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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 lu I I l6ttt A Cl l-tl I Bld r_r1 1 Ft;.-lr- 11 is ins [t[t- ments [t[t-. 6LtLt?ofil 6[tLt?tr:' 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: