HomeMy WebLinkAbout101105309 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 . - Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O11O53O9
Pin #: 8{346
Proiect Address: 510 W Park Lna
Assessor's Parcel: 002-037-39 Lot: 40
Unit:Bldg: Address Range:Suite Range.
Zoning: R1Block. NA Tract: 1471 Historic: No
Building Use:
Job Type:
Nature of Work.
Existing Bldg. & Use.
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone.
# of Stories:
R.3, U
VB
cBc 2019
AE-0602320163J
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area:
Total
Patio:
T.l.Area.
Yards Req'd.
Valuation: $7,500.00
Description of Work: Tear off comp and apply comp to sfd and attached garage. Handouts given
Ptanning Conditions: Repair and repaint any damage to window trim, stucco, eave, facsia and rafters as needed.
Owner:
Address:
Phone:
Tenant:
Margaret lsom
510 W Park Lane
Santa Ana, CA 92706
(7141 558-0275
Contractor: Solid Roofing
Address. 8033 Sunset Blvd
Los Angeles, CA 90046
Phone: (310) 866-7007
State Lic #: 101 2285
Lic Type: B, C-39
Bus. Lic #: 376856
Workers' Compensation I nsurance:
Carrier: State Fund
Policy #: 9259262
Expires: 0811612021
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 Insp. Req'd.
Fire Insp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
Arias, Fernanda
Verduzco, Violet
Date: 1112512020
Date:
Date: 1112512020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07775002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$l
57607
57770
57572
s7600
s7607
$345.28
$4.05
$1 .00
$23.79
$5e.30No
No
No
No
Account#Total
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.
$23 79
$404 58
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due:
$433 42
$0 00
$433.42
lnspector MID#: 2020-162958
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/{iIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby alllm uilcr lrcMlly of JErjury thd I am cxcmJrl from thc ContrackrN' Liccn$c [f,w for the toltrwittg rc{stn (Scc.70-] 15
llusmess aNl Protbssbn C(rlc): Atry Cily or County uhich rcquircs a ;rrmit kr consruct. altcr. improvc. dcmtlish or rcpair 8ny
structrrc. prior k' i(s issuuncc, also rcquires lhc apllicant lbr such lrcmil b filc a signcd slatcmcnt that hc or shc is licensd pursuant
t(, thc ln)vision$ of thc Conlrackf's Liccnscd hw (Chaplcr 9, Conrmcrchrg with Sh-tion 70(X, of Division 3 of thc Busincss anrl
P()tbssionsCodc)orthathcorshciscxcmptthcrcftomandthcbasisfortheallc8cdcxempti(rn, Anyvi(rldtionofSetitmT0]l.5byrny
applicatrt lirr a JEmit subjccts thc applicant k, a civil pcnrlty of not morc than livc hundrcd dollus ($500).
_1, as owrrcr ot'thc propcrty, or my cmployccs with wagcs as lhcir sole compcnsation. will do thc work alxl thc structure is nol
intcrxlcd 6r oll'cretl lirr sale (Sec.7044. Busincss and P()l'cssions C<xlc: The Contraclor's l-icensc Law drlcs not apply lo an owner of
thc pnrpcrty who huilds ()r improvcs thcrcon, and who drrcs such work himsclf rtr ltcrsclf or through his or hcr own cmpk)yces,
providcd that such imprcvcrncnts arc rxrt interxlcd rlr olfcrcd lirr sah. If. howcver, thc huilding or improvemcnt is srtkl within one ycar
ol'contplction, thc Owncr Buildcr willhavc thc burdcnof pft)ving that hc or shc ditl not buikl or improvc thc properry litr lhc purJxlscof
salc).
_1, as owncr ol'thc propcrty, aln cxclusivcly contracting with liccnscd contractors to construct thc projcct (Scc. 7U4, Busincss
and Prulbssion Corlc: Thc Contractor's Liccnsc Law docs not apply to an owncr of propcrty who builds or imprtlvcs thcreon,
and who contracts klr such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
-l
am cxempt undcr Scction-. B. & P.C. for this rcasott.
Owner:
wonrgRs' colttPENS
DECLARATTON
I hcrchy all'irm undcr J--nalty ol'1^-rjury onc ol'thc lillklwing dcclaratiotts:
_l havc arxl will maintain a Certilicatc of Conscnt to Scll'-lnsurc filr workcrs' comJrcnsation, as pnrvidcd tbr by Scction 37fi) of thc
Lahrr Crxlc, lilr thc Jrcrfirrnrancc of thc work lor which thc Jrcrmit is issucd.
_l havc and will maintain workcrs' compensation insurancc, as rcquircd by Scction J700 of thc [:bor Codc. litr lhc Jrertilrmancc tlf
thc work lbr which this prmit is issucd. My workers' compcnsation insurancc carricr aml Jnlicy numbcr arc:
.",rr.r. Slct*e CcrU P.
Policy r.rrrnt"r' Q 15 Q262 Expires:X -l(t'- ''^ I
_l ccrtily tlrat in the pcrftlrnrancc ol'thc work lirr which this Jrcrnrit is issucd, I shall nrtt cmploy any lrcrson in any manncr
so as to bcconrc subjc-ct to thc workcrs' conrpcnsation laws of Califirrnia, and agrcc that if I should bccomc subjcct to lhc
workcrs' cornJrcnsation provisions of Scction .i700 of thc Lahrr Codc. I shall, lbrthwith comply with thosc prtlvisittns.
WARNING: Failurc t() sccurc wrlrkcrs'conryrcnsation covcragc is unlawltl, anrJ shall suhjcct an cmpklyer to criminal Jrcnaltics and
civil lincs up to ol'lc- hundrcd thousand dollars ($100,fin), in atldition lrt lhe cost of comJrcnsation, danragcs as providcd tilr the
Scction .)076 of thc Lahlr Codc, intcrcst and atlorncy's l'ccs.:z --l!^--.-
LTCENSED CONTRACTOR
DECLARATION
I hcrcby allrm untlcr pcnalty of Jrcrjury that I anr liccnscd undcr pnlvision of Chaptcr 9 (commcncing with Section 7UX)) of Division 3
ol' thc Busincss and Prol'cssions Codc, and my liccnsc is in tull lirrcc arxl cll'cct.
Liccnse cror., ( - -)9 Liccnse Number:
o*", \l -75- 2c,7t>
W
I hcrcby allirm undcr pMlty of Jrcrjury that thcrc is a c\rnslructi(rn lcnding agcncy for thc Jrcrformrec of thc work fitr which l:,is lErmit i\
issucd (Scc. .1097, Civ. C.).
[,cndcr's Name:
Ixndcr's Address:
APPLICANT DECLARATION
I hcrcby afl'rm urrdcr Jrcnalty of pcrjury onc of thc tillklwing dcclaratiuns:
Dcnxrlition Pcrmits-Ashstos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd lrtter of Notilication
-l
ccrtily thal lhc l'cdcral rcgulations rcgsnling astrstos rcmrval arc not spplicablc to this pmjcct.
_l ccrtity thar I havc rcad this appli{arion anl statc thil thc trix)vc informti(,n is cor(t. I aere k, comply with all Cily an'l Counly
ordinanccs und Statc Ltws rclating k, building constructio[ onl hcreby aullnrizc rcltrcsnlativcs ofthis City ed County b cnt6 uF)n thc
abovc nrcntioncd prlJrcrty lirr insJrcction purlx)scs,
Applicant or Agent
Penttitee nanre
oarc, \l -% - z.>2o
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nVl nsu I atio n
Roof Sheathing I ),&*Y(
Shear Wall /
Framinq
lnsu lation/Enerqy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
I t
4,AI
FINAL t to tryilLfl ,t {0
Certificate of Occupancv I t'
NoteS, Eemarks, Etc I -ra
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