HomeMy WebLinkAbout101104976 - PermitProiect Address: 2615 S Oak Sta
Assessor's Parce!: 411-052-16 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: M1Block: NA Tract: NA Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714)647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714)647-5853
Permit #: {01104976
Pin #: 3956{
Building Use: tndustrial Occupancy: B 1st FL Area Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area T.t.Area:
Nature of Work: Reroof Code: cBc 2019 other Areas yards Req,d
Existing Bldg. & Use: lndustriat Flood Zone: x-0602320278J Garage Area Valuation:
Proposed Use: # of Stories:
Total
Description of Work: Overlay existing roof with cool roof title 24 compliant silicone roof restoration coting system. Hand out given.
Planning Conditions:
$44,000.00
Owner:
Address:
Phone:
Tenant
SOUTH COAST REPERTORY THEI Contractor: A-1 AllAmerican Roofing W
2615 Oak St Address: 15322 Vermont Ave
Santa Ana, CA 92707 Paramount, CA 90723
(562) 529-8100 Phone: (562) 529-8100
State Lic #: 810931
Lic Type: C-39
Bus. Lic #: 374593
Workers' Compensation lnsurance:
Carrier: Employee Service Group
Policy #: WC90000847
Expires: 1213112020
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 Insp. Req'd: No
Arechiga, Liana ^ /v
Zuniga, Allissa
Date. 1011912020
Date:
Date: 1Ol19l2O2O
Subject to Field:
Permit Fee
Microfilm Records
Bldg. Stds. Revolvrng
General Plan Update
lssuance
Misc. Receipt:
Misc. Receipt:
Misc. Recerpt:
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
57600
57607
Fee Totat
Paid to Date:
Balance Due:
$863.20
$4.0s
$2 00
$23.7e
$s9.30
$9s2.34
$0.00
$952.34
Fire lnsp. Req'd: No
Police lnsp. Req'd. No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01116002 s1612
01116002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2020-162215
$23 7e
$922.50
$2.00
$4 0s
I \
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcreby affirm under pcnalty of perjury that I am cxempt from tlrc Contractors' License law for t]re following reason (Scc.7031.5
Busincss arxl Profession Codc): Any City or County which requircs a pcrmit to conslruct, altcr. improve. demolish or rc1nir any
structure. prior to its issuance, also rcquires the applicant for such pcrmit to filc a signcd statcment that hc or shc ls licensed pursuant
t<l the provisions of the Contractor's Licensed Law (Chapler 9, Comrrrencing with Scrction 7000 of Division 3 of the Busincss and
Profcssions Code) or that he or shc is excmpt thercfrom and thc basls for the allcged excmption. Any violation of Section 7031.5 by any
applicant for a pcrmit subjccts the applicant to a civil pcnalty of not morc than fivc hundred dollars ($500).
_1. as owrrcr of thc propcrty. or nly employces with wagcs as thcir solc compcnsalion. will do the work and thc stnrcttnc is not
intended or offercd for salc (Scc.7O14. Busincss and hofcssions Codc: Thc Contraclor's Licensc [:w docs not apply lo an owncr of
thc propcrty who huilds or improves thcreon and who docs such work hirnsclf or hcrsclf or through his or her own employecs.
providcd that such imlnovcnrcnts arc not intcnded orofl'ered f<rr salc. lf, howerrcr. thc buihing or inprovcnrnt is sokl within onc )car
of comphtion, thc Owncr Buiklcr will havc thc burdcn of proving that hc or shc did not buikl or improvc thc proprty for thc purpnse of
salc).
__1, as owncr of the pmperty. arn exclusivcly contracting with licensed contraclors lo conslruct thc pro.icct (Scc. 7044, Business
and Profession C<de: Thc Contractor's License Law docs not apply to sn owncr of property who builds or improves thcreon.
and who conlracts for such projccts with a Contraclor(s) liccnscd pursuant to the Conlraclor's Liccnse Law).
-IamexcmptundcrScction-.B.&P.C.forthisreason.Date: Owner:
WORKEP-S' COM PENSATION
DECLARATION
I hercby affirrn under Jrenalty of pcrjury one of thc following declarations:
_l have and will maintain a Ccrtificatc of Conscnt to Self-lnsurc for workers' compensation. as providcd for by Sc.ction 3700 of thc
[:bor Codc. for the perfornrance of thc work for which the pcrmit ls issued.
_l hlw and will maintain workcm' comJrnsation insuramc. as rc{uircd by Scction 37U) of thc libor Codc. for the performre of !
thc work for which this Fnnit is issucd. My workcrs' oryrcnsation insumncc canicr arxl plicy numbcr uc:
tA*n^,t(con Z^ric\^
Policy Nrr'lrt*r Expiles:\z-3t.?o
_l ccrtify that in thc pcrfornurce of thc work for which lhis pcrrrrit is issucd. I shall not ernploy any pcrson in any manner
so as to bcconrc subjcct to the workcrs'compcnsation laws of California, and agrcc that
workcrs' compcnsation provisions of Scction 37fi) of thc L:bor Code. I shall. forthwith
if I should beconrc subject to thc
with thosc pnrvisiorrs.
WARNING: Failurc to securc workcrs'conrpcnsation covcragc is unlawl'ul.an enrploycr to criminal pcrraltics and
civil fines up to onc hundrcd thousand dollars ($100.000). in addition to ion. danuages as providcd for the
.Section 3076 of the Labor Code" intcrcst and fees.
l )ale:lo-tq -c)
L-
I hcrcby aflirm under pcnalty of perjury that I arn provlsron Chaptcr 9 (cornmncing with Scrtion 7000) of Division 3
of the Busincss and hofcssions Code. and my is in full forcc and cffect.
. L-34 oq, ILiccnse
Date:
Numbcr:v(u-(q-/'7All 44r.'seu){ tt v g
I hercby sffEm urdcr penslty of pcrjury that therc is a @nsruclion hnding agercy for the perfmc of the wtrk for whbh this Ismit b
isscd (Sc. 3097. Civ. C.).
kndcr's Nam:
[-cndcr's Addrcss:
APPLICANT NECLARATION
I tucby aflirm under pcnalty of perjury onc of thc following dcclarations:
Dcnrolition Permits-Asbcstos Notification Fcdcral Regulations (Title 40. Part6)
-Requircd
Lrttcr of Notification
_l ccrtify that thc fedcralrcgulations rcgarding asbcstos rcmovalare nol applicablc to this projcrt.
and slatc that thc is corrcct. I agrcrc to corrrply with all City and County
rcprcscntativcs of this City and Counly lo cnler upon thc
abovc rnentionccl propcrty lbr inspcction
Applicant or Agenl
I
Pernrilee n&me
constnrction.
w
,,r", lo- [Q- 7 d
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu I atio n
Roof Sheathing /O'/5'r€gfrU.l6 i4 rI7
Shear Wall
Framino
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I I
FINAL ll I Al 'r,r 0ktr a I
Certificate of Occupancy
Notes, Remarks, Etc
Rev. 08-07-201 5
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