HomeMy WebLinkAbout101102775 - Permit@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 W4
Permit #: 101102775
Pin #: 296{8
Assessor's Parcel: 014-393-02 Lot: 26
Unit Suite Range:
Zoning: RlTract.6337 Historicr No
Patio:
T.l.Areal
Yards Req'd
Valuation:s7,000.00
Planning Conditions
Pot.h+ : i3
Uf ,' i L,r: i !t i !rt-t1t-l
lr'Clne+i
Engineer: r, ,,1 :; -rr*.ii,r I lOwner: Jarrett Ellington Conlractor: A D G Construction and Ro( ,i iur. r1,_, r!.i, ,iir ,i I
Address: 1509 S Oak St Address: 18553 Ventura Blvd #81'l Address:
Santa Ana, CA 927012322 Tazana, CA 91356 r, ', , , i j, ,, ,, ri. :l ,
Phone: Q14l4714542 ext. 5676 Phone: (855) 699-5959 Phonel
State Lic#: 1o33o1s License# '.".;',',1 .. ' l,i,ii;i;' ",
Tenant Lic Type: C-39 Architect / ril-rr.l,lrrr'
Bus. Lic #: 373935 Desioner: I I '' ri
Workers' Compensation lnsurance; Address. .. ' 'lCarrier: State Fund
Poticy#: 9221338 Phone: ',, ',' , ,ll t ,,',;,, I
Expires: 1il14/2020 License #: ir;iir ,,, * ft!:,,, r,!,,1! ,
Planning Approval By
Plan Checked Byl
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
,0\Hernandez, Kathy
Date: 0110712020 i/isc Receipt
Date: lvlisc. Receipt
Date..O1tO7t2O2O l\,lisc.Receipt
Sub,ect to Field:
No
No Account#
07776002 51601 Permit Fee
07116002 57770 lvlicrofilm Records
07176002 s7672 Bldg. Stds. Revolving
07716002 57600 Cenetal Plan Update
07116002 51501 lssuance
$333.06
$3.91
$1.00
$22.95
$57.20No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'dr No
Every permit issued shall become invalid unless tho wo* on the sile aulhorized by
such pemit is commenced within360 days aftet its issuance.or if the work authorized
on the site by such permit is suspendec! or abandoned lot a peiod of360 days after
lhe time the wo* is commenced
Total
$22 95
$390.26
$1.00
$3.91
lnspector tMlD#: 2020-156953
01 1 16002 51600
01116002 51601
01116002 51612
011',16002 57770 Fee Total
Paid to Date:
Balance Oue
Proiect Address: 1509 S Oak St Bldg Address Range:
Block: NA
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work: Reroof Code: CBC 2019 other Areas:
Existing Bldg & Use: 5pp yy1311 911396 Flood Zone: X-0602320276J Garage Area
Proposed Use: # of Stories
Total
Description of Work: Reroof w/t.o.-Remove and apply comp shingles/sheathing to remain/handout given/auth on file
iDr Niir
$418.12
$0.00
$418.,12
IDiSIG.COMMENTSSITE.WORK DATE
Set Backs
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation *blRoof Sheathino tl t',DtNot
Shear Wall 1
Framinq
lnsulationi Energy
Drywall
Ext.i lnt. Lath
Brown Coat
It/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
,l IthsaFINALtl t4t'a.,)1.4,itfi\
Certificate oI Occupancy t I
Notes, Remarks, Etc.
OWNF:T BUN-DER OEI-C RATION
I h.r.6, a,rrn unJ& pcn,lry {,1 pcrjL'ry rhdr I m crcnrfl lilm thc Cirnrra.t,u' L'ccnsc tiw ti}r rlr n)llo*ie .c,$n (Se 70.11 5
Bu\rcss rnl Pnnissi.n clxl.): Any C y or Cotrnly *h!h rcqutcr r Fm( k, con(d.i. alr.r. imriov.. dcmolnh or (rxn any
sru.turc, prittrn, irs il\udn c. rl{r rcqnircs rh. r0pl(hr,i,i such !.rn n) Illc i rgncJ nd.mni lhal h.or sh. il hc.n*d ptrFuanr
b thc t'bvktrns or rhc Conr ror'1Li.cnsi Lr, (Ch,prcr,, Coh'hcne s wilh Scurion 7mo or Divi$o l ollh' Btr{n'(\ rn{l
Pn,lcr\i()n\ C(xlc) or rh{r hc or slE is c\cnrr rhcrcfron d rhc brs\ li).rhc allcscJ.rcnPtbn Aryvi(,lrrionofS.crion?0.115hv!n,
,pll,crnrfd, FmilruhjccB rh. intli.rnt l. acivillrcnaltyoifr, norc rhm lrv. hnnl,rcJ 'lollrs($500)
t. rs own.r ol rlr arolEny. or my cmtlole\ * h walcs r( rhcr snc d'mPcnirk'n, wdl Jo lhc worl r,xl rh. (B1N ir mr
'nr.ni&l .r oflcrcd Inr et (S\.' 7044, axsrc$ md Pnni$ions C{rlc l hc Ornricttr s l iccne hw dd\ nol Jrplv ro an own.r .l
rhcpn,pcny who buil'k o nfnn$ rh.B)n. lrl wk' J(f,s sur[ *'lk hi.scll.r hcrclfor Ihn{Ch his or hcr own cmlloyccs
pruvdcJ rlfu such n|]n)vcnrnc rc noi hr.trdcdorollarcJ ta.s!lc.Il ho*cv.i r[c nuik]in! or impovomnt Nn)kl*i(hinnnc rr
ol.oflrlLrin,, lhcOwncr Auillq willhnt rh. hntJd of l)rt)vn! lhil lE o, sh. did fr h{rld.r iryrolc rhc pR,r.ny tur lhc ptrrlx'Eol
l,.sownrrofrhc ptr,pcny. rn.rchFiv.ly..trr.a.iirl8 *rrh li.cnscd c.MacbF b.onntucr rh. f'nlcd (Scc. 7O{4. Bunn*(
ml Pn,lc\\i,n Cod.: Thc C.nrr&tri l-(cnsc L.w diEs n.r apply b rnown$ ol P.or.ny wh,) hild\ or inrPovcs rhcrcon,
dnd wh...trrra.hlorru.htnUccrxwnhaConrrrct(rhchrc,lpu*u n, rhc Contncttr's Ltcre lj*).
l rmc\.irl]l un,l.r S..r
WORKtrRS' COI\IPENSATION
DEC!A8AI!O!
i hcrhy rfi irnrnder E.alryolpcrjoryoncof rhc bl!'*in! dcclsrrion\:
I hrvc rklw'll nrinl.m iCcnilulrcolCon:. b S.llln c titr *orkcf' cont|tNiron. !s Prov .d krhvSccrbn lTXlol rhc
L.txtr(,r1.,rnrrhdpc orm.tuc ol lhc woti lhr *hieh rtu rnn 'ssnEd.
-lhav.rnJwrllnurnriin*orkcr\'oml.nsarbnnsurrn.,rsrcquncJbySccrdrl?0OoirhcLahorCi'tlcntrlhc0rirmxi'orrlt sork ntr shrh rhs |Irnnr tr sug]uP0kqrc n nsurdcc MEr el pl'cy hunlxr m
A.) (
7 Z-.2-7 3U
I ccn i rhar in rh. l.rfornEtuc ol lhc work lnr wh'ch rh6 Brnri s Fsuc'l.l \hall nor cqll,)yrnyP.6on inrnvnunrcr
\o * kr h.$m xuhjccr ro rhc wor*.n .onEns.tn,n hrs olCalitumin. $d alG (hal irl sl$uld tt.om slbj&r ro rh.
wo*ss unnEnsari'n ptuvsons .l sNril). l?00 ol rhc Lnh, codc. I sh.ll, lnnhrirh.d.{ y wiih lhE 0r,ririo .
WARNIN(:: Fnlhrc t) $curc wolkcn ohpcn'di)n cdv.ntc is unh{ful, anJ drall rul'Jcrr tq}I,,v.. !, djmm,lltMlrn a l
crvil lincs ut 1,, otrc iutulrcJ rhou\rnd doll61ll00,([ )
s,!rtr,n nr/6,,r rl.cLibn coJr,dr.F{ rdntr{r) \ Icc\
dlru[cs as ptuvr]cd li'r lh.
"",../-'7-/,a u.1-rll-c!t-!]Dl&!!-r0B
I hcEby rl irb loJcr p.n lry or p.rjury lhal I !n ticctr*l !tolr nmvftun ol Chnflr 9 (comncins *irh S&iiot 7000) ol Diltn,n :l
ol rhc Busirc$ and Pn,Lson\ GrL, ,n my li.cnsc t !n ttll toc ann cit.r.
/-l-z-a
CONSTRUCTION LENDING ACENCY
I hcahy afiirm u lft Fmlry ol F.rru.y rhd rh.rc as , c.n(Nclmn hnJiog nSctuy f.r rhc Peri)lrr@. of rhc *ork fN whth rhi( |Emit is
n$cd (Scc. J097. Clv. c ).
ArjUgANLOECIAS.dIIIN
I MD rtlim un'lcr pcnahyof F_rjfiy onc ot Ihc,nI{,winr Jc.lr,ri,ns:
D.nrlirM PcrnrillAsh.sros Notil(itnn Fcderrl Rc3uhbN (Tirl. 40. Prn6)
Rcqunr!t (x(.rol Nor'li.rior
I cd'ly rh.r rhc lc'lcrrl Egllat ions rcp&dina asbcnos rcm'vd ac frr ,l'di..blc ro rhis pe,j.u
I ccnrI rhrr I luv.r.drh'r 3!Plt.rrranl d]rc rharr1[rh
.nlrndn.es !nJ Srrrc bw\ rlarii,S r' hu dtrr3 uonnn'rri'nr. uJ
)v. nromtro. N uotrcrt l,Cr@ lo.oqiy wnh aU Cn, ani Counly
.urhtrtre rcprcs.nrrhvcs oflhis Ciry {n'l Counryh cnlcr ut,n lhe
rhovc nxnlon d pNpcny lir
/-ADpli.xnl .r Asctrt SisNl tr
'-22
BUILDING. INSPECTOR RECORD
Forms/Steel/Holdowns
Erection Pads
//- /L/-z-a
/../ gus.# 3a/?2tc 1762a /frilll 57fiZ-Tzzr3i8 - auP //-//-1 ? LAK= gsa.a65c+ fllob
csuq *t o33oLs 'f=vf /1-3ol 1 - ai? 31a- t'34' 5-o7l
7-4/R) @ Abg /?bV/y9 . Caq
{FD rD g/- 2282823
,\ffiffi*fl*,
ROOFINO & CONSTPUCTION
From:
Dotan Swisa, Owner.
American Developments Group Inc.
DBA ADG Construction and Roofing
18653 Ventura Blvd. Suite #811
Tazana, CA 91356
P:855.599.5959
To:
Manuel Jimenez
To Whom It May Concern,
I authorize to the person above, to pull city permits on my behalffor our
construction projects and p de information about my company.
Thank you,ADG Roofing
18653 Ventura Blvd.
Suite #81'1
lazana, CA 91356
Dotan o/7
ADG Construcdon and Roofing
W#,t1