HomeMy WebLinkAbout101105278 - PermitProject Address: 1921 N Sherry Ln
Assessor's Parce!: 930-510-73 Lot: 1 Block: NA
Unit: 73 Blds
Tract: 4236
Address Range: 1919-1921.
Historic: No
Suite Range: 73-76
Zoning: R4
City 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 #: 101105278
Pin #: 74991
Building Use: Condominium Occupancy: R-2 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work. Reroof Code: CBC 2019 Other Areas
Existing Bldg. & Use: Condo Flood Zone: X-0602320164J Garage Area
Proposed Use: # of Stories:
Totat
Description of Work: Reroof w/t.o.-Remove and apply comp shingles/Replace sheathing as req'd/handout given/auth on file
Patio:
T.l.Area:
Yards Req'd
Valuation:$sl ,315.00
Planning Conditions: Hickory color
Owner:
Address:
I nvestors Property Services
15707 Rockfield Blvd #225
lrvine, CA 92618
Contractor: Red Pointe Roofing, LP
Address: 1418 North Neville Street
Orange, CA 92865
Phone: (7141 685-0010
State Lic #: 983705
Lic Type: B, C-39
Bus. Lic #: 347427
Workers' Compensation I nsurance:
Carrier: Nat'l Fire lnsurance
Policy #: 6071840880
Expires. 05/01 12021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
o Phone:
Tenant
i
Planning Approva! By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Arechiga, Liana
I t( Hernan dez,Kathy
Date: 1112312020
Date:
Date: 1112312020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
s7607
57770
57672
5760 0
57607
Fee Totat
Paid to Date:
Balance Due:
$345.28
$4.0s
$2.00
$23.79
$59.30
$434 42
$0 00
$434.42
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd: No
No
No Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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#: 2020-162915
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$23.79
$404 58
$2 00
$4.0s
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hereby afl-rm undcr penalty of perjury that I am exempt from the Contractors' Liccnsc [:w for the following reason (Sec.7031.5
Busincss and Profession Codc): Any City or County which rcquircs a Jrcrmit to construct, allcr. improve, dcrnolish or rcpir any
structurc. prior to its issuancc. also rcquircs thc applicant for such pcrmit to filc a signcd slaterrcnt that hc or shc is licenscd pursuant
to thc provisions of thc Contractor's Licenscd l-aw (Chapter 9, Commencing with Settion 7000 of Division 3 of thc Busirrcss and
Profcssions Code) or that hc or she is cxcmpt thcrcfrom and the basis for the allcged cxemption. Any violation of Section 7031 .5 by any
applicant for a permit subjccts thc applicant to a civil penalty of nol morc than fivc hundrcd dollars ($5001.
_1. as owncr of thc property. or my cmployccs with wagcs as thcir soh conrpcnsation. will do thc work affl thc stnrcturc is not
intendcd or otfcrcd for salc (Scc.7044, Business and Professions Code: The Contractor's Liccnse [:w does not apply to an owncr of
thc proprty who builds or improvcs thcrcon and who docs such work hirnsclf or hcrself or through his or hcr own cmployees.
providcd that such impnrvcrncnts are not intendccl or offcrcd for salc. If. howevcr. thc building or inprovernent is sold within onc ]car
of cornphtion, the Owner Buildcr will havc thc burdcn of proving that hc or she did not buih or irnprovc the pmprty lbr thc puryrcsc of
salc).
_1. as owncr of thc propcrty, am exclusivcly contracting with liccnsed contraclors to construct thc pro.icct (Scc. 7W, Busirrcss
and Professinn Codc: Thc Contractor's Licensc Law does not apply lo an owncr of property who builds or improvcs thcreon,
and who contracts for such Srojects with a Contracto(s) liccnscd pursuant to the Contractor's Liccnse kw).
_l am excmpt under Scrtion-. B. & P.C. for thi.s reason.
Dale:__( )rvlrcr.
WORKERS' COM PET{SATION
DF'CI ARATION
I hcrcby affirm undcr penalty of pcrjury one of the following dcrlarations:
_l have and will maintain a Certificatc of Consent to Sclf-lnsure for workers' compcnsalion, as povidcd for by Section 3700 of thc
labor Code. for thc performancc of thc work for which the pcrmit is issucd.
_l have and will maintain workcrs' compensation insurarrcc, as rcquired by Section 3700 of the Labor Code, for the performarce of
the work for which this pcrmit is issucd. My workcrs' compcnsation insurance carricr and grlicy numbcr arc:
Carricr:
_l ccrrify that in thc pcrformance of the work for which this pcrrnit is issued. I shall not employ any pcrson in any manner
so as to become subjcct to thc workcrs' compcnsation laws of Calil'ornia. iurd agrcc that if I should bcconrc subjcct to thc
workers' cornpensation provisions of Section 3700 of the l.abor Code, I shall, forthwith comply with thosc provisions.
WARNIN(]: Failurc to sccurc workcrs' conrpcnsation covcragc is unlawful. and shall an crnploycr to criminal penalties and
one hundred thousand dollars ($100.000). in damirges as provided for tlt
intercst and altorncy's
23 c)La
j
I hcrcby atlirm undcr pcnalty ol'pcrjury that I anr liccnscd provision of Chaptcr 9 (comnrcncing with Scction 7000) of Division 3
of thc Business and Professions Code, and nry liccnse is in full forcc alxl cffcrt.
Liccnsc
il 2il2,1?
W
I hcrcby affirm undq pcmlty of Frjury thd thcrc is tr @nsrudion lqrding agcrcy for lhc pcaformcc of thc work for which this ptmil is
issucd (Sc. 3097, Civ. C.).
bndcr's Nam:
lrndcr's Addrcss:
APPLICANT DECLARATION
I lrocby aftinn undcr penalty of prjury one of thc folkrwing dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
-Rcquircd
l-cttcr of Notification
-l
certify that thc fedcralrcgulations regarding asbcstos rcrnvalare not applicablc to this projcct.
_l certify that I havc rcarl this application and state that the above information is corrcct. I agrcc to cornply with all City and County
ordinanccs and Statc [aws rchting to building authcrrizc represcntatives of this City and County lo cnter upn thc
abovc rncntioncd propcrty for inspcction
r\pplicnnt or Agent t\
I'ernrilee nanre
zuLO
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loo r/VenUl ns u latio n tl^.^^
Roof Sheathino /Z/dl/a,z 2 /7#l a/
Shear Wall //\t
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif I a
/2 / tl/cnzo -Y'M 7,/
/(/--
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5
Policy Numbcr: Expires:
civil fincs
Scctiott
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