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: