HomeMy WebLinkAbout101104557 - PermitProject Address: 303 S Orange Ave.
Assessor's Parcel: 404-094-19 Lot: 1&2
Unit:Bldg: Address Range:
TTact: BLEES SECOND AD Historic: No
Suite Range:
Zoning. R3Block: I
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01104557
Pin #: 73396
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
R-3
VB
cBc 2019
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $t 0,754.00
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
Description of Work: Tear off existing, install 38 squares of comp roofing
Planning Conditions:
Owner:
Address:
Phone:
Tenant
GUSTAVO SANCHEZ
303 S. ORANGE AVE
Santa Ana, CA 92701
(909) 242-1277
Contractor: R Oaks Roofing lnc
Address: 1010 West Holt Ave SPC 3F
Pomona, CA 91768
Phone: (909) 242-1277
State Lic #: 1045345
Lic Type C-39
Bus. Lic #: 373904
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9238442
Expires: 0911912020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd. No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
web-ur"r$-
Date:
Date:
Date: 0910312020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Mrsc. Receipt:
077760 02
0 77760 0 2
017760 02
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
Fee Totat
Paid to Date.
Balance Due:
57607
57770
57672
57600
57607
$345 28
$4 05
$1 00
$23.7e
$5e 30
Account#Total
N/A - No
N/A - No
N/A - No
Balance
Balance
BalanceEvery permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MtD#. 2020-1 61286
$433.42
$433 42
$0.00
BUILDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf !oor/Ve nUl ns u latio n
Roof Sheathinq V/zz/pr;^UY";A
Shear Wall (' / - /u
Framinq
Insulation/Eneroy
Drvwall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
OWNITR B Lrl Ll)l.lR DI.:LCA RATION
I hereby affirnt under penalty of perjury that I anr exempt fnrm the Contract<1ru' License Law for the following reason (Sec.7031.5
Ilusincss and Profcssion Code): Any City or County which rcquircs a Jrcrmit to construct, alter, irnprove, dcrnolish or repair any
structure. prior to its issuancc. also requires the applicant ttlr such pcrnrit to fih a signed slaterncnl that hc or she is liccnsed pursuant
to the prnvisions of thc Contractor's l,icensed law (Chapter 9, Commencing with Section 7(fi) of l)ivision 3 of the Business and
Professions Code) or that he or she is exempl therefrom and the basis lbr the alleged exemption. Any violation of Section 703 I .5 by any
applicant for a pennit subjects the applicant to a civilpenaltyof not more than five hundred dollars ($5tXl1.
_t. as owner ol'thc propcrty. or my employecs with wages as thcir solc compcnsalion, willdo thc work and the stnrcturc is not
interrlctl or offered for sale (Sec.7044, Business and Pmfessions Code: Thc Contractor's Licensc l-aw does nol apply lo an owner of
the proJrerty who builds or improves thereor\ and who docs such work himself or herself or ttuough his or her own employees,
providcd that such improvements arc not intended or olTercd for sale. Il, however. thc building or irprovenrnt is sold within one ),ear
of conrplction, thc Owner Builder will travc thc burden of proving that hc or she did not build or impmve thc propcrty for thc purposc of
s:rle).
_I. as owner of thc propcrty, am exclusively contracting with licenrcd contractom to conslruct thc projec't (Scc. 7044, Business
and hotLssirxr Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licenscd pursuant to thc Contrador's Licensc [aw).
_l am excmpt under Section-, B. & P.C. tbr this reason.
f 1...,..
woRKhlRs' coNt tr!:NsA't'IO N
DECLARATION
I hc'rr'by ail'irm undcr pcnalty of pcrjury onc ol'thc tirllowing (lcclarati()ns:
_l have ard will maintain a Certificate of Consent to Self-lnsurc for workers' comlrcnsation. as provided for by Scction 3700 of the
t abor Codc, for the performancc of the work for which the permit ls lssued.
_l have and will maintain workers' conrpensation insurance, as required by Section 3700 of the Labor Code, for the performarrce of
the work for which this Jrcrmit is issucd. My workers' compcnsation insurancc carricr and plicy number are:
Policy
_l ccrrity that in thc Jrcrtbrmance of the work for which this pcrmit is issued, I shall not cmploy any lrcrson in any manner
so as to bccomc subject to the workers' compensation laws of California. and agree that if I should beconrc subjcct to thc
worhers' c<lnr;xnsation provisions of Section 3700 of the Labor Code, I sJrall, forthwith r,onrply with thorc provisions.
WARNING: Failure to sccure workers' cumJrensation covcmgc is unlawful. and shall subject an employer to criminal pcnalties and
civil fines up to one hundred thousand dollars ($lm.Uru). in addition to the cost of conrpensation. damages as provided lor thc
Section 3076 of the l-abor C<xle, fulterest and attorney's fees.
I)ate:
I,ICENSED CoNTRA(:TOR
DECLARATION
I hcrcby alltrm undcr pcnalty of pcrjury that I am licensed undcr provision ol'Chaptcr 9 (cornnrencing with Scction 7000) ol'l)ivision 3
of thc Busincss and Pnrfessions Code. antl my liccnsc is in full fbrce iuxl ctfect.
Licensc Class: Licensc Nurnber:
Date:
CONSTRI.'CTION I,T:NDING AGI.]NCY
I hereby all-rrm under Jrnalty of periury that there is a construction lending agerrcy lbr the performance of the work lbr which this permit is
issucd (Scc. 3097, Civ. C.).
Lcnder's Nanrc:
lrndcr's Address:
APPLICANT DECLARATION
I hercby affrnn under penalty of perjury one of the following declarations:
Denxrlition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Required lrtter of Notification
_l certify that tlrc federal regulations regarding asbeslos renxrval are not applicable to this project.
_l certify that I have reatl this application arxl state that thc above information is correct. I agrec to comply with all City and County
ordinances and State Laws relating to building constructioru and hereby authorize repre:rcntalives of this City and County to enter upon ttrc
abovc mcntioncct proprty lbr inspcction purposcs.
Applicant or Agcnt Signolure: Date:-
Permitee name (print):
0B-07-2015