HomeMy WebLinkAbout102106177 - PermitProiect Address: 1123 W McFadden Avea
Assessor's Parcel: 010-274-15 Lot: POR 3
Unit:Bldg:
Tract: NININGER
Address Range.Suite Range:
Zoning: R2Block: NA Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (7'14)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O2{06177
Pin #: {6538
Building Use
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Duplex
Alteration
Windows
Duplex w/att garage
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $900.00
Description of Work: Legatize (3) windows changed out. Letter of auth on file.
Bstch*:58497 3/1S/2tt21
0ff ice: CTYH Trnns*: 3.j
Owner:
Address:
Planning Conditions:
Mercedez Del Muro
1123 W McFadden Ave
Santa Ana, CA 92707
Phone: F14l il0423s Phone:
Tenant: state Lic #:
goTtcB oF vto*tffii*ompensation rnsurance:
Policy #:
Expires:
Contractor:
Address:
Owner-Builder
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone:
License #:
HL
EP
TrGnsoct ion TotcrI
ller red ez De I Jlur' o
Genenol PInn Updnte F ee
Ltl I 161102- Sl6LtLruLtL'-
P,u i ld ins
Ltl I l6ttt-t2- i1 6t-t1 ttt-ttt-
Blds Stds Revolv i ns
Lrl 1 l6LilJ2- 51612rJlil:r-
ll i crof i Im & Document s
u 1 t I 6rJrJ2- 1777ltir[rlr-
I(:L Checll 0I,Lt74
i23,7\
$5?9,1{
$ 1 ' t-t[
$4 . [t].
Guevara, Jerry
sden, Julie
Landscaping lnsp. Req'd:
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs rssuance,or if the work authorized
on the site by such permit rs suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
Inspector MID#: 2021-164898
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning !nsp. Req'd:
Date: 03/1 612021
Date:
Date: 03/1 812021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
07776002
07776002
07776002
07716002
07776002
07776002
07776002
Permit Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuanceAccount#Tota!
57607
57770
57607
57607
57672
57500
57607
$172.64
$4.05
$104.26
$261 .96
$1 .00
$23.79
$59.30
No
No
No
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd. No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 57770
$23.79
$598 1 6
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due:
$627 00
$0 00
$62t.00
Lr?t
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h@by affm und6 pcnally of pcrjury that I m cxmpt from thc ContractoB' LiccN law for the following lten (Sc.7031.5
Busine ard Prcfsion Codc): Aoy City or Couty which rcquirs a pernit to coNtruct, altc, improvq &molish or rcpair oy
structue, prior to its issuacc. also requirs thc applicut for such pmit to filc a signed statoot thar hc or strc i: licoscd pmt
to thc provisioN of thc Contrutor's Liccnscd trw (Chaptq 9, Commcncing with Setion 7000 of Divisioo 3 of thc Buine ud
PrcfsionsCodc)orthathcorshcisexmptthqeftommdthe basisfortheallegcdcxmption. AnyviolationofS€lion703l.5byey
#*#;il;J;ffiffi;H.#ffi*,**********",
thc prcpqty who tuilds or improvc thson. ed who doB such wrt himsclf or hrelf or thrcugh his or ha om cmployce,
providcd that such improvmb rc rct irtqdcd or olfqcd for slc. If, howoo, the hriHiry or improvqmrt is sld within onc )qr
ofcompletior\ thc 0*46 Buil<k will harc thc hrdgr ofpoving tlr* hc or drc did mt hrild or improvc the popary for thc purposof
eh).
-1.
r omq of the propqty, m exclsivcly contrac{ing $,ith licms€d contractoE to construcl thc prpjEt (Se. 7044, Bwin6
ud Ptofsbn Codc: Thc Contretor's Licsc Law doa not apply to o owna of prcpcnywho builds or ioprcve th6@n,
ild who ontnds for such proj@ls with I Conracro(s) liccnscd pun@t to thc Corilractor's Licre Law).
B.
I hereby affrrm under penalty of perjury one of the following
-l
have and will maintain a Certificate of Conscnt to Self-lnsure for workcrs' compersation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which the pcrnrit is issued.
-l
have and will maintain workers' compensation insurance, as required by Section 3700 of the l-abor Code, for the performance of
the work for which this pcrmit is issuod My workers' compensation insurance carrier and policy numh are:
Annin.
Policy Number: Expires:
\J&"orjfy ttotin the psfomancc of thc work for which this fmit is i$ucd, I shall not @ploy my pc6on in any men6
rc ro to beome subjet to thc works' @mpqtsarion law of Califomia, ud agrc that if I should bcomc subjet to the
wort6' comp€Ntion prcvisioro of Setion 3700 of thc Labor Code. I $all. fonhwith comply with thos prcvisiom.
WARNINC: Failurc to suc work6' @mpeNarion @v@gc is unlawful. od shall subjet u ilploF to siminal pouhics md
civil finq up to onc hudrcd thouud dollm ($100.000). in addition to thc cost of compcmtion. &mage r prcvided for the
attorney's fees.4
I hereby affrm under penalty of perjury that I arn licensed 9 (commencing rvith Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and efFect.
License Class: License Number:
W
I hdcby affm und6 penalty o f pcrjuy that thqc is a @ngruction landing agocy for thc pqfoIrrucc of the work for which this pqmit b
issued (Se. 309?, Civ. C.).
[:ndq's Nmc:
Lcnder's Address:
APII.ICANLDECI.AEAIION
I barty affna unda penlty of pc{ury oac of the followiag dalanriore:
Dmolition Pmits-Asb6tos Nodficatio! Fcdqal Rcgulatiom (Titlc 40, Pan6)
-Rcquircd
lrttc of Notificafion
-l
cotiry thd thc fcdoal rqulatiore rcguding rbctos rmoval rc not applicsblc to this prcjct.
lA*tiry tfta I havc @d this applicstion and statc that thc abovc infomation is @ret. I agre to amply with all City ud Couty
brdiamcc ud State t:m rclaing to building con$ructiorq md h6€by authorire rcp(€artativc of this City ud Couty to ot6 upon the
above mentioned property for inspection
,a
' Applicant or Agent
' Permitee IL
Zo "/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u Iatio n
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
\
FINAL to ll Lt _hff4-
Certificate of Occupancy t \v
Notes, Remarks, Etc.
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