HomeMy WebLinkAbout10198287 - Permitw
Proj ect Address: 331 W Carriaqe Dr
Assessor's Parcel 410-331-02 Lot: l,2,3
Unit Address Range: 301-341 '
Historic: NoBlock NA
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1(J19A287
Pin #: 97268
Planning Conditions:
Patiol
T.l.Area:
Yards Req'd:
Valuation:
0@0
$143,500.00
Phone:
Tenant:
BRADFORD PLACE HOA
15661 REDHILL AVENUE #2OO
Tustin, CA 92780
(7141285-2626
Contractor: Jordan Roof Co.
Address: l'1542 Annabel Avenue
Garden Grove, CA 92843
Phone: 17141744-6577
State Lic #: 406783
Lic Type: C-2, C-39
Bus. Lic #: 158693
Workers' Compensation lnsurance:
Carrier: American Zurich
Policy #: WC593400101
Expires: 1213112018
Engineer
Phone:
License #
Phone:
License #
Plan Checked By
Permit lssued By
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Teri
Fire lnsp. Req'dl
Police lnsp. Req'd
o Dale: 1110712018 Nlisc. Receipt
Date: lvisc. Receipt
Dale: 11lO7l2O1B N.4isc. Receipt
Subject to Field:
No
No Account#
01116002 51601
01 1 16002 516'12
07776002 51601 Permil Fee
07775002 57672 Bldg. Stds. Revolving
07776002 57600 Gene.al Plan Update
07776002 51601 lssuance
$320.s0
$6.00
$22.08
$55.04
No
No
No Flood Zone Cert. Req'd: No 01116002 5i600
Every pennil issued shall becofie invalid unless the work on the site authorized by
such pormit is cofimenced within 180 days after its issuance,or if the wotu authorized
on the sile by such pernit is suspended ot abandoned for a period o1180 days after
the time the wo* is cofimenced.
lnspector MID#: 2018-147496
$22.08
$375.54
$6.00
Fee Total:
Paid to Date:
Balance Due
Bldg:
Tract: 7585
Suite Range:
Zoningi R1
Building Use: Townhouse Occupancy: U, R-2 1st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Garages Code: CBC2016 other Areas:
Existing Bldg. & Use: Townhomes Watt garages Flood Zone: X-O6O232O27AJ carage Area:
Proposed Use: # of Stories:
Totat:
Description of Work: Reroof garages only. Tear-off & apply 29 sqs of built up roof ing material. Handout given.
Owner:
Addressi Address:
0ff ripi CIYH
AEct+r
R.Pt + : l.l?13913t:t
Irflns+::{6Reli! I
- 11.t7 /2til? I
Tr on9a,: !
6enerrl Plon lindnt r: Fee
n1 t I ta "tr- qt tnottltn-
011160|?- 516010110
nr do cl ac n6,)n1,rin
Architect /
Desiqner:
Address:
L?L]tl0-
tlt31r d6 4
Planning Approval By:
$403.62
$0.00
$403.62
Total
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenVl nsulation
/ @-/Roof Sheathing rt /,t /ts ?nol7b
Shear Wall
Framing
lnsulation/Energy
Drywall
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
?rzotz-FINAL t/tq/t*/za-
Certificate of Occupancy
Notes, Remarks, Etc
OWNER BUILDf, R DELCARATTON
IhccbyamrnrundepqaltyoftrjurylhalIandoprlion.(onr,!c1oBLi..nsetiNrorrh.followinErcMn(Ss.7011.5
Busin6s dd Prolsio. Cod.): Any Cny or Counly vhich rcqun6 a p6'ln ro codtu( thd, nnprov€, &t olish or i.P.ir any
srtucrurc, Drior to irs isumc., als. rcqutB lhe applical lor such Frnn lo fiI. a siSn d slar46l thal h. or sh. is liccff.d po6udn
ro rhc p.lvisions otrh. Co.liacltr s l-ic.ned taw {Cn0fl.r 9, Conrmcncins *nh Sciion 7000 of Division 3 otrhc ausints ed
PmlBiotu cod.) or fi.t he or sh. is €rcmpl ths.tom md the bsis for rh. tll.S.d .xsnption. Any viohtion oas€rion 701 L5 by any
applicanl lor o p6nil subjrlsrh. apllicant to acivilp.nolryol.ol 'nor.lhu fivc hundrcd dollars ($500).
-I,
6 own.r of rh. prol,lly. or my .mplo,6 rvnh was6 6 lhejr $1. .omp@.rion, will do lhe sorl dd $c $Mm is nol
int6d.d or olldcd fo. sle (56.'7044. Bcin6 dd PrcaeioN Code Tn ftnrracroar l,icdc L!* do6 noi @ply to a oM( 6r
rh.IFpdy s ho hilds oi inprcv6 rhoEn, ud $ho d{rs such \srl hims.lf or hasclf or lhrough his o' hd own .mpl.)c6
provided rhal such inprc\mars e mt i od.d or oficld for elc I r. hos66. lh. toildins or i.p.ov@l ir eld silhin onc yw
ofompldion. rhc (\'nq AuiU6 Nill hrv. (t hrd, oaprovins rhd h. or shc did ml hrild or nn!ro!. fi. pmFty for lh. purF$ oa
-L
G oMo of rhe prcpdr, n cxclusively coorEclins { irh li.ots.d conl,acloN Io oNrrud lhe p oj.d (Sd ?044. tl6in<
and thliishn Codc 'rhc Contrdoir Liccm. Lsq do6 nor .pply to a o*.r o aptupeny sho hlilds or inprovs rhdon
end *ho conlracts lor such pmj.ds with a Contrado(, licc6ed pu6@r ro thc Codrocloas Lic€Ne La*).
-I
d cxanpl undd Salion- B. & P.C. hr tht r.en
Drtt: Orn€r:
\IORKFRS' COIITPENSA]ION
DECLARATION
I h6ebyafir lndd p€nahyotpdjury on oaih. Lllo*i.8 ddltr.lioN:
-l
ha!€ ed * ill minrain a a.nific,l. of Co6dl lo Sela-l6uc for Mrk.ro' onrp.nstion. 6 provided lor by Sdtion 1700 of th.
Lsbor Codc. for rhc p6lt'n@cc oarh. md lor which lh. panil is inued.
I havc and will mainrar wo ers corbp.nstion i.sur.nc.. s Equt€d by s<r ion 1700 of rh. t bot Code lor $. pdfom c.oi
the uork for unich lnts prmn is iqq.l. My wo*en co'npeGotion iNuran.c @id.nd policy numbd 6c:
-l.dialihar
in the psiormancc orlh€ Nork lor which rhis !.rmh is issucd. lsnallnol nrpl.yanypmn innnynuns
$ 6ro b€.o,tr subrdt 16 rh. vortd' comp.Mlion laws ol Calilomia ddasdrhd iflshould b.co'nc suhj4l ro rhe
\voir6 codpdsrionttuvisioroof Scdion 1700oath. kbor Codc, I
aployE lo oninal FEki! d
ion. dmas6 6 prolid.d for rfic
WARNINC: F.ilnrc lo suc sork6 conpddion covdir. is
cnil fin6 up lo onc hundrcd rhoumd dollc (
Sedtun 11076 olrh.l-ab.r('odc, in-2
I hocb) amnn und6 peoahyof psjury that Ch.prq 9 (commacins rirh Sdtion 7000)olDivisio!l
ol rhc Rutin6s ud P.olNiomCode. d nrylicmsisinfullforcc d clla{r
785a
I hcrcby aiiifln undd perlly o f pdjury thar
issucd (sd 109?.civ. c ).
lddins asscy aorlh. psaomwce olihcrvorl loi thich lhis pam ir
ATTIICANIDICI,ASAITO!
I h@ty atrnn und6 D6ahyofpqiuryo.e ofth. follo{inl! deldalios:
D.mohion P.mneAsbstos Nolifi.alion Fcd@l Rqularion! (Tirl.40, Pd6)
R.qrncd ldrr ol Nolification
trs66ros runovalrc nor appli.ablc t. rhir pNidl.
I bn is cond I aBre ro coopl, rvhtallCilyand Couory
aurhorizc re?rMtarir6 orlhis Cny dd counly 1o sls uIDn $e
,"," //-1:?\ty
Ext./lnt. Lath
5
=