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Home My WebLink About101103917 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building Permit #: 1O1103917 Pin #: {4566Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Proiect Address: 1657 W Wisteria Pl Unit:Bldg: Address Range: Assessor's Parcel: 109-352-36 Lot: 150 Block: NA Tract: 2355 Historic: No Suite Range: Zoning: Rl Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area Job Type: Reroof Constr Type: V B 2nd FL Area Nature of Work: Reroof Code: CBC 2019 Other Areas. Existing Bldg. & Use: Flood Zone: X-06023202S7J Garage Area: Proposed Use: # of Stories: Totat Description of Work: Tear off existing, install 1900 squares of comp and 1900 squares of built-up roofing Planning Conditions: Patio: T.l.Area: Yards Req'd Valuation:$1 ,012,700.00 Owner: Address: Phone: Tenant CENTRAL PROPERTY MGMT 1657 W WISTERIA PL Santa Ana, CA 92703 (714).270-9074 Contractor: RAYMUNDO PEREZ ROOFIt Address: 10862 Rustic Ln Anaheim, CA 92804 Phone: (7141 290-3337 State Lic #: 1060627 Lic Type: C-39 Bus. Lic #: 375470 Workers' Compensation lnsurance: Carrier: State Fund Policy #: 9212641 Expires: 0611712021 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: 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 web user Date: Date: Date: 06/2512020 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 0LLL6002 07776002 07776002 07776002 07776002 57607 5777 0 57572 57600 57507 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance $333.06 $3.91 $41.00 $22.95 $57.20No No No No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No N/A - No Balance N/A - No Balance N/A - No Balance Account#Total Every permit issued shall become invalid unless fhe work on the site authorized by such permit is commenced wilhin 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. Fee Totat Paid to Date: Balance Due: $458.1 2 $458.1 2 $0.00 lnspector MID#: 2020-159760 fiY BUILDING. INSPECTOR RECORD Rev.08-07-2015 SITE.WORK DATE !D/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby allirm undcr penalty ol Frjury that I anr cxcilrpt ftom lhc Conlraclors' Liccnsc [aw for lhc following reason (Scc.7031.5 BustDcss aNl Prolession Crxle): Any City or County which rcquircs a Jrcmit lo conslrucl. altcr. irnprove, dcmolish or rcJnir uy structurc, prior lo ils issumcc. nlso rcquircs ihc apJ,liqnl for such [Ermil lo filc a siSncd slatcmf,t that hc or shc is liccnsd pursumt k) lhc Jrovisions of llE Contraclor's Licensed Law (Chapter 9. Comtrrcncing with Scclion 7000 of Division 3 of the Busircss md ProfcssionsCodc)orthathcorshciscxemptthcrefromrndthebasirforthcallcgcdcxcmption. Anyviolulio[ofscctionT03l.5byany applicantlorapcrnlitsubjcclsthc 0pplicanlhacivilpcnaltyofnotmolcthmfivchundrcddollus($5url). _1. ils owNr ol-lhc proJrcny. or nry cnrployccs with waScs as lhcf \olc coilllEnsalio[. willdo the worl and lhe stnEtuc is rnt inlcndcd oroflcrcdli)rslc(Ser.7()4,l.Busincssandltotcssk)nsCodc:'l'hcConlracbr'sLiccnse[nwdocsDolapplytoanowncrof thcproFrly whobuild\oriiurovcstlrcBntadwhodoessuchworkhintsclforhcrsclforthrcughhisorhcrowncmployces. provdcd that such improvcnrcnts arc not inlendcd oroflbrcrl for salc. I[ howcvcr. thc buildiog or in]provcnrcilt is sold wilhif otrc ]Ee ol conlplction. lhc Owncr Buildcr will have thc budcn ofproving that hc or shc did nol build or improvc lhc pmIrcfly for thc purJx)s of $lc) __1. as owncr ollhc prcpcny. atrr cxclusivcly conlrilcting with liccn$d conlraclors k) c()nslruct thc pmlrt (Scc. 7044. Busirrss dnd ftofcssiorCodcrThcConlractor'sLiccnscLawdocsnotapplyk)anowncrofprolrcrtywhobuildsorimprovcsthercon. and who contracls lbr such projccts with n G)nlrdctor(s) liccnscd pursuant to thc Conlrucbr's Licensc Lflw). _l am cxcrnpl undcr Setion-. B. & P.C. for lhis reapn. Drte:-- Omer:- WORKERS' COMPE{SATION DECI.AEAIION I hercby alTirm undcr fEnalty of pcrjury one of thc following deluat ions: _l havc and will rointain a Ccnifrcatc of Con*nt to Sclf-lnsurc l<)r workc.s'compcnsalion. as Frovidcd for by Scctbn 3700 of thc tibor fue, for thc pcrfomncc of the work for which thc permil is issucd. thc work li)r which lhis pcrillil is issuc\l. My workcrs cotrrl)cnsilti{rn iosurulcc can'icr rrxl l)olicy nunrh(r ilrci Policv Numbcr: Exnircs: _l ccaily lhat iil thc fErlbilmncc olthc work for which this pcrmit is issucd. I shall nol cmploy any FErson in any manncr so as lo bcconrc subjcct lo lhc workcrs'compen$lion laws ofCllilbmia. imd agree thut il l should bcconr subjcct lo thc workcrs'cotrlpcnsationprovisionsofScction.lTfi)oflhctatnrCodc.lshall.fonhwithLrmplywilhthospovisions. I{ARNING: fiilurc to scurc workcrs compcn$tion covcragc is unlawful. and shall subjcct an cmploycr b ffirninal Fnaltics and civil fincruploonchundrcdthousdnddollars($l0O.0m).inaddiliontothccostofcompensation.danugcsasprovidcdforthc Scctiril 307(r ol lhc l-ilt$r C-odc, inlcrcsl and altorncy's lbcs. Dote: - Appliont: LICENSED CONTRACTOR DECI,IIRATION I hereby affirm undcr Jrcnalty of fErjury that I am liccnscd undcr provision ofChaplo 9 (conrnrcncing wilh Scclion 70fi)) ofDivision 3 of thc BusiDess and Profcssions Codc. arrl my liccnsc is in full forcc and cff(t. Licensc Class Dale:- Nu illhcr. _ (-onlrarlor: _ CONSTRUCTION LF]]\DING AGENCY I hcrcby affirm undcr lEnally of JErjury that thcrc is a conslruclif kndin8 a8crcy for lhc pcrfortMcc of lhc work for which this Frmit is issucd (Scc. 3097. Civ. C.). lrndcr's Addrcssl APPLICAM DECLARATION I lmby alfinn undcr penalty of pcrjury onc of thc folkrwing dcclaralions: Dcmolition ['crmits-Asbcstos Nolification Fcdcral Rcgulalions ('l illc 40, Pan6) -Rcquircd lxllcr of Notilicalion _l ccnify th{t thc lcdcralrcgulalions rcgitrding rsbcstos reff)vrlarc nol applicablc to this projccl. __l ccnify thal I luvc rcad this applica(ion od stale that thc atnvc inlbrnutknl is correct. I ogr@ to comply wilh all Cily trnd County ordindnccs and Slalc ljws relating to building construction. illd hcrcby aulhorize reprcsentalivcs ofthis Cily and County lo cntcr upon the ntnvc rEnIioilcd pmpcny for inspection purposcs- Applicfl nt 0r,\gcDl Sigualurcl Dsle:_ l'(rnrilee notrre (prinl): Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl nsulatio n Roof Sheathinq Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif I FINAL /.t*/ent ^r^Adt I Certificate of Occu Notes, Remarks, Etc. kndcr's Narc: