HomeMy WebLinkAbout101105207 - PermitProiect Address: 1006 W Twentieth Sta
Assessor's Parcel: 399-062-02 Lot: 26, POR 25 Block: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: RlTract: 1306 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 #: lO11O52OT
Pin #: 93826
Building Use: Single Family Dwelling
Job Type: Reroof
Nature of Work: Reroof
Existing BIdg. & Use: Sfd w/det garage
Proposed Use:
Occupancy:
Constr Type:
Code.
Flood Zone:
# of Stories:
R-3, U
VB
cBc 201 9
x-0602320144J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $4,200.00
Description of Work: Tear off comp and apply comp to sfd and detached garage. Handouts giren. $i
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
John Craig
1006 W 20th Street
Santa Ana, CA 92706
(7141 884-0853
Contractor: Sal-NB Roofing
Address: 3702 E Chapman Ave #C
Orange, CA 92869
Phone: (7141 345-8745
State Lic #: 1044963
Lic Type: C-39
Bus. Lic #: 371134
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9160583
Expires: 0610912021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery Date: 1111212020
Date:
Date: 1111212020
Subject to Field:
Verduzco,viobt$
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$34s.28
$4.05
$1.00
$23.7e
$5e.30
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
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#: 2020-1627 18
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23.79
$404.58
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due:
$433.42
$0.00
$433.42
BUILDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG COMMENTS OWNER BI,JILDER DELCARATION
I hcrcby affirrn under pcnalty of perjury that I am cxenrpt from the Contractors' License law for the following reason (Scc.7031.5
Busincss and Profcssion Code): Any City or County which requires a pcrmit lo conslruct, alter. improve, demolish or rcpair any
structure. prior to its issuance, also rcquires thc applicant for such pcrmit to filc a signcd statcmcnt that hc or she ls liccnscd pursuant
to thc provisions of thc Contractor's Licenscd law (Chapter 9, Commencing with Sc.ction 7000 of Division 3 of the Busirrcss and
Profcssions Codc) or thal hc or shc is cxcmpt thercfrom and thc basis for the allegcd exemplion. Any violation of Scction 7031.5 by any
applicant for a pcrmit subjects thc applicant to a civil pcnalty of not morc than fivc hundred dollars (S500).
a
_1. as owrrcr of thc fnopcrly. or my cmployces with wagcs as their sole compcnsalion, willdo thc work and thc stnrcture is not
intcndcd or offcrcd for salc (Scc.7044. Business and Profcssions Codc: The Contractor's Liccnsc law docs not apply to an owncr of
lhc propcrty who builds or inrprovcs thcrcon, and who docs such work himself or hcrsclf or through his or hcr own employces,
provided that such improvenrcnt.s arc not intcndod or offercd for salc. If, howcrtr. thc building or inprovcnrcnt is sold wilhin onc )aar
of conrphtiorr thc Owrrcr Builder will have thc burden of proving that hc or she did not build or improvc thc property for thc purynscof
salc).
__1, as owner of the property, am exclusivcly contracting with liccnscd contractors to construct thc projc.ct (Scc. 7O14. Bu.sincss
and hofession Codc: Thc Contractor's Liccnse Law docs not apply to an owncr of propcrty who builds or improvcs thcreon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to the Contractor's Liccnsc [,aw).
-l
am excmpt under Section-. B. & P.C. for this rcason.
I ):rlt' ( )rt ltt'r
WORKERS' COMPENSATION
DECI ARATION
I hcrcby affirnr undcr pcnalty of prjury onc of thc following dcrclarations:
_lhavcandwill maintainaCertificateofConsenttoSclf-lnsurcforworkers'conrpcnsation.as providcdforbyScction3T0Oofthc
7*;
for ttrc performance of thc work for which thc pcrmit is issucd.
will maintain workcrs'insurance. as by Section 3700 of thc [:bor Code. for the pcrformance of
ls workers'carrier and policy number arc:
\I'}olicy
ltiryn*
so as to bccome
in the pcrformance of thc work for which this pcrmit is issucd. I shall not cmploy any pcrson in any manner
subject to thc workcrs'compensation laws of California. and agrce that if I should bcconrc subjcct to ttrc
workcrs' compcnsation provisions of Scction 3700 of the l-abor Codc, I shall. forthwith comply with those provisions.
WARNING: Failure to sccurc workcrs' colqrcnsation covcrage is unlawful. and shall subjcct an employcr to criminal penalties and
civil fincs up to onc hundred thousand dollars ($100,0m). in addition to the cost of compcnsation. damages as provided for the
Scctiorr of thc intcrcst and attorncy's fccs.
DECLAIIATION
I hcreby affirm under pnalty of pcrjury that I am licenscd under provision of Chaptcn 9 (comnrncing with Section 7000) of Division 3
of the Busincss and Professions Code, ard my license is in full forcc ard effcct.
Liccnse Nulnbcr*-
>(>
W
I hcrcby amrm undcr pcnalty of Frjury that thcrc is a construction knding agcrcy for thc pcrforMcc of lhc work for which this Frmit is
issucd (56. 3097, Civ. C.).
kndcr's Nam'
lrnder's Address:
A PPLI CA NT DECLAITAT'ION
I hercby affrm undcr pcnalty of perjury one of thc following declarations:
Dcmolition Pcrmils-Asbcstos Notificalion Fcderal Rcgulations (Titlc 40. Part6)
-Requ
ired [-etter of Notification
_l ccrtify that thc fcdcralregulations regarding asbcstos rcnrovalare not applicable lo this projcrct.
-6"n fyrhat I havc read this appticalion and starc rhat the atxlve infornution is correcl. I agrec lo comply with all City and County
ordinanccs and Statc laws relating to building construction.
abovc nrcntioned property for inspection purg)scs. '\
upn thc
,\pplicant or Agcnt
I'ernrilee nanre
ard hereby authorize representatives of this City and >b
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loo r/VenVl nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulatio nlEnerqy
Drvwall
Ext./lnt. Lath
Brown Coat
J\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
L
FINAL /2-/-70 fLctl A/EUS czrl
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5
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