HomeMy WebLinkAbout101105438 - PermitProject Address: 507 E Myrtle St
Assessor's Parcel: 404-083-09 Lot: 3&POR2 Block.3
Unit:Bldg: Address Range:Suite Range:
Zoning: R3Tract: 343 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01105438
Pin #: 88970
Building Us€: Slnglo F.mlly Dwolling Occupancy: R3 1st FL Ared Patio
Job Type: Reroof ConstrType: V B 2nd FL Area T.l.Area
NaluE of Work Rerool Code cBc 2ol9 Other Ar€as: yerds Req.d:
Existing Bldg & use: sfd Flood zone: x{602320275J cerage Area: varuaflon: lr8,goo.0o
Proposed Use: # of Stories:
Total:
O..crlpdon of Work R.roof hou!€ only. R.mov. erlstlng, rspl.cs shoathlng, lnstall Owon. Coming Du6tion cool .hingl.., color l{lght Sky. H.ndout
giv.n.
Planning conditlona: Replace aheathlng, aavoa and faacia boatda a! noadad.
Owner:
Address:
Phone:
Tenant:
lsabel Lopez
507 E MYRTLE ST
Santa Ana, CA 927016015
(7141 356-7330
Contractor: Certified Roofing Specialist:
Address: 9281 Larkspur Dr
Westminster, CA 92683
Phone: (7141 668-0757
State Lic #: 956843
Lic Type: C-39
Bus. Lic #: 337515
Workers' Compensation I nsurance.
Carrier: State Gompensation lnsurance Fur
Policy #: 1949902
Expires. 1210112021
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone.
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES !nsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Guevara, Jerry
Amsden, Julie
Date: 12110l,2020
Date:
Date: 1211012020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07176002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
57770
57672
57600
57607
$345.28
$4.05
$1.00
$23.79
$se.30
Fire !nsp. Req'd:
Police !nsp. Req'd:
No
No Account#TotalNo
NoLandscaping lnsp. Req'd:Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 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#: 2020-163243
01 1 16002 51600
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
fr
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby slfirm uilcr lEnalty of pcrjury thal I am excmJrl liom thc CoDlrsckrB' Liccnrc ku l(rr thc tirllowirg rcavrn (Ss.70]1.5
Busrncss anl Profcssi(rn Cdrc): Any City or Counly which rcquircs a pmit k, c(rnslrucl. allcr. imp(rve. dcm)lish or Epai, any
struclurc, prbr k) its issuuncc, also rcquires llrc applicant fi)r such lErmit kr filc a signed stutcmnt lhal hc or shc is liccnrcd pursuant
lo thc pn)visions of thc Contrackn's Liccnsd hw (Chaptcr 9, Commcncing witlr ScclioD 7000 of Division 3 of lhc Busincss md
Pnrlcssions CorJc) or that hc or shc is cxcmpt thcrcfrom and thc basis li)r thc allcgcd cxcmpli(rn, ADy violation ofSe-titu 7031.5 by any
applica[t li)r a lrc]mit subjccls thc applicant b d civil pcmlty of not m)rc than tivc hundrcd dollsrs ($5U)).
_1. as owtrcr ol'thc propcrty, or my enlployccs with wagcs as lhcir solc conlpcnsation, will do lhc work atil thc slructurc is not
intcndcd or otTcrcd tbr sale (Scc.7044, Business and Profcssions Ctxlc: Thc Contraclor's Liccnse l;tw docs not dpply to an owncr of
thc pr<rpcrty who huilds or impnrvcs thcrqln, and who tlrcs sttch work himsclf or hcrsclf rlr thnrugh his or hcr own cmployccs,
provirled that such impnrvcrncnts are not intcndcd or ollbrcd lirr sah. Il. howcvcr, thc building or imprr>vcrncnt is sokl within onc ycar
ol'complction, thc Owner Buiklcr will havc thc hurrlcn ol'proving that hc or shc did not build rlr impruve thc propcrty lbr thc purplsc o[
salc).
_1, as owncr of thc pR)lrcrty, am exclusively contracting with liccnscd contractors lo construct thc projcct (Sec. 7M4, Busiltcss
aml Prolbsskln Codc: Thc Contractor's License Law docs not apply l() an owner of propcrty who builds rlr imprcvcs thcrcon.
and who contracts tirr such projects with a Contractor(s) liccnsctl pursuant to thc Contractor's Liccnsc hw).
_l am cxcmpt undcr Scction-, B. & P.C. lirr this rcason.
Owner:
WORKERS'CONTPEN
DECLARATION
I hcrcby afl'irm undcr pcnalty of pcrjury onc of thc folkrwing dcclarations:
_l havc arxl will maintain a Ccrtiticatc of Consent to Sclt'-lnsure filr workcrs' compcnsation, as providcd tbr by Scction 3700 of thc
l^ahlr Culc, tbr the pcrlbrmancc of thc work for which thc pcrmit is issued.
W*;and will nraintain Scction -17(X) ol'thc Lahor Codc, Iirr thc pcrtirrmancc of
carricr and pllicy numbcr arc:lirr which this
rl /r lt0A\Policy
qq \
_l ccrtil'y that in thc Jrcrlirrrnancc of thc work lirr which this Jrcrmit is issucd. I shall nol cntploy any [rcrson in any manncr
so as to bccomc suhjcct
workcrs' ctlmpcnsation
to thc workcrs'compcnsation laws of Calitirrnia, antl agrec lhat if I stxluld bccornc suhjcct to thc
provisions of Scction 1700 of thc Lahrr Codc. I shall.with thosc provisions.
WARNIN(}: Failure to sccurc workcrs' comJrcrrsation covcragc is unlawlirl. and an cmployer to criminal Jrcnaltics and
civil tincs up to onc hundrcd thousand dollars to thc tlamagcs as pnrvided tirr thc
Scction 3076 ol'thc [-ahrr Codc.and attrlrncy's
\4.0 t@
DECLARATION
I hcrcby atlum undL'r pnalty ot'prjury lhat I anr licenscd urrdcr prcvision of 9 (cornnrcncing with Scction 7UX)) of Division -]
ol' thc Busincss and Pnrl'cssions Codc, arxl my liccnsc is in ttll tirrcc anJ cl'l'cct.
Zq q5 \{3LiccnscNumbcr:
\o
I hcrchy altrmuN-lcr IEMltyof pcrjury lhat thcrc is a construclion lcndilg ngcNy fi)r thc Jrcrti)rnrancc of thc w(uk lbr which this lsmit is
issucd (Scc. 3097, Civ. C.).
kndcr's Nanrc:
[-cndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby allirm undcr pcnalty of Jrcrjury orrc of thc firlkrwing rlcclarations:
Dcmolition Pcrmits-Asbcstos Notilication Ferlcral Rcgulations (Titlc 40, Part6)
-Rcquircd
lrttcr of Notification
_l ccrtily that thc l'cdcralrcgulations rcgarding asbcstos rcmovalarc not applicablc to lhis projcct.
and statc that lhc alxlve inftlrmatiott is with all City and County
and County lo cnter ugrn thc
abovc mcntioncd propcrty tirr
Applicant or Agent
Pennitee rtanre
and hcrcby
0 Zu u
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVI nsu lation
Roof Sheathinq
Shear Wall
Framing
!nsu lation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL tz /to /tn*tl r'f
Certificate of Occupancy
Notes, Remarks, Etc
Flarr fiP.-n7 -2n 1 q