HomeMy WebLinkAbout101103848 - Permit7-5800 lnspection Requests: (71q 6A7-2738 lnspector Section: (714) 647-5853
Block: NA T'act2461 Historic: No
Suite Range:
Zoning: Rl
Proiect Address: 2506 S Shelton St
Assessor's Parcel 140-134-02 Lot: 2
Unil Bldg; Address Range
City of Santa Ana
Permat Counter: (714) 64
20 Civic Center Plaza (M-19), Santa Ana, C492702 Building Permit #: l Ot I03848
Pin #: 25129
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Owelling
Reroof
Reroof
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 20't 9
x-0602320259J
1 st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:s5,000.00
Description of Work: Tear off existing, install 20 squares of built-up roofing
Planning Conditions:
Owner:
Address
Phone:
Tenant
Thu Ly
2506 S Shelton street
Santa Ana, CA 92704
Contractor: westminsterRoofing
Address: 450 W Valley View Dr
Fullerton, CA 92835
Phone: (714) 541-5351
State Lic #: 694940
Lic Type: C-39
Bus. Lic #: 168571
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9043501
Expires: O1lO1l2O21
Engineerl
Address
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
web user
Date: Misc. Receipt
Date: Misc. Receipt
Oate: O6t17t212o Misc. Receipt
Subject to Field:
No
No Account#
N/A - No Balance
N/A - No Balance
0 777600 2
0 717600 2
o7175002
07776002
0777600 2
57607
57770
57672
s7600
57607
Permit Fee
l\ricrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1.00
$22.9s
$57.20No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Flood Zone Cert. Req'd: No N/A _ No Balance
Every pemit issued shall becone invalid unless the wo* on the site authotizecl by
such pemil is commenced wilhin 360 days after its issuance,or if the wo* autho zecl
an the site by such pemit is suspended or abandoned fot a period of360 days aker
lhe time lhe wo iscommenced.
lnspector MtD#. 2020-159527
$418. r 2
$418.12
$0.00
Phone:
License #:
Fee Total
Paid to Date:
Balance Due:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS O\,VNI]I{ BUII-DI:R DI,]I,CA RATNN
I lEEby ifi.or u^dq p.Mlry of p.rtury rhor I afl.rcm lFmrlE (nnt&roR L!.r. tiw fo. rtE followng Easn (54.7011.5
tiusin.s and Profcsion Cod.lr Any Ciry or C.udy which '.qutes a t.m h .on{tocr. ,lrci i'npnw, d.rmlish ot Epan uy
rru.turc, pri.r t. ,s i!$eEc. llnr Equics rlE appli:ad lbr su.h p.mir nr fih r sttJ rsr.trnr rhlr Ir or ih. n !i..red pu$mr
ro rh. pmvi\ions oI rh. Conk*ror'r l-icens.d lr* ichrprn 9, Commcncin8 w h S.di.n 7lr0{,.fDivnion I.frh. Busin.s r.d
ProLsDni CoJ.l r rh, hc .r \hc ir cx.r,pr ih.dlion ..d rtr basB tbr rlE olh.d cr.qnior. Any violaibn ot Scrbn 701 1.5 by tny
,pp,icrnr forn|].mir rubic6rh. applicinr ro rcnilpe lryotnor mr.rhun {iv. hundral dolld^ ($5m).
_r.ao*.crolrlrF.p.ny.orhyc'nplry.cr*nhwa8s!\rhcnrrccoft{Ensdi.i,$rlldorh.w.r*rnd !{tumi!r(
inr.il.il d oficral ror sl. (S4.7{H4. B$in.s rnJ fttrf.$ionr Col. Th. Cont.doi r Li..nr. Llw dEs nor spPty ro &n oM.r of
lhe pDpcny *h6 hnild! Dr iiFrows rl.6( ud qtD d(B such Brt hmlscli or lE .if o. rhmu8h hi\ or h.r own dnplolt s.
pnvi'led rnlr su.h imroemnh m or in.d.d or ,rTmd tor 5L. Il, h.ucEi rtE huildhg or irpoEmr t $ld wiGt om )tu
ofconroLti.G th. OwE Buildd willh,EtL bu .n.fpovin! rhd lEor JE tlil kn bliu d irlm€ LlE pmpqry for rh. p{rpoE of
_1..*nerolrh.prop.ny,rh.rclusiv.lyconts.rr8*irhlic.nsd..nr(ro6ioo!(rudlh.poj(t(S.c.?014.Bu\in.s
rfll huliasin c()d.: Ttu Conkdtr ! L'ce \e L.q d,$ nur ipply t, in o*ner of popc. y who builds or mpov.r rhcrsn.
rnd who coddds ro. such proj.cN wnh a conracb(s) lr.n*d pur\ud r) rlE Cookdols Lied{ hw)
I rmerenrr unJ.r S.cr'on .I &PC ntrrln{r.lvtrr
M-BEEAS:!!]!.U!!!A-IIQ!
DETLA.BAII!]I
I h.ii.hy irirmund.r |}-nrhyoi|]trlurvonc.lrh. 6lk,*in! dcdrrrnoni
_l hav. md will tuinrain . Cdnifsd. ofconr.n[. S.lt.lN'E f(tr s.rl.s roDFnsdion, r\ Ixlvid.d lor by S.dn]n 37m of ih.
Ijhirr O de. Ior rhc ,'.rf.r@nc. ol rh. vork 16r whth rh! Frmir i! i*u.d.
_lhav.rndwillh'inrlinworktso.rp.tudi.nin.Dtunc.,!\EquircdbyS.crionl?00otrb.LborCo<i.,n rh. p.domr..i
rhc qort 6r *hich rhis pcrnir t isu.d. M, *orlrJ .oq*ns.tion murftc .nie! ltd polty numh.r m:
_l c.nilyihd in rhc lltnnrtuk ofrlr wor* f.r which ihie F.rnn n irsucd. I sh.llmr employ any p.rsn in any hrnn.r
s. d\ ro t$om subJc.r to rhc $rk.d conn ns.rion l.q\o,C.lifomB, and uge. rhtt ifI s,buld b.com subi.cr ro rlE
*oltcrs.omp.n\atonptuvnDNofS.dion3700ofrh.L$orCodc,IslEll.fodi*irhNoply*irhrhospovirrN.
WA&NING Fliluft t srurc lorkc* .oq)rtudion covcftEc Ls u.L,tu,. adl shnll subj.ct an .mploy.r ro dniol IEMlras rd
civil lio.s up ro on. huRlr.d (housand doll.rs (tl(xr,ulo. in iddnbtr ro rh. con oi como.nerion. daNSca d prcvil.d aor rh.
S.crion :r0 76 o, rhe l-atxn LGl.. inr.r.i a.d a omy s fa\
IICENSf,i-'ffi
[Ectdxarla!
I h.rby rfltmondcr re..hy of perjury rh.r I am liccn*d !nde. pmvsi.nolChiprd 9 (c.dmmin8 unhS.cibn 7000).a Division 3
oi rhe Busin.s ud PDLsiotu Coil.. a my lic.nsc iN in tull fore nl .llecr.
coNilaltcullN.LDlDlrc.Ac[lcr
I h.aby aflnnrunder F.atyolpe{uryrhd rh@ isronjtulbo L*im! rx. y for rb. fErfomuE. oI rh. uo.[ for wiih rhis p.mir is
hsmdrsec 109?.Cir C.).
AIIUCNNIDEIINBTIIAN
I h.r$y afm under D.ralry of p..jury on. of rh. fouo*i,U J..lanrions:
D.nElirion Permih-Asb.nos Noriication F.d.ral R.3ul!rions (TnL.l0, Pd6)
Rcqun.d kner ol Norifi cdion
_l..nili ihlt rlr f.d.nlrqulario s EBcdrnB a.b.stus rcnDval !r. tur alplicrhl. n, rhi! prui..r
I cdifyrhd I h!v. ratl rhis appli.atio. a.d narc rh.r rh. abovc infomrion i\ cordr I aBrc ro.lmplyrnh sllCny d Couu,
ordiruN.s and Srd. tlws Etdn3 ro buildiu .on(tuot D[ erl llEt'y rurrDrir Epr.edariv.s ol rht C y.nd Cou y ro.nrs upon tlE
ih,ve mnrioed nolEny ror ilrp.cthr purliMs
Prmile Dm lDrtnl)l
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing kl2t 1 u DRn0or .#tl
Shear Wall I
Framinq
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
Irlasonry
Pool Fence
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 1l('1a bft\^//4 *E)
Certilicate ol Occupancy rl t,
Notes, Remarks, Elc.
Hev.08-07-2015
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