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
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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
)