HomeMy WebLinkAbout10130405 - PermitCity of Santa Ana
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Building Permit#:'[O13O4O5
.t
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 \\
Project Address i 1514EF ourth st
Assessor's Parcel: 398431-34 Lot: NA Block: NA
Suite: Bldg: Address Range: NA
Tract:J W KING'S SUB Historic: No
Suite Range:
Zoning: P
Building Use:
Type of Work:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling - Detached
Reroof
Reroof
Sfr w/att garage
Sfr
Constr Type
Occupancy:
Code:
Flood Zone:
VN
R3/U1
cBc 1998
x-0602320029F
1st FL Area: 0
2nd FL Area: 0
Other Areas:
Garage Area:
Total:
RemodelArea: 0
T.l.Area: 0
0
0
0
Description of Work: Reroof - T.O. comp and wood shingles and apply comp over 1/2" OSB.
Planning Conditions
Owner:
Address:
Phone:
Tenant Name:
Stephen H Et Al Kutch
1514 E Fourth St
Santa Ana, CA 00000
Contractor: Mr Roofer
Address: 13442 Jessica Dr
Garden Grove, CA 92843
Phone: (714) 638-7370
State Lic #: 385289
Lic Type: C-39
Bus. Lic #: 0171424
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 285-000001357
Expires: 0110112002
Engineer:
Address:
Phone:
License #:
Architect:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Deems, Jeri Date: 0612112001
Date:
Date: 061271200'l
Valuation: $4.500.00
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Pre-lnspection
lssuance
Fee Total:
Paid to Date:
Balance Due
$e5.00
$56.00
$21.s0
$172.50
$o.oo
$172.50
Deems, Jerianne
lmprovements
Planning Req'd:
Landscaping Req'd:
This permit shall expire by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
N
N
N
Account #: 011-01-591t\ lnspector 003 sA4I3l_3 627t]1*056tr $17t.50UH /L{{
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS Owncr.Buildcr Dcclrrarion
I hcrcby aflim undcr p.nalty ol pcrjury thd I or cxcmpt fmr thc Contr&tos' Liccnsc Law for thc following rcuon (scc 7031 5 Busincss
udProtcrsion(ixJcl AnyCityorCounrywhichrcquircsapcmittoconstrucl,altcr,improvc,dcnrolishorrcptirmystructurc,pnortotls
issuocc,alsorcquircthcrpplicutforsuchpcrnrittolilcasigncdsldmcnl thdhcorshcisliccnscd puEuoltolhcprovisiorrofrhc
Conl.acto.'t Liccnscd Law (Choptcr 9, Comcncing with Scction T0OO of Drvision I of thc Busrncss urd Profcssrons Codc) or that hc or
shc is cxcnrpt thcrcliom ud thc b6is fq thc rllcScd crcmption Any violarioo ofScction 703 I 5 by my applicel fu a pcmir subjccB rhc
rpplicut lo a civrl p<nalty of nd mr. thm fivc hun&cd dollm (S500).
-1,
u owncr o[ thc propcny. or my cnrployce with wagc u ticir rolc cornlmsation. will do rhc wor k ud thc structuc is nor rnrcndcdu offcrcd fa salc ( Ss 7(N4, Busins Md Prcfc$ims Codc. Thc Conu&tor's Liccnsc Law dfts nor apply to u owncr ofthc propcny
who burlJs or rnrpovcs lhcr con, ud who dm such wort himsclfq hc6clf u thr@th his r hcr own crnployccs, p.ovidcd rhar 5uch
improv.trEnBucnolintcn&doroffacdfqralc lf,hovcver.thcboildingorimprovcrnentissoldwithinoncycilofconrplctiorr,thc
Owncr-Buil&r wrll havc thc b{rdcn of proving thil hc q shc not build or improvc for thc purposc ofstlc)
_1, s owns of fic propcny. m cxclsrvcly @ntEting wilh licscd conrractor to coutrucr lhc proJcct ( Scc. 7044, B6incss ild
Profcssion Codc The Contrrctor's Liccnsc Law du not apply to u owncr of propcny who builds q improvcs thcrcon , Md who
cqtrrb fq such projccs wirh a Cutnctq(s) Iicffid FEuut to thc Contracta's Liccnr Law ).
_l m cxmpt undcr Setion & P C fo $is rcuon.
Dolc: O*nd:
I hocby afiim undcr
WORhTRS COMPENSATION Dt:CLAR,lTION
onc of thc following delsdi@s:
_l havc ud aCcnificatcofCoscnttoSclf-lnsurcforworkcG'compcnsrtion,ro provrdcdforbyScctionJTOoofthc
Labor thc pcrfmcc of thc wqk fq which thc pcmit ir isucd
for
ud will ruinmin wskcs' cmp<roaliorr insuroe, q rcquircd by Scctio 3700 of $c Lahx Codc. for $c [Erfomcc of rhc
which this lrmil is issucd My workn' cmpcnsalion insurecc curia md gtlicy numbcr uc.
f,il".
Policy Numbq, __Erpircs:
(This scction nccd nd bc complcrcd if thc Fdnir is fq Onc hundrcd dollc l$ l0Ol a lc5s)
-l
c€nify that in thc pqfmucc of thc worl for *hich thir pmit is i$ucd, I shall not cmploy oy ;mm in my mncr so u ro
lxe mc 5ulUccl 1., lh€ t,,r lcr r ' e orrlxns.,tion lrs r of ( rlifmra, ud atre thdt if I chould b.comc subjcct to rhc workc6'
comlEnsation of Sstion .]70O of fic Codc, I shall, frthwith comply wirh thoc provisions.
WARNINC Failurc to sccurc workc[' compcrottid
finc up lo onc hundrcd thousd doll6 (5100,000),in
tlrc Lubor ( ulc. ilrlcrusl iltJ Jttorilcy's fcci
is unlawful, orrl shall subJcct U cmployc, to criminal ;xilaltics md civil
to thc cs1 of compcosation. dmagcs 6 providcd ftr $c Scction 1076 of
LICENSED CONTRACTORS DT:CLARA I ION
I hcrcby alllm undcr pcndty of pcrjury Lhrt I m liccnscd udcr provision of Chapta 9 (commncing wirh Scclion 70OO) of Division .l of
lhc Busincls md Prollslioni Codc, ud my liccnrc is in full fqcc od cffcct
Limsc Clcs Liccnsc
Datcl
I hcrcby allim undcr pcnalty of pcrjury thal th6c
isucd(Scc 3097.Civ C)
Lcndcr's Nmc.
aScncy thc lrcrfoniucc ol lhc work lbr which this p€nnit i!
Lcndcr's Addrcss
tlcmolirion
APPI,ICANT'S DECI,AITATION
Notil'icdion Fcdcral Rcguldies (Tiilc 40, Pd 6)
Lcscr of Notil'icati()n
_l that thc fcdcral rctulrtions rcguding obctc rcmoval re not applicablc to thir projcer.
'thd I hlvc rcod this application od statc that thc abovc infmation is conccr I tgrcc toccni fy conrply with rllCity ud Couory
ud Slrrc Laws rclatinS to building coostructiq, ud h@by ufioria rcpr6.ntlrivd of lhis Ciry ud County ro ctrtcr upon thc
abovc mcntimcd propcny for 62 2/e rApplicet o. a8cn(
Pcmitt.c rerc (p rrl)
7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SubfloorA/enUlnsul
Roof Sheathing '* - 1/'et t
Shear Wall I
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL ff1 '/l-DI litlLl[1T IJ,S otr SN.N VV
Certificate of Occupancy I r
Notes, Remarks, Etc.
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