HomeMy WebLinkAbout101104915 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O49{5
Pin #: 39633
Proiect Address: 1214 S Virlee St-a- -
Assessor's Parcel:108-333-1s Lot: 16
Unit Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 2219 Historic: No
Building Use: Slngl. Femlly Dwelllng Occupancy: R-3, U 1st FL Area Patio:
Job Type Roroot Constr Type V B 2nd FL Aree T.l.Aree:
Nature ofwo*i Rsroof codei cBc z)19 other Areas yards Req.d
Existing Bldg. & use: sFD wrdet gar.ge Flood zone: x.05o2320256J
Garage Area v.tu.tion: ll2,3oo.ol,
Proposed UBe: # of Stories:
Totat
Do.criptlon of Wo.k Rorcof wit.o..R.move comp shingles .nd ih3t ll Bor.ll Roofing "S" tile (ESR-{014 on .fd .n., d.t gaEgorr.placo 6he.thlng ..
.oq'drhandou gived.uth on filo
Plennln0 Conditions:
e
Owner.
Address:
Phone:
Tenant
JoseL&SonyaZuniga
1214 S Virlee St
Santa Ana, CA 927042042
(7141 609-9855
Contractor: Sal-NB Roofing
Address: 3702 E Chapman Ave #C
Orange, CA 92869
Phone: (7141 345-8745
State Lic #. 1044963
Lic Type: C-39
Bus. Lic #: 371134
Workers' Compensation I nsurance.
Carrier: State Compensation lnsurance Fur
Policy #: 9160583
Expires: 0610912021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #.
Planning Approval By.
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd. No
PWA lnsp. Req'd: No
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
Arabe. Jill
Hernan dez, Kathy
Date: 1011212020
Date.
Date. 1011212020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
01776002
07776002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
57770
57672
57600
57607
Fee Total
Paid to Date.
Balance Due:
$34s.28
$4.05
$1.00
$23.79
$5e 30
$433 42
$0 00
$433.42
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.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$23 79
$404.58
$1 00
$4 05
lnspector MID#'. 2020-162037
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby atllm undcr lEnalty oI Jrrjury rhal I am cxcmpt from lhc G)nlraclors' Liccnsc tlw lirr thc tirlkrwirtg rcasn (Scc.70.ll,5
Busincss anl Profcssion Gxlc): Any City or County which rcquircs a ;rrmi k, conslruct. altcr. improvc. rlemlish or rcpair any
structurc, Jrior l(, its issuancc, also rcquircs thc applicant tbr such lrcrmit k! lilc a signcd statcmnt thrl he or slE is lice[$d puBuant
to thc prcvisions of thc Contractor's Liccnscrl law (Chaptcr 9. Commcncing uilh Seti(tn 7(XX) of Division ., of the Busincss and
PnrtbssionsCodc)orthathc(xshcisexcmptthscfrcmatrdlhcbrsislirrthcsllegcdcxcmplion. Anyvi(llatiortofSectirmT03l.5byauy
applicanl for a Fmit subjccls thc applicant lo a civil pcnally of not more than fivc hundrcd dollars (5500).
_1, as owncr ol'thc propcrly, or my employces with wagcs as lhch solc com5rcnsation. will do lhc work atxl thc slnK'lurc is nol
intcndcd or oll'crcd tilr salc (Scc.7044, Busiltcss and Pnlfcssions Codc: Thc Contract()r's Licensc Law docs not apply lo an owner ol'
thc proJrcrty wtxl builds or improvcs thcrcun, and wtxr drrcs such work himself or hersclf or thnrugh his rlr hcr own employccs.
providcd that such imprcvcmcnts arc not intcndcd or oll'crcd lirr sale. I[ howcvcr, thc building or improvcrncnt is sold within one ycar
ol'complction, lhc Owncr Buildcr will havc thc burdcn ol'proving that hc or shc did not build or imprrtve thc propcrty ltrr thc purJxrsc ol'
salc).
_1, as owncr ol'the propcrty, am cxclusivcly contracting with liccnscd conlractors to construct thc proict (Scc. 7(X4, Busurcss
and PnrlbssionCode:I'hcContractor's Liccnsc [,awdocs not applyto anowncrof propcrtywho huilds or improves thercon,
and who contracls lirr such projccts with a Contractor(s) liccnscd pursuant to thc Contract<lr's Liccltsc Law).
-IanrcxcmpturuJcrScctitln-.B.&P.C.lilrthisrcasrrn.Date:
}VORKERS' CONT PENSATION
DECLARATTON
I hcrcby atl'irm under Fnalty of prjury onc of thc titlkrwing dcclarations:
_l havc and will maintain a Ccrtilicatc ol'Conscnt to Sclt'-lnsurc tirr workcrs' compcnsation, as providcd tirr by Section 3700 of thc
[-ah'or Ctxlc, tilr thc Jrcrlirrmance of thc work ftrr which thc pcrmit ls issucd.
_l havc and will maintain workcrs' compcnsation insurancc, as rcquircrl hy Scctkrn -17fi) of thc Labor Code, lirr thc Jrcrlirrmancc of
thc work lbr which this pcrmit is issucd. My workcrs' compensation insurattcc carricr and Jxrlicy numhcr arc:
Policy
_l ccrtity that in thc Jrcrtrlrmancc o[the wrlrk lirr which this ;rcrmit is issuctl, I shall not empkty any lrcrson in any manncr
so asto bcconrc sub.icct to thc workcrs'compcnsation laws of Calitilrnia, and agree that if I should bccomc subject tothc
workcrs' comJrcnsation provisions ol'scction 37fi) of thc Lahlr Ctxlc, I shall. li)rthwith comply with ttxrric provisions. u
WARNTNG: Failurc to sccure workcrs' comJrcnsation coveragc is unlawl'ul. and shall suh.icct an employcr to criminal Jrcnaltics and
civil lincs up to onc hundrcrl thousand tkrllars (Sl00.U}()), in addition to thc cost of crtmJrcnsatitln. damagcs as providcd tbr the
Scction .1076 ol'Codc, intcrcst and altrlrncy's l'ccs.\
,
DECLARATION
I hcrcby allirm under pcnalty ol'pcrjury that I am liccnscd unrler provision of Chaptcr 9 (commencing with Scctirln 7firu) of Division 3
ol' thc llusincss and Pnll'essions Code, arx.l my liccnsc is in full tbrcc utd cthct.
Liccnsc Numbcr:
\)
CONSTRU TION LENDING AGENCY
I lErcby allirm undcr fnulry of lrrjury that there is a constructkln bnding agcncy for thc trcrforronce of thc work for which this lErmit is
issued (Sc. 3097, Civ. C.).
[-cndcr's Addrcss:
APPLICANT DECLARATION
I lrcrcby allirm undcr Jrcnalty of perjury onc ol'thc lirlklwing dcclarations:
Dcmolitiolt Pcrmits-Asbcstos Notification Fcderal Rcgulations (Titlc 40, Part6)
-Rctluircd
l*ttcr of Notilicatkrn
_l ccrtity that thc t'cdcralrcgulations regarding asbcstos rcnxrval arc not applicablc to this pnlcct.
_l ccrtity that I have rcad this application and statc that lhc ahrve intirrmatiort is correct. I agrcc to comply with all City and County
ordinanccs and Statc Laws rclating to building construction, and hcrcby authorizc reprcscntativcs of this City antl County to cntcr uJxtn tlrc
ahruve mcntioncd propcrty ti)r
Applicant or Agent
Penrritee nanre
G o ra d
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl nsu Iation t
Roof Sheathinq ll lro lz;2A-ffi 7
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
n I
FINAL l1-l ( lz2 W,7
Certificate of Occupancy I
Notes, Remarks, Etc.
Florr fi9'n7 -2n I q
[.cndcr's Namc:
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