HomeMy WebLinkAbout10197511 - Permit (2)EProiectAddress: 4621 W McFadden Ave Unit: I
Assessor's Parcell 't 08-131-20 Lot: NA Block. NA Tract: 1A
Bldg: Address Range SuiteRange.A-H
Zoning: R2Historic: No
City of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cAs27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit#: 10197511
Pin #: 55482
Building Use:
Job Type:
Nature of Work;
Existing Bldg. & Use
Proposed Use:
Occupancyl
Constr Type:
Code:
Flood Zone:
# of Stories:
R-2
VB
cBc 2016
x-0602320256J
2
1 st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:$10,500.00
Multi-Family (5 or more units)
Reroof
Reroof
4-Unit Apt Bldg
Planning Conditions:
Owner:
Addressl
NATALIE BINETTE
12822 PERIWINKLE DR
Santa Ana, CA 927051341
(7141 309-22',t9
Conlractor: HD Roofs, lnc.
Address: 5022 W 5th 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
Expiresr O1lO1l2O19
Engineerl
Address
Architect /
Designerl
Address:
Phone:
License #
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
Orozco, lvan
Brodowski, Teri
Dale:0812712018
Date:
Dale: 0812712018
Subject to Field:
lVisc. Receipt
N.4isc. Receipt
N,4isc. Receipt
07776002 51601 Permit Fee
07716002 51672 Bldg. Stds. Revolving
07776002 51500 General Plan Update
07716002 51501 lssuance
$320 50
$1 00
$22 08
$5s.04
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemit issuod shall becone invalid unless the work on the site authoized by
such permit is comnenced within 180 days afler its issuance ot lf the work authorized
on the site by such permit is suspended or abandoned fot a pe.iod o1180 days attet
the ttme lhe work is cornfienced
lnspector l\tllD#: 2018-145668
01 1 16002 51600
01't16002 51601
01116002 51612
$22.08
$375.54
$1.00
Fee Total
Paid to Date:
Balance Due:
$398 62
$0.00
$398.62
Description of Work: Tear-off & apply 24 sqs of hot mop material. Handout given.
Phone:
Tenant
BUILDING. INSPECTOB RECORD
SITE.WORK DATE IDiSIG.OIVNER 8T]II,D!]R DEI-CARA'TION
I rtrrc$y,fltn! uid.r pdnlly.r t'crjury rh r I h cxcifl rn,n rhc cotrt{n)s- Licctrsc Lrw 6r rhc lnllo*ing rcas,n (sc.70ll5
Busincss (M Prolls\ion Codc) Any Cily or Coutrly wht[ rcquirc\ a Fnnil r,, d,ndrud. rlrcr, i ln,vc, dcnFlilh o. rcP{n rn!
dn'crurc, prirrn irs i\\umc. !l$ rcqrnc\ rhc rfnli.anr itr suchFnnirt, fil.r i8trcd n.hnf, lhd hcor sh. n licc.sc{t pu.n'onr
to rh. pnlnioDs of rhc Contrrclors l,iccnscd l,s' (Chaptcr 9. Conn.cncins Iirh Secrn,n 70(x) of Divnn,n .l or rhj Busntss rtr,l
Pr.lt$i{'n\ Codc) orrhrrhcorshc hcrcmfl rhercfromand rhc hr\ir ror rhc rllcsc crc'nfl n. Anyvn,hrn ofscclion70.1l5b,any
rtrplic rli,rapcrn,ir \!bjcch rhc xp!licrirt, rcivilpcn!liyofior nor rhnn lnt hundrcd d.ll!6 ($500)
L a\ ow.er or rh. pfl,Itny. or nry .nrk,r.s sirh rag.s * rhcir $k (,nlPderion. r'ill do rnc solt ad ltr dturh is tror
nnc cd orofcrcn tur$L(Sa?t)44. Busirc$ a PmL$ion\(td. I'hc G'ntrctn ! l-ic.ns. bw do.r not 0rplyr. o.owrcrol
rhc Im|Eny who hoilds or iNl'mvc\ rhc'sn- sd who lms skh *or* himsclfor hcisclfor rhmu8h his or h-r.wn cn'doyc.s,
pr.vidcd rhrr su.h irnprulcnEnls !rc n.r irr. .tl or olTeEd lir \ilc. ll homrq. rlf, buikli.g or nlPrown. h $ld eirhm om ]qu
orcomplcrbn- rtF O$n.r Brildd *illha\r rh. bdid.norpolins rh h.or\hcd{l n huin or impmrc lhc F)p.n, fo, rh. IlU tii{ or
L sosncrofrhc p.lrrry. amcrulusivcly..nr crire wirh li.cnsl.d conrrrcn)F ro..nsrrucrrhc !fl,jecr(S*.7044. Busncss
a l lhrl\sionCodc:'lhcCoorEclor'sl-iccnsel-!*.lmsnorrpplyrorn.wn.rolpiopcnywhotuilds.rnnprclcsrhcrcoi.
rnd who .onracrs rd \x.h pn'l..rl wirh r Conhrtonr li...*al pusur Io rhc Conlrr.kn s l-iccn* L,w )
I rm crc.rpr xnd.r Sftrtur
!!!]S.tiEf,LrorlfENs rI!.}!
DEIIA&IIIA!
Ihc'.hynllr r udJcr rrtrrlryoft)cl,trrr unc ol rhc Ln[)*irx dc.hrrrirnr\
I hrvcrtrxlwill nhin(rir rCcnllicrrcolConr n) Scli-lrsurc nn $orter'.ompcnsa!ion. pbvidcdfttrhyScctiu:17(X)ollh(
ulDr C{xh, fff rhc Frl..nrn.corrh. work r(n shi.h rhc!.nn[ i\ isucd.
, hNr.ndNillmii nir Norkcrr .onpcnsolion nr{uromc- rs rcquircd $yS..rn,n.l7mofrhc LrborCork. rorlhc 0qIr un..ol
rhc work tu which lhislcnnil is isv'c,l Mywortcrl cornpcnsrri{nr i'rsufltu.. ri.r nM!.licy trtrmbcr rc
(()NSlRt'cT()N t FNDIN(; A(;ENCY
IhcNhy rflirmundcr NtrilrynltErjury rh lhcrcis!.on(ructionhndinga8cncyhrrhcp.rronnrtucorrhcworkr6twhichll'i!p.rmiris
i\\ued rs.c 109? Civ C L
L(ndci\ \anrc
drulc NLD[cL$.trIlaN
I hcrny lln'nundq p.nrhy ofpc{trry orc orrhc lnlh)eina dc.lrrrnns
Dcnxniri,)n Pnnils Astt{or Norilicrri{n Fcd.n! llcgnhrii'ns rl iilc (). Pdn6)
-Rcqutcd
Lelrcr ol Noliricaii{,r
l.ohlyrhrr rhc fcdcr0lrcBnlrriins rc! dirgrslic{nrrcN'v.lircnorlrpflirrhIt,rhi\IR,J..i
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
I
Roof Sheathinq (h,tl* t '1r/1,lrvlfu /5)..
Shear Wall ------E
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL 1lrI t,/14, [1)
Certificate ol Occupancy
Notes, Remarks, Etc
COMMENTS
UFER Ground
Sublloor/VenVl nsu lation
Flood Zone Certif .
l .cn iry lhrt in th. p.rformmr oi thc work fu wh i.h lhi\ Fnnil h issued- I shlll n l enDloy ,ny l. on
'n
onymotrncr
s ns b tf,.onr subjcl lo lhc voitcn'mmFnsalion hws ofcaliforni!- ud lgd rhd irI \thrld tr.om suhitt lo rhc
$ortcn compcrsli.npmviions ofSccrnrn 37(x)oarhc L.hor Codc.I rhrll. r{,nh*irh snfly wirh rhoc Pmvhions.
WARNING: Failrrc io {curc work.s ..mp.nrarion sv..,e. is unlr!tu|. nnd shall subjccl an cmplorr tn Gimhal pcMlrics.nd
.ivil ,incs up r. onc hundr.d lhonsnnd dollar (SIftl.00O). itr rddilion to lhe con oi conrpcnrarion. drmsg.s os lrovid.d lor thc
S..lion 1076 ofrhc tnbr Codc. inrcrcsr and lxorrcy s fNs
D.l.r Applimnl:
|.ICEIIID-CI}NINdEIOBpncr dn {TloN
I hcrcby aiit utrdcr llcnallr of pcrjury rhlr I am li.uan !ndc! pmvisioo ot Chnpr.t 9 (..nrmftitr8 wilh S€lha 7Ol)O) ot l)iviri,,n .l
or
'hc
Busin.ss a.d P$fcssions Codc. ud my Ikctrs n ir tull loE snd cfrccr
lctrJc' . ,Il'r.
-
-l.cnify
rhlt I h,rc Ead thn lppliarion dnd srsrc th,r rhc,tnvc infomrion h coftcl I a8s lo onrp, wnt allCirrand C.xnry
ordiurcs lnd Srarc Llsr elaths ro hlilding .oostrucrao( ard h.ebFu(horn. EpEsntarircs oflhh City 8nd Colnryr. cord ulrn rlt
abow .f,nriorcd pmrcny for i.spetiotr purposes.
Appll.sl o. Asent SiBrlurc Dore