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Home My WebLink About101102154 - PermitPin #: 8.261 5 Proiect Address: 112 E Walnut Sta- Assessor's Parcel: 404-091-10 Lot: 11 & 112 Unit:Bldg: Address Range: Tract: BLEES SECOND AD Historic: No Suite Range: Zoning. C2Block: C City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 101102154 Building Use: Job Type: Nature of Work: Existing Bldg & Use: Proposed Use. Commercial Reroof Reroof Commercial Occupancy: Constr Type: Code: Flood Zone'. # of Stories: B V B, SPK cBc 20'16 x-0602320276J 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T.l.Area. Yards Req'd Valuation: $29,000.00 D.lcriplion ot Work R.rool w^.o.-Romoyo capshost and .pply hot mopJh.ndout glvsnrauth on fl. Eotch+:52894 - ll/L/2O19 I0: LRoSALâ‚¬S 0fficet (:TYll Tconsi! 1,( 3 of 3 ol/ynâ‚¬r: Scott Peebler Conlmctoa: Caat.dy Rooling, lnc Address: 13t26L. lr.d. Blvd Address: 13o2l Lrk lrnd Rd Addres (:aEsrldc Itsatins, In.h lrlr.d., CA 10G3E3101 s.nta F. spdng6, cA s06?0 Phon6: (562) ?55.31tt Phon6: (562) 94,r-5S17 Phofle: Gener(tl Plon Urdot. FEE 177, ',t. Ton.nt Slate Lic *: 53t9OO Liense*: L1l116L1Ll2_ 516llrlrlo0- Lb rypâ‚¬: c.se arcmrea r ['iill,ii]i- rr*r o.. - $r'Lr':i Bu!. Lic*: 3a8a60 Dasiqnâ‚¬r: Elde Stds nevolvins t'/.irlr work6rB' compensaton rnsurancâ‚¬: Addrâ‚¬s3: ;iillf|i?; l,Slffll!;s s:i.,*Canier: Radwood Flra and Casualty porrc, *: cawc03or49 Phono: 011161102- 5777rlrl(,i- i!+\1"24Expires: OltO1l2Om Licen6e *: aC+:***********{293 Auth*ldal,fil Planning Approval By. Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd. No Landscaping lnsp. Req'd: No Gomez, Pedro Hernan dez, Kathy Date. 1110612019 Date: Date: 1110612019 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07775002 07776002 07776002 07776002 07776002 s7607 57770 57672 57600 57607 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update I ssuance $333 06 $3 e1 $2 00 $22 95 $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 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#'. 2019-155685 $22.e5 $390 26 $2 00 $3.e1 Fee Totat Paid to Date: Balance Due: $419 12 $0 00 $+t 9.12 a BU!LDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DEI.CARATION I hererr;L aflirm undq pflalty of pqjury that I an cxcmpt from lhc Coittraclon' Liccmc law for thc following reen (Ss.7031.5 Businss and Profession Code): Any City or County which rcquir6 a p6mit to construct. altq. improve. donolish or rcpair my struclure. pdor to ils issuace. also requirG the applicut for such pemit to lile a signed statmmt that hc or shc b licmsd puEuill to lhe trovisioB of thc ('ontractor's Licenscd l-aw (Chapto 9. Commencing rvith Sstion 7000 of Division 3 of thc Busincrs an'd I'rcfe$ions Code) or that he or shc is cxempt theefrom md thc bsis for thc alleged exmption. Any violation of Sation 7031.5 by any applicantforapemitsubjetsthe applicanttoacivilpenaltyofnotmorethilfivehundrcddollm($500). -1. as owner of the property. or nly employees with rvages as their sole conrpensation. rvilldo the rvork and the structure is not intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's License Larv does not apply to an orvner of the prcperly who builds or improves theron. and rvho does such w'ork hirnself or herself or through his or her own etnployees. provided that such inrprovonenls are not intended or offerd for sale. I[, hos'eter. the building or improvemeflt is sold within one ]â‚¬ar of completion. the Olvner Builder will have the burden of proving tha he or she did not build or improve thc propo'ty for the ptrposc of sale). I -1. as owner of the propei'ty. am exclusively contracting rvith licensed conlractors to construct the project (Sec. 7044. Btsiness and ProfEssion Code: f'he Contractor's License Law does not apply to an otvner of property who builds or improves thereon. and rvho contracts for such projc.cts rvith a Contracto(s) licensed pursuant to the Contractor's License Larv). -IarnexemptunderSection-.B.&P.C.forthisreason. 1)ate:On ner: \!'O RK l.l lts' ('()1\t PITNSn'l'1() N DTi('I,ARAI'ION I hereby alfirm under penalty of perjury one of the following declarations: -l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section -j700 of the Labor Code. for the performance of the work for rvhich the pennit is issued. -l have and will maintain workers' compensation insurance. as required by Section -1700 of the Labor Code. for the performance of the rvork for which this pennit is issued. My rvorkers' compensation insurance carrier and policy numbcr are: tIcu,in, lbelr, uoA4t-< \ CaS, ,^l 4 / / Policy Numaer: Actt â‚¬-1r2r-; t L{ 7 Expires: -l certi& that in the performance of the work for which this perrnit is issued. I shall not anploy any person in any manner so as to become subject to the rvorkers' compensation laws of California. and agree that if I should become subject to the . workers' compcnsation provisions of Section 3700 of the l-abor Code. I shall. forrhwith comply rvith thosc provisions. WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the of dzunages as provided for the Section 3076 Labor Code. interest and attorney's fees. // I lrerchy alfirrrr under penalty of perjury that I iun licensed provision of ('hapter 9 (comrrrencing rvith Section 7000) of Division 3 of the Business and Professions Code. and nry license is in fult force and effect. iq0License ct^rr, (' '-J ? Date:_ l,icense Nurnbcr:{3 Contractor:_ -I hereby affrrm under pcnalty of perjury that there is a issued (Sec. -j097. Civ. C.). Lender's Narne: lending agency for the performancc of the rvork flor rvhich this p,ermit is l-ender's Acldress: APPLICANT DECLARA'TTON I heretry aflinn under penalty of pe{ury one of the follorving declarations: Demolition Perrnits-Asbestos Notification Federal Regulations (T'itle 40. Par16) _Required Letter of Notification -l cgtify that rhe fedcral regulatioN rcgdding Gb6tos rcmovalile not applicable to this prcj61. -l cdify that I havc Md this application and statc that thc above infomaion is corct. I agreto omdy with all City and Couty ordinancB ild Statc taw rchting to building consrucrion. ed brrty authorirc rcprGfitalivc of this City md County to 6tq upon the above mcntioncd prcpcaty for impetion purposy' ,y'' " / AppricsnrorAgmrsieo.rrn K4rt''t -l'- n","/a // q Pmirenlme(prinq, / {F4t,y' (lrArt" Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/Ve nUI ns u lation ,, Roof Sheathing r'Z /t 2,1 7 f4,?r c{ Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Flnal Report Flood Zone Certif t/t -\F!NAL //E/zo ,lz!-Lffit //t7 7 VVCertificate of Occu pancy n / I v I