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Home My WebLink About101103514 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853 Building Permit #:101103514 Pin #: 67193 Project Address: 1685 W Highland St Unit:Bldg: Address Range:Suite Range: Zoning: RlBlock: NA Tract: 2355 Historic: No 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-0602320257J '1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T.l.Area: Yards Req'd Valuation: $4,811.00 Description of Work: Tear off existing, install 17 squares of comp roofing Planning Conditions: Owner: Address: Phone: Tenant Lupe Ruiz 1685 W. Highland Santa Ana, CA 92793 (818) 822-6811 Contractor: Luis Mendoza Roofing Address: 2323W 12th St Santa Ana, CA 92703 Phone: (714) 785-3545 State Lic #: 972859 Lic Type: C-39 Bus. Lic #: 347079 Workers' Compensation I nsurance: Carrier: California lns Co Policy #: 46-728750-01-02 Expires: 0412012021 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 Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No N/A - No Balance N/A - No Balance N/A - No Balance Date: Date: Dale: 0412112020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 07776002 07776002 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance Fee Total Paid to Date: Balance Due: 57607 57770 57672 57600 57607 $333.06 $3.91 $1.00 $22.9s $57.20 web_user No No No No Account#Total Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance,or if the work authorized on the site by such permit rs suspended or abandoned for a period of360 days after the time the work is commenced. $41 8.1 2 $418.12 $0.00 lnspector MID#: 2020-158663 -a ? Assessor's Parcel: 109-351 -18 Lol'. 212 BUILDING- !NSPECTOR RECORD Rev. 0B-07-20.15 SITE.WORK DATE ID/SIG.COMMENTS owNllR ltt,ILDl.lR l)rLCARA't IoN I hereby affrrm under penalt,v ofpcrjury thai I an) cxenrpl from lhe Ct)ntr0ctoN l-icense Law for the following reason (5(.7031.-5 llusiness and Prolbssir)n Codc): Any City or Countv which requircs a lErmit h conslrucl, aller. irnprovc. dcmolish or rclair any stnrcture. prior to its issuance. rNo requires the applicatrt t'or suclr pemrit to file a signed slatemnt that lrc or she i9 licetrerl pursuant Io lhc previsions of tkL Contraclor's I-icensed liw lchaplcr 9. Cornrncncing uilh Scclion 7000 ol Division J ol the Business and Prol'es\ioilsCode)orthathcorthei{exempttheretiomandtlEba\istbrtlEllleBedexemptidl. AnyviolarionofSecri(,n703l.5byBny rpplicxnt [or a pnnit subjccls lhe applicanl to n civil pe[rlty of not more thiln llvc hundrcd dollars ($5(X)). _1. as owncr ol'lhc prolf,rtry, or my cmployees with wrgcs aN their solc cornpdnslli()n, will do the work and thc structurc is mt intenr.lctl orofferedfi)r$lle(Se.7044,BusircssrndProfes\knrsCode:The(inrlrnctor'sl-icenseLawdoesnotlpplybanownerof thepff)pef,y whobuildsorimprovcslhemrlmdwhodocssuchworkhimsclforhcrsclforthroughhisorherownemployees. rovid.d that such improvL'rmnts dc not intcnded orolltrcd l'or slc. Ill howcvcr, thc buildiog or jmprovcmnt is sold wilhin one ycar of conlrkrion, lhe Owrcr Builder will have the burdetr of p()vir8 thilt he or she did ftn build or inrpnrvc thc prrJrny for tlE purfrs ot $[d ). _1. as owner of the pff)pcrly. nm exclusively contril(tins with licensd conlraclors to cotr\lruct the p()jcct (Sec. 7(H4. Business and l\,tlssi(nlCode.ThcCi)ntrrc()r'sLiceuscLawdoerflotrpplybanownerofpr()pertywhobuildsorlnrprovexthereon. ilnd who conlrncts litr such pr()iccts wilh a Conlract(,r(s) liccnscd pursuant h thc Ci)nlrlclor's Licensc Law). _l rnr exempt utrder Sccti(,n-. B. & P.C. tbr this rcas(nl. I)ste:_ W()RKI.:RS' C()I\1PT:NSA'I'I()N DECLARATIoN I hcrchy allirm undcr f,cnnlry of pcr.jury one of lhc li)lk)wing dcclarationJ: lhavcandwillnlaintainaCcililicateofCooscnlk)Scll:lDsurefrrrwrrkers'conrpcrrsrtion,as provirledfi,rhySecltr)nJ700ofthe l-x[)or (lxlc, for thc pcrlitrmancc ol thc work lor which lhc pcnnit is issue(|. _l lravc and will mairilain worke6' compensation irsurance, as required by Sectioil J700 of lhe Labor Clodc, fi)r the perfomme of thc work lbr which this pcrnrit is issucd. My workcrs' conDcnsalion insurancc crricr iftl lDlicy numbcr dc: ( Policy Nunrbefl Expires: _l ccfity that in tbc lErlarnuncc of thc work fitr which this ocrmit is issucd. I shrll not enrploy {ny pcrson in aoy n]unncr so aslohccorrcsuhjccttothcworkcrs'cotrrpensllioDlawsol'Crlifonria,aDdhsrcclhrlillshouldbccortusuhjccttothc worlcrs' conrlEnsiltion provisions of Section 3700 of thc t,abor C'ule, I shall, fonhwith conrply wilh tlD* pruvisions. WARNINGT Fuilurc to sccuru sorkers'compcns{ion covcruge is unlawful, and shall suhjcct an cmploycr n) cminal 1*mlics md civil fines up to onc hundred lhousand dollars ($l(X),(XXD. in addilion to the cost ol cornpensation. darnrgcs ts providcd for the Section 1076 of the titxrr Cixle. nxerest and atxrnry s fees t)stci- I,ICENSEI) CONTRA(:TOR DECLARATION I hcrcby alljrm undcr p!nalty ol pcrjury that I am liccnscd undcr provision ol Chaprcr 9 (cornmencing wirh Seclion 7(X)0) ol Division 3 of rhc Business and Profcssi()ns Code. md mv liccnsc is in llll tbrcc ilnd clicct. Liccilsc Class:_Licefuse Numbcr: CoNS'I'II('C'TION I,I.]NI)ING AGI.]NCY isrucrl (Scc. .1097. Civ. C. ). l,cnJcr's Nrnrc: APPI,ICANT DECI,ARATI()N I hercby affim under pcnalty ofperjury one ofthe followinS declaration$: f)enrolition Pernrits-Asbesbs Norification Federal Regulil(ioDs (Tirle 40, Part6) _Required If, lter of Ndificalion _l cef,ity that tlE fcderalrcSulations rcgtrdin8 asbestos renmval lre not applicrhlc k, this prcirt. _l cenify that I have rcad this application arxl slatc thal lhc above infomtion is corccl. I agE to comply wilh all City and County ordirunces and State ljws rclatiE b building constructbn, ald hereby autkrize rcpre*Natives of this City and Co!trty to enter ulrcn tlE atx)ve mcnti()ned prope(y li)r lnspcction purF)ss. Applicnnl 0r Aecilt Sisililluft Prmiltce name (pinl):- Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsu lation I Roof Sheathinq U/zZ/zi .--tffitr ) Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat [Vlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif ^F!NAL 7 'Ztr / z-o .zlX/t .// / Certificate of Notes, Remarks, Etc kndcr's Addrcss: