HomeMy WebLinkAbout10196134 - PermitCity of Santa Ana 20 Civic Center Plaza (M-191, Saia Ana, CA927O2 Building
PermitCounter. (711)647-5800 lnspection Requests. (714)667-2738 lnspectorSection: (714)647-5853
Permit #:10196134
Pin #: 4{ 57q{
Project Address: 2517 N Cotter St
Assessor's Parcel: 399-142-01 Lot:116
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract2419 Historic: No
Building Use:Single Family Dwelling Occupancy. R-3, U 1st FL Area Patio.
Job Type: Rorool Constr Type: V B 2nd FL Area T.l Area:
Nature ofwork: Rsroof Code: cBc 2016 Other Areas yards Req,ct
Existing Bldg. & Use: SFD w/ (2) dot garegos, workshop Flood Zoner X-06023201,1,U Garage Area. Vatuation: $20,034.00
Proposed [Jse: # of Slories:
tllot 't-- '"*l 7 4"tl'e4a42 rotal
Desc ption of Work: Reroof house & detatched 2-car garage, lF.&L-df, ^e. i.._g. w'th we'L'hcP & stoEge 6hed. Remov€ comp, replace any
damaged sheathing, install synthetic underlayment & f3 squares of 30-year comp shingles. Handouts
4-eat earaee alsq has solar p;";i;, .
-ir;iF-{ Lr^- *-r1[ ^--( uE -r.c(\a."<-'A
Conditions: Alliorffing"materialS must bb consistent in tyBe and color.
given. Note to inspector -
Planning
Owner:
Address:
Phone:
Tenant
Sherril & Bilt Gerard
2517 N Cotter St
Santa Ana, CA 927061200
(7141971-2463
Contractor: Pacific Home Works lnc
Address: 1602 Lockness Pl
Torrance, CA 90501
Phone: (310) 534-1033
State Lic #: 784477
Lic Type: B, C-39
Bus. Lic #: 321327
Workers' Compensation lnsurance:
Carrier: State Comp lns Fund
Policy #: 920789920'18
Expires 0410112019
Engineer:
Address.
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
P,trt,:h* | +.1?{'+ - 4 / l.\/'i'i'ttl]'
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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
Kelaher, Selena
Zuniga,Allir., V
07175002 57607 Permit Fee
071"16002 s1-612 Bldg. Stds. Revolving
07776002 57500 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
Dale: 0411312018
Date:
Dale: 0411312018
Subject to Field:
Misc. Receipt
lvlisc. Receipt
Misc. Receipt
$308 52
$1.00
$21.25
$s2.98
$383.75
$0.00
$383.75
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
01 1 16002 51600
01 I 16002 51601
0'1't16002 51612Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of 1 80 days after
the time the work is commenced.
lnspector MID#: 2018-142662
$21.25
$361.50
$1.00
BUI INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf looriVenVl nsu lation I t
Roof Sheathinq .{rl tb J-Y"qs
Shear Wall I
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL ,Lc 2,^)
Certificate of Occupancy
Notes, Remarks, Etc
OWNF]R IIUII,DI.]R DIII,CARATloN
I hcrchy illlirnl undcr fcilally ol pcrjury lhal I ilnr cxcnifl lionr thc Contrrctors l,iccnsc l-nw for thc lolhwirrg rcason (Scc.70.ll.5
Busincss anrl P()ltssi(ilr Co(lc): Any City rrr Cornly which rcquircs r fcrmil k) construct. alter. irnprovc. dcnr)lish or rclHir any
slnrclurc,pri()rk,ils issuancc.dlsorcquireslhcapplicantforsuchFrmillolilcxsigncdslulcnrnl lhalhcorshcisliccnscd pursurnl
n) lhc provisions of lhc Coillrilct)r's Liccnscd I;lw (Chnflcr 9. Conurcncing wilh Scclion 7{X)0 ol Division 3 ol-thc Businc\s ilnd
Profcssbn\Code)orthalhcorshciscxcnrpllhcrcfr{trnandthchasislbrlhcxllcgcdcxctrrptiul. AnyvioliltionofSectionT0ll.5hyrny
alplicnnlli)raFrnlilsuhjcclsthc npplicnntloacivilpenallyofnolmorclhtnfivehundrcddollhrs($5(X)).
_1. as owncr o[ I hc pro|tfly. or my cDll)loyccs wil h whgcs n\ lhcir \{) lc coilrlril\nl i()n. s ill do lhc sqk nnd llrc structurc i\ n(il
intcndcd orollircdtitrsolc(SN.7(H,l.BnsiDcssand['rolissir:nsCodc:ThcConlractor'sl-iccnscl-dwdocsnotapplytoanowncrof
lhcpft)ff,ny whobuikls()rirnprovcslhcruill.dndwh()(locssuchworkhinrscll'orhersclforlhrrrghhis<rrhcrowncrqrkryccs.
ol-conrplclioil. lhc Owncr lluil(lcr will havc thc hurtlcn ofproving tlilt hc or \hc (lid Dol buikl or itnprolc lhc pmldy lbr thc purF)sc of
sak').
_1. as owncr ol lhc l)rofcf,y. anl cxclusively conlrucling with liccnsc(l c(nilrxclors k) con\trucl thc pfiricct (Scc. 7{}14. Busincss
and l}olelssimCodc: IhcConlrilchr'sLiccnscLawdocsnotdpplytonnowncr{)fpropcrtys'hohxildsorimprovcsthcreon.
antl ultr) conlracl\ li)r such pr()jccls wilh a Conlrnck)r(s) liccnscd pursuunl lo lhc ('oillraclor's Liccnsc Lxw)-
WORKERS' COMPENSATI(IN
DECI ARATION
I hcrcby allirm undcr pcnahy of pcrjury onc of thc following dcclilrations:
-l
havc aM w ill rh intain il Ccn illcalc of (itnscnl h Sclf- lnsurc [or workcrs' conrlrcnsrt i(nr. as providcd lirr by Scct irr .17(X) o I thc
l,abor Codc. for thc pcrlbrnrancc of lhc work fbt which lhe pcnril is issucd.
_l havc and u ill milintain workcrs'
lhc $ork lir \htrh Ihiq
insuranec. as rcquircd hy Scction J7(X) of thc | -ahor t-odc. li,r thc pcrlin nilncc ()f
crnicf Jxrlicy nunrbcr rc:
oh
b I ires:
- Lt-t-hI'olit v
-l
ccf,ify lhat in lhc pcrfornrance of thc work for which lhis pcrnrit is issucd. I shlll rol cilI)by nny pcrson in aly mrnncr
$ as to beconr suhjccl Io lhc workcrs' corrpcnsalion laws o[ Cul ifornir. ilnd agrce thal if I should lxcon]e subjcct k) thc
workers'comfcnsulionprovisionsofScctioil3T(DoflhcLrhorCodc.lshrll.lbnhwithcomplywiththo*provisions.
WARNIN(i: Failurc k) securc workers comlcnsrlion colcragc is unhwtil. and shall subjcct an cmpklycr to fiminal Frnlltics and
civil fincs up tr onc hrndrcd thousanrl dollar\ (Slq),(x,)1. iq cdtlition lo thc cosl oiconrpcnsalion. drrnagcs as providcd for lhc
::"r*,ifi T'lE-*"#,:il{g::j.4 . %-s"ffi* u
l hcrcby aflirnr undcr pcnalty of pcrjury lhrt l anr liccnscd undcr provisi()n of Chilptcr 9 (conlmcncirg with Sccti()n 7000) ol Divisi(nt .l
of lhc Busincss lnd Profcssions Codc. and rny liccnsc is in full frrrcc unrl cllcct.J
I-icctr\c
Datc:
g-1s1171cnthcr::L l9 rB
CONSTRI,CTION I,ENDINC AGENCY
I hcrchy allirmundcr l*nxllyol pcrjurylhrt lhcrc il aconslruclion lcnding rgcncy lirr lhc fcrlbrmnnce ofthc work for which this pcrrrit is
issucd (Scc.3097. Civ. C.).
t il@;B
IJn(lcr's Nilnrc:
L-cndcr's A(ldrcssi
APPLICANT DFCI -ARA'TIoN
I lrrchy allirm unclcr pcnully of pcrjury onc of lhc lolk)win8 dcclarat ioils:
Dcnrolilion Pcrmits-Ashcstos Notilictrtion Fcdcrnl Rcguhtions (l'ille.l0. t'arl6)
-Rcquircd
Irllcr of Nolilicntion
_l cenify that thc fcdcrnl rcguhtions rcgdding ashcsk)s rcrnovol ilrc Dot applicnblc lo this projccl.
_l ccnify thnt I havc rca(l lhis applicillion uftl stalc that lhc atx)vc inli)rnrnlioD is corccl. I rgrcc lo conrply wilh all City a
rrrdirranccs and Slrtc I-au s rtlating to huilding rcprcscnlalivcs oflhis City an(l Counry to
nd (iilnty
cnlcr ulx)n tlE
ilhovc nlcotx)nc(l pr()t)crly liI
Applictrnl or ARenl
Itcrnrilrc trilnx.(
,,M;
l)illc 4*IP
I rtrr r\rilrfl un(l.r Scclioil _ _. U. & l'('. lirr thir rcason.
I)nlc ()sner:
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