HomeMy WebLinkAbout101102308 - PermitProiect Address: 3201 S Lowell Sta
Assessor's Parcel: 410-261-39 Lot: 12
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 7149 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana,.CA e2io2
PermitCounter: 1714)647-5800 lnspection Requests.Ql )667-2738 lnspectorSection: (714)647-5853
Building Permit #: {O11O23OE
Pin #: 58098d
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/att garage Flood Zone: X-0602320259J Garage Area:
Proposed Use: # of Stories: , ,o,",,
Description of Work: Tear-off composition shingles & apply lightweight tile roof (Eaglite UES #1900, 5.7 psf). Handout given.
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $2,000.00
Owner:
Address:
Phone:
Tenant:
Steven Williams
3201 S Lowell St
Santa Ana, CA 927073842
(7141 443-8650
Contractor: Cal-State Roofing
Address: 702 Monroe Way
Placentia, CA 92870
Phone. (7141 813-7736
State Lic #: 801616
Lic Type: B, C-39
Bus. Lic #: 31 1430
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #. 1877765
Expires: 10/01 l2O2O
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address.
Phone:
License #:
Botch*:531?u 1l/2t/attl? ID: LR0SAI_ESOffice! CTYH Trnns*: I I ,l lAccbt: Rel*: trJllt:r:l3rJ*Rcpti:tt2gLl297 ll/21/2ttl9 ?:31 F'H
Transact ion Totcrl $419. 1?
Cnl -Stnte Rool i ns
Gerrernl Flnn Updnte Fee
t:rl I l60rJ2- Il60tJt:ilJrJ-
Buildins
111 I l6urJ2- S l6r-rl rJ0rJ-
Blds Stds Revolv i ns
l-tl I lAfttl?- El(l?r'rfifi-
*?2.9I
$39(t .26
$1. [t[t
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp.
PWA lnsp. Req'd
Planning lnsp. Req'd: No
Landscaping Insp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51600
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 permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 201 9-156059
Date: 1112112019 Misc. Receipt:
Date: Misc. Receipt:
Date: 11t21t2019 Misc. Receipt:
Subject to Field:
No
No Account#
01116002 51601
01116002 51612
01 1 16002 s7770
0L1-750A2 57607 Perrnit Fee
07776q0A | 57770 Microfilm Records
otttldl!\t,gt6t2 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$333 06
$3,91
$1 00
$22 e5
$s7 20
eri
Fire lnsp. Req'd:
Police lnsp. Req'd Total
$22.95
$390 26
$1 00
$3.91 $+t 8.12
$0 00
$41 8.12
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARATION
I hoeby alfirrn unda penalty of perjury that I m exmpt frem the ContractoE' Licqse law for the following reen (56.7031.5
Busin6s ard Profsion Code): Any City or County which requirs a pennil to conslruct, altc. improvc. demolish or repar uy
slruclurq prior to its isuace, also requirc thc applicot for such IErnit to fi|. a signed stalmot thal hc or she is licmscd pmuilt
to the provisioG of the Contraclor's Licmscd trrv (Chapt6 9, Commflcing rvith Setion 7000 of Division -l'of thc Busincs ild
Prcfeisions Codc) or that h€ or shc is cxqnpt thqcfrom ud the bssis for the alleged exmption. Any violation ols6don 7011.54y any
applicant for a pennit subj€ts thc applicat to a civil penalty of not morc thil five hundcd dollils ($500).
_1. as ou'ner of the property. or my employe€ with wages as their sole cornpensation. rvilldo the rvork and the structure is not
intcnded or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Larv does not apply to an o\\'ner of
the propeny who br,rilds or inlp,roves thereon. and who does such work himself or herself or through his or her own employees.
provided that such irnprovanents are not intended or ofFered for sale. l[ however. the building or improvement is sold within one year
of cornplaion, the (Jrvner Builder rvill have the burden of proving tha he or she did not build or irnprove the propoty for the purposc of
sale).
_ I. as owner of the property. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7044, Busins"ss
and t'rofession Code: 'l'he Contractor's License Law does not apply lo an owner of property who builds or improves thereon.
and who conlracls for such projects with a licensed pursuant to the Contractor's License Larv).
& P.C. for this reason.I an exempt under Section--_. B.
Date:_
I hercby affirm under penalty of thc declarations:
-l
have and rvill maintain a Certificate of Conscnt to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code. for the p€rfonnance of the work for which the pennit is issued.
_ I have and u,ill nraintain workers' compensation insurance. as required by Section -i700 of the labor Code. for the perfonnance of
the rvork for which this pennit is issued. My rvorkers' compensation insurance ciurier and policy number .re:
('arier:_
Policy Number:Expires:
__-l cerrifythat in the performance of the work for rvhich this perrnit is issued. I shall not ernploy any person in any manncr
so as to becorne subject to the rvorkcrs'compensation larvs of California. and agrcc that
s'orkcrs' cornpensation provisions of Section 3700 of the Labor ('ode. I shall. forthw'ith
if I shoultl become subject to the
provisions.rvitlr
WARNING: Failure lo secure n'orkers'
civil fines up to one hundred thousand
coverage is unlau'ful.shall to crirninal penalties and
in addition to ion. damages as provided for the
aSection 3076 of the interest 's fees.
I hcreby aflirm under penalty of perjury that I am licensed under provision 9 (cornrnencing w'ith Section 7000) of Division 3
of the Business ancl Professions Code. and rny license is in lull lbrce and effect.
[.icense Class:
l)nle:
I hereby affrnn under penalty of perjury that there is a construction lending
issued (Sec. 3097. Civ. C.).
for the performance of the s'ork for rvhich this pennit is
Lender's Name:
Lender's Address:
APPLICANT DECLARAI'ION
I lrcrefu affnrn under penalty of perjury one of the follorving declarations:
Demolition Permits-Asbestos Notification Federal Regulations ('l'itle 40. Part6)
-Required
Lctter of Notification
to this project.
I
Set Backs t-a
Forms/Steel/Holdowns r 7{
Erection Pads
UFER Ground
SLAB Floor
S u bfloo r/Ve nUl ns u lation
Roof Sheathinq ?Arr,on -arrffr"JA tl*LrCrgs tl -2K-tQ
Shear Wal!I-3*rt' I aa el+ A L*:xt2 tlr<
Framing OGI 4, r€
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Poo! Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
rl
FINAL t2ltl t1 l}wl{/6L #7o1
Certificate of Occu pancy I
Notqs, Bemarks, Etc.
k1* l. Usnrtzr'lrrt/u
read this application and state that all City and County
ordinances l-arvs relating to
t
atxlve
Agent
inspection
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