HomeMy WebLinkAbout10196790 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: { O{ 96790
Pin #: 2610,4
Proiect Address i 2612 N Towner Lna
-
Assessor's Parcel: 001-142-08 Lot 27
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract:1824 Historic: No
Building Use. Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type. Reroof Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: SFD w/att garage Flood Zone: X-0602320144J Garage Area:
Proposed Use: # of Stories.
Total:
Description of Work: Reroof w/t.o.-Remove shake and apply comp shingles/replace sheathing as req'd/handout given
Patio.
T.l.Area
Yards Req'd:
Valuation: $23,612.00
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Bob Taylor
9752 Leigh Circle
Villa Park, CA 92861
(714)981-0649
Contractor: Service Roofing
Address: P.O. Box 133
Fullerton, CA92832
Phone: (7141 5254232
State Lic #: 131 545
Lic Type: C-2, C-39
Bus. Lic #: 365694
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9109513
Expires: 08/01/20'18
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
lrui td in:r
rJ I I .1 ,5[il:r:l -
6en-*r.sr1 F'l
r:r1116irU:*
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
Fire lnsp Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
\d
Flores, lvan
Hernandez, Kathy
Date:06/19/2018
Date:
Date:06/19/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$308.52
$1.00
$2',t.25
$s2.98
$383.75
$0.00
$383.7s
No
No
No
No
Account#Total
01 1 16002 51600
01 1 16002 51601
01116002 51612Every permit issued shall become invalid unless fhe work on the site authorized by
such permit is commenced within 1 80 days after its issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of1 80 days after
the time the work is commenced.
lnspector MID#: 2018-144127
$21.25
$361.50
$1.00
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS ()WNER BUILI)ER DELCARATT0N
I hcreby illfirnr undcr pcnnlty ol pcrjury lhal I ailr cxcilrpl frorn lhe Conlrrck)rs' Liccnsc law for lhc lolk)wilrg rcasoD (Scc.70-11.5
Busincss and Protcssion Codc): Any Cily or Counly which rcquircs r pcrnrit k) construct. illtcr. inrprovc. dcnrrlish or reprir any
slnrclurc. pri()r lo ils issunnce. also rcquires lhe rpplicanl li)r such lErtrril lo lilc a signcd stalcnrnt lhnl hc or she is liccnscd pursudnt
lo thc provisions of thc Conlracbr's l-iccnsed [-aw (Chaptcr 9. Connncncing lvith Seclion 7(Xn of Divisi(,n 3 ol thc Busincss and
ProlcssioDs(i)dc)orlhxtheorshciscxcnlpllhctclionlandthchasisli)rlhcxllcgedcxcnrpli(,n. Anyviolilli(mofScclionT0ll.5hyany
applicilntlorilpcrmitsubjcctsthc nppli.anttoacivilpenaltyolnotn()rcthilnfivchundrcddotlilrs(5500).
_1. as owncr of lhc proFrcny. or rny etrrployccs wilh wagcs as lhcir solc corapcnsalioil. willdo thc work and thc slructurc is not
iilcndcd orollcredlirrslc(Sr.7(M4.BusirrcssandProfcssiolsCodc:ThcContrack)r's[-iccnscLflwdocsnolapplytoanowncrof
thcpmpcny whohuiklsoriillprovc\thcNn.rNlwhod@ssuchworkhinrsclforhcrsolforthroughhisorhcrownetrrployccs.
providcd thal such inrprovctrrnls m nol inlcndcd orollcrc(t for salc. I1. howcvcr. the building or inrprovctrrnt is sold withir onc )ur
of conylclhn. thc Owncr Buildcr will hnvc lhc burdcn of proving lhat hc or shc tlid not build or improvc tlrc !()Jrcfly for thc purfns oi
salc )
-1.
ns owncr ol lhc l)rofcrly. arn cxch\ivcly cottracting wilh licctscd conlrxcl(i's lo co0struct thc p()jccl (Scc. 70.14. Bnsirrcss
an(l Pnrla'\siil(bdc:'lhc(iinlrtct()r'sl-icen\cl-a$'d()esnr)lipllytornollncro,l)ropcrlvshohuiLhorinrprovcsthcrcon.
and who conlracls lbr such pr()iccls wilh il f\n{hch(s) liccnsc(l pursilrnl lo lhc (inilrack)a\ l,iccilsc l-aw).
_l atrr cxcnun un(lcr Scclion_. B. & I'.C. ti)r this rcrson.
Datc:
-
Owner:-
WORKERS' CONIPENSAl'ION
DFCLARATION
I hcrchy allirnr undcr pcnally of pcrjury onc ol lhc li)lhwing dcclarntions:
-l
hovc imd will nlilintain a Ccrtilicalc of Corscnt kr Sclf-lnsurc lbr workcrs' coDrpensation. as prcvidcd for by Scctiotr l?00 ol thc
kbor Codc. for thc pcrlormancc of thc work lor which thc pcrmit is issucd.
?S havc and will nraintrin workcrs' competrsrlion in\urancc. as rcquircd by Sccttr)n J7fi) oflhc hbor Codc. for thc pcrformancc ol'
thc work for which this pcrnril is issucd. My workcrs' conrpcnsation insurancc canicr and policy nutnbcr arc:
,^".,, Tftlp Fv'-Q-
Policy Numhcr:o8'O/-lOrR
-l
ccf,ily lhat in thc performancc of thc work for which this pcrnrit is issucrl. I shall not cnlpkry rny pcrsoil in nily nlailncr
so ns to hccoilE subjccl to lhc workcrs' compcnsation laws of Calili)rnia. and ilgrcc I hal if I should bcco[rc suhjccl to tlE
workers'compcnsalionprovisionsofScclionlTfi)ofthcl-atnrCo(lc.lshflll.ti)nhrvithconrplywithlhorcprovisions.
WARNING: frilure to sccure workers'conlpcnsation covcr0gc is uilLiwtirl. and shull suhjcct rn cnrploycr lo fritrrinal fEnaltics and
civil llnc\ up to onc hundrcd lhousand dollnrs (Sl(X).fiX)). in addition k) thc cost ofcornpcnsation. danugcs as providcd for thc
scclo,r .{,7h r,t tnc l,xmr \ (rcc. nilcrc\t uno xttorncy s tcw--
o*", June l?, ?9t$ nrr,,o*,,6
LICENSFI' C(INTRACTOI-- -./
DECLARATT(IN
I hcrcby nlllrtl undcr pcnahy of Frjury lhat I rm ljccnsd undcr provision of Chaplcr 9 (cornnrncing with Scction 7(X[) ol Divisim 3
ol thc Busilcss and Profcssions Codc. nnd nly licensc is in lull li)rce and cftcct.
l-iccnsc (3 - c.z /3/ 5rg
oare,Jr.r*.a- f + aa$, contractorK f
CONSTRUCTION LENDING AGENCY
Ihcrebyaffirnrundcrpenallyofpcrjurylhatlhcreisaconslructionlcndingagcncyfortheperfornranccoflhcworkforwhichthisprrritis
issucd (Scc..3097. Civ. C.).
[-cilder's Namc:
lrrtlcr's Addrcss:
APPLICANT DECLAN,4,'I'ION
I lmby allinn undcr lEnally of pcrjury orc ol-lhc folk)wing dcclilrations:
Dcnmlilion Permils-Ashcslos Nolification Fcdcral Rcgulalions (f itle 40. Part6)
-Rcquircd
l,ettcr of Notifi calion
_l ccrli[y lhill thc lcdernl regulalions rcgrrling ashcs()s rcrnoval nrc ilril npplicnhlc k) lhis pfl)jcct.
_l ccrlilylhrllhtvcrcul lhisrl)l)licali()nrindslrtcthxl lhciltx)vcinlbtnrili()niscoflcct.l r8rcc lo conlply
i!cs oflhis Cily
with all Cily and Counly
()rdiililncc\ and Sttlc l-aws rclxting I() buikling and Counly to cnlcr u[x)n thL
ntn)vc rftnlioncd proltrty li)r inspccli()n
ApplicanlorAgcntsignutu*. (
Pemrite nsme {prinl):
hcrcby aulhorizc rcprcscntal
,rrr" Jv.<. /X U?
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu lation I /,1
Roof Sheathinq o/hl /q.J-arz lrl* le*- -^
Shear Wall t,-o \
Framino
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 3 {2-%/P -9rl//rZ)
Certificate of Occupancy
Notes, Remarks, Etc
-a