HomeMy WebLinkAbout101102554 - PermitProiect Address: 1241 E Chestnut Avea
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Assessor's Parcel: 01 1-'152-03 Lot: NA
Unit Bldg Address Range:Suite Range:
Zoning: MlBlock: NA Tract: NA Historic. No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 DN Building
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:101102554
Pin #: AO223
Building Use: lndustrial Occupancy. F-2 1st FL Area
Job Type: Reroof Constr Type: lll B 2nd FL Area
Nature of Work: Reroof Code. CBC 2016 Other Areas.
Existing Bldg & Use: lndustrial Flood Zone X-0602320276J Garage Area:
Proposed Use: # of Stories:
Total
Description of Work: Reroof w/t.o.-Remove and apply TPO/replace sheathing as req'd/handout given/auth on file
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd
Valuation: $102,000.00
Owner:
Address:
Phone:
Tenant
Chestnut and Grand Land Trust
1338 Wilshire
Santa Ana, CA 92705
(714) 878-8854
Contractor: Sadler Roofing lnc
Address: 2369 N Batavia St
Orange, CA 92865
Phone: (949) 675-5095
State Lic #: 986967
Lic Type: C-39
Bus. Lic #: 366367
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9229892
Expires: 0510112020
Engineer:
Address:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd
Landscaping lnsp. Req'd
Orozco, lvan
Hernandez, Kathy
Dale. 121'1612019
Date:
Dale 1211612019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
01776002
07775002
07776002
s7607
57770
57672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$832.65
$3.91
$5.00
$22.95
$57.20No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 0't 1 1 6002 5'l 600
0'1116002 51601
0'l1't6002 51612
01116002 57770
Account#Total
Every permit issued shall become invalid unless lhe work on the site authorized by
such permit is commenced within 360 days alter its issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2019-156523
$22.9s
$889.85
$5 00
$3.91 Fee Total
Paid to Date:
Balance Due:
$921 71
$0.00
$92',1.71
I
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
i hoeby aflirrr undo penalty of pgjury thal I an crempt from lhe Contraclore' Licrue Larv for the following reen (56.70] 1.5
Rusinss md Prof6sion Code): Any City or County rvhich requira a pmnit to construcl. alts, improve. dmolish or repair my
structue. prior rc ils issuance, also requirG thc applicant for such pennit lo filc a signsl statemot lhat he ot she is licwd pmumt
to the provisions of th€ Contractor's Licensed l-aw (Chapts 9, Cornmencing with Section 7000 of Division 3 of the Busines and
ProfessionsCodc)orlhathcorsheisexemptthqefiomodtheb6isfortheallegcdexmption. AnyviolalionofSotionT0-1l.5byany
applicantforapmnitsubjectslhe applicanlloacivilpenaltyofnotmotelhanfivehun&eddollils($500).
I. a cuner oflhe prope(y. or my employs wilh u,ag6 a thet $le cdnpensalion. will do lhc work od the slruclw is nol
intoded or offoed for sle (Sc.7044. Buines md hofmrom Code: 'l-hc Conlractor's Licflse Law do6 nol apply to il oMs ot
lhe pmpert) u,ho builds or improvs thsmn. ud *'ho doe such \rcrt himself or hmclf or tlrough his or ho own employee.
provided that such imFrovanents rc not intodcd or offqed for ele. If. hoswo, thc tuilding or improvonent is pld rvithin one yw
ofcompletion. the Own6 lluildq will have the hrdo ofproving that he or she did not build or improve thc pmp€ty for the purpor of
ele).
___ l. m owle oflhe propfiy. on exclusively conlracling with licensed conlracloB to connrud the pr(iecl (Sec. 7M4. BNins
md hofesionCodc: nrcContractor'sLiccnsel,awdo6notapplyloanowilerofpropenywhobuildsorirnprovesth6on.
and *lro connacls for such projecls uilh a Conlraclo(s) licssed pursuiut lo lhe Conlraclor's Licmsc l-aw).
I m erempt undq Setion-. B. & P.C. for this reson.
l)atc:
DECLARATION
I hereby amrm und6 penalty ofpojury one ofthc following declaations:
Yif;ve mrl will maintain a Cerrificate of Consmt to SelfJmue for workos' compqsation. 6 providcd for by Strrion 3700 of thc
tnbor Code, for lhe pgfommce of the work for which the pmnit is i$ucd.
2( haue and will maintain workm compcmation insurance, d required by Setion
thc work for which this pqmit is isued. My workfi' compeNtion ireurmce cuis
3700 of the kbor Code. for the psfommce of
anrl policy numbs ile:Fwot?tu s-t -"9
cffiry lhat in lhc performance ofthe work for which this pennil is issucd. I shali not employ any pcrson in any mmncr
s 6 to beomc subjsl to lhe *ork6'compensation laws ofcalifomia. and agre that ifl should becornc subjct to the
work6' compmarion provisioro of Salion 3700 of thc tabor Code. I shall. forthwith comply with lhos provisions.
WARNINC: Failure to wuc rvorkffi'compmsalion coveage is unlarvful. md shall subject an mrployo to oiminal poaltia m(t
civil lines up to onc hundrcd thousmd dollus ($100,000). in addition lo lhc cost of compemation. danages a providcd for the
Section 3076 of the Labor Code. intdst ild attomey s fe6.
l-t6- 1q
I hereby aflim undo lutalty o f pojury that I an licosql under of('hapls 9 (commerrcing rvith Section 7000) ofDivision 3
of the Businss md Profsions Code. md rny licose is in full force ard cflect.
License Class C3 lsb 1b7
tz- I,
I hoeby affirm undu ptrahy of perjury that th6e is a coNlruction lmding agocy for the pcrfonmce of the work for which this pqnit is
issued (Se. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT DECLARA ION
I hodry affnn undcr penahy or'perjury one ofthe following d6ldations:
Dcmolition Pmits-Asb6los Notification Fedqal Rcgulations (Title 40. Pa(6)
Required Letl6 of Nolifi cdion
_l colify that the fedqal regulations reSuding 6b6tos rmovalare not applicable to this prejet.
_ -_l ccrtiry that I have rcad this application md state lhat the above infomdtion is corect. I agre to cornply with all City and County
ordinances ild Slatc l-aws rclating to building construction, ild hereby authorize rcprsentatives oflhis City ild Counly to entd upon lhc
atrrve mcntioned propmy for inspstion
Applicsn( or Agent
Pcrmitce ormc (pritrt):cot)
-t6 -t/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenVlnsulation / /
Roof Sheathinq I /6 Dz rJs ru fr?toy
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
II tt ,a
FINAL qrfil'fl)l{l r[Wffit ffi/
Certificate of Occupancy I
Notes, Remarks, Etc.