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10197817 - Permit (2)
City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1lJ197417 Pin #: 6{758 P roject lao ress $gUUULeEdferdlPJ E Unit Bldg Address Range: 3001-3121 Historic: No Suite Range: Zoning: RlAssessor'sParcel: 410-341-02 Lot: '1, 2 Block: NA Tract: 7584 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Multi-Family (5 or more units) Reroof Reroof Muti-Family Occupancy: Consk Type Code: Flood Zone: # of Stories: U VB cBc 2016 x-o602320274J 1st FL Area 2nd FL Area Other Areas: Garage Area: Total Patio: T.l.Area: Yards Req'd Valuation: 0@0 $1'l,900.00 Description of Work: T/O existing roof on garage structure and install newdenzdeckand PVC roof membragglsh+ r 46139 - 9/27/2alg ID: NGAI1,.:t}roffiie: CTYH Tnansl: 46 5 o:'Acct+: Refi: I t:1197fi l Ti'"lrilil3i'11,"i t""'ott ,1,',i?,, ,'l , Engineer: Owner: Bradford Place Santa Ana HOA Contraclor: Jordan Roof Co. Jordon Roof Co. Address: 15661 Redhill Ave Ste 200 Address: 11542 Annabel Avenue Address: Tustin, CA 927g0 Garden Grove, CA 92843 Generol Plrrn lJpdote Fee , :,. Phone; (7i4lzls-2626 Phone: (7141744-6577 Phone: .. SllifilS i1600r100- ,r, , ;q Tenant State Lic #: 406783 License # OifiiOOi- i16r]100tl- Lic Type: C-2, C-39 Archirect / qlds !tt{s Revolv tng I - ir[l Bus. Lic#: 158693 o""ui".r, 01.1160112- 51612001-l- workers' compensation rnsurance: ooi'**, Ict' cheik 034530 i? ' 7:rlr' :::4 Carrier: American Zurich Policy #: WC5934OO1O1 Phone: Expires: 1A3112018 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 Orozco, Zuniga, tvan / o,,,rN Misc. Receipl Misc. Receipt Misc. Receipt Date: 09/2512018 Date: Date: 09/26/20'18 Subject to Field: 07776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07776002 57600 Genetal Plan Update 07776002 5.1.601 lssuance $320.50 $1.00 $22.O8 $55.04 No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'di No Every permit issued shall become invalid unless lhe wo* on the site authorized by such pemit is commenced within 180 days aftet its issuance.ot if the wotk authoized on the site by such permit is susponded ot abandoned fot a peiod o1180 days aftet lhe lime the wo* iscofifienced. $22.08 $375.54 $1.00 lnspector MID#: 2018-146358 01 1 16002 51600 01 1 16002 51601 01116002 5'161 2 Fee Tolal Paid to Date: Balance Due: $398.62 $0.00 $398.62 BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.OWNER BUILDAR DELCARAIION I hcrchy lmrn undcr Fnalr, of pcljury rhlr I d crcmpr fDh rhc Conta.tn Li.cns h* lor lhc lollowiry Erv,n (S( 70l l 5 Busincss nnd PioLssion C.dc) Any Ciry oi Counrt uhi.h r.qxircs r pcnnn nr conslruct. alls. ihproh. d.nnnrh ot rcpln .ny (rudurc.Fiortons issuatrcc, als rcquncs Ih€ upplicad rbr su([ pclmir h fiI. r siSmd {arctunr th,t h.ot shc t liccnsed puEuonr to thc povtiotrs ofrr Conrrudors Liccn*d tj* (Chrprcr 9. ConmcrcinA sirh Sccrion 70Oo or Divhn,n 3 oflhc Busincss and Prnt$ionsCodclorthal hcorshc t cxcmpl rherctodlnd rhc l,u\is Lrrh. rlr.sL{cxc,ryrion AnyviolrlnlnolSccri'!TOllthy,ny a,lpli.,fl ro..p.ftn sobjNNrh. rypli.ant ro..irilpcnakyornor nucrh firchu rcd dollar (5500) *1. rs owrcrol rhc prcpcny. (n y cnll]loytcs qirh wrgc{ as rlf, ir slc ompris tnr. *1ll do th. w.r* drl rhc slulm is mr inrcqkd or olLlcd ft, slc (Ss ?(!.4, Brsimr\ anJ Pldtsion\ c{xi. Thc Cront..kr's l-i.cn$ Lnw d.e\ nor anply ro an owrcrof rhetopcny wh. huilds o. i.np..rcs rhcNn. id * ho oc\slchsrtiimrcllo.h.r{llorrhrcughhisorh.io*nrnDloyc.\. ntuvidcii rhi su.h imlrek Enh e noi imcnded or .ffcnl fr, $L ll howcr.r. rhc tlildir8 or in{mvcnrnr is $ld sirhin , c ,a ofconrrkrion. rhcOwncr BoiLdd will hdv. rh hurdci.ff,vi'r! rhrr lf or shc did nol huih or inryo* rhc pnpsly lff rhc l)lrysof I. a\owic!ofrhclrotcny, i rcr.lu\iv.ly.onrra.ri'r! uirh 1i..tr*d.ortr.rosro co,r\lruct rhc lrrolcr (Scc 7044, Bd\in.* Md hrli\sbtr Codc ThcCotrr&tor( Licctrsc Lia docs nor stplyro anownerolf()pcnylho huildior inrtovcs rhcton, rnd qho conrracis for su.h pr+.Guirhs Conrncrorl9 liccn{d prnrrDr hrhcc.nL,.tr/ s Li.cnsc bw). I rr.1rf,tr utrJ.r S.cro DEie: Own€.] t!OITKT'RS' C(}MPENSATION DECI.A.BAIIO! I hcrcby rflrmundcr pcnrlryorlfluryonc ofrhc iollo*irE dcclnrarions: I lrvc mJ q ill tuidrin r C.nilr.arc .rcutr*nr tu Sclf.l trruic lir sor*.rs c.nlEn\lrion. $ pi.r idcd ,i,r hy S..r ion l?m of rhc Ijh, Codt. ror rhr icrfomncc ofrh. woA fn which rh. Frnrir i\ ilsucd ,kcr' coflrpcnsation in\unwc- rs roquired I'ySc.rnrn l7(Xlofrhc tibor Codc. forrhc Nllormtrccoi,W i'xur .i cn"irr rnd rilicy u bcr c .r)-- ,/1 -lccnilylharinlhenrrorroncco{rhc$orkntrshthrhi\pen r is t\ucd.I$rll nor .nrdoy !try t'crcn in rny munncr $ rs() hc.o r sub)c.r ro rhc sorkr^ sm,rnsarion liws ofc.lifornd and ogrcc rtar ill should beco& rubJccr ro rh. woik.rJ ..nrcns,rion porisbtrs of sNhn 3700 nl thc titnr C.dc. I shall. tnfl hwir h confly wirh rhos F,vhions WAI{NINC r.rilurc n, {rrc worlr^ .on,Nnsnrirn, (ovflrg! .i!il lnr\ np k).nc hutrd'c rhotrsr d tl,,llnrs (11(Xr.0lx)). cmpbrcr t, cri'ni'ul li'uhic\ nd ion- drnHEc\ rs tn)v cd fur rhc D:k:1 I hercty rflnmundcrycnalryoiFrjury rhlr I am of lh. Businc$ d Profcsions Codc. u nyI orChaprcr 9 (.onnNNnrS wnh Sccti,r'70(,o) orDivisi.n l 4 I hcroby aifirm undq pcnulty otF.jury lhar lhc,e is uconsrrucri{,n l€ndins rgctuy rur rh. pcrrornmc ollhe woll for *hich rhi\ p.rdir is issucd (Sc -109?, Civ. C ). ATf,.ICANLD&CIAaA.IION I h.rty aiinn undcr Fcnalty oineriury.trc or rlE tollowiop dcchrari{,n\: Dcmoliln,n PcrmirlAsb.{os Notili.ation Fcdcral RcBul0rions (lillc 10. Pfi6) Rcqui6d lrltcr of Norii.rliotr l.cnrfyrhar I havc rcrd rhis.pplicrrionrd ion is comcr I agrc b.ofrplyairh rllCiryrnd Counry odirrnccs,nd srarc hws rcld ina Io huilding iurh.ri?r rclrroenrxrivcs .f rht Ciry and Couniy ro cnrer upon rh( ih)vc rc rnn(l Pn,pcnylnr i'r Set Backs Erection Pads UFEB Ground SLAB Floor Roof Sheathinq 'o/r/ /tr r.'tz/l/ r.A 1o--- Shear Wall Framing lnsu lation/Energy Drywall Brown Coat lvlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report FINAL t,olrrLk -,tlli',,v*/ 6-'\---- Certificate of Occupancy Notes, Remarks, Etc COMMENTS Forms/Steel/Holdowns Subf loor/Vent/lnsulation Ext./lnt. Lath Flood Zone Ceftif . b.d.r'(Nu r trnd.i\ Addr.$ - -l .cnify that rhe tcderul rc8uhtn,nr Es dinB asbc{os rc'mvrl m nor rpplic$t b rhis pn,j.!r ry ??24J f ----T------