HomeMy WebLinkAbout101102327 - Permitrr-
City of Santa Ana 20 Clvic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1011o2327
Pin #: 8{"o1!
Proiect Address: 1510 N Linwood Avea
Assessor's Parcel: 400-243-09 Lot: 8
Unit:Bldg: Address Range.Suite Range:
Zoning: RlBlock: NA Tract: 2322 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area.
Job Type. Reroof Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: Sfd w/det garage Flood Zone: X-0602320163J Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: Reroof house & detatched garage - remove existing roofing, install synthetic underlayment, sheathing
comp shingles. Handouts given.
Patio:
T.l.Area:
Yards Req'd:
Valuation: $1 3,000.00
AA:(^40 -'
*quares of lifetime
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Audrey Huynh
1510 N Linwood Ave
Santa Ana, CA 92701
(619) s5s-429s
Contractor: Certified Roofing Specialistr
Address: 9281 Larkspur Dr
Westminster, CA 92683
Phone. (7141 668-0757
State Lic #: 956843
Lic Type: C-39
Bus Lic # 337515
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fut
Policy #. 1949902
Expires: 1210112020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
erElt leo Nool
LOI
Uct
ing
1 UEI
Sp e,:
ts'urldtns
81 1 16002- 51601000-
Generol Plnn Updote
1111160u2- 516000[0-
tllds S[ds Revolv ins
011160112- 5161200rJ-
llicrof iln & Docuren
Planning Approval By:Graham, Jeffery
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd.
Julie
Date: 1112512019
Date:
Date: 1112512019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 5L6Ol Permit Fee
0LL1-5002 57770 Microfilm Records
0771"6002 s1-672 Bldg Stds Revolving
01-71-6002 57600 General Plan Update
0L776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$333 06
$3 91
$1 00
$22 es
$s7 20No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total /, t rPlanning lnsp. Req'd.
Landscaping lnsp. Req'd Flood Zone Cert. Req'd. No
Every permitissued 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 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
01116002 51612
01116002 57770
$22 e5
$3e0.26
$1 00
$3 e1 $418 12
$0 00
$41 8.12
lnspector MID#: 2019-156090
I
,f+31t281i
rnEoct i or
BUILD!NG. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER DEITARATION
I hcreby allim unds pdalty of pqjury that I m exempt liom the Contracto6' LiceNc Law for the following r@n (5(.7011.5
Busincs and Profesion Codc): Any City or County which require a po'rnit to construct, altq. improvq demolish or rcpair lny
struc(uc. prior to its issuace. also rcquir6 thc spplicsnt for such pemit to filc a signcd statanf,t that hc or she is licmscd pmuilt
to thc provisioos of th€ Contractor's Liccnsed Lau' (Chsptq 9. Commencing with Strtion 7000 of Division 3 of the Busines ffd
Profe$ions Code) or that he or shc is exempl thqefrom ed the basis for thc alleged exmption. Any violation of Sdion 70-11.5 by any
applicantforapenuitsubjatsthc applicanttoacivilpenaltyofnotmorethmfivehundreddollus($500).
_1. as owner of the Fnoperty. or my etnployees with wages as their sole cornpensation. rvilldo the rvork and the struclure is not
intended or oflered ftrr sale (Sec.7044. Business and Professions Code: l'he Contractor's l.icense Larv does not apply to an ou'ner of
the pnrpcrty u,ho hrilds or improves thercon. and s'ho does such rvork hirnself or herself or through his or her orvn employees.
provided that such improvonents ile not intended or offered for sale. If. horvever. the building or hnprovexlent is sold rvithin onc year
of comploion. the Orvner Builder will have the burden of proving that he or she did not build or irnprove the propoty for the purpose of
sale).
-
I. as o\!'ner of the property. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7044. Brciness
and Pnrfession Code: 'l'he Contraclor's License Larv does not apply to an o$'ner of property who builds or improves thereon.
and u'ho contracts for such projeas with a Contracto(s) licensed pursuant to the Contractor's Licerse [arv).
-IamexemptunderSection-.B.&P.C'forthisreason.l)ate: On ner: _
\\'0 ttK E RS' (:01\t t,t:N sA't't()N
I)E('LAIt t't't(tN
I herclly affirrn under pcltalty of perjury ortc of lhe ftrllou'irrg clcclarations:
_l havc ild will maintain a Cstificatc of ColMt to SelfJEure for rvorkc' compensatioo. a providcd for by Sstion 3700 of thc
Labor Codc. for thc pcrfomcc of thc Eork for which thc pmit b isucd.
-l
havc and will maintain rvorkm' compmation ireurance. r requircd by Sction 3700 of thc Labor Codc, for the pqfomflcc of
the work for which this pcmit is issued. My work6' compmsation insuruce cmiq ed policy numbs oE:
/.-,.,- 5|qle Tvrs.
'F,.rn\'
il;;;- r-lq -,
-l
cqlify thal in thc pcrfomnc€ of lhc work for which this pqmit is issued. I shall not mploy any pmon in any muner
s re to bcome subjct to thc wortm' comperoation laus of Califomia. and agrc that if I should bccomc subjat to the
rvor*m' ompwtion prcvisioro of Setion 3700 of thc lrbor Codq I shall. fonhwilh comply with thos prcvisios.
WARNING: Failurc to suc rvorkm' compmdion col,m8c is unlawful. md shall subjct u opbya to qiminal pqultis ad
civil fines up to one hundrcd thousmd dollm ($100.000). in addition to thc cosl of compcution. dmagc r provided for the
1
Section iT'j'iH:i"q*and attorney's fees.
o1A/
DECLARA'TION
I hercby affirm under penalty of perjury that I arn licensed under provision of Chapter 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force md eflect.
1'"-"it-ffi Nunrbc'r:
q5 ,-{
(lonlrRctor:
f,Ro 59e-c;q \ SIS
CONS'I'RI.J("TIoN I,ENDING AGEN('\'
I heeby affirm undr pcrslty of psjury that th@ is a congructioo hnding agmcy for thc pcfomilcc of thc work for ntich this Fmit b
issucd (Se. 3097. Civ. C.).
Lends's Name:
Lender's Ad<lress: _
APPLICAN'T DEC LARA'TION
I hortry affrm under penalty of perjury one of the following declarations:
Dernolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
lrtter of Notification
_l corify that the federal regulations regarding asbestos rernoval are not applicable to this project.
I corify that I have read this application and state that the above inforrnation is correct. I agree to comply rvith all City and ('ounty
and County to €nter ugrcn the
_1 \-28-.8',:;|,;;ffi,illj1::fftrl.ilffifuilding construction. and hereby authoriz.e representativcs of this citv
soricnntorAsenrsipnarure: ffirlb b/^h/1/ Dare:
---v--
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl ns u lation
Roof Sheathins //-Zd - I q t8r*/o>
Shear Wall
Fram
!nsulation/Energy
Dryruall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL //'r-'7-fq fr68./aa
Certificate of Occupancy
Notes, Remarks, Etc.
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