HomeMy WebLinkAbout101102253 - PermitPermit #: {O11o.2253,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
Project Address: 2302 S Maddock St Unit.Bldg: Address Range:
Assessor's Parcel: 408413-01 Lol: 42 Block: NA Tract: 2041 Historic. No
Pin #: {0255
Suite Range:
Zoning: Rl
Building Use: Single Family Dwelling
Job Type: Reroof
Nature of Work: Reroof
Existing Bldg & Use: SFD w/att Garage
Proposed Use:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R.3, U
VB
cBc 2016
x-06023202s9J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Tota!:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $2,000.00
Do.cription of Worki Tear off existing roof matedal and in6tall new comp shlngle roof mateaial. lnatall undg.la,yjnrnl, rgoak 3hoalhing, ta6cll, laftelE a6
needed. Handout given.
Plenning Condltiona:
Owner:
Address:
Phone:
Tenant:
Mabel Ayotte
2302 S. Maddock Street
Santa Ana, CA 92704
(7141 540-2508
Contractor: Certified Roofing Specialist:
Address: 9281 Larkspur Dr
Westminster, CA 92683
Phone: (7141 668-0757
State Lic #: 956843
Lic Type: C-39
Bus. Lic #: 337515
Workers' Compensation I nsurance:
Carrier. State Compensation lnsurance Fur
Policy #: 1949902
Expires: 1210112019
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
lPqnSGr:ulon lofGr rtrti..tJ,
.lcrEe Vnscue=
(:ert if ied Roof ins Spec iqI ists
Ltu i ld ins
ul1161102- 51601uu0-
P,lcis Stds Revolvins
r1 I 16rJ02- 516120r-r0-
6ener0l Plon Updgbe Fee
L'1 I 16002- 516rrrrlil:r0-
ll icrof iIm & Documents
rJ 1 1 16rJrr2- 377 7rr0u0-
Visn
(:C* i *****r******8 ? 12 Auth*: t-t1?itt
I
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd. No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
Chavez, Dave
Date: 1111812019
Date:
Date. '11118/2019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
57500
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1 00
$22.e5
$57.20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
$22 9s
$390.26
$1.00
$3.91 Fee Total:
Paid to Date:
Balance Due:
$418.12
$0.00
$41 8.12
Inspector MID#: 201 9-155922
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS olvN l.lR Ilt,tLl )ER I)Fll.CARA'l'l()N
I hcrcby allirm undcr pcnalty of frcrjury that I am cxcmpt ltom thc Coilrrck)rs' Licctrsc Law for lhc l()llowirg rca$n (Scc,70-11.5
Business and Protcssion Gxtc): Any City or Grunty which rcquircs a frcmit k) consIruct. altcr. improve. &molish or rcpair any I
structurc. prior lo its issuancc, also rcquircs thc applicanl for such Fmit k) filc a signcd stdcmnt lhal hc or shc is liccnsd pursuanl.
k) thc pnrvisiols of thc Contractor's Liccnrcrl hw (Chaptcr 9, Commcncing wilh Scclion 7000 of Division J o[ lhc Business and
Pnrtbssions Clorlc) or lhat hc or shc is cxcmpt thsclirnn and thc b{sis tor lhc dlhScd cxcmpli(nl. Any violuli(ln of Setion 703 | .5 by any
applicant for a pcrmil suhjftts lhc applicanl to . civil pcnally ()f nol morc than tivc hundrcd dolles ($50U).
_1, as owncr of thc pK)pcrty. or my cmphyees with wagcs as thcir sole comlrcnsation, will do thc work atxl lhc struclurc is not
intentled or oll'crcd lirr sale (Scc.7M4, Business and Prot'essions Codc: 'Ihc Contractor's Liccnse Law docs not apply to an ttwncr ol'
thc pnlJrcrty who builds ()r improvcs tlrcreon, arxl who tftrcs such wrlrk himsclf or hcrsclf or thrrtugh his or hcr own cmployccs,
providcd that such impntvcnrents are not intcrxlcd or otlbrcd fbr salc. lt. howevcr. thc huiklirtg or impnrvcrnenl is sokl within onc ycar
gf comphtkrn. thc Owncr Buikler will havc the burdcn of proving that hc or slrc did not buikl or improve thc pnrJrrty for thc purprsc of
salc).
_1, as owncr of the proprty, anr cxclusivcly contracting with liccnscd contraclors l() c()nstntct the prljcct (Scc. 7044. Busincss
and Prufcsskrn Codc: 'l'hc Contractor's Liccnsc Law does not apply to an owner of proJrcrty whtl builds or improvcs thcrcon,
and who contracts tilr such projccts with a Contractor(s) liccnscd pursuanl lo thc Contractrlr's Liccnsc law).
_l anr cxcntpt undcr Scction-, B. & P.C. tilr this rcason.
IVORKERS' CONI PENSATION
DECLARATION
I hcrchy al'l'irnr undcr pnalty of perjury onc of thc lirllowing dcclarations:
_l havc all will nraintain a Certitlcatc of Conscnt to Sclf-lnsurc lirr workcrs' compensali()n. as pnrvidcd ttlr by Scctirln 3700 of thc
Lalxrr Ctxlc, lilr the pcrlirrmancc of lhc work frrr which thc Jrcrmit ls issucd.
-l
havc and will maintain workcrs' cttmlrcnsatirllt insurancc. as hy Scction .]7fi) ol'the Lahor CorJc, fbr thc lrcrtirrmance of
carricr arxl grlicy numhcr arc:thc work lirr which this prmit is issuctl. My
- 5|q UIA
\L-\-)q(a qq oL OPolicy
_l certily thal in the lrcrlilrmancc ol'thc work lor which this Jrcrnrit is issucd, I shall not cntpkly any pcrson in any manner
so as to bccomc subjcct to thc workcrs' compensation taws of Calilirrnia, and agrcc that if l shttuld bcctlnrc subjcct to thc
workers' conrpcnsation provisions ol'scction J7(X)ol'thc Latxrr Crxlc. I shall. lirrthwith comply with those provisions.
1VARNING: Failurc to sccure workcrs' compcnsatiotr covcragc is unlawful. and shall suhjcct an cmpkrycr to criminal Jrcnaltics and
civil lrncs up to onc huntlrctt thousand rlollars ($100.UX)), in atldition to lhc cost of crlmJrcnsatitln, damagcs as provirlcd lirr thc
Scction 1076 ol'the Lahtr Ctile, intcrcst altd atltlrncy's l'ecs.,lb,,",.,, lt- IB-'\1 rl
I hcrcby al'l'irnr undcr pcnalty of pcrjury that I am licclrsctl pnrvision ol'Chaptcr 9 (contntcncing with Scclitln 7UX))ol'Divisirl, 3
|
ot' ttrc Busincss and Prol'cssions Codc. and my liccnsc is in lirll lirrcc and cll'ccl.
l-iccnsc
-c_z\
Numhcr:
,q5 '{3
CONSTRUCTION LENDING AGENCY
I hcrchy allif[ under FnallyotFrjury thd thcrc is d constructir lcrding aScncy li]r thc Frli,rmncc of lhc w(]rk tbr which this lEmit is
issucd (Scc. -1097, Civ. C.).
[-ender's Address:
APPLICANT DECLARATION
I lrcrcby all-rm under pcnalty of ;rcrjury tlnc of lhc lbllowing r-lcclaratitlns:
Dcm6litiorr Pcrmits-Ashcstos Notification Federal Rcgulations ('Iitlc 40, Part6)
-Rctluirctl
Lrtter ol' Notilicatkrn
_l ccrtily lhat thc l'cdcralrcgulations rcgarding ashcslos rcnxlvalarc not applicahlc to this llrojcct.
Y)/rcertily that I havc rcad this applical
rlrrlinanccs and Statc Laws rclating lo hui
abovc mcntioncd prolrcrty lilr furspcctittn
ion and state that the ahlvc inlirrmation is corrcct. I agrce to c<lmply with all City and County
of this City and County lo cnter uJxrn tlrc
Applicant or Agent
Wanlt 'l UEIrenrtitee nAnlc
ilding construction, and hcrchy auttxrrizc reprcsentalives
,l )-tB-lqLlate: '
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bf loor/Ve nVl ns u latio n
Roof Sheathinq fi- /8- lg IBr?,/d9
Shear Wall
Framing
lnsulation/Energy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif .
FINAL )l-t4-l I rY--4/*,
Certificate of Occupancy
Notes. Remarks, Etc.
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