HomeMy WebLinkAbout10139826 - Permit Cite of Santa Ana Building Permit #: 10136
j� 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Permit Counter: (714)647-5800 Inspection Requests: (714) 667-2738
Project Address: 1245 N Cabrillo Park Dr Site Bldg: Address Range: Site Range:
Assessor's Parcel. 400-172-21 Lot. 21 Block: NA Tract: 9207 Historic: No Zoning: R4
Building Use: Single Family Dwelling - Detached Constr Type: VN 1 st FL Area: 0 Patio: 0
Type of Work: Reroof Occupancy: R3/U1 2nd FL Area: 0 T.I.Area: 0
Nature of Work: Reroof Code: CBC 2001
Other Areas: 0 Valuation: $4,480.00
Existing Bldg. & Use SFD W/ATT GARAGE Flood Zane X-0602320029E
Garage Area: 0
Proposed Use: Total 0
Description of Work: Tear-off wood shakes & apply 20 scis of composition shingles. Handout given.
Planning Conditions:
Engineer:
Owner: Frances B Nutt Contractor: Linnert Roofing Inc.
Address: 13509 Charlwood Cir Address: 845 West Grove Avenue Address:
Santa Ana, CA 927013181 Orange, CA 92865
Phone: (562) 865-3330 Phone: (714) 974-5059 Phone:
Tenant: State Lic#: 664319 License#:
Lic Type: C-39, HIC Architect:
Bus. Lic#: 0135813
Workers' Compensation Insurance: Address:
Carrier: State Fund
Policy#: 044-02 0020874 Phone.
Expires: 10/01/2003 License#:
011-01-5911 Permit Fee $95.00
Planning Approval By: Guillen. Pedro Date: 06/23/2003 Misc. Receipt: 011-01-5911 Pre-Inspection $60.00
Plan Checked By: Date: Misc. Receipt: 011-01-5911 Issuance $2350
Permit Issued By: Brodowski, Teri Date: 0612312003 Misc. Receipt:
Subject to Field:
PWA Insp. Req'd: No Fire Insp. Req'd. No
Planning Insp. Req'd: No Police Insp. Req'd: No
Landscaping Insp. Req'd: No
This permit shall expire by limitation and become null and void if the work authorized by this permit Fee Total: $178.50
is not commenced within 180 days from the date of this permit, or if the work authorized by this Paid to Date: $0,00
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Balance Due: $178,50
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account#: 011-01-5911 Inspector
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG. COMMENTS 0wh..Budder Declaration
I hereby affirm under pmelry of p.jury in.,I am exempt fmn t1t<Cuntr¢to« uem,e L.w for the foilowmg..on(lcc'031 S Bmtn<„
Set Backs and Prof....Code) Any City or County which require.pmn.1 In mtutrvct,alien,tmprovq demolish or repar env,t cw,c,prio,to rt,
e,also«quire th,.pphcant formch P.nnn to Me..gne:rotemmd that he or he i,loaned vunuant tc,he p«nuo..1 me
Forms/Steel/Holdowns Contractor',Licarow law(aiii 9.Camwncing with Scott.pDot)of D(vblm s of the B.tne,and Prof on on,Cod.,or that he o,
,he t,exmpt therefron and the bun for the alleged aempion Any violation of seedion'031 f Fy A-)apeh:en:rn a p<rrm.:,ub)ec,the
Erection Pads ...heam tto.'i'd pcn.lty of r.rtwra that five hundred dollm(51001
LIFER Ground _I,. awn.of the property,or my employe.with wage.in..,'cle compe.aden,will do the work and the,tmctwc b not mtnndcd
r offered for the(S.JOU,Bwine.and Prof..iem Code The Conma,or',Licm,e Law do.not apply to an owner of the n.11
SLABFloor who build or impov.thetogand who J.arum work himad(or hmdfathroughhit or her own employee,provided that,uch
improv<mmu m not iotert or offered for the If,however,the WIctng or improvament mold wl,hln one yea of conp!etton,tnc
SubfieorNent/Insul. " Owner-Build.will have the burdm of oving that he or he not bui Id or t th,.,for the D.r hire of,CcI
Roof Sheathing — I '- l 'f I,.owner of the pop ,,m exclmively, con uth,vv"'tl:cerucd oont.d,on m connmct the p,4cn 5,c 'Du,Buvne,end
P
Wall
mre..cr Code.The Contr¢tmY Licm.Law doe nix apply to an owner of property who buJN or tmPove;hereon and who
Shear all contracufor such prgc,uwnh,Contractxts)licen,ed punuent to the Contrector'a License Law)
Framing _I.ea.np,under Section ,B.At P C fonhutwo,
Insulation/Energy Date owner
Drywall WQR RS COSfPENSAIlON DECLA_a_ATION
I hereby aRtm under penalty.[perjury one of the following declaration,
Ext./Int. Lath Ih.v.and wdlmunuin.Corti nu«ofCon,m,m Self.instate fo,worker compan.uh,. c,,d,d for bySec,i-3'00of,he
Brown Coat Labor Code,for perfomunee of he work for which the perm,i.iuu.d
Masonry _I Mile and will mYnwn worlrm' compmuuon inurutce,u «qulrcd by Seen on T'tW of the Utter Code for the eft.^..nci,cr the
work for whir cft thi,permit i.I.ued My workm ii...on tn,urance cam er and Polity nunbcr arc
Pool Fence Carrier I i _
T-Bar Policy NumberExp,...
Handicap Req. (Thi,.alon need no,bfcomA ifnhffermi,u(on One Hundred dollm(SI(X)or leq
Deputy Final Report _ItmiF thnmtnc P+formance of Jr,work for which thi,perms innued,I'hall not employ any pmon l c ay rnamer,d.tc
becune mS en to the�wcrk '<omper ion Lw,of Uhfar.aH and•gr•'•that ifl hc,:d b<wm<wc ea m it,worker
Engineer Final Report Ceti, ��� /L n�' ti o °rtn. agwCofd a m thd9. lvwiththp,<C«.Minn,
J awl Xk/
m "P'eh
WARNING.Failure to ire workyr.'compem.uon coverega 1,unlawful,anC,hall,ubjen an empic>er to mmtnel p<mhie.,de-[
fm.up to one hundred thomand Oollm(SI W,OW),tn.ddi,ion m th<can of mmpmuuan.d.mages.prov:dcd fw th<Se<oon 3D'6 of
the Leber Code,tmm,t and enom<y,feu.
FINAL 2 1 LICENSEDlunoer CONTRACTORSDECLARATION
.Rm I hereby r under pmtl N ry of p.jury u am li t <maed do proviaon of CnaD,c 9 t mmmmdtng.vur.5ea:un':DO,t of Du mthn J of
Certificate of Occupancy the Buelnc.and Profe,io a Cade,and my It.nae inn full force and effect
i
Notes, Remarks, Etc.
Dec, L j COMaC]pr l i l.� I. L L t
r
CONSTRUCTION LENDLNG AGENCY'
I berth)eRmt under penalty of perjury that this,u•comtrvaton I od,r,agency for the p,rf,,an ,of the uork for which this Gcnnu n
,oed(Set.1097.Civ C)
Lender,N.ne
..ended Addr.r
APPLICA.NT'S DECLARATION
Dcmebtion Permn.d.been Notification Federal Regulations(Tide e0,Pan 6)
Required Letter of Notification
1 eenify,hn the fcdertl regubuom ,,ardih,.beao,«no..l are not applicable tc this pm;ea
I cmf,that I'nave read this.pDhcaoon and...a that the above information it wnr,, I.grec -mpg.. sat O,v.,I Co...
ordmanc.and S.I.law.nlatmg to uddmg coh.ci and hoebY.utnonxe[cpremu:n<,of tee C.p and Ccuno to en¢r upon:n,
above mentioned pmperty f ern Du
A Lcantor eh,u> �� b.�.
Peminee ovene(Ptnt) /� 17�L E�//A