HomeMy WebLinkAbout101104061 - PermitProiect Address: 3525 W Lehnhardt Ave
Assessor's Parcel:144-354-16 Lot: 62
Unit Bldg: Address Range:Suite Range:
Zoning: R1Block: NA f racl:4244 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit #:1lJ'l'l0406'l
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 -,1A€ Pin #: 77712
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Reroof
Reroof
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2019
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $6,792.00
Description of Work: Tear off existing, install 24 squares of comp roofing
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Howard Luong
3525 W Lehnhardt Ave
Santa Ana, CA 92704
(s62) 787-2s20
Contractor: Sal-NB Roofing
Address: 3702E Chapman Ave #C
Orange, CA 92869
Phone: (7141 345-8745
State Lic #: 1044963
Lic Type: C-39
Bus. Lic #: 371'134
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9160583
Expires: OGlOgl2O2l
Engineer:
Address:
Phone:
License #:
Architect /
Desioner:
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:
web_user
No
No
No
No
Date:
Date:
Date. 071'1512020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07716002
07776002
o7775002
07776002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$345.28
$4.05
$1.00
$23.79
$59.30
Fire lnsp. Req'd: No
Police lnsp. Req'd: No Account#
Flood Zone Cert. Req'd: No N/A _ No Balance
N/A - No Balance
N/A - No Balance
Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afrer ils 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#: 2020-160144
Fee Total:
Paid to Date:
Balance Due:
$433.42
$433.42
$0.00
BUILDING. INSPECTOR RECORD
Rev.08-07-2015
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrchy rflirm undcr pcnalty of perjury lhat I anl cxcmpt from thc Coltracbs' I-iccnsc law tor lhc following rcamn (Scc.7031.5
Busincss and Profession Codc): Atry City or County which rcquires a lEmrit to construcl. aller. improvc, dcnrclish or rcpair my
structurc. prior to ils issuancc. also requircs thc applicant for such lrcrnit to filc a signcd stalcrrctrt thal hc or shc is liccnsd pu,suel
to thc [rovi\rons of the Contractor's Liccnscd hw (Chapter 9. Comncing wilh S(tion 7000 of Division 3 of thc Busircss ard
ProfcssionsCodc)orthathcorshciscxcnDtlhcrcfromandthcbasisfor(hcdlcScdcxcnrplion- AnyviolationofScctionT0Sl.5bytrny
ilpplicunl lbr a pcrmit subjsts thc upplicant to a civil penalty of nol morc thnn fivc hundrcd dollus (5500).
__1. as owncr oflhc proFrcf,y. or illy ctrlphyccs with wrges as thcir solc conrlrcnsrlion. will do thc work md the strctrre i\ nol
irilcndul or olltrcd for salc (Scc.7044. Rusilcss an(l Prolcssions Codc: 'I hc Clonlr{clor's LiccDsc Larw docs not apply k) an owncr ol'
thcproprly whobuildsorirnprovcslhcrcon.andwhodocssuchworkhinselforhcrsclf()rlhroughhisothcrowncorpkryccs.
pr(,lidcd lhilt such improvenrcnls arc rct irlcndcd orollirrL{ for salc. lt. howcrer. thc huildirg or irrprovcrent is sold within onc yqlr
ol conrflction. lhc Owncr Buildcr will hnvc lic burdcn ofproving thal lrc or shc did not buikl or improvc thc prcpuly for thc purfns of
$lc).
_1. as owncr of thc pmpcrly. anrcxclusivcly contracting wilh liccnsd conlracbn to construd thc projccl (Scc. 7(X4. Busrrrcss
rnd PmlassionCoderThcContracbr'sLiccnscLdwdocsnolapplyloanowncrofproFrtywhobuildsorirnprovcslhcrcon.
and who contracts for such froFcls with a G)ntraclo(s) licenscd pursuant lo thc Contraclor's Licensc lrw).
-lamcxcmptundcrSstion-,B'&P.C'forthisIedson'l)illcl Orvnor:
WORKERS' COIIIPENSATION
DECLAR TION
I hcrchy nllirnr undcr pcnalty ol Nrjury onc (rf thc li)llowing dcclarations:
_lhuvcatrdwill mainlainrCcflillcalcofConrcnlhSelf-ltrsurclbrworkcrs'contrcnsation,as providcdfirrbySeclion.lTUloflhc
Labor Cfilc. for the perfomuncc ofllE wo* lor which thc pcrmit is issucd.
_l havc and will mainlain workers' comFnsatt l insurarce. as rcluircd by Scction -1700 of thc kbor Codc, for the pcrfornurcc of
thc work for which lhis perrrrit is issuc{. My workcrs' com;renslion insurance cMicr ud fnlicy numbcr ec:
ttrlicy Nuilhcr
_l ccnify th.rt in thc lErformuNc of lhc work lbr which this pcrorit is issucd, I shall not cmploy {ny lErsoil iil any rtunncr
so fls k) hcconlc subjccl to lhc workcrs' conrpcnsation laws ofCalifomia, and agrcc lhat if I should bcconrc subjcct to thc
workcrs' conrpcnsation provisions ofSccti(nr l?U) ofthc ljtnr Codc. I shrll, li)f,hwilh mmply wilh lhose pmvisions.
WARNINC: Failurc lo scurc workcrs'conrpcilsatiorl covcrage is unlilwlil. and shall subjcct an cmploycr lo cririlinal pcoilltics rnd
civil liDcs up lo one hundrcd thousantl dollars ($l()().(XX)). in addition lo lhc cosl o[ cornpcnstrlion. danmgcs as providcd li)r thc
Scclxn J076 ol llrc Litnr G)dc, intcrcsl and allorilcy's lccs.
Applicont:
IJSEN@-CQNIEACIOE
DECI.AMIIQN
I lk.rchy aflirn urdcr lrcnalty of Frjury that I ant liccnscd undcr prcvision of Chapler 9 (corrmncing wilh Setion 7000) ot Division 3
of lhc Busincss and Prolbssions Codc. axl nty liccnsc is in full force ard cffel.
l.itcnsc
lhlc:
Nunrrur:
CONSTRUCTION LENl)IN(; A(:ENCY
I hcrchy allirm uMcr Frcnulty of Frjury lhal thcrc is a conslruclion lcndinS a8crcy lbr lhc pcrfonnorce of the work for which this IErrilil is
issucd (Sec. 3097. Civ. C.).
[rndcr's Nam:
[-cntlcr's Addrcss:
APPI ICAM DECLARATION
I lucby aflirm under pnalty of pcrjury onc of thc lollowinS dcclarations:
Dcmolition Pcrmils-Asbestos Notilicalion Fcdcral Rcgulalions (Titlc 40. Part6)
-Rcquircd
Lcttcr of Notitication
_l ccdify thut thc tbdcralrcg!lalions rcgffding trstEstos rcmvalde nol applicrlblc to this projffil.
_l ccrtify lhut I have rcad this applicaliol ud statc thal thc atnve inforDulion is coftcct. I aFrrc to conuly with all City and County
ordinances and Strlc [aws rclatilg to building coDslruclion. drd hcrcby authorizc rcprcscnlativcs ofthis City and Counly to cnler uJDn thc
ltnvc rrcntioncd propcny for inspcclion purfbscs.
Applicml or Agol SigmtuR: Drle:_
Pemlle lrme (orint):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu latio n t.
Roof Sheathinq 7/tf/za,tt t rffiltt I
Shear Wall L
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
il
F!NAL 1/z
"/u7t)
!ffir
Certificate of Oc
Notes, Remarks, Etc
l)rlc: