HomeMy WebLinkAbout101107847 - PermitProject Address: 710 N Lacy St
1 Assessor's Parcel: 398-301-12 Lot: 12
Unit Bldg. Address Range:
Tract: FRUIT...SA EAST
Suite Range:
Zoning: SD84Block: E Historic: No
City of Santa Ana 20CivrcCenterPlaza(M-19), Santa Ana,CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O1107847
Pin #: 74766
lZY
Building Use: Single Family Dwelling
Job Type: Seismic Rehab
Nature of Work: Seismic Retrofit
Existing Bldg. & Use: Sfd w/det garage
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320163J
1
1st FL Area
2nd FL Area
Other Areas.
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $2,500.00
Description of Work: Voluntary seismic retrofit per LACDBS
Planning Conditions: For retrofitting of foundation.
Owner:
Address:
Phone:
Tenant
Gady Manor
710 N Lacy St
Santa Ana, CA 92701
(818) 232-2043
Contractor: RA D Concrete
Address: 9018 Balboa Blvd, #506
Northridge, CA 91 325
Phone: (818) 389-2791
State Lic #: 931 407
Lic Type: B, C-8
Bus. Lic #: 365138
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9288501
Expires: 1112512021
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By. Machado, Miriam
Plan Checked By: Ahangian, Kathy
Permit lssued By: Amsden, Julie
NPDES lnsp. Req'd: ' No
Date: 09/01 12021
Date: 09/01 12021
Date. 09/01 12021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
07776002
57607
53600
57770
57672
57600
s7607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$172.64
$239 34
$8 10
$1 .00
$23 7e
$se 30PWA lnsp. Req'd: No Fire Insp. Req'd: No
Planning lnsp. Req'd. No Police lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd. No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-168571
Account#Total
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
$23 79
$231 .94
$1 .00
$239 34
$8.1 0
t
CY -I.,
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUl n s u Iatio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drlnryal!
Ext./lnt. Lath
Brown Coat
Masonry n,/
Pool Fence .$v/
T-Bar \
Handicap Req \
Deputy Final Report
Engineer Final Report
Flood Zone Certif
nl
F!NAL qt hl'tl PVqr,I
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I hereby allim under penalty of pcrjury thal I m cx€mpt from thc Conftactoo' Licsc lrw for thc followitrg rcen (56,?03 1.5
BusinBs ad Profcsion Code): Any City or County which rcquirc a pamit to coNtocl, alto, improvq &molish or rcpair uy
stoctuc, prior lo its isumcc, also require thc applicat for such pernit to filc 8 signcd statm@t tha hc or $c b licoscd pumt
to thc prcvisions of the Contractor's Liccnscd [:w (Chaptq 9, Comcncing wilh S*tion 7000 of Division 3 of thc Buins ud
Profcsions Code) or that he or she is cxempt thsefrom ild thc basis for the allegcd cxmption. Any violation of Sdion 7031.5 by uy
applicantforapomitsubjetsthc applicanttoacivilpmltyofnotmorcthmfivchundrcddollm($500).
_1. as owner of the property. or my ernployees with wages as their sole compensation. will do the work and the stnrclure is not
intended or offered for sale (Sec.7044. Busincss and Professions Code: The Contractor's License [-aw does not apply to an owner of
the propcrty who builds or improves theron, and who docs such work himself or herself or through his or her own employees.
provided that such improvanents are not intended or offerod for sale. lf. horvwer. the building or improvanent is sold within one year
of completion. thc Orvner Builder will have the hrden of provirry that he or she did not build or irnprove the p,ropo'ty for the purpose of
sale).
{
-1.
as owner of the property. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7044. Buiness
and Profession Code: The Contractor's License [,aw does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
am exempt under Scction- . B. & P.C. for this reason.
Date:--
$
WORKERS' COITPENSATION
DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_l havc and will maintain a Certificate of Consent to Self-lnsurc for rvorkers' cornpensation. as provided for by Section 3700 of the
-tzbot/Codq for the pqfomcc of thc wort for which thc pamh b issued.
.Xo"" -a *itt .aintain workm' compcmatiotr ircurucq s requircd by Setion 3700 of thc Labor Codc, for thc pqfomcc of
thc work for which this perrnit is isucd My workc' compcnsaion irouuce wiq aod policy numb6 flc:
/ Canier:14-
__l certi$ that in the performance of the work for rvhich this permit is issued, I shall not
so as to become subject to the workers' compensation laws of California, and agrec that if I
employ any pcrson in any manner
should become subject to the
rvorters' cornpensation provisions of Section 3700 of the Labor Code. I shall,
WARNING: Failurc to serure workers' compersation coverage is unlawful.
forthwith comply with those provisions.
and shall to
civil fines up to one hundred thousand dollars ($100.000). in addition to
Section 3076 of the interest and attorney's fees.
q I
I hereby afiirrn undcr penalty of perjury that I arn licensed with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
b Nurnber:Qitlo-7
'n
CONSTRUCTION LENDING AGENCY
I hercby aflirm unde pcnalty of pojury that th6c is a comtrucrion lading agocy for thc pafommce of thc work for which this pqrnit is
issued (Se. 3097, Civ. C.).
Lender's Name:
Lendcr's Address:
APPLICANT DECLARATION
I hodry affirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Fcderal Regulations (Title 40, Part6)
_Required Letter of Notification
are not applicable to this projcct.
I agree to compll'with all City and County
of this Citl'and County cnter upon the
7*tpplicant or Agent 7,1-
\e.mitee nome LL
q
BUILDING. INSPECTOR RECORD
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