HomeMy WebLinkAbout101105055 - PermitProiect Address: 838 E Grant St-a
Assessor's Parcel: 01 1-233-05 Lot: 14
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 3080 Historic: No
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 #: {O11O5O55
Pin #: 30589
Building Use: Slngl. Family Dw.lling Occupancy: R-i, u 1st FL Area: Patio
Job Type: Roroof Conslr Type: V B 2nd FL Area: T.l.Area
Nature of work Reroof code cBc 2019 other Areas: yards Req'd:
Existing Bldg. & us€: sfd wr.tt garage Flood zone x4ao23202,al
Garage Area: Valuation: tg,ooo.oo
Proposed U8€: # of Siories: Tolat
Delcalptlon of work Reroot houso & attached garagg - rDmove I layer asphalt ahlngkes. rgplaco anydamagad aheathlng, lnetall nsw aaphalt shingl€e
Handouta glvon
Planning Conditions: Repair & replace eaves, fascia & rafters as needed.
Owner:
Address:
Phone:
Tenant:
GUADALUPE MARTINEZ
838 E GRANT ST
Santa Ana, CA 927016218
(7141 707-1201
Contractor: Prestige Roofing
Address. 91 1 Figueroa St
Santa Ana, CA 92704
Phone: (7141 393-3620
State Lic #: 1059050
Lic Type: C-39
Bus. Lic #: 374213
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9258598
Expires: 0810612021
Engineer.
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
Planning Approval By:Khang, Kathy
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Julie
Date: 1012612020
Date:
Date: 1012612020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07775002
57607
57770
57672
s7600
s7607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$345.28
$4.0s
$1.00
$23.79
$s9.30No
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-162377
01 1 16002 s1600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23.79
$404.s8
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due:
$433.42
$0.00
$433.42
4'to
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER B T.IILDER DELCA RATION
I hercby affirrn under pnalty of pcrjury that I am cxcmpt frorn the Contractors' License [:w for the following rcason (Scc.7031.5
Busincss arxl Profession Codc): Any City or County which rcquircs a pcrmit to construct. altcr, improve, demolish or reJrair any
structure, prior to rts issuancc, also rcquircs thc applicant for such permit to filc a signcd stalcmcnt that hc or she is liccnscd pursuant
to thc pnrvisions of thc Contractor's Liccnscd l-aw (Chapter 9. Commencing with Scrction 70fi) of Division 3 of the Business and
Profcssions Code) or that hc or she is excnpt thercfrom and the basis for thc allcgcd cxcmption. Any violation of Scction 7031.5 by any
applicant lbr a pcrrnit subjccts the applicant to a civil pcnalty of not morc than fivc hundrcd dollars ($500).
-1.
as owncr of the propcrty. or my employccs with wagcs as lhcir solc compcnsation. will do thc work and thc structurc is not
intcnded rlr offercd for salc (Scc.7044. Busincss and Prof'cssions Codc: Thc Contraclor's Liccnse [:w does nol apply to an owncr of
the propcrty who builds or improves thereon. and who does such work hirnsclf or hersclf or through his or hcr own cmployees.
providcd that such improvcnrcnls arc not intcndcd oroffcrcd for sah. lf. howcver. thc buiUing or improvcnrcnt is sold wilhin onc ycar
of corrphtiorl the Owncr Buildcr will have thc burdcn of proving that he or shc did not buikl or improve tlre propcrty for ttrc purynsc of
sah).
-1.
as owncr of thc propcrty. am cxclusivcly contracting with liccnsed contractors to construct the projtxt (Sec. 7W, Busincss
and Rotbssion Codc: The Contractor's License Law docs not apply to an owner of propcrty who builds or improvcs thcreon.
and who contracts for such projccts with a Contracto(s) liccnsed pursuant lo thc Conlractor's Liccnse t aw).
_l am cxempt under Section_ B. & P.C. for this reason.
Date:_
WORKER^S' COM PENSATION
Ihcrebyaffirmunderpenaltyofperjuryoncofthc,o,,o*,n,ffi
_l have and will maintain a Ccrtificatc of Conscnt to Self-lnsurc for workers'compcnsation, as provided for by Section 3700 of thc
Labor Code, for the pcrformance of the work for which thc pcrmit is issucd.
€, n"r" and will mainrain workers' compcnsation insurarrce. as rcquired by Scclion 3700 of thc Labor Code. for rhc pcrformance of
the work lor this pcrrnit is issucd. My workcrs' cornpcnsation insurancc carricr and gllicy numbcr arc:
Policy t
_l certity that in thc pcrformancc of thc work for which this Jrcrrrrit is issucd, I shall not employ any pcrson in any nunncr
so as to bcconrc subjcct to thc workers'con{rcnsation laws and agrec thal if I should bcconrc suhject to thc
shall. forthwith comply with thosc provisions.
I
workcrs' comJrcnsation provisions of Scction 3700 of thc [:tnr
WARNIN(I: Failurc lo srccurc workcrs' cornpcnsatiorr and shall suhjcct an crnploycr to criminal pcnaltics and
civrl fines up to onc hundrcd thousand dollars ($100.0m).the cost of conrpcnsation, danurges as provided for thc
Section of the l-atxrr C-odc, intercst and attorrcy's fces.
I hcrcby affirm undcr pcnalty of pcrjury that I am liccnscd undcr provision of Chaptcr 9 (comnrcncing with Scrtion 7Un) of Division 3
of the Busincss and Professions Code. ard my licenrc is in full force and effcrct.
Liccnsc Nunrbcr:(rtSqoSO
W
I hcrcby affirm undcr lEnaltyof Frjury lhat thcrc is 8 construction lcnding agcrcy for thc lrcrformc of thc work for which this lsmil is
issued (56. 3097. Civ. C.).
l4ndcr's Nare:
[.cnder's Address:
APPLICA NT DIICLARATION
I hcrctry afl'irm undcr penalty of pcrjury onc of the following dcclarations:
DcrrurIition Perrnits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Parl6)
Rcouircd L*ttcr of
-l
ccrtify that thc tbderal rcgarding asbcstos rcnnvalarc not applicablc to this propct.
_l ccrtify thal I havc rcad stalc that thc ahrve infornurtion is correct. I agree to comply with all City and County
I rcprcscnlativcs of this City and County to cntcr u;nn thcordinanccs ;rrrd .Siatc [-aws
above rnentioncd property for
IoApplicnnt or Agenl
Permilce name
construction, anci hcrcby authorize
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf Ioo r/VenUI ns u I atio n
Roof Sheathinq
Shear Wall
Framing
Insulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
[Masonrv
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Engineer Final Report
Flood Zone Certif
F!NAL l'lQ'/'O DIMth 4tr'
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5
0wner:--
Applicant:-
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