HomeMy WebLinkAbout101102240 - Permita City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O224O
Pin #: 836stl J
(t
a
a
Proiect Address: 2307 W Russell Avea
Assessor's Parcel: 109-081-08 Lot. 6
Unit.Bldg
Tract: 3354
Address Range:Suite Range:
Zoning: RlBlock: NA Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Sfd w/att garage
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
R.3, U
VB
cBc 2016
x-0602320257 J
1st FL Area.
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $e,600.00
Description of Work: Tear off comp and apply comp to sfd and attached garage. Handouts giren.-Jt
Planning Conditions:
Bntch*:53031 Ll/14/2ltl9 ID; H/iAFt(:Iri
Off ice: {:TYH Trans*: lrt5 1 af' ?Ac,:b*: Rel*: lrJlltj:l?4r:rRcpt,*;tr28rr715lt ll/11/?ul9 2;t 2 FH
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
Tr nn scrct i on Tot n I
One Pr i or i ty Roof i ns r Inc,
Genernl F lnn Updnte Fee
Lll I 161102- 5160tt[t[tt-t-
Building
Ltl 1 16tttt2- 51 6Ltlt-tt rtt-
Blds Stds Revol v i ns
Ltl 1 16trLt2- 51612t-t[tt-t-
11 i croF i 1m & Dc,cu,rtent s
Lrl L l6Ltrr?- 5777tr01t0-
I (:L (:h eck ?9LnJ2
t5?1.1?
Owner:
Address:
Phone:
Tenant:
Samuel C & Rosalita Ramirez
23Ol W Russell Ave
Santa Ana, CA 927043235
Contractor: One Priority Roofing, Inc.
Address. 22230 National Trials Highw
ORO GRANDE, CA 92368
Phone: (626) 644-1765
State Lic #: 101 5412
Lic Type: C-39
Bus. Lic #: 365030
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fut
Policy #: 1956883
Expires: 0411812020
$ 3?[r . ],,:
t:t[r
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
McCann, Melanie
Verduzco, Violet
Date: 1111412019
Date:
Date: 1111412019
Subject to Field:
-.{--}
Misc, Receipt:
Misc. Receipt.
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
57770
s7672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$333.06
$3.e1
$1.00
$22.95
$s7.20
$+t 8.12
$0.00
$41 8.12
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits 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.
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$22.es
$390.26
$1.00
$3.91
lnspector MID#: 201 9-155897
'r I tl
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcreby allirm undcr Fnalty of Frjury that I am crcmpt trum thc Conlraclon' Liccnsc Irw for lhc folktwing rcaen (Se.70.11.::.
Busincss anl Prcfcssion Cqtc): Any Cily or County which rcquircs a lrrnil to conslrucl. altcr. improvc. dcmolish or rcpair any
structurc, Fior to ils issuancc. also rcquircs thc applicant li)r such lrcmil lo filc a si8ncd slatcmnt that hc or she is liccn*d putr lf
b thc pruvisions of thc Contrack['s Liccnscd Law (Chaplcr 9. Commcncing wilh Scclion 70([ of Division .] of thc Busincss anrl r
PmfcssionsCodc)orthathcorshciscxcmptthcrcfromandthehasisforthcallcgcdcrcmplion. Anyvi(rlalionofscclionT0ll.5byany
applicant for a Frmil suhjccts thc {pplicant to a civil pcnalty of noI morc than fivc hundrcd dollars (S5U)).
_l.as owneroftheproperty.ormycmployccswithwagesasthcirsolcconrlrcnsalion,willdolhcworkandthestrlx.*tureisnot
intcrdcd or oll'cred tbr sale (Scc.7M4, Busincss and Prolbssklns Ctxlc: Thc Contractor's Liccnsc Law does not apply to an owncr of
the pnrJrcrty who huikls or improvcs thcrc-on, and who drrcs such work himself or hersclf rtr through his or hcr own employecs,
providcd that such impnrvcmcnls arc nol intendctl or ollbrcd lbr salc. Il, howcvcr. thc huilding or impr)vcrncnt is sold within ()nc yctu
of cornplction, tlrc C)wncr Buiklcr will havc thc burdcn of proving that hc or shc did not huild rlr improvc the pnrpcrty tor thc purglse of
salc).
_1. as owner of the prrlpcrty. am cxclusivcly conlracting with licenscd conlraclors to construct lhc pnljcct (Sec. 7M4, Busincss
and Pnlfbssion Codc: 'l'hc Conlractrlr's l.iccnsc Law docs not apply to an owncr o[ propcrty who builds tlr improves thcreon,
and who contracts tbr such projccts with a Contractrlr(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
-IamcxemptunderSection-.B.&P.C.tbrlhisrcason.
WORKERS' CONI PENSATION
DECLARATION
I hcrehy all'irm undcr pnalty of Jrcrjury onc of thc tirllowing rleclarations:
_l havc and will mrintain a Ccrtilicatc o[ Conscnt to Sclt-lnsure tor workcrs' compcnsation, as pnlvidcd tirr by Scction 37fi) of thc
Latxlr Codc, tirr the pcrlirrmancc o[ thc wrlrk ltrr which the pcrrnit is issucrl.
rcquircd hy Sccliorr J700 ol'thc Lahor Codc, ftlr the pcltilrmancc ol'_l lravc and
tltc work lilr
will nraintain wrlrkr-rs' cotnpcttsalirlt
is issuctl. My wrlrkcrs'insurancc carricr and gllicy number arc:
Policy ?o<a
_l ccrtil'y that in thc perlilrmancc ol'tlrc wrlrk klr which this pcrmit is issucd. I shall nol cmploy any lrcrson in any manncr
so as to bccome subjcct to the workers' cornlrcnsation laws of Calitbrnia. anrJ agrcc lhal if l should hcconrc subiect to thc
workcrs' comlrcnsation pnlvisions of Scction 3700 of thc Latxlr CuJc. I shall. lirrthwith comply with tlxrsc provisions.
WARNING: Failure t() sccurc workcrs' conrJrcnsation covcragc is unlawful, and shall suhjcct an cmpkryer to criminal Jrcnaltics and
civil lines up to one hundrc'rl lltousand of comlrcnsalion, damagcs as providcd lirr lhc
Scction 1076 of the Labor Gxle,
??'.
arttl
lhlc:(t f q(-
LICENSED CONTRACTOR
DECLARATTON
I hcrcby al'firrn undcr pcntlty ol pcrjury that I anr liccnscd undcr provision of Chaptcr 9 (contnrcncing with Scction 7000) of Division 3
ol' thc Business and Pnrlbssions Codc, antl my liccnse is in hrll lilrcc antl ct't'cct.
l.iccnsc C Nurnbcr:SL(LA
((
W
I hercby affrm under Fnalty of Frjury that thcrc Ls a snstructhn bnding egerey for thc trcrlbmne of thc mrk fur which this ]Emil is
issucd (Ss. -!097, Civ. C.).
[Inder's Namc:
[.cnder's Addrcss:
APPLICANT DECLARATION
I lrcrcby altirm undcr pcnalty ol'lrcrjury onc of lhc titllowing dcclaratiotts:
Dcmolition Pcrmits-Asbcslos Notilicatirln Fcdcral Rcgulltions (Titlc 40, P:rrt6)
-Requircd
lrttcr ot' Notilicalirtn
-l
crnily thal the fcderal rcSulations rc8.mlin8 ashcslos rcmval rc ml applicahlc to this pfttitt.
_l ccrtily that I havc rcad thls applicati()n url slalc lhal thc alxrvc inli)rmathn is corccl, I a8rc lo comPly vilh all City and Counly
onlinanccs and State lass rclaling to buildinS constructio[ dxl hcrcby authorizc rcp]csctrlativcs ofthis City atrd County to cntcr ulbn thc
atxlvc mcntioned proprty lilr
Applicant or Agent
Perlnitee nanle
n t., f t' la' C7
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu lation I I lt ^,d
Roof Sheathinq ilr'[n ll/tZ*til apu
Shear Wall lj
Framinq
Insulation lEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
^ /^ l. ^,l /l -) 1a)
FINAL l,L/ 5/1'r .PLY
Certificate of Occupancy
Notes, Remarks, Etc.
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