HomeMy WebLinkAbout101103112 - PermitCity of'Santa'Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:1tJ11o3112
Pin #: 29{ 69
\r V
Project Address: 2141 N Fairview St
Assessor's Parcel: 399-091-26 Lot 1
Unit:Bldg:Address Range: 2131-2169
Historic: No
Suite Range: 2141 & 2143
Zoning: R1Block: NA Tract: 9788
Building [rse: Condominium Occupancy: U, R-2 '1sl FL Area: Palio:
Job Type: Roroof ConslrType: V B 2nd FL Area: T.t.Area:
Nalure ofwork Reroof c.r.ge Code: cBc 2019 OlherAreas: yards Reqd:
Existing Bldg. & Use: Condos datt garage. Flood Zone: X-060232014!U
proposed use: # of stories: , narage Area: veluetion: i4'o0o o0
Total:
Descrlptlon of Work: Rerool (2).ttschod garages only (2141 & 2143). Tear-olt & epply 7 Bqs of cap aheeghot a3phault rooling matarial. Hendout glven,
Planning Conditions: Repair & replace any damage for window trim, stucco, eaves, fascia, rafters as needed
Owner:
Address:
Phone:
Tenant:
Meridian
611 W 17th Street
Santa Ana, CA 927062255
(714) 836-1968
Contractor: Mc Clain Roofing lnc.
Address: 12812Yalley View St #33
Garden Grove, CA 92845
Phone: (714) 897-1780
State Lic #: 625013
Lic Type: C-39
Bus. Lic #: 160402
Workers' Compensation lnsurance:
Carrier: State Compensation lns
Policy #: 1713760
Expires: O1lO1l2O21
Engineer:
Address:
Phone:
'License #:
Architect /
Designer:
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
ssel
Teri
Dale: 021121202A
Date:
Dale: 0211212020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07775002
07775002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
57770
57572
57600
57607
Fee Total:
Paid to Date:
Balance Due:
$333.06
$3.91
$1.00
$22.95
$57.20
$418.12
$0.00
$418.12
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 authonzed
on the site by such permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
01 1 16002 51600
01116002 s1601
0'r116002 5'r6'12
01116002 57770
$22.95
$390.26
$1.00
$3.91
lnspector MtD#. 2020-15772?
BUILDING. INSPECTOR RECORD
flev. 08-07-20 1 5
SITE.WORK DATE ID/SIG.COMMENTS oWNI.]R BI.'II,DI]R I)T]I,CARATIoN
I herehy affirnr under penalty ofpcrjury rhat I am exempt fronr the CbntractoB' l-icense Law for the followinS reasn (sec.7031.5
Busincss and Prolession Codc): Any City or Counly which rcquires a fErmit lo construcl. altcr. irnprove. dcmlish or rupair any
stnlcturc,pri()rk)its issuance.aLsorequirestheapplicantli)rsuchpernriltofileasigledshlemeill lhatheorsheislicensd pursuanl
lo lhc previsions of thc Contractor's Liccnscd lrw (Chaptcr 9, Commcncing with .Scclion 7OD of I)ivision 3 ol-lhe Business and
ProlcssicusCorle)orthrttDorsheisexenpltherefrcmandthebasisfbrlheallegedexemption. AnyviolalionofSectionT0Sl.5hyany
rpplicant for a pcrrnit sub.jecrs lhe npplicrnl to a civil pen.lty of not rmre thatr fivc hundred dolinrs ($5{x)).
_1. a\ owncr ol thc profEnv, or my cmployecs with wagcs as lhcir solc cornpcnsation, will do thc work and thc stMlurc is ml
intenderl orofferedtorsale(Sa.7(X4,BusircssnndProfessionsC(xle:TheConlrac$isLicenseL{wdoesnolspplybanownerof
thepn)peny wlx)tnildsoritrprovcsth€Bnlilf,lwk)d(EssuchworthinNelforlErseltorthroughhisorherownemployees.
providcdlhalsuch improverrcntsecnotintendedorollcredlbrsalc.lllhowevcr.thehuildingorimprovemntissoldwithinoneycar
ofcompleli)n, (hc Owrer Buikler will have ltE burden of pmvirg thilt lE or she did mt build or inpn)ve the pmlE(y for ttu purlbs of
sule).
_1, is owncr of lhe pn)peily, am exclusivcly contrncting wilh ficetrsecl conlrack)rs h con\lnrcl lhc pm.ied (Sec. ?(X4. Business
ail I\rllrsirrrCorje:TheC(,nlracl.,r'sLicensel-awdoesnotapplyloanownerofProprnywhohuildsorin)provcsthere{n.
and who conrrds frrr such proi.cls wilh a Ci)nlrackr(s) liccnsc(l lursuint kr lhc Conlraclor's l-iccnsc l-aw).
-lamexemptundelseclion-'B.&P,c,lbrthisreason.n--...
W()RKllRS' ('()l\II'llNSA l l()N
I)}:CI,AR.\TI0N
t,f thc loll()winS (l(.clarnli(,ns:I hcrchy allirm undcr pcnahy of
_l hive an(l will a('enilicateolConserttoSelf:lnsurelirworlers'conlxnsatirn,as providedtbrhySecli()n:l700oflhe
l-atx'r Cotlc,oflhc work lor which thc pcrmil i\ issucd.
and rcquircd by Seclion 3?00 of th€ Labor Code. f(tr the perfomrec of
lhc work li,r insurancc crrricr anl Jxrlicry nutrrhcr iu'c:
/ttI'olicy i/t-[ '[ '
_l ccnily thar in thc Nrtbrnuncc of lhc work li,r which this prnrit is issucd. I shilll not cnrploy any Frson in any nranncr
so as lo bccorrc suhjcct to thc work('rs' conrpcnsatiotr hws o[ Calilbrnia. rnd agrcc that if I stnuld bccorrc suhjcct to thc
worliers' (oilpensaiion prcvirions of Section 3700 of the Labor Code, I rlurll, fonhwith conrply with tlrc* provisions.
WARNINC: Failurc k) securc workcrs'c{,nrf[nsati(]n covcrrgc i\ unhwtul, rn(l shall subjr.ct an cmploycr k) rinrnal Fnaltics ud
civil fines up t) one hundrcd thousud dollnrs ($l(x).(XxD. in rddition to lhe gp\t of conrpcnsalion, damagcs as providcd for lh.
Scclit,n :1076 Lahrr
I hcrcby al lirm undcr r..nalty ol pcrjury rhrt I arn liccn$d undcr provision ol Chaplcr I lcornrrcncing with Secthn 7ilX)) ol l)ivision 3
of thc Busincss and Professions Cotlc. mrl my licensc is in full t()rcc m(l clTcct.
I-iccn\('Nu n1&'r:
I heroby alllrm under ltDalty of periury tlut ihere is a con$ntction
issucd {Scc. .1097. Civ. C.).
l-endcr's Naille:
aSeNy tbr the perlirrnunce ofthe work fbr which this pernlit i\
l-cn{lcr's A(ldrcs\:
APPI.ICANT DE('I,ARATI0N
I h.rebyaffmr under penalty of perjury one ofthe following declarations:
l)emolition Permits-Asbellos Notification Fetleral Regulatiorrs (Tirlc 40, Part6)
_Required ktter of NotilicatioD
_l cenily tlnl the li\leral re8uhti(rls reSrtrdinB ashcsbi re nx)vnl are nrn upplicxble k) this prqecr.
5r ren(l Lhi\ rpplicilioD ilrrd stile thill the ntbve inilrnrnlion i\ correcl. I n8r!e to complv with illl Cily ilnd (ounty
trws rehrrg to huillirrg construclrrrn.:-0propcny lirr inspection
Applicrnt
I'rnDilcr
Ag(Dt
aulif,)ria rcpreseDlalivcs ofthis City and
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor I
Subf loor/VenVl nsu lation t^l tl 4
Roof Sheathinq Al'll'/{//u lMrfrt ,t$g
Shear Wall t- I
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
ft/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
II Ar frh
F!NAL UWilTX qqlM
Certificate of Occupancy I ,
Notes, Remarks, Etc.
I