HomeMy WebLinkAbout101104406 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853
Permit #: { O{ 1O44OG
Pin #: 47931
Proiect Address: 919 E Sixth St
Assessor's Parcel: 398-315-1 1 Lol 22-32
Unit:t'
Block: 64
Bldg: Address Range:
Tract: SANTA ANA EAST
Suite Range:
Zoning: SD84Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Reroof
Reroof
Commerical
Occupancy:
Constr Type:
Code:
Flood Zone
# of Stories:
N/A
N/A
cBc 2019
x-0602320276J
'1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$26,700.00
Description of Work: T/O & install new GAF Energy Capsheet (flat roof). Hand out given
Planning Conditions:
Bobch*tlj629?. - $/?r.,/2tr2[ ID: crrrrortrl,rs [::i
tri f ice: CTYH lrnns*: l? I rii' IAc,::L*: Rel*: lltl I l:t/' /,l-ta
H, pt*:tr3035165 * g/21/2fi2[t 1[t:tt9 r:ili
Trnnsnct ion '[o[uI i4:t4.4)
Owner:
Add:'ess:
Phone:
Tenant
Rice Drywall
919 E 6th St
Santa Ana, CA 92701
(714) s43-5400
Contractor: HD Roofs, lnc.
Address: 5022 W sth St
Santa Ana, CA 92703
Phone: (714) 554-0267
State Lic #. 908238
Lic Type: C-39
Bus Lic #: 325094
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9052886
Expires: 0110112021
llir Roofsr Inc
6ener'trI FlGn Updote Fee
uI I l6LtLt2_ :il6tJr:ultltl_
P,u i ld ins
rll I l6tl02- 5l6r:rlrlrJtj-
P'lds Stds Revolving
rt I I l6fil:r2- 5l6l zrJrJrJ-fiicrofiIn & Docurenls
[1 I 161102- 5777rJrjr]0-
V iEo
CC+ : ****rx*t(rx**2Sl il
*4tr4.:iB
t2. illl
$4. trI
$434.4?
Auth*:tt77416
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
;;:v Dale. O8l2Ol2O2Q
Date:
Dale: 0812512020
Subject to Field:
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07775002
07776002
0LL76002
07776002
07776002
57607
57770
57612
57600
57507
Fee Total
Paid to Date:
Balance Due:
$34s.28
$4.05
$2.00
$23.79
$59.30
$434.42
$0.00
$434.42
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Every permit issued shall become invalid unless lhe work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authortzed
on the site by such permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
0'1116002 51600
01116002 5160'1
01 1 16002 51612
011',t6002 57770
$23.79
$404.58
$2.00
$4.05
lnspector MID#: 2020-160976
BUILDING. INSPECTOR RECORD
Rev.08-07-2015
SITE.WORK DATE ID/SIG.COMMENTS OWNIIR lltJll,l)llR l)l'l,l,CA RA'l'ION
I hereby affirnr under penulty of perjory that I anr etempt from the ContracloB' Licensc llw for the following rca\on lsd'.7011.5
lru\incss and Proltssion Codc): Any City or Countv which rcquircs a lDnnit lo construct. alter. lnprovc. dermlish or rcpair any
stnrctrrre, pri()r lo its issuancc. also requircs the rpplicrDr for such ltmil k) tile a signed slatemcnt lhat IE or shc is liccnscd purstrant
b thc nrovisions of thc Conlractor's l,iccnscd Inw (Chaptcr 9, Cornrnencing with Scction 7(XX) ol l)ivision 3 ol thc Busincss and
ProtcssioDsCode)orthalheorsheisexempltherelionrandthehasislortlEallesedexempti(nl- AnyviolaliulofSectir)n703l.5hyaily
rpplicrnt for r pcrrnit subjects the npplicant lo n civil perultyofnot rmre thrn llve hundred dollars ($5(x)).
_1. as owncr ol thc pro[E(y, or my cmployecs with wagcs as thct solc cornpcnsation, will do the work and thc sttuturc is not
iileiled or offcred for sle (Se.7(X4, Business and Profcssions (ixle: The Conlraclor's l-iccnsc Law does nol apply to rn owncr of
the propeny wlx, build\ or iilprows lhcrsm. nxl wh) d(Es such wo* hinrselirr lErsclfor tlrou8h his or lEr owil enrployees,
pr)ridcd that such improvcrmnts &e mt inlcrded or ollercd for salc. Il. howcvcr. tlE building or rnprovcmnt is sld wilhin one )re
ofcompleti(D, tlE Owrer Builder will have lhc burden of proving thnt hc or she dirl not build or imprcve lhc prop€iy for thc purlFse of
sale).
_1, as owner ofthe propefly, an cxclusivcly contractintl with licensed conlrMlors 10 conslruct the p$jed (Sec. 7(X4, Business
and PnrlessirrrCode:TheContractor'sLicenseLawdoesnotapplytoanowneroIpropertywhobuildsorinrprovesthereol.
and who con[acts for such projccts wilh a Coolracktr(s) liccnsc(l pursuant kr thc Contrnclor's Liccnsc Law).
-lanretenlln!ldersecli(!l-'B,&P,Clbrthisreavlr'Date:-
WORKIIRS' C()[rPl)NSA't l()N
DECLARATIoN
Ihcrcbyaflirmundcrpcnaltyofperjur-v<,ncofthclbll()wingdcclararrrns:
_l have and w il I nuintd,r a Cert iticate o f Consent b Se lt:IDsure frrr workers' co nrpensat io n, a s provided for by Secl ioil 3700 of t he
Latxrr Codc. f()r lhc performrcc of thc work lbr which lhc pcrmil i\ issucd.
tlrc w(,rk lin'which this is irsucrl. My w(,rkcrs'insurancc crricr aftt Jx)licy numhcr ilc:
\e_
l']olicy
_l ccnili that rn thc Frl()rnuncc of thc work fbr which this prnrit is issucrl. I shall not cmpk)y any pcrson in any n'tf,ncr
soastohccorrsuhjccttothcworkcrs'conrpcnsationlawsofCrli[ornia,andnsrcclhaliflstnuldbccolBsuhjecltoltc
worlers'conllrnsrtionprovi\ionsofsectionlT00oftheLatrcrCodc.lshall,lirnhwithcomplywilhtho$prcvisions.-
WARNINC: ,;xilurc to sccurc workcrs'conrlrcnsalion covcnrgc is unlawftll, and shall subjcct an cn4rloycr kr fininrl pcnaltics an(l
civil llnes uf h one huDdred thousand dollars ($l(X),(XX)), in addition n the cost of compensrlion.damxges rs provided for lhc
Sccli{,n 1076 of the trtx,r (l(f,le, interest atrd
(-
I hcrcby allirm undcr r_nally of perjury lhat I am liccnscd undcr 9 (cornrrcncing wilh Scclhn 7(XX)) ol Division :l
of thc Busincsr and Prol'cx\i()ns Codc. nn(l nry liccnsc is in full ti,rcc ql.c'lti'ct.
l,iccnsc
'ca\C1
I hcRby aflirnr under FEnalty of pcriory that thcre
issucd (Scc. 3097, Civ. C.).
lxndcr's Nilnlc:
agerrcy li)r Ihe Frli)rnuilce ofthe work lor which this frcrnril is
APPI-ICANT DECI,ARATION
I lreby affmr under penalty of perjury one of the folk)wirtg declarations:
Denulition Pcrnits-Asbeslos Notification fedcral Regulations (Tille 40, Pan6)
_Rer!ircd lrltcr of Notificalion
Z Lcedity rhat tlE fcderal rcaularioN rcgdding asbcstos rcft)val aE not applicahle to rhis prcjecl._\
_l cenify thal I havc read this npplicirlion and stale thal lhc above inlbrnralion i\ corect. I r8r@ b comply wilh all Cily and County
ordiDances ard Stute Laws reLilirlg to buildtrlg corlslructiur. iuxl herehy autk,rize rpresenhtives of this City and County b enler ulxi the
atxrrc nrcntionctt propcny tbr .\
Applicnnt or Ag([t
P(nnilce hanre
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl ns u lation I l ,r'-
Roof Sheathino QlzYl-Lrt )rH-;f
Shear Wall I I
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
[\4asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL 4/rs lgu zt': //.r.rt{-l! 1
Certilicate of Occupancy ,U
Notes, Remarks, Etc.
\I
k'ndcr's Ad,lrcsr:
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