thc cost danuges as thc atlonrcy's I hcrcby ulfirnr unclcr pcnalty of pcrjury thll I arn liccnscd provision of Chaptcr 9 (comnrcncing with Seclion 7Un) of Division 3 of the Business and hofcssions Codc. and my liccnse is in full forcc and et'fcrt. Licensc Cluss: l-iccnse Nutnbcr: Date:__Contractor:_ CONSTRUC'TION LB{DING AGENCY I hcrcby rftirm urdcr Fnalty of JErjury that thm is a construction bnding agcrcy for thc lrcrforlllmc of lh€ work for which this Ism[ b isrucd (Scc. 3097, Civ. C.). [-cnder's Narnc: I.cncicr's Aclclrcss: APPLICANT DECLARATION I trcrcby alfirmundcr pcnalty of pcrlury onc of the following declarations: Dcmolition Permits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6) -Requ ircd l,cttcr of Notification _l certify that thc federal rcgulations rcgarding asbcstos rennval are nol applicablc to this proj<xt. _l ccrrily lhat I huve rcad this application and statc that thc ahrvc information is corrcct. I agrec with all City and County ordinances and Statc Lrws relating to building above nrntioncd pro;rcrty for Applicanl or Agenl Pernriter. nar.le authorize rcpresentat ivcs tnd Set Backs Forms/Stee!/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loo r/VenU! ns u I atio n Roof Sheathino Shear Wall Framinq '? - l9 -Ll d>Otln- lnsulation/Energy Drywall Ext./lnt. Lath l-l L -21 I Y*€'tz Brown Coat 6-tqL4r EIrJa1e€,llr JMasonrv Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif ,fo,euel 83.*t SV9*d .U FINAL pfiq /u Fu) 5'l Certificate of Occupancv Notes, Remarks, Etc. Rev. 08-07-201 5 _l am cxcrnpt Dnte:__ Carrier: