HomeMy WebLinkAbout101102227 - PermitCity of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
w Building Permit #: {01102227
Pin #: 22292
Proiect Address: 115 N Standard Avea
Assessor's Parcel: 398-461-06 Lot: NA
Unit:Bldg Address Range: 115-117
Historic: No
Suite Range:
Zoning: SD84Block: NA Tract. NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Commercial
Reroof
Reroof
Commercial
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
H4
III B, SPK
cBc 2016
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$44,500.00
Description of Work: T/O and replace with new BUR roof material***EsR 3796**t
(
Owner:o Address:
Phone:
Tenant
Dunbar Standard LLC
115 N Standard Ave
Santa Ana, CA 92701
(4241 277 -59s4
Contractor: Absolut Roofing, lnc
Address. 17712 Metzler Land
Huntington Beach, CA 9264
Phone: (800) 655-2231
State Lic #: 7611 18
Lic Type: C-39
Bus. Lic #: 197287
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 1581550
Expires: 0410112020
Engineer
Address.
Phone:
License #:
Architect /
Designer:
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 lnsp. Req'd: No
Date: 1111312019
Date:
Date: 1111312019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
077760 02
07776002
57601 Permit Fee
57770 Microfilm Records
sL6L2 Bldg. Stds. Revolving
57600 General Plan Update
57607 lssuance
$832.65
$3.e 1
$2 00
$22.95
$s7 20
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the workon the site authorized by
such permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$22.9s
$889.8s
$2.00
$3.e1 Fee Total
Paid to Date.
Balance Due:
$91 8.71
$0.00
$gt 8.71
lnspector MID#: 2019-155853
Planning Co[ditions:
Orozco, tvan I
Zuniga, nffirr$
BU!LD!NG- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER I'EI,CARATION
I hseby amrm unds pcnalty of psjury that I m exqnfl fiotn the Coilracto6' Liccns law for the following llen (56.7031.5
Buinqs and Profesion Code): Any City or County which rcquira a pornit to construcl. ahs. improvq &rnolish or repair uy
structue. prior to its isuancc, also requirG thc applicol for such pmnh to file a siSned stalmmt lhat h€ or shc is licascd pmuol
lo the prcvisioro of the Contrrctor's Licensed t-aw (Chapts 9, Commcncing with Sstion 7000 of Division 3 of the Businos od
PrcfsionsCode)orthathcorsheisexemptthqefromudthebasisfortheallegcdermption. Anyviolationofs(tion703l.5byany
applicatrt for a psmit subjcts the applicant lo s civil poalty ofnot morclhm five hundrcd dollas ($500).
_1. as owner of the property. or my employees with rvages as their sole compensation. rvilldo the rvork and the struclure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contraclor's License Law does not apply to an orvner of
the prop'rry who builds or funproves therqrn. and rvho does such $'ork himself or herself or through his or her orvn etnployees.
providd that such irnprovonents are not intended orofferd for s:rle. l[, hos'ever. the building or improvement is sold within one ]Ear
of cornplaion. the Orvner Builder rvill have the bnrrden of proving tha he or she did not build or improve the propoly for the purpt)se of
sale).
_1. as o\\'ner of the properly. am exclusively contracting rvith licensed conlractots to construct the project (Scc. 7044. Business
and Profi:ssion Code: 'fhe Contractor's License Law does not apply to an orvner of property rvho builds or improves thereon.
and rvho contracts for such projects with a Contractor(s) licensed pursuant to the ('ontractor's License Law).
--l
arn exempt under Section-. B. & P.C. for this reason.
Dnte: Owner:_
WORKERS' COMPENSATION
DECLARA'I'ION
I hereby affrrm under penalty of perjury one oIthe follorving declarations:
__l have and rvill maintain a Certificate of Consent to Self-lnsure for rvorkers' compensation, as provided for by Section 3700 of the
Labor Code. for the perlormance of the work for which the pennit is issued.
I have and will maintain workers' conrpensation insurance. as required by Section 3700 of the Labor Code. for the perforrnance of
*-: -:*'*'''ol'"'
,
Expires: 41+^-_r-Policv Number:
_l certify that in the performance of the work for rvhich this permit is issued. I shall not employ any person in any mann(t
so as to become subject to the rvorkers'compensation laws of California. and agree that if I should bccome subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with those provisions. i
WARNIN(i: Failure to secure workers' cornpensation covemge is unlarvful. and shall subject an onployer to crirninal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition of compensation. darnages as provided for the
Section 3076 of the Code, interest and attorney's
I hereby affirm under penalty of perjury that I arn licensed under provision of Chapter 9 (commencing rvith Section 7000) of Division 3
of the lltrsiness ancl Profcssions ('odc. and rny license is in full force ancl cfl'ect.
)
License ('lass:
l)alc:-h
I heeby aflirrn undo pmalty ofpojury that thse is a constnrction letrding agency for thc pofonnancc ofthe work for rvhich this Snmit is
issued (Sec. 3097. Civ. C.).
Lender's Name:
l .cttrlcr's Arlth'ess:
APPLICAN'T DECLARA'IION
I ho'eby alfinn under penalty of perjury one of thc follorving declarations:
Dernolit ion Pennits-Asbestos Noti fi cat ion Federal Regulat ions ('l'itle 40. I'ar16 )
-Required
l,etter of Notification
-l
cerlify that the federal regulations regaldirrg asbestos rcrnoval arc not applicable to this project.
I ceflify lhat I have read this application and state that with all City and County
ordinances and State [.arvs relating to artd 'L'ruj;"alxrve rncrrtioncd propeny lbr
Applicant or Agent
l'ermilee nBme (print):
-o.,"'
I
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl n su latio n
Ropf Sheathing K-<i 7l .)
Shear Wall ,
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I I
FINAL I b 'l.a P.A ?061 -vyl
Certificate of Occupancy
Notes, Remarks, Etc
rr+
,