HomeMy WebLinkAbout10197852 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 1l)197852
Pin #: 76147
q
Project Address:
Assessor's Parcel 410-341-O2 Lot: 1, 2
Address Range: 3001-3121
Historic: No
Surte Range:
Zoning: Rl
1 Bldg
Tract: 7584
U
VB
cBc 2016
x-0602320278J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Areal
Yards Req'd
Valuation:
0@0
$'t 1,900.00
Description of Work: Tear-off & apply 22 sqs of built-up roofing to garages only. Handout given.
Planning Conditions:
Owner:
Address
P hone
Tenant:
Bradfor Place Santa Ana HOA
15661 Red Hill Avenue
Tustin, CA 92780
(7141285-2626
Contractor: Jordan Roof Co.
Address: 11542 Annabel Avenue
Garden Grove, CA 92843
Phone: (7141744-6577
State Lic #: 406783
Lic Type: C-2, C-39
Bus Lic #: 158693
Workers' Compensation lnsurance:
Carriea American Zurich
Policy #: WC593400101
Expires: 1213112014
E ng ineer
Address
8otf,h+:{6138 - I /27/2OL8 I0: NGAtii.:IAofficer CTYH Trons+: 46 I oi' 7Accti: Refi; 14.t19795:
Rcpti:02392094 - 9/27/7018 2rtt2 rn
Jordnn Roof Co.
Phone.
License #
Phone:
License #
Architect /
Desiqner:
Address:
Gensrol Plon Updot€ Fep
01116002- 51600000-
Bu i ld ing
01116002- 51601000-
Blds Stds Revolv ins
01116002- 51612000-
$?2. r-lg
t375.54
{i 1 .0q
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
G ro
ki, Teri
Dale: Ogl27l2018 Nlisc. Receipt
Date: lvlisc. Receipt
Date ogt27t2o18 l\4isc. Receipt
Subject to Field:
No
No Account#
07775002 51501 Permit Fee
07775002 51672 gldq. Stds. Revolving
07776002 57600 Genetal Plan Update
07175002 51501 lssuance
t!.L Ln ECX Ll5+:'Jl-l n .r t rr l, ,1,i
$320.50
$1.00
$22.08
$s5.04
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Flood Zone Cert. Req'd; No Ot 1t6OO2 51600
Every pemit issued shall become invalid unless the wo* on the site aulhoized by
such pemit is commenced within 180 days after its issuance.or if the work authonzed
on the site by such peftnil is suspended or abandoned for a period of180 days after
the lme the wo* is commenced.
$398.62
$0 00
$398.62
lnspector MID#: 2018-146465
011 16002 51601
01 1 16002 s1612
$22.08
$375.s4
$1.00
Fee Total:
Paid to Date:
Balance Due
Unit:
Block: NA
Building Use: Condominium Occupancy:
Job Type: Reroof Constr Type:
Nature of Work: Reroof Garages Code
Existing Bldg. & User s-UNIT TOWNHOUSE w/det garag€ Flood Zone:
Proposed Use: # of Stories:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE IDiSIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Boof Sheathinq /o/rr/tt r 'iz/bt4-/t9-
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif .
rdrt/r*e7/rtt-ra'
Certificate ol Occupancy
Notes, Remarks, Etc
OWNER BUILDER DELCARATION
I lErchy u0nm undcr Ni ry or Frjury rhur I an cxcnDr frcn rhc C{nn .ds Li.cns Llw i{tr lhc f{nlowirl8 rcasr r s'c 7n 1 l 5
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slru.rurc- nriorro ils tsuoncc. ako ftquncs rh. ,rPlicd n)rsuc[|r n h fikI siSncd $.rc'rctr| rhar hcor sh. is liccnscd pursua
ro rhc Jtr i\nrnr of uE conlrucrois Liccn\cd us (chnu( 9 comnrcrcins Nirh sd.r ion 7000 0l Dirhion I 'f rh' Businc( ond
Pturcsi..s Codc) or lh0l h.orshc is crcmpl rhcrcrio drhciasislorlncollcgcdcx.nuri.tr Anyvn,htionorsccrion?O:ll5hy.nv
rypli.,d for a pciinit sul,j(k rhc .mli.anl b r .ivil ,,.nrlly of not nFrc rhan llrc hundrcd dollus (S5m)
I. $ oaflr of lhc pmtEny. or nry c'nDloyes wirh s,8cs a! rhcit slc .ompcn\drn,n. sill do tfu *o!k and rhe iMm i mr
inEndql or oficrcd lor solc (S6.7o4t. Businc$ md Pml&snrns CoJs Thc Cotrtrctoas l-icc.$ L.q doc\ nor apply lo on otrrcrnt
rhc pmtedy sho brilds .r i,emves rhcron. a.d who dixs ruch k* hnns.lf or hcn ll or rlfough hk or hcr own c'n,'k,y.cl.
provdcd th!! such itrqroktu.r\ m ft inr.fti.d ofrRl tu sh. li hosMr, rh. huiHinA or irP(trlm.r is eH wirhin om }tr
.fc.'qhriotr.lhc Opncr lruild.r willhnt ih. burdcn of pmving lhil lE or {E.lid tror huild or inlrorc $c lFlclly fo. th Puqrscof
-1.
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and PDlissi.n Codc: Thc Conrru.roai Li..trsc L.v des nor atrly ro a.own.r ortioFay who build\.r inlprovcs Ihcreon.
and sho conkEch ror su.h lojc.ts with 0 Conhchns) lic€n{d pursurtrr lo lhe Conlra.ioi't Lkcn* I-l*)
l{nrexcnrDlun(lcrSccri{ni -!}.&PClnr$i\rcrnrr
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DICI"ABAIION
I hc..by rmonund.r l.nrlrlofNrjuryonc or'lhc r(,1[,sn{ Jc.l$rliofs
{dwillnuiihinrCcnifi.dcofconscnrlosclllNurcnr*o'kttJconrFnsrrio..asPx,vidcdforhyScclionJT(xrorrh. I
forth.pcrlbflnan.cofrhcsorkf,rrh(hrhcllcrnril iti\su.d
in *orkcB c.nDctrslrion in d\ rquncd bySc.riur l?(xror rhc Inh r Codc, l.)t rhc ,cnontu'Fc ol
Nnnir is isu.n Nly*orkc'\'ci
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to llf workcri .onD.o$ti,,n lass of Crlilffni.. Mi lsB rhal ifl sk,uLr b..om suhje.lb rh.
w.rkrri roDrPri\ir'o |x,!isionsof Sc.li(nr.r70o.l L,htr (i ..I\lfull.lnrrhq Irt
WARNINC Flilure ro surc sorl.ri.onrcnsar
civil lincs up lo onc hllrdred rhoxsrd dollrs ($
r crpbrrr ro dnninll |rmlii.s md
f.rrfr, drmgr\ r' t)nr ,l.d ,tr rl'r
ision otChryrd 9t.onnnrcir8 sith Sari,n 7fiD) ol Dilisio..l
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lrcgularioN mgmlnr8 r(h.nosrcnnvrlrre Nr a!t,li.rhlc k, rhh Pmlc.r
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Sublloor/Vent/l nsu lation
FINAL 4iruy
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oi lh. lnri',cs\ trid Pmfo$i.iNCodc, ard my lic.ns. i\ i'r lnlll(trccdklcllccr
A.TILICANLDECLAMf]AN
I hcllty lnim undci pnaxy oi lcrju.y onc otthc folkr$inc dcclriti(,.s:
Dcmliri.n Pc.nrils Aslrsros Norificrrion Fcd.ral Rc3ullliotrs arnh 40. Pan6)
-Rcqrncd
trno.r Norifi dalion
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