HomeMy WebLinkAbout101103064 - PermitProject Address: 3307 S Main St
Assessols Parcel: 4'l 1-161-08 Lot: NA
Unit Bldg: Address Range:Suite Range:
Zoning: M1Block: NA Tract: NA Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter. (714) 647-5800 lnspectron Requests: (714) 667-2738 lnspector Section (714) 647-5853
Permit #: 101103064
Pin #: 25727 .
Building Use: lndustrial Occupancy: B 'lst FL Area: Patio:
Job Type: Reroof Constr Typer V B 2nd FL Area: T.l.Area:
Nature of Work: Rgroof Codei CBc 2ol9 Other Areas: yards Req,d:
Existing Bldg. & Use: Industriat Flood Zone: X-0602320278J
proposed use: # or sto,esr Garage Area valuetion: $16'850 00
Total:
Oe3cription of Work: Remove existlng rcot matedal down to substrate & lnBtall 3 plies ot new GAF CAP 6heet with Tltle 24 Acrylic coatlng. 24 squarcs.
Handout given.
Planning Conditiona:
Owner:
Address:
Phone:
Tenant
GC Associates
74905 Canterbury Court
Palm Desert, CA 92260
(760) 977-0007
Contractor: Tecta America Southern Cal
Address: 1217 E Wakeham Avenue
Santa Ana, CA 92705
Phone: (714) 973-6233
State Lic #: 81 1111
Lic Type: B, C-39
Bus. Lic #: 177
Workers' Compensation lnsurance:
Carrier: Starr lndemnity & Liability
Policy #: WC1000001352
Expires: 0313112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
Chavez, D
Date: 02/06/2020
Date:
Dale: 0210612020
Subject to Field:
Misc Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07775002
07776002
07775002
07776002
57507
57770
57672
51600
57601
Permit Fee
Microfilm Records
Bldg Stds Revolving
General Plan Update
lssuance
$333 06
$3 91
$1 00
$22.95
$57.20^u)ta
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 0'1116002 51600
01 1 16002 51601
01 1 16002 51612
01116002 57770
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 o r abandoned for a period of 360 days after
the time the work is commenced.
lnspector IMID#: 2020-157554
$22.95
$390.26
$1.00
$3.91 Fee Total:
Paid to Date
Balance Due:
$418.12
$0 00
$418.12
I
BUILDING. INSPECTOR RECORD
SITE.WORK DATE IDiSIG COMMENTS OWNER BUII,DER DI]LCARATION
I hocby affrrin undo penalty ofp€rjury lhal I m excmpt fioin the Conlractors Lice6c Law for the following re6on (Sec.70-11.5
Busines and Profssion Code): Any Cily or Counry which require a ponit lo conslruct. alto, tnprove. donolish or repair my
struclure. pnor lo its isumce. also requirc lhe applicilt for such p€nnit to file a signed statonent that he or shc is licrucd pusuet
lo thc provisions ofthe Contractor's Liccnscd lrw (Chapt6 9, Conlnencing with S*tion 7000 of Division 3 ofthe Business and
ProfessionsCodc)orthatheorshcisexemptlhqefromandthebsisfortheallegedexenption. AnyviolationofsstionT0-3l.5byany
applicantforapmnitsubjetsthc applicanltoacivilpenaltyofnotmorcthmfivchundreddollas($500).
_ l. a omo of the property, or my employ€ wilh wag6 6 their sle compensation, will do the work md lhe struclrc is not
intfidqi oroffqedforsle(Se.TO44,BusinsedProfsioNCode: TheConlraclor'sLicruelarvdo6nolapplytoeounsof
rheprcperty rvhobuildsorirnprovetha@n,ildwhodo6suchworkhimsclforhesclforlhreughhisorhoownemployce,
p.ovidedthalsuch imprcvanentstrenotintmdedoroflqedforsle.If,howwq.thcbuildingorimprovsnentissoldwithinoneyw
ofcomplaion. the Orvos Buildq will have lhe budo ofproving that he or she did not huiH or improvc thc prcpqly for the purpos of
ele).
_i. $ cvns ol the propfiy. ml cxclusively contracling wih licrued contractoB lo coNtruct the prcjet (Ss. 7044, Bsins
ud [tofesspnCode:ThcContractor'sLicenseLawdo6oolapplytoanownsofpropstywhobuildsorimprovesth6sn,
and v,ho contracts for such projects with a Contracto(s) licmsed pursumt to the Contractor's Licsse Law).
I on e\etnpt undq S6tion--, B. & P.C. for lhis r6on.
l)tlc.
WORI<ERS' COMPENSATION
DECLARATION
I hereby aflirm unds penalty ofpqjury one ofthe following deluatiom:
_l ha\.e 4d \rill maintain a Cmificate of Consot to Selfl6urc for workqs'compenstion. 6 provided for by Sation 3700 of the
Labo. Code, for the pqfonnmce of the work for which thc pmit is issued.
ZlZhve and *lll maintain workm compemation insurance, s requircd by S&tion 3700 of the kbor Code. for rhe pofonnace o[
ihe work for which this pemit is isucd. My workas' compssation imurece cmio md policy nurnbo ae:
c*i.5@
pori.y Nu.b",,_aD0t0L65-L ---'xp,,", -nf3VZo
I certify that in lhe pcrformance ofthc Nork for which lhis pqrnit is issued. I shall not empkry any poson in any mmner
so m to becomc subjel to the workqs' cornpereat ion larvs of Califomia, md agre thal if I should trcome subjet to the
wortss' conrpcmalion provkioils ofSeclion 3700 oflhc tabor Code, I shall. fonhwilh comply wilh thop provisiom.
WARNING: failure to sure workers'compeNalion covtrage is unlarvful. md shall subjet m onployr to aiminal pmaltie errd
civil fines up tc one hundred lhousmd dollars ($ I 00.000), in addition to the cost of compensation. danages o provided fc,r thc
Seclion -1076 ofthe l-au)r Code. inlerest and altomcy's lbes.
Applicant:
DECt-ARATION
I hceby allrnr unde penalty ofpcrjury that I m licmsed undu provision ofchaplo 9 (comrnocing with Section 7000) of Dilision 3
of lhe Busin6s md Professions Code. md my license is in full lorce od effect.
i
NurntEr._ c3?Liccr,se
Datg o t e /Z,t (*r
I hcrcby affirm under pqalty ofpcrjury that
issucd (Src. 1097. Civ. C.).
CONSTRUCTION LENDING ACI'NCY
lhqe is a comtnrclion lendintt aSency for the psfonnoce of the work for which this permit is
l-cndcr's Namc:
Lcndcr's AddrLTs:
APPLICANT DECLARATION
I lurtry aflinn under pmalty of pdjury one of the following dsltrationsl
Dcmolition Psmits-Asb6tos Notification lrcdsal Rcgulations (Title 40. Part6)
Requucd ktls of Notification
I cslify rhal rhe fedcral regulalioN regtading obctos rernoval ae not applicable to this projet.
,4 raifu t"t I have read this applicaiion drd state that the ak)ve infonnation is corect. I agre to cornply with all City and County- ..rdinanca md State Larvs relalint l. buiiding coEtrualion, md hocby authorize rcprBmtativ6 of this Cily ed County to mtq upon the
abovc motionc{ propeny for iNpcctloo LApplic{nt or Agcrt
permirN name (prinr,-)(.--Agoa PgaL-r
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation t
Roof Sheathing a o11,0
Shear Wall rl
Frarninq
lnsulation/Energy
Drywall
Ext.ilnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t-l 1^^
FINAL DKT(t6W9 tr7
Certificate of Occupancy
Notes, Remarks, Etc.
4
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