HomeMy WebLinkAbout101106547 - PermitCity 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 #: {01106547
Pin #: 445619
Proiect Address: 118 N Laurel St-a-
Assessor's Parcel: 198-252-26 Lot: 126, POR 127 Block: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: R2Tract: 540 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Alteration
Remove Drywall
Sfd w/det garage
R-3, U
VB
cBc 2019
x-0602320256J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $10,000.00
Occupancy:
Constr Type:
Code.
Flood Zone:
# of Stories:
Description of Work Remove drywall due to fire damage
Fire damage repair reviewed under flc #101106405
Planning Conditions:
Owner.
Address:
Phone:
Tenant
lsmael Solano
118 N Laurel St
Santa Ana, CA 92703
(7141 478-7065
Contractor: Sevilla Construction lnc
Address: 17280 Hlgh Country Cir
Perris, CA 92570
Phone: (951) 378-0860
State Lic #: 1020315
Lic Type: B
Bus. Lic #. 377867
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fut
Policy #: 9226425
Expires. 0211612022
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner.
Address:
Phone:
License #:
benero.
:r 1 1 16rrr\
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Graham, Jeffery
Hernan dez, Kathy
Date: 0412812021
Date:
Date: 0412812021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
57600
s7607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$172.64
$4.05
$1 .00
$23.79
$5e 30No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 1 6002 51 600
01 1 16002 51601
01 1 16002 s1612
01 1 16002 57770
Account#Total
Every permitissued 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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
$23.79
$231 .94
$1 .00
$4 05 Fee Totat
Paid to Date:
Balance Due:
$260.78
$0.00
$260.78
lnspector lvllD#: 2021-165798
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BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hereby affum undq penalty of perjury that I m qempt ftom the CotrtractoB' Licffi taw for the following rwn (56.7031.5
Buines ad Profeion Code): Any City or County which requiG a pfinit to sGtruct, alta, improve, dmolish or rrpair my ,
struc1ure. prior to irs isuace, also require the applicmt for such pemit to filc I signed statmmt thar lrc or shc is liceNcd pmuant.
to the previsioc of the Contractor's Licensed law (Chapta 9, Commcncing with Sstion 7000 of Division 3 of the Busincs md
Prcfesions Code) or that he or she is q€mpt thq€fiom md the b6is for thc alleged exemption. Any violation of Setiori7o3l.5 by any'
applicantforapmitsubjctstha appticilttoacivilpflaltyofnotmorethefivehundreddollus($500).
_1, c owncr of the pro6y. or my mploles with wag6 s thcir $le compffation, will do the work fld the struclrc is mt
int@dcd or offqcd for nle (Se.7044. Bwin6s ild Profsiore Code: The Contractor's LiceN law do6 not apply to il oMs of
the prcperty who builds or improvc ths@n, ad who do6 swh wrk him3clf or hmelf or thrcugh his or ho om mploys,
provided that such improvffints re rct intmd€d or olI6€d for ele. lf, howryq, the building or improvmt is rcld within onc )qr
ofcomplcion the Owner Buiklq will have the fudm of proving thrt he or she did rct build or improvc the prcpqty for tlrc purporeof
ele).
-1,
I oMs of the prcpaty, m uclusive ly contracting with licfficd contractoE to coGtruct the projsr (Ss. 7044, B6ins
ild Prcftssion Code: The Contrctor's License Law do6 not apply to u ownq of prcpqty who builds or imprcves thqsn.
and who contmcts for such projtrts with a Contrac{or(s) liceNed pu6@t to the Contmclor's Licffi Law).
-larnexemptunderSection-,B.&P.C.forthisreason.O*ner'
WORKERS' COMPENSA
DECLARATTON
I hereby affirm under penalty of pajury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers'compensation, as provided for by Section 3700 of the
[,abor Code, for the performance of the work for which the pennit is issued.
)-fhave andIthe work for
3700 of the Labor Code, for the performance of
and policy number are:
le/toLL
Policy Number: f - Y- -t - .l Expires:7L7-Gq L f
_l cqtiry rhat in the poformana of the work for which this permit is issued, I shatl not mploy any pmon in any mmno
s 6tobeom€subjsttothework6'compsationlawsofCalifomia,edagr€thatiflshouldbcomesubjettothe
woil(m' compeMtionprcvisiomof Scction3T00ofthc LaborCodc, I shall. forlhwith@mplywithrhosprcvisiom.
WARNING: Failurc to sue workqs' ompemation covmge is unlawful, ud sha.ll subjwt u flplols to qiminal perEltie ad
civil lmes up to one hudred thoMd dollm ($100,000), in addition to thc cost of compcMtion, dmages 6 providcd for thc
Section 3076 of the Labor Code, interest and attorney's fees.
noro. tf - L tr-1 (
I hereby affirm under penalty of perjury that I arn licensed 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
B lcla) l,f
License Number:
D*", q-L F'L I
CONSTRUCTION LENDING AGENCY
I hreby affirm unds penalty of pqjury that th6c b a corctruction lcnding agocy for the pafomace of the work for which this psmit is
issued (S(. 3097, Civ. C.).
Lender's Name:
APPLICANT DECLARATION
I hoelry affinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Required Letter of Notification
_l cerri& that the federal regulations regarding asbestos removal are not applicable to this project.
-l
ceniry that I have rod this application and state thst thc abovc infomation is con*t. I agre to comply with all City and County
ordinancG ild State liws relating to building comtruaioq md hoeby authorire repr€mtativ6 of this City md County to 6ts upon the
above mentioned propefty for inspection
Applicant or Agent
Permilec namc €cz l{
f)oln'
,{ -Z/-1 |
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUl n s u latio n
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
F!NAL P-ll-LL Lt-r T.
Certificate of Occupancy
Notes, Remarks, Etc.
Lender's Address: