HomeMy WebLinkAbout101102288 - PermitProiect Address: 1400 W Warner Avea
Assessor's Parcel: 931-304-01 Lot: 1
Unit: A-1 Bldg: Address Range:
Tract: 10602Block: NA Historic: No
Suite Range: 1-20
Zoning: R4
-,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 #: {011o.2288
Pin #: eeell\
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Multi-Family (5 or more units)
Reroof
Reroof
20-Unit Condo
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories.
R-2
VB
cBc 2016
x-0602320259J
2
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $28,000.00
0
Description of Work: Tear-off & apply 89 sqs of torch down roofing to flat areas only. Handout given
Owner.
Address:
Planning Conditions:
Phone.
Tenant:
Team Management HOA
1588 North Batavia
Orange, CA 92867
(7141 63e-8484
Bristol Palace
Contractor: 5 Star Roofing
Address: 14087 Tiger Lilly Court
Corona, CA 92880
Phone: (7141 791-6369
State Lic #. 825383
Lic Type: C-39
Bus. Lic #. 312418
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9232491
Expires: 0613012020
Engineer:
Address.
Phone:
License #:
Architect /
Designer.
Address:
Phone:
License #:
ce!0nAcctl: Ref*: 1011t-t22gg
Rcptf:02810765 fi/2A/2019 l2:15 Pn
Trnnssct i on Toto I tl r 439 .83
5 Stor Roof i ns
Generol Plon Update Fee
trt 1 16002- 51600tr00-
Buildins
01 I 16002- 51601 tr(r0-
Blds Stds Revolv i ns
0l I 16002- 516l20ttt-t-
Il i crof i l; & DocutEent s
trl 1 16002- 37771r0(tt:t-
i?2.95
$gs?. 95
12. r_r[r
$3,91
1t.L
07776002
07776002
07776002
07776002
077750 0 2
L.n e r: )i
57607
57770
57672
57600
57607
r_ro I lY:_l
Permrt Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
DI ''TJ7. OJ
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp
PWA lnsp. Req'd No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Teri
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Date: 1112012019
Date:
Date: 1112012019
Subject to Field:
Misc Receipt:
Misc Receipt:
Misc. Receipt:
$832 65
$3 91
$2.00
$22 95
$57 20
Account#Total
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
lnspector MID#: 2019-155999
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01116002 57770
$22 9s
$889 8s
$2.00
$3 e1 Fee Total:
Paid to Date:
Balance Due:
$91 8 71
$0 00
$918.71
TC
a
I L,
BUILDING. INSPECTOR RECORD
SITE.WORK DATE !D/SIG.COMMENTS OWNER BUILDER T'ELCARATTON
I hoeby aflim uds pcnalty of pedury that I an exmpt fiom the Contraclon' t-icw Larv for the follorving rcen (3(.7031.5
Busines and Prof6sior Code): Any (:ity or Counly which requira a Jmit to Nnstrucl. altq. improvc. dqnolish or repair af
structue. prior to its isuece. also rcquirs thc applicant for such pctmit to file a signed stalonal that he or shc is licf,rd pmuirl
to the provisions of the Contractor's Licosd law (Chaptq 9. Cornmencing rvith Sstion 7000 of Division 3 ofthc Busines and
PrcfcsionsCodc)orthathe orshe iscxcmptthqefromandthe basisfortheall€gedermpion. AnyviolationofScclhnT0.rl.5byany
applicantforapennitsubjststhe applicanttoacivilpenaltyofnotmorelhmfivehundreddollm($500).
__1. as owner of the propetly. or my employees with rvages as their sole compensation. rvilldo the work and the structure is not
intended or offered for sale (Sec.7044. Ilusiness and [tofessions Code: The Contractor's l.icense Larv does not apply to an o\\'ner of
the propoly who builds or improves thermn. and rvho does such work hirnself or hcrself or through his or her own employees.
provided that such improvonents are not intendd or ofFered for sale. lf. hos'ever. the building or itnprovement is sold rvilhin one yea.r
of cornpletion. the Orvner Builder will have the burden of proving that he or she did not build or irnprove the propo'ty for the pupose of
sale).
_ l. as owner of the property. am exclusively contracting rvith licensed contractors to conslruct the project (Sec. 7M4. Business
and Profiession Code: l'he Contractor's License Law does not apply lo an owner of property rvho builds or improves thereon.
and who contracts for such projects rvith a Contracto(s) licensed pursuant to the Contractor's License Law).
--l
am exetnpt under Section-. B. & P.C. for this reason. .
l)alc:Orr lrcr':
WORKERS' COIIT PENSATION
DECLARATION
I hereby affrnn under penalty of perjury one of the follorving declarations:
_l have and will maintain a Cerrificate of Consent to Self-lnsure for rvorkcrs' compensation. as provided for by Se<tion -3700 of the
Labor CocJe. for the perfonnance of the work for rvhich the pennit is issued.
-l
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of
the rvork for rvhich this pennit is issued. My rvorkers' compensation insurance carrier and policy number are:
Carrier:
Policy Nurnber:_
-Expircs:
-
__l certify that in the perforrnance of the rvork for w'hich this perrnit is I shall not 8ny manner
, to thcso as to become subject to the rvorkers' compensation larvs agree that ifl
rvorkers' cornpensation provisions of Section .1700 of the l.abor provisions.
WARNING: Failure lo secure rvorkers' cotnpensation coverage and ancl
civil fines up lo one hundred thousand dollars ($100.000).tltc
Section .1076 of the labor Code.
r)oto. l-2O *ry
I hcreby affirrn under penalty of pcrjury lam 1'rrovision 9 (conrnrcncing w'ith 7000) of Division 3
of the llusiness and Professions Code. and my liccnse is in full forcc
[,iccnse ('lass:37 72f :{3
r)nrc: i /' ZO 'ry
I hereby affirm under penalty of perjury that
issued (Sec. 3097. Civ. C.).
Lender's Nanre:
isa lending ag,cncv the pcrfonnance of the rvork fior s'hich this pctrnit is
Lender's Address: _
APPLI(]AN]' DE(:I,ARA'I'ION
I lro'eby allinn under pcnalty of perjury one of lhe follorving declarations:
Dcruolitiorr Pernrits-Asbestos Nolificatiort Fcdcral ('l'itle 40. Pan6)
-Required
Letter of Notification
--l
certify that the federalregulations r errtor al applicable to this project.
is ct'rrrect. I agrec to conrply u'ith all City and County
reprcsentatives of this City and County to entef, upon thc
Applicant or Agcnt
Perrnitee
Itt
,/tPo
r)arc: /t -"o A,
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenVl ns u Iatio n I
Roof Sheathins /L r/Z ilLI N '1TO/lfr
Shear Wall /I
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
tl 7FINAL ?- fi3 /V07.O f u/o/ oy
Certificate of Ociupancy
Notes, Remarks, Etc.
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