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HomeMy WebLinkAbout101107489 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714)-667-2738 lnspector Section: (714) 647-5853 Permit #: {011o^7489 Pin #: ,7?P, Project Address: 210 W Murphy Ave Assessor's Parcel: 410-062-02 Lot: 48 Unit Bldg: Address Range:Suite Range: Zoning: RlBlock: NA Tract: 6433 Historic: No Building Use: Job Type. Nature of Work: Existing Bldg & Use: Proposed Use: Single Family Dwelling Miscellaneous Bathroom SFD Occupancy: Constr Type: Code: Flood Zone'. # of Stories: R-3 VB cBc 2019 x-0602320278J 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T.l.Area: Yards Req'd Valuation: $9,500.00 Description of Work: Replace existing tub with watk in tub includes drywall. Planning Conditions: Owner: Address: Phone: Tenant Raylene Casares 21O MURPHY AVE Santa Ana, CA 927074927 (7141 686-8066 Contractor: Safe Step Walk-in Tub Coml Address. 15262 Pipeline Lane Huntington Beach, CA 9264 Phone: (7141 373-8545 State Lic #: 983603 Lic Type: B Bus. Lic #: 365881 Workers' Compensation I nsurance: Carrier: State Compensation lnsurance Fur Policy #: 9002477 Expires: 0110112022 Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: t Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd. No Land.scaping lnsp. Req'd: No Machado, Miriam Date: 08/1 212021 Date: Date: 08/1 212021 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07776002 57607 07776002 57770 07776002 57672 07776002 57600 07775002 57607 o,,,r({p/ Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update I ssuance Y72.6q $4 0s $1 00 $23 79 $5e 30 Zuniga, Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterits 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. Fire lnsp. Req'd: No Police !nsp. Req'd: No Flood Zone Cert. Req'd: No Account#Total 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 $23 79 $231 94 $1.00 $4 0s Fee Total Paid to Date: Balance Due: $260 78 $0 00 $260.78 lnspector MID#: 2021-168003 rl il t ut'l 1latl BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby affirm undcr Jrcnalty of pcrjury that I am cxcmpt lmm thc Contrilclos' Liccnsc tjw for lhc following rcamn fS6.70.}1.5 Busincss and Profcssion Codc): Any City or County which rcquircs a lEmit lo construct. altcr. improvc, dcmlish or rcpair any ' structurc. pdor lo its issuancc. als rcquircs thc applicanl for such JrcrNit lo lilc o signcd statcmnt that hc or shc is liccnsd pusuanl to thc pmvisions of lhc Conrrrctor's Liccnmd law (Chapter 9. Commcncing with Selion 7000 of Division 3 of lhc Busincss and Pmfcssions Codc) or that hc or sh€ is cxempt Ihcrcfiom and tlrc basis for lhc alhgcd cxcmption. Any violalion of Satbn ?03 | .5 by any applicnnt for d pcrmit subjccts the applicant to a civil pcnalty of not morc than fivc hundrcd dollars ($500). _1. as owncr of thc propcrty, or tny entployccs with wages as thcir solc compcnsation. will do thc work ald thc structurc Ls not intended or ofl'crcd tbr sale (Scc.70++. Busincss and hof'cssions Codc: The Contraclor's Liccnsc Law docs not apply lo an owncr of the propcrty who builds or improves thcrcon. and who does such work hinrsclf or hcrsclf or through his or hcr own cnrployecs, providcd that such improvcrrrcnts iue not intcndcd or oflercd tbr sah. If. howcver. thc building or inrprovenrcnt is sold within onc ycar of cornphtion. thc Owncr Buildcr will havc thc burdcn of proving that he or shc did not build or irnprove thc propctty for thc purpsc of salc). -1. as owncr of thc proprty. am cxclusivcly contracting with liccnscd conlractors to construct thc projcct (Scc. 7U4, Busincss and Pmfcssion Codc: Thc Contractor's Liccnse Law does not apply to an owncr of propcrty who builds or improvcs thcrcon. and who contracts for such projccls with a Conlractor(s) liccnscd pursuant to thc Contractor's Liccnsc Law). -lamcxemptundcrScction-'B.&P.C.forthisrcason.Dale: Owner:_ WORKERS' COM PI.'NSATION DECLARATION I hcrcby affirm undcr pcnalty of pcrjury onc of thc following dcclarations: _l have and will rnaintain a Ccrtificatc of Conscnt to Sclf-lnsurc for workcrs'compcnsalion. as provided for by.Section 3700 of the l:txrr Code, frrr thc lrcrformancc of thc work for which thc prmit is issucd. -l havc and will rnaintain workcrs' compcnsation insurancc. as requircd by Scction 3700 of thc labor Codc. for thc pcrfornuncc of thc work for which this pcrnrit is issucd. My workcrs' corngrcnsation insurancc carricr and plicy numbcr arc: F.),UD P9,tW oF Policy t -l ccrlify that in thc pcrlbrrrrancc of thc work tor which this pcrrnit is issucd, I shall not employ any pcrson in any munncr so as lo bcconrc subjcct to thc workers' conrpensation laws of Calitbrnia. and agrcc lhat if I should bcconrc subjccl to thc workcrs' conrpcnsation provisions of Scction 3700 of thc l,irbor Code. I shall. forthwith cornply with thosc provisions. WARNING: Failurc to sccurc workcrs'compcnsation covcragc is unlawful. and shall subject an empl<lycr to crirninal pcnaltics and civil fincs up to onc hundrcd thousand dollars ($100.000). in addition to thc cost of conrpcnsation. darnages as providcd for thc Scctiorr ol'lhc t abor Codc, intcrcst and atlorncv^'s fccs. ArrlxU r r CENS r,'t ) C( rN't'Br(-Tir R DI.'CLAIT,\'TION I hercby affrm under penalty of pcrjury that I am liccnscd undcr provision of Chaptcr 9 (commcncing with Section 7000) of Division 3 of thc Busincss and Profcssions Codc, and my liccnsc is in full force and cffcct. ,1u3a"3LiccnscNurnbcr: W I hcrcby afftrm undcr penalty of perjury that thcrc is a @nstructk n lcnding agcncy for thc pcrforrolcc of lhc work for which lhis lErmil is issued (Se. 3097, Civ. C.). Lcndcr's Narrtc: l-cndcr's Addrcss: APPLICANT DECI ARATION I hcrcby affmn undcr pcnalty of Jrcrjury onc of thc following dcclarations: Dcmolition Pcrmits-Asbestos Notification Fcdcral Regulations (Titlc 40, Part6) -Rcquired lrttcr of Notification X I ccrrify that the fcdcral regulations rcgarding asbcstos removalarc not applicablc ro this project.o _l ccrtity that I havc rcad this application and statc that the atxrvc infornution is correcl. I agrcc to comply rcprcscntativcs of this City with all City and County and County to entcr uJnn thcordinanccs and Statc laws rclating to construction. and hcrcby authorizc above nrcnlioncd propcrty for Applicant or Agenl l)ernrilce nunro L,)'r'V Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf !oor/Ve nt/l ns u I atio n Roof Sheathing Shear Wall Framinq Insulatio nlEnergy ,I Drywall v 1 WW Ext./lnt. Lath \/ Brown Coat [\/asonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif. I I -- FINAL 7 -{/ J /,L UKV ;q Certificate of Occupancv Notes, Remarks, Etc. a Dare: ol nl et a' C OWNER: RAYLENE CASARES 210 MURPHY AVE SANTAANA, CA 92707 714.686.8066 SCOPE OF WORK: MASTER BATH REMOVE (E) TUB, TNSTALL (N) WALK-IN TUB, INSTALL (N) 20 AMP CIRCUIT FOR OUTLET, DRYWALL PATCH Existing Toilet Existing Vanity MNanchc.clc, CONTRACTOR: SAFE STEP WALK-IN TUB CO 15262 PIPELINE LANE HUNTINGTON BEACH, CA 92649 PH:714.373.8545 ST CONT LIC #: 983603 *ALL NEW WORK WILL COMPLY WITH 2OI9 ELECTRICAL CODE & 2OI9 PLUMBTNG CODE Existing and proposed b location 08 I tL I NEW GFCI Ot]TLET I.INDER TUB 6 @ NOT TO SCALE ?*kL )