HomeMy WebLinkAbout10198069 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permat Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{98069
Pin #: IOO3O
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Proiect Address: 920 W McFadden Ave
Assessor's Parcel: 013-063-30 Lot: NA
Bldg; Address Ranqe:Suite Range:
Zoning: R2Block: NA Tract: NA Historic: No
Building Use: Other Occupancy: U 1st FL Area Patio:
Job Typ.: l.ro|'t Oon.lr Typ-: V a znd l.L Area T.l.Alca:
Nature of Work: Reroof Carport Code: cBc 20'16 other Areas: yards Req'd
Existing Bldg. & Use: (4) SFD ddet carport Flood Zone: X-0602320257J Garage Area: Valuation: $5,389.00
Proposed Use: # of Stories:Total r.,.r . l-llir1,2l11r
Description of work: Reroof carport only-Remove and replace torchdown on carport ,' .' ,.' 'u"tti*r*, ., lri "il-l,'.i , ,
Pl"nning Condition", ,u, , ,,,,r,,,0
Engineer
Owner; April Lackand Contractor: Raymundo Perez Roofing
Address: 920 W McFadden Ave Address: 10862 Rustic Ln Address: t I i iir'rlr
santa Ana, cA 92707 Anaheim, CA 92804 ' !l'-rt'.-r r"ir:i
Phone: (71417 42-7005 Phone: (949) 322-3947 Phone: , ' ,
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,', l':'l'1,
Tenant State Lic #: 1028267 License # ,r. - . . :.,,.I r.
Lic Type: C-39 Arch ect /
Bus. Lic #: 367722 Desiqner
Workers' Compensation lnsurance; Address:Carrier: State Compensation lnsurance Fur
Policy #: 9212641 Phone:
Expires: OBl17l2O19 License #:
Planning Approval By: Escamilla, Manny
Plan Checked By:
Permil lssued By: Uf Hernandez, Kathy
NPDES lnsp. Req'd; No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Date: 10/18/20'18 Misc. Receipt
Date: Misc. Receipt
Date; 10/18/2018 Misc. ReceiPt
Subject to Field;
No
No Account#
07116002 51601 Permit Fee
07116002 s1672 Bldg. Stds. Revolving
07116002 s7600 cene?l Plan Update
07116002 515OI lssuance
$320.50
$1.00
$22.08
$55.04
Flood Zone Cert. Req'd: No 011i6002 5i600
Every pemit issued shall become invalid unl'ss the work on tho site authorized by
such permit is commenced within180 days aftet its issuance,or ifthe wotu authoi2ed
on the site by such pemit is suspended ot abandoned fot a potiod of180 days after
the time the wotu iscommenced.
Fire lnsp. Req'd:
Police lnsp. Req'd Total
$398.62
$0.00
$398.62
lnspector MtD#'. 2018-147026
0't 1 '16002 51601
01 1 16002 51612
$22.O8
$37s.54
$1.00
Fee Totat
Paid to Date:
Balance Due:
Unit:
BUILDING- INSPECTOR RECORD
DATE ID/SIG.COMMENTS O\INEII BUTLDER DELCARA ION
I h6eby aflimr undcr pdah, of lajury lhd I m creurfl lrom iE Conltadoa' Li.ens. La* aot rhe follo*i.s lleh (S( 7011 5
BNin6s ed ProlNion Cod€): Any Cily or Counry whi.h r.qtrn6 a p6Fit !o .oGttud alt6. improve. dmolish or rcPair ev
ntuduc Drior ro ns isuec.. al$ r.quns th. applicant for su.h p€mi lo 61. a sisn d sulmol rhal hc Dr siE is liccNcd pduel
ro rh. prcvilioB ofrfic Conta.roas Liccnsd Law (chaPie 9. Conrmcncins snh Seclion 7000 of Oivisiod I ofthe Busind dd
PmLsions Codc) or rhar h. or sh. is crempl tbq.fion ed rh. hsis for rh. allcrd crmanrn. Any violation orSdion 7011.5 bv aov
appli.d aor a pmn subj(rs lhe appli.@[o a .i!il pcnolty of not morc lh& fiv. huftlrcd dollad ($500)
-1.
a ow.d ofrh. lroF.dy. or ny mplo)e6 wilh rvas6 s rh.t $lc comp€.snion. {ill d. th. Nort ed thc slfldu. k mr
inr@ddl or olld.d for slc (56 7044. Bcin6 ed P:oldioc Code: Thc ( onrrsctu s Licdse I !w &G not apPlv lo d oMe of
fi. Dmpsly who hildt or inpovs th6on. {d who do6 such rvor! nim.lf or h6dl or rhFush his or hd o$r dplor.6,
prorid.d thal such ihFor'aftr s @ nol hlsdcd o' ollGed lor sk l( how6'6. lh. hildios or inprormrt is $ld within on. vw
ofco'npl.{r., rh. Om* Buil:ld will haE rtc hrd6 ofrrovi.s $n h. or shc did nol tuild ot imFow rhc FnlEr, for tlE pu,I1 * ol
-1.
as oMn of lhc prepgry. d .xc,6i!cly .ontadin8 wilh licosd (rkrtou lo conslrucl ln! Folal (SE ?044, B6ins
d h!ftsion Codc: Thc co.lr.ctoae Licms€ L.$ doe nor apply ro an ownd oapropcny {ho builds or improve rhdon.
&d \fid connncb for such Irojets wnh a codmclo(s) licoscd pursuIn lo Oe ( ontraclois Li.c6c Ins)
-l
m .xenpr rdq Sdion-, g & P.C. lor rhis reMn
lla8trlB!:qoulllsArlo!
D&CTABAIIAB
I hdeby 6mm und6 Dcnahy ofpajury on oflh. follovin3 d{ldalioa:
I halc ed vill mainlai" 6 Cqriar.al. olcoomr lo S€ll-lNurc aor rcrlcc coopdltrion, s pmvid.d for bv Serion 1700 oalhc
kbor Cod., lor rhc p6fomoc. olln wotl aor wltich thc p-tnit it isudl.
-l havc&dwill toai ain wort.(' codp.Bario, iBuian c. s r.quned by Sc.r ion lToo ollhc Labor Codc lot th. p6ion@c. of
rhc sort fo. which lhi. FnDil ir is.d. My woltsl .o,np6aliob iGurdcc !d( and policv numbq d.:
I cdify rhar in lfie rE formm.c otlhe \vorl lor Nhich lhis p@il is issued.l shnllao' dnplor anv psrcn in anv mmd
s s kr b€emc subj(r b rh€ wo!t6 .onp.1Earion ld*s of calilomi.. d asrce thar ifIshould bccom. subidl tothc
wo*6.{npenerionlmvisionsolS.dion37l]oorlh.ljtirCode.Isltrll.ronh*nhconrPlyNitnlhoEpmvtions.
WARNINC Foilur.lo suc rork6 .o,npdsarion covqas€ s unlasful. md shall sub.j{l d @plorcr lo snni.al lc.ati6 and
cnil [.cs trp ro on. hundEd lhoMd iiollm ($I(]0.()O0), in addilion lo rh. coi olconp.6ario.. danasG a pt'"in'\a ror 'h'
S€crion.1076 olrh. tjbor Codc. inttr6l &d alrom.y! lB.q'-ez
DECLASArq!
I h@by artrm ondd p6.hy of p.rjury rhd I m Uccnsed undd provision of Cnafld 9 (onnmcin! snh S..lb. 7000) of Division 3
of rhc A6io* dd Piol*sioN Code, md By lic6c i. in aull aorcc dd €ftdl.
*",4)--/8-- / F ve7
CONSTRT CTION LENNING A(:FNCV
I hqeby amm undd p.nahy of pEjury rhar lhdc is t omrrudiotr lddios ord.y aor lhe pe{om&c. oarh. "orl lor uhi.h rhi! Fmn b
isstr.d (S(.1097, Civ C)
Lnde, r Addrs
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APPI ICANT NFCT ARATION
I hdaSy amm ondd p4.hy olpsjlry on. ofth.lollowins dalmliont:
Dcnolirion P@nns-AslEros Notificalion F.d.ral R.Sulatiom (Inb 40. Pan6)
-Requted
Lana ol Nolincoli.n
-,
cd i8 rhar lh. f.dr.l r.sul.tio6 resadiry sbGros @or.l s. nor spplicabl. to rhis projet
I cdify rhar I have ldd rhii applicarion od slalc lhal lhcabvc infonn.tion iscotr.d.I agc lo complv Nih all Cilv d Counlv
odhancB and Sral. t !B alahe ro buildins colgrucliol\ dd hdcby aurhorn! reF6.ddi!6 oirhis Cnv dd Colntv lo dl6 upon lh.
":*I--JJ^tr^iii\)@r, /e0( - nu" /o't8 -z
Perfliie .rne (p.lnO:
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SubfloorVenUl nsulation I
Roof Sheathing /o/zv/tf .#{l )
Shear Wall
Framinq
ln s u latio n/Enerq y
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
I /
FINAL /o/zilr,
"*bCertificate of Occupancy 7:7 v
Notes, Remarks, Etc
SITE.WORK
Flood Zone Certif.
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