HomeMy WebLinkAbout101102110 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5653
Permit #: {O11O2{ {O
t
Pin #: sgEt${
Proiect Address: 822 N Parkcenter Dfa
Assessor's Parcel: 400-201-01 Lot. POR 5
Unit:Bldg:Address Range: 700-836
Historic: No
Suite Range:
Zoning: RlBlock: NA Tract: 678
Building Use:
Job Type:
Nature of Work.
Existing Bldg. & Use:
Proposed Use:
Multi-Family (5 or more units)
Reroof
18-unit apartment bldg
Apartment building
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories.
R-2
VB
cBc 2016
x-0602320164J
1st FL Area. Patio:
2nd FL Area: T.l.Area:
Other Areas; Yards Req'd:
Garage Area: Valuation:
Total: p,nt,:h*:I2sJ[] LL/i/,tL.r1,i
$15,000.00
D6criptlon of Wo,k Re.oof.p.rtment building - llk6for-llko. Removo all, lnstall 35 squaroe new flat loot, PVC C.rtl3le white #DSC'1.549 cool roof & GAF
Timbealina shingl@ for pitched arEa. Hsndouts given.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
LAKE DIANE APARTMENTS LP
1010 E Chestnut Avenue
Santa Ana, CA 92701
Contractor: Armada Roofing
Address: 24 South A St
Perris, CA 92570
Phone: (951 | 287 -1505
State Lic #: 1033856
Lic Type: C-39
Bus. Lic #: 373107
Workers' Compensation lnsurance.
Carrier: State Compensation lnsurance Fut
Policy #: 9221480
Expires: '1111712020
Engineer:
Address.
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Arrnodn Hool' r ng
Bu i ld ins
01 I 161102- 516r-rlrJt:t0-
Genernl F lon Updnbe Fee
l.rl I 16002- Sl6LrLtuLt0-
Blds Stds Revolv i ns
ffl116002- 516121'tr0-
ll icrof i ln & Documents
01116002- 5777tru00-
Vigct
CC+: rrrrrrrrr***SJ42
$3?r-r
Planning Approval By:
Plan Checked
Permit lssued
NPDES lnsp.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#
Arabe, Jill
Amsden, Julie
Date: 1110412019
Date:
Date: 1110412019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07775002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
57607
57770
57672
s7600
57607
$333.06
$3.91
$1.00
$22.e5
$s7.20No
No
No
No
Total
Flood Zone Cert. Req'd: No
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 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
01 1 16002 51612
01 1 16002 57770
$22.9s
$390.26
$1 .00
$3.e1 $418.12
$0.00
$41 8.12
lnspector MID#: 201 9-155613
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS O\\'N l1R llU I l.l)l:lt l)Irl.(',,\RA'l'ION
I h@by affim unda pcralty of pcrjury that I m cxcmpt from thc Contracton' Licro lrw for thc following rcmn (Se.7031.5 -Busins md hofsion Codc): Any City or County which rcquirs a pannit to construcl. altq, imprcvq danolish or rcpair my t
structuc. prior to its isuacc. also rcquLs thc applicul for such Imit to filc I signed statm@t that hc or shc b licas€d pmwt
to thc provisioro of lhc Contractor's Licmsed Law (Chapto 9. Commcncing with Setion 7000 of Division 3 of thc BBinN md
Prcfsions Codc) or that hG or she b ermpt thftfrom 4d thc basis for thc allcgcd qmption. Any violrtion of Sstion 7031.5 by aoy
applicantforapcrmitsubj€lsthe applicmttoacivilpcnsltyofnotmorcthefivehundrcddolltrs($500).
_1. c omq of thc propsrty. or my mploye with wage o thcir slc compwtion, will do thc work srd thc stnrluc b not
intoded or offqrd for slc (Se.7044, Buinas ud Profsioc Codc: Thc Contractor's Licffc l3w do6 not apply to o om6 of
thc propqry who builds or improve thsorl' 8nd who do6 such rcrt himsclf or hfficlf or lhrcugh his or ha om cmployce,
provided that such imprcvmdts e rct intadcd or offscd for slc. l[ how. thc tuilding or imprcvmt is old within onc ]qr
ofcompbtioo thc Ownq Buildq will have thc hrdsr ofpoving that hc or she dil rct build or imprcw the prcpqly for thc prpore of
sk).
_1. cownoof thc prcpcrty. m erctusively contracting with licoscd contracloEto coNtruct thc projet (Sd. 7044. Bsine
md PEf6sbn Codc: Thc Contractor's Licosc Law doc not apply lo o owno of prcpoty who builds or improv6 thq@n.
and who contncts for such projers with a Contncto(s) licscd puEwt lo thc Contractor's Liccffi lrw).
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am exempt under Section B. & P.C. for this reason.
l)irtc ()rr nt'r:
WORKERS' COI}IPENSATION
DECLARATION
I hereby affrrm under penalty of perjury one of the follow'ing declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
Labor Code. for the ptrforrnance of the work for which thc pennit is issued.
_l have and rvill maintain workers' compensation insurance. as required by Section 3700 of the l.abor Code. for the performance of
the work for which this permit is issued. My workers' compcrsation insurance carier and policy numtler are:Fuw
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that in the perforrnance of the u'ork for which this permit is issued. I shall not ernploy any person in any manner
should bccome subject to the
_l certify
to the workers'compensation la$'s of California. and agree that if Iso as to kome subject
provisions of Section 3700 of the Labor Code. I shall. forthrvith comply rvith those provisions.rvorkers' compensation
peflalties andWARNING: Failure to secure workers' compensation coverage is unlawful.an cmployer to crirninal
civil fines up to one hundred thousand dollars ($100.000). in addition as provided for the
Section 3076 Code. interest and attomey's fees.
I hereby aflirm under penalty of perjury that I am licensed under provision of Chapter 9 (cornmancing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
License Class:Nurnber:
(lontractor:f7 ,LLa/,Jo /futF fi4 LT_'/
CONS'IRUCTION LT:NDING ACENCY
I hwby amnr under pcf,alty of p(jury that th6c is a onstruction loding sgocy for the pqfonnmce of thc work for which this pqmit is
issucd (Se. -1097, Civ. C.).
Lender's Narne:
lrnder's Ad&ess:
APPLICANT DECLARATION
I hereb), affinn under penalty of perjury one of the follorving declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Lctter of Notificalion
_l cerriD that thc federal regulations regarding asbestos removal are not applicable to this project.
-l
cerri$, that I have read this application and is correct. I agree to with all City and County
and County to ent€r upon theordinances and Stale Laws relating to
rnent ioned property for inspection
or Agertt I)ate:
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nUl n su Iatio n
Roof Sheathing
Shear Wall
Framinq
lnsulation/Enerqy
Drnryall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Fanal Report
Enqineer Final Report I
Flood Zone Certif
tt ,
FINAL / Llflrq E [z1f/Lt tq
Certificate
Notes, Remarks, Etc.
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