HomeMy WebLinkAbout101104283 - PermitCity 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 #: {0110,4283
Pin #: 11378
Project Address: 2500 S Salta St
Assessor's Parcel: 412413-13 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: NA Historic. No
Buiding Usq Condomlnlum Occupancy: R-2 lst FLArea Patio:
Job Type: Roroof Constr Type: V B 2nd FL Area: T.l.Area:
Nature ot Work Roroof ca.po.ts 34{3 Code: cBc 20'l 9 Other Areas: yards Reqd:
Exisling Bldg. & U6e: Condomlnlum complex Flood Zone: X-0602320259J
proposed use: #ofstodes: Garage Area: valuation: $19'350 00
Tolal:
oescription of Work Roroof carportr &g3 " r.move oxiEting & install moditled torch down over 75# baae felt. Handout glven.
Planning Conditions:
a
Owner.
Address:
Phone:
Tenant:
2500 S Salta St
Santa Ana, CA 92704
(626) 327-9141
;; #'(^e
(- '
hq,'ry
Park 47 Homeowners Association Contractor: All Pro Roofing lnc
Address: 10979 Sumac Court
Fontana, CA 92337
Phone: (909) 822-8080
State Lic #: 856860
Lic Type: C-39
Bus. Lic #: 376056
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 1799871
Expires: 0 310112021
Engineer:
Address
Phone:
License #.
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By. i
NPDES Insp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Gomez, Pedro
Julie
Date: 08/1 112020
Date:
Date: 08/1 112020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 77750 0 2
07776002
0 77760 0 2
07776 0 02
0 77760 0 2
57607
57770
57672
57600
57507
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$345.28
$4.05
$1 .00
$23.7e
$59.30
No
No
No
Fire lnsp. Req'd. No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 1 6002 51 600
01 1 1 6002 51 601
01 1 16002 51612
01 1 16002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterits issua nce,or if the work authorized
on the site by such permit is suspended or abandoned for a period of 360 days after
the time the work is commenced.
$23.7e
$404.58
$1 .00
$4.05 Fee Total:
Paid to Date:
Balance Due:
$433.42
$0.00
$433.42
lnspector MrD#. 2020-1 60692
t
./t
SITE.WORK DATE ID/SIG.COMMENTS OWNI.:R B U I I,DEII DIiT,CA RATION
I hereby affirnr under penalty of perjury that I am exenrpt fronr the Contractoru' License Law for the following reason (Sec.7031.5
Busincss and Prol'ession Code): Any City or County which requircs a pcrmit lo conslruct, alter, irnprove, dermlish or rcpair any
structure, prior to its issuance. also requires the applicant for such permit to file a signed slatemcnl that he or she is licensed pursuanl
to the pmvisions of thc Contractor's l,icensed law (Chapter 9. Commcncing with Section 7(X[ of l)ivision 3 of the Business and
Prufessions Code) or that he or she is exempt therefronr and the basis tbr the alleged exenrplion. Any violation of Section 7031 .5 by any
applicant for a grcrmit subjects the applicant to a civilpcnaltyof not nrore than live hundred dollars ($StXl).
_1. a.s owncr ol'thc propcrty, or my ctnployees with wages as their sole compcnsation, will do the work and the stnrcture is rnt
intentletl or offered for salc (Scc.70a4. Business and Professions Ccxlc: The Contractor's Licensc Law docs not aPPly to an owner of
the property wlxr builds or improrres thereon and who does such work himself or herself or througlt his or her own employees.
providcd that such improvenrcnts are not intendcd orollered for sab. Il. however, ttrc building or furprovcnrcnt Ls soH within orc year
of conpletioq the Owner Builder will have the burden of proving lhat he or shc did not build or improvc thc properry for tlrc purposeof
sale).
_1, as owner of thc propefly. am exclusively contracting with licensed conlraclors to conslrucl thc projcct (Sec. 7044, Business
arrd Prolbssion Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon.
and who contracls lor such projccts with a Contractor(s) liccnsed pursuanl to lhc Contractor's Licen.se taw).
_l anrexempt under Section-, B. & P.C. tbr this reasort.
WORKICITS' COM PENSATION
Ihcrebyaflirmunderpenaltyofperjuryoneofthe.,,o*',pffi
.lEfn^"e and will maintain a Certificate of Consent to Self'-tnsure for workers' compensation, as provided for by Section 3700 of the
l-ahor Code, for the Jrcrformance of ttre work for which thc permit is Lssued.
_l have and will nraintain workers'Code, for lhe performarrce of
thc work tbr which this is issucd.are:
?- /'2031
_l ccrtify that in thc pcrtbrmance nf the work for which this permit is issued, I shall not cmploy any person in any manncr
so as to bccornc suhjcct to thc workcrs' conrpensation laws of Califonria. and agree that if I should beconp subject to thc
workers' comtrcnsation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with thosc provisions.
WARNING: Failure to securc workcrs'compcnsation coveragc is unlawful, ancl shall
civil lines up to one hundred thousand dollars ($l00.tXltl;. in addition to the cosl o[
subjcct to criminal penahies and
lhe
Section 1076 of the latnr Ccxle, interest and attorney's fees.
DECLARATION
I hcreby all'irm under pcnalty of perjury that I arn licensed undcr provision ol'Chaptcr 9 (comrnencing with Secti<rn 7ffn) of l)ivision 3
of thc Busincss and Professions Code, arxl my license is in full forcc and elfcct.
Numbcr:
CONSTRI.'CTION I,T.:NDING AG ENCY
I hereby atfirnr under Jrenalty of pcrjury tlut there is a construction lerxling agency for the lrcrformarrce of the work lbr which this permit is
issucd (.Sec. 3097, Civ. C.).
lrndcr's Nanrc:
Lcnder's Address:
APPLICANT DECLARATION
I hereby uffirm under pnalty of perjury onc of the following declarations:
Dcmolition Permits-Asbestos Notification Federal Regulations (Titlc 40, Part6)
-Retluired
lrtter of Notification
_I certify that the federal regulations rcgarding asbestos rcnnval are not applicablc to this proJect.
certify that I lrave read this application and state that information is
.State Laws relating to tlre
propcrty for
or Agcnt
and hereby authorize
r,iru,/0'// -2Ofr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Ve nVl nsu lation L\
Roof Sheathinq rzc*h wpat
Shear Wall 7 [\J
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
I\/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
n
FINAL Y-27-h klr-lDl
Certificate of Occupancy \-/
Notes, Remarks, Etc.
BUILDING. INSPECTOR RECORD
I
Rev. 08-07-2015
l)ale:Ormer:
with all City and County