HomeMy WebLinkAbout101102758 - Permit (2)@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O11O275A
Pin #: 9{659
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Project Address: 2201 N Eastside Ave
Assessor's Parcel: 396-072-23 Lot:18
Unit Bldg: Address Range:Suite Range:
Zoning: R'lBlock: NA Tract: 5690 Historic: No
Building Use:
Job Type.
Nature of Work.
Existing Bldg. & Use.
Proposed Use:
Planning Conditions
Single Family Dwelling
Reroof
Reroof
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories.
R.3, U
VB
cBc 2019
x-05023201 63J
1st FL Area:
2nd FL Area
Other Areas
Garage Arda:
Patio:
T.l.Area
Yards Req'd
Valuation:$40,000.00
Description ofWork: Reroof house & attached garage - remove wood shak6s, replace any damaged sheathing, install Title24 aluminum roof panels, UL
ER25913. Handouts given.lit ,WCtI d
[en er'n l'I Ctll L.lP0Ot r;: l- r.lrj
Owner:
Address:
Phone:
Tenant:
JEFFREY STRUNK
2201 N EASTSIDE AVE
Santa Ana, CA 927057129
(714) s68-1786
Contractor: Howard & Sons lnc
Address: 357 N Sheridan St #'104
Corona, CA 92880
Phone: (909) 762-7541
State Lic #: 1011201
Lic Type: B, C-39
Bus. Lic #: 366855
Workers' Compensation lnsurance:
Carrier: State Comp lns Fund
Policy #: 9152632
Expires: 0210912020
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #
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Planning Approval By:Graham, Jeffery
Amsden, Julie
NPDES lnsp
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
Date: 01/06/2020
Date:
Date: 01/06/2020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07776002
57507
5777 0
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$333.06
$3.91
$2.00
$22.95
$57.20
$41 9.1 2
$0.00
$419.12
No
No
No
No
Account#Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
0'tI't6002 51612
01116002 57770
$22.95
$390.26
$2.00
$3.91
lnspector MID#: 2020-156900
Plan Checked By:
Permit lssued By:
7
BUILDING. INSPECTOR RECORD
SITE-WORK DATE !D/SIG.COMMENTS ()WNER BU II,I)ER I )}:I,L-A RATIoN
I h!'rchy atlirnr undcr pcnally of pcrjury lhil I am ctcmpl li1)m lhc (inilrack)rs l-iccnsc Law li)r lhc ti)lk)willg lcaron (Scc.7031.5
Busincss and Proltssion Crx!c): Any Cily r)r Counly which rcquircs r Frmil lo conslrucl. alrcr. improvc. dcmolish or rcpnir ary
slnrcltrrc.pri()rloils issuatrcc.alsorequircslhcapplicantli)rsuchJrrnrillotilcisigncdstatcnrnt thathcorshcisliccnscd furuant
lo lhc provisions o[ thc Conlrack)r's Liecnscd Law (Chaplcr 9, Conrrcncing wilh Scctt)n 70{)0 ol Divisirm .] of thc Rusircss and
rppliclnlli)rapcrmilsuhjeclslhc rpplicanlk)acivilpcnlhyolnotnx[cthanfivchundrcddollrs(S50(r,.
.
_1. as owncr ol thc proJErty, or my cmpk)yccs with wascr rs thcir solc ((,nllcnrnli()n, willdo lhc work utd thc slnrclrrc is trol
ililordc(l orollarcdli)rsnlc(Sce.7(N4,BusilrcssandProl'cssionsC(xlci'lhcConlrlct(njsLiccnsc[-iwdoesnolalplyt()nnowncrof
thc pn)Frty whi) hrilds or inprovcs llEAnl. iurd who d(Es such work hurscll'or hcrscll or thn)ugh hir or her own cmployccs.
prolidcd that srch impft)\cnrnts trc not iltcBlcd orolllBt lilr sah. lt. howcrer. llt huilding or inur(,\cmnt is sokl within onc yci(
saL').
I. rs ()wner (,I lhc pfl)pcrly. am c\clu\ivcly contractrrtt wilh liccnsc(l ronlrack)rs k) crmslnrcl ll[ pro.iccl (Scc. 7(144. Businc\s
a,x] [\)tlss(m(i)dc:ThcContrrctor's[-iccn\cLawdr)csnotrpi'lyloail()wncroffrolrertywhohuildsorinlFrovcsthcrc(ilt.
and who e(trrtrrcts li)r sueh projccts with a ('orilraekn1s) liccnscd pulsudnt m thc (i)nlractor's l,iccnsc [-aw).
-IantcxcmplUnJcrsccli(trl-.t].&P,C,ti)rlhisrcason
IvoRKERS' COI\lPl:NSATION
I)ECl,Atut IlON
I hcrchy alfirnr un(!er Nnrltv ol JNrjury onc rtl lhc Ii)lk)wtru (lcchralir)D\l
_l hrvc md will mrintairr r Ccrliticxtc of Conscnl k) Scll:lnsurc fi)r workcrs conlFrcnsati(nl. as prolidcd tbr hy Scct()n l7(X) ol the
lnh([ Codc, Ibr lhc pcrfi)rnratrec of thc work li)r which lhc pcrmit is issucd.
_l hnvc
lhc work
and will maintain workcrs' compcnsali()n insurrmc. as rcquircd hy Seclil)n .1700 oflhc [-ahor C(]dc. for thc lErfomuncc of
tbr which this pcmit is issucIj. 14y workers' compcnsation insurancc canicr ud Jxrlicy numhcr eci
4rWi-r.,-d '
,taricr:
\ Poliey tL)
_l ccrtily thdl in thc pcrli)rnuncc of thc work lbr which this pcrmit i\ issucd. I shall not cmpl()y rny pcrs{)n ii rny manncr
s() {s lo tEcomc suhjcel k) llc workcrs'cotrrpcnsali()n laws ol'Cdlil()rnin. ilnd agrcc lhal il I should hccom suhicet to thc
workcrs coilrpn\atir)npruvi\tr)n\ofScct!n17fi)olthel-rh)rCqJe. lshrll. linlhwitheonrplywiththr*pnrvisirrrs.
IVARNING: l:alhrrc lo scilrc workcrs'comncnsiti()n (r)vcra8c is unhwlirl. anil \hill \uh.icct an cnrpkrycr to cnntinal lEnrltrs and
civil lincs up k) onc htndrc,l lh(trrsand dollars ($ltX).lXX)). in addili()n k) thc cosl ol compcnsdlion, danraqcs as pr()vidcd li)r thc
Sc( l x)n .1076 ()l lhc I -rlxn (irl( . inlcrcsl rD(l rlt[)cy s li.c\.
Itro-U CItuurr--O(t -
LICENSED CONTRAf]TOR
DECLARATION
ol lhc Busincss and Proltssions Codc. ail nty liccnsc is ur lirll fi)rcc inJ cllccl.
/'214Class: v 1' I Liccnsc Numtrcr:1o/t)n/
i 9)n91?c-
I
I hcrchy allirm undcr JEnllty of Frcrjury that thcrc is a conslruclhn lcnding a!:ency fi)r lhc lErfomancc of lhe work tdr which lhis frcmil is
issuctl (Scc. .1097. Civ. C.).
k'nrlcr's Namc:
bndcr's Arldrcssr
APPI-ICANT DECI,ARATION
I l*rchy all'rmr undt'r pcnalty ol pcrjtry one ()t lhc t'olI)wir8 dcelarali(rls:
Dcm)lition Pcnnits-Asbeslos Notilicalirr fcJcral Rc{uhli(,ns (Tillc 40. Prrl6)
-Rcquircd
l-ctl!'r r)f Noliliralrtr
I ccrlify lhrl lhc tidfl'xl rcgulali(Ds rc!ardiD! ishcsk)s rcrnovxl .rc nol xflllicrhlc t() this pft)iccl.
_l ccdili thal I hrvc rcarl thrs applicati(trt :ud slite lhal thc nhrvc inli)rnrati(trI is corccl. I agrcc k) corrlly with all Ciry nnd Coutrty
ordinanccs and Strtc l-aws rclnting to ol lhi\ Cily and (itrrDly lo cnrcr ulxnr lhc
above rrrcrrlirilcrl In()pcrly li)r
I
D,," ol^ 0l --N
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathino )/r,fhdb ru f(1,k7-l
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[Vasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL /tL+?2 E'6lte.
Certificate of Occupancy
Notes, Remarks, Etc
a-ob-N