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Home My WebLink About101106475 - Permit7 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {01106475 Pin #: 24fi,83 t l/ Proiect Address: 291 5 S Fairview Sta Assessor's Parcel:933-070-33 Lot: 2, 611, 2, 4, 5 Block: NA Unit: G Bldg Tract: 8236/8868 Address Range: 2901-2975 Historic: No Suite Range: Zoning: R4 Building Use: Condomlnlum Occupancy: R-2 1sl FL Area: Palio: Job Type: Alteralion Constr Type: V B 2nd FL Area: T.l.Area: Nalure ot Work: Dock G.rage Haader Code: CBC 2019 Other Areas yerds Reqd Existing Bldg. & Uee: Condomlnlum Flood Zone: x.{1602320256J propGed uge: # of stories: Garage Area: vtluation: $ll'900 00 Total 0 Oaacription oi work: Repah dack - lbmove dock coating, roplaco rotten floor lolats, rsplaco guardralla, install now dack ayBtoan Rsplaca ga6ge door haader. Planning Conditions: Owner. Address: Phone. Tenant: Jose Alvarez 2915 S Fairview St, Unit G Santa Ana, CA 92704 (949) 929-2U5 Contractor: Martin Garcia dba MG Const Address: 12582 Tours Avenue Garden Grove, CA 92843 Phone: (7141 595-1 479 State Lic #: 1054607 Lic Type: B Bus. Lic #: 375629 Workers' Compensation I nsurance Carrier: Accredited Surety and Casualty Cc Policy #: 1ATCA16003097 Expires: 0211812022 Tindall Engineering, lnc George L Tindall 610 Malabar Dr Corona Del Mar, CA 92625 (949) 222-0615 19921 Engineer: Address: Phone: License #: Architect / Designer. Address: Phone: License #. Planning Approval By: Plan Checked By: Permit lssued By: NPDES !nsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd: No Guevara, Jerry Lee, Wayne chavez, Dave4(/. Date: 0412012021 Date: 0512112021 Date: 06/1712021 Subject to Field: Fire lnsp. Req'd: No Police Insp. Req'd: No Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: 0 77760 02 07776002 07776002 08907007 07776002 07776002 07776002 57607 53600 57770 24000 57672 s7600 s7607 75438 Total Permit Fee Plan Check Fee Microfilm Records SMIP - Category 1 Bldg. Stds. Revolving General Plan Update I ssua nce $345 28 $478 68 $28.35 $1.55 $1 00 $23 7e $59 30 Flood Zone Cert. Req'd: No 01 1 16002 51600 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 daysafter the time the work is commenced. 01 1 16002 51601 01116002 51612 01 1 16002 57770 08901001 24000 $23.79 $404.58 $1 .00 $28 3s $1.s5 Fee Total: Paid to Date: Balance Due: $937 e5 $478.68 $459.27 lnspector MID#: 2021-16561 5 ( ! SITE-WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bf Ioor/Ve nt/! ns u latio n Roof Sheathinq Shear Wall Framinq t'tz-Lt .D;vrP Yr. !nsulation/Enerqy ffintall \' = xt.\iltLitlInt. Lath qr- -u^14 yCoatqluZL lVlasonrv I Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Reoort Flood Zone Certif . (ta,oa 9n*otrr*t{z-Lr Da163 4t F!NAL 0 lr z-t 7 Certificate of Occupancy Notes, Remarks, Etc BUILDING- INSPECTOR RECORD olVNI'R I}TIII,I)ER I hcrcby alfirm undcr pcnrlty of JErjury Ihat I am cxcmpl frcm lhc ConlracloN' Liccns lrw for lhc following rcasn (Sc.7031.5 Busrncss ard Profcssion Codc): Any City or County which rcquircs o lEnnil to @nslruct, alts. improvc, dcmlish or rcpair any slruclurc, prior to ils issuancc. also rcquircs thc upplicant lbr such JErmit to lilc a signcd slulcmnt that hc or shc is licenrcd pursu8nt to lhc pruvisions of lhc Contraclor's Liccnscd law (Chaptcr 9. Commcrcing wilh Scction 70OO of Division 3 of thc Busiress and PrcfcssionsCodc)orthathcorshciscxcmptthcrcfromandthcbasisforthcallcgcdcrcmption. AnyvioletionofsationT0-ll.5byotry trpplicunt tbr a pcrmit subjsls lhc spplicunt to o civil pcnalty of nol nmrc than llvc hundrcd dollss ($500). _1. as ()wncr of thc proprly, or my employecs with wagcs as thcir solc comlrcnsalion. willdo thc work and thc structurc ls not intcndcd or offcrcd for salc (Scc'.7044. Busincss and hofcssions Codc: J'hc Contractor's Liccnsc Law docs not apply to an owncr of thc prc1rcrty who builds or irnprovcs thcrqrn. rnd who docs such work hirnsclf or hcrsclf or lhrough his or hcr own cntployccs. providcd that such improvcnrcnts arc not intcndcd or offcrcd for sah. If. howcvcr. thc building or improvcnrcnt is sold within onc ycar of corrplction. the Owncr Buildcr will havc the burdcn of proving that hc or shc did not build or improvc thc propcrty for the purgnsc of salc). _1, as owner of thc property. am exclusively contracting with licenscd contraclors to conslruct thc projcct (Scc. 7W. Busirtcss and Profcsskrn Codc: The Contractor's Liccnsc Law does not apply to an owncr of propcrty who builds or improvcs thcrcon. and who contracts lbr such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnsc l-aw). _l amcxempt undcr Scction_, B. & P.C. lbrthis rcason. I )atc. ( ) rllre r WORKERS' COM PF'NSATION DECLAR/tTION I hcrcby alTirrn undcr pcnalty of perjury onc of thc following dcclarations: _l havc and will nraintain a Ccrtificalc of Conscnt to Sclf-lnsure for workcrs' compcnsalion. as providcd for by Section 3700 of thc Labor Codc, for thc pcrformancc of the work for which thc pcrmit is issued. _l havc und will rnaintain wurkers' compcnsation insurancc. as rcquired by Scction 3700 of the l,abor Codc, for the pcrformancc of the work for which this pcrrnit is issucd. My workcrs' comlrcnsation insurancc carricr and plicy numbcr are: b a Policy J a 2 z _l ccrtify that in thc pcrfrrrnuncc of thc work for which this prnrit is issued, I shall not cntploy any pcrson in any nunncr so as to bccomc subjcct to thc workcrs' compcnsation laws of California. and agrcc lhat if I should bccome subjcct to ttrc workers' compcnsation provisions of Scction 3700 of thc Lahlr Code. I shall. lbrthwith cornply with thosc provisions. a WARNING: Failurc lo :iccure workcrs' civil fines up to onc hundrcd thousand Scction 3076 of thc Labor Codc. intcrcst Dare: e tnltllat compcnsation coveragc is unlawful. and shall subjcct an dollars (S100.000), in addition to thc cost of compensat cmployer to criminal pcnalties and :ion. danrages as providcd for thc and attorncy's fccs. t)trc't.Atr^'t't()N I hcrcby afl-rm undcr pcnalty of perjury that I am licenscd undcr provision of Chaplcr 9 (contrncncing with Scction 7000) of Division 3 of thc Busincss and hofessions Codc. and my liccnse is in full forcc and effcct. , I )*/0546o1 Licensc Numbcr:ed -1 W I hcrcby amrm undcr Fnalry of pcrjury thal therc is I @nstruction hnding agcncy for lhc lErfonmncc of lhe work for which this Frmit is issucd (Sâ‚¬. 3097. Civ. C.). Lcndcr's Narnc: lrndcr's Addrcss: A PPLICA NT DECLARATI()N I trcrcby alfrnn undcr pcnalty of pcrjury onc of the following dcclarations: Dcmolition Permits-Asbcstos Notification Fcdcral Regulations (Title 40. Part6) -Rcquired l-cttcr of Notification _l ccrtify that the fedcralrcgulations rcgarding asbcstos rcmovalarc not applicablc to this projcct. ccrtify that I havc read this application and stalc that thc atnvc inlbrrnation is corrcct. I agrcrc to cornply with all City and County ordinanccs and Statc ljws rchling to building construction. ard hcrcby authoria rcprcscnlativcs ofthis Cily ed County to cnter qnn thc abovc rncrrtioned propcrty for inspcction Applicant or Agent l)crnritm nnnle rn?rrrG.rtr< (Or nPo r\ tl -f- _Expircs:Q/o qB o,,", r ufllf)t pn*y, D( .S:rr.Gi Gcr tCtCt