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Home My WebLink About101105054 - PermitCity 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 #: {O11O5O54 Pin #: 9OO14 Proiect Address: 2009 S Center Sta Assessor's Parcel: 408-381-08 Lot: 90 Unit:Bldg: Address Range:Suite Range: Zoning: R1Block: NA Tract: 3296 Hrstoric: No Building Use: Single Family Dwelling Occupancy: R-3, U 'lst FL Area: Patio: Job Type: Reroof ConstrType: v B 2nd FLArea: T.l.Area: Nalure of wo.k Reroof code: cBc 2019 other Areas: yards Reqd: Existing Bldg. & use: Sfd wr.tt gerago Flood Zone: X4602320257J proposed use: # of stories: Garage Area: valuation: $10'000'00 Totall Descrlptlon of Work: Reroof house, .ttached gaage & patlo covej - Jemove e sting comp, aeplace any damaged sh.ething, instell new comp on house & garago & new flet roof on patlo. Handouta glven Planning Conditions: Repair & replace rafters, eaves & fascia as needed. I Owner: Address: Phone: Tenant: ROBERTO & LUCIA URIBE 2OO9 S CENTER ST Santa Ana, CA 927044611 (7141 232-3213 Contractor: Prestige Roofing Address: 911 Figueroa St Santa Ana, CA 92704 Phone: (7141 393-3620 State Lic #: 1059050 Lic Type: C-39 Bus. Lic #: 374213 Workers' Compensation lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 9258598 Expires: 0810612021 Engineer Address: Phone: License # Architect / Desiqner: Address: Phone: License # o -5 Planning Approva! By: Plan Checked By: Permit lssued By: ',,. NPDES lnsp. Req'd: PWA !nsp. Req'd: Planning Insp. Req'd: Landscaping lnsp. Req'd Fire lnsp. Req'd. No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51600 01116002 51601 01116002 51612 01 1 16002 57770 Khang, Kathy Amsden, Julie Date: 1012612020 Date: Date: 1012612020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 0 77760 0 2 07776002 07776002 0L7L6002 077760 0 2 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update I ssuance 57507 57770 57672 57600 57607 Fee Total: Paid to Date: Balance Due: $345 28 $4.0s $1 00 $23 79 $59 30 $433 42 $0 00 $433.42 No No No No 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. Inspector IMID# 2020-162379 $23 79 $404 58 $1 00 $4 0s a BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BI.IILDER DELCARATION I hcreby affirrn under penalty of pcrjury that I am excmpt from thc Contractors' Licensc [.aw for the following reason (Sec.7031.5 Business and Profcssion Codc): Any City or County which rcquircs a pcrmit to construct, alter. improvc, dcmolish or rcJrair any structure, prior to its issuance, also rcquircs thc applicant for such pcrmit to file a signcd stalemcnt that he or shc ls liccnscd pursuant to ttrc provisions of thc Contractor's Liccnscd Law (Chaptcr 9, Commcncing with Scction 7000 of Division 3 of thc Busincss and Profcssions Code) or that hc or shc is exempt thercfrom and the basis for the allcged cxemption. Any violation of Section 7031.5 by any lpplicant for a pcrmit subjccts thc applicant to a civil penalty of not morc than five hundrcd dollars ($5001. _1. as owncr of the propcrty.or nry enrployccs with wages as thcir solc compcnsalion. willdo thc work and thc structurc is rnt intendcd or offcrcd for salc (Sec.7044, Busincss and hofessions Codc: The Contractor's Licensc law does not apply to an owncr of the proprty whcr builds or improves thcrcon and who docs such work himsclf or hcrself or through his or hcr own employees. providcd that such imlnovcnrcnts are nol intendccl or offcrcd for sah. lf. howcrrcr. thc buiHing or inrprovcnnnt is sold within onc ycar of complcti<ln, thc Owncr Buihcr will havc thc burdcn of pmving that hc or she did not build or improvc thc proprry for thc purynsc of sale). _1. as owner of thc prolrerty, amcxclusively contracting with liccnscd conlractors lo construct thc projcrt (Sec. 7(X4, Busincss and Profcssion Codc: The Contractor's License Law docs not apply lo an owncr of propcrty who builds or improvcs thercon, and who contracts for such projccts with a Contractor(s) liccnsed pursuant to thc Contractor's License Law). -l am cxenlpt under Section-. B. & P.C. for this rcason. I )alt'. ( )rr lrcr. WORKERS' CONIPENSATION DECI ARATION I hcrcby affirm undcr pcnalty of pcrjury onc of thc following dc''claralions: --l havc and will maintain a Ccrtificate of Conscnt to Sclf-lnsurc for workcrs'compensation. as providcd for byScction 3700 of thc l-^abor Codc. for thc ;rcrforrnancc of thc work for which the prmit is issued. #havc and work lbr will maintain 3700 of thc [:bor Codc. for the grcrformance of this ard grlicy nurnbcr are: t (Policy _l ccrrify that in thc prlirrnmncc of thc work for which this is issued. I shall not crnpkly any person in any rurnncr should bcconr subject to thcso as lo bccomc subject to tlrc workers'compcnsation laws agrcc that if I workcrs' compensation provisions of Section 3700 of thc forthwith c-omply with thosc provisions. WARNING: Failure to liccurc workers' contpcnsation and shall subject an cmploycr to criminal penaltics and compcnsation. danuagcs as providcd for thccivil fincs up to one huntlred thousand dollars cost of Section 3076 of thc l-;rbor Codc. intcrcsl and attorney's fces. o ? DT'CI ARATION I hcrcby affirnr undcr pcnalty of pcrjury that I am liccnscd under provision of Chaptcr 9 (comnrencing with Section 7000) of Division 3 of thc Business and Profcssions Code. and my liccnsc is in full force and effcct. Liccrrse Date: c3a Nurrrhcr: (oSQorn 07 AvP l\L) W I hcrcby aflirm urdcr pnalty of lErjury that thcrc is a construction lcnding agcrcy for thc pcrfollllmc of thc work for which this lEmit is issucd (Se. 3097. Civ. C.). l-cndcr's Nanrc: [,cndcr's Addrcss: APPI ICANT NECI ARATION I tucby affinn undcr pcnalty of pcrjury onc of the following dcclarations: Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6) Reouircd _l ccrtify that thc fcdcral rcgarding asbcstos rcnxrvalarc not a;l;rlicable lo this projcct. _l ccrtily that I havc rcad this and statc that thc abovc inlbrmation is corrcct. I agrce to comply rreprescntatives of this city wilh all City and Counly and County to cntcr upon thcordinances and Statc laws abovc nrntioncd proprly for Applicnnt or Agent Perntilee construction, and hcrcby authorize Zo Set Backs Forms/Stee!/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl ns u Iatio n Roof Sheathinq ll- lB-zcl J l<-5 t tu'{4rP Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Jtllasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif FINAL l1-29- 2l t Jd"s a+? â‚¬{/ Certificate of Occupancy Notes, Remarks, Etc. Rev. 08-07-201 5 ls