HomeMy WebLinkAbout10197708 - Permit (3)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714\ 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 101977O4
Pin #: 45764
E
Unit:Bldq Address Range: 27 00-2722
Historic: No
Suile Range:
Zoning: M1Assessor's Parcel:414-091-01 Lol POR 3 Blockr NA Tract: 1013
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
lndustrial
Reroof
Reroof
lndustrial/Warehouse
A-2, B
III B, SPK
cBc 20't 6
x-0602320258J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patiol
T.l.Areal
Yards Req'd
Valuation: $48,000.00
Description of Work: Reroof-apply coating system over (e) rock roof/handout given
Planning Conditions:Botch+r,tt933 - 9/L1/2OL iL, r,,
Engineer
Address:
rons
Owner:
Address
Lou Valadez
2700 S Fairview
Santa Ana, CA 92704
(323126',t-7193
Contractor: B H L Enterprises lnc dba V!
Address: 3184 E Pico Blvd
Los Angeles, CA 90023
Phone: 13231261-7193
State Lic #i 281498
Lic Type: C-39
Bus. Lic #: 347559
Workers' Compensation lnsurance:
Carrier: Employee Service Group
Policy #: WC4758719
Expires: 0610112019
Acct+: REf+: lljl
Rcpt+:02593923 - 9/!1/2t1t& !11
Tronsoct i0n Totol tgl']r:r
Phonel
Tenant
Phone:
License #
I H L Enterprises Inc db0 llEsl
.rl
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By;
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Soto, Ricardo Date: 09/14/2018
Date:
Date: 09/14/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07176002 51601 Permit Fee
07176002 s7672 Bldg. Stds. Revolving
07116002 51600 General Plan Update
07716002 51601 lssuance
$801.25
$2.00
$22.O8
$5s.04\0y Hernandez, Kathy
No
No
No
No
Fire lnsp. Req'd;
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every permil issuad shall become tnvalid unless the wo* on lhe site authorized by
such permit ls commenced wilhin 180 days aftet its issuance.or if the wotk authotized
on the site by such permrt is suspendecl ot abandoned for a period o1180 days after
the time tho wo* is commenced
lnspector MID#: 2018-146127
0'1 1 16002 51600
01 1 16002 51601
01 1 '16002 51612
$22 08
$856.29
$2.00
Fee Total
Paid to Date:
Balance Due:
$880.37
$0.00
$880.37
Proiect Address: 2700 S Fairview St
Occupancy:
Constr Type:
Codel
Flood Zoner
# of Stories
Generol PIon lredote Fee
(1116110?- il600000-
Buildins
01116002- 516010(10-glde Stds RPvolv ine
01116002- 51612000-
ICI- Check 00{075
1-, - fI
BUILDING- INSPECTOR RECORD
SITE.WORK DATE rD/srG.COMMENTS OWNER BUILDER DELCAfuI'IION
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tlusincss od Pn,f.$n,n Cdlc) Ary Ciry or Counry *hi.h rcquncs I Isrnii k' .1nNruct. alrcr. iarProvd. dcnFlGh nr rPrt rnv
{fl.iu(, prnrb ns ksuaDe- sl$ rdquircs rhc tPIli.ant lor {rch P(nnirb lilcrsisncd nrrcnEnr rh{rhcor shc n liccn\cd lur\udnr
lo rhc InNiln'n\ of rh. conraciols t,icen*d t-aw lch Prcr 9 ConnncNing sirh sccrion 7(x oiDivi\n'n:l ofth' Btrsincs rtrJ
Pmrcsdns Codc ) or th3l lEorsh. is cx.mpr rltmno andrh.lEsntnrrhc,ll.Scdcxcnrflion Anyvirlariotrolsdi).70.rI5hvrnv
aftliconr ior o pcmrihubjcc6 rhc q,plicont lo rcivilPenalrrorn.i nrrcthan fivc hundrcd d.llds l$500)
l. r D*ncr ol ihc Dnrrly- or my .n9nrycs wilh wascs is rh.n vnc conlpttrlaliotr, ! i]l do lno w.rk dnd rhc srulurc is ior
icn&l oro,Ie.cd nn salc (se 7(}14. Busincsslnd PmfesionsG)dcr TtuConrrlcroi\ Liccnsc l-rq docr nor oPPly nt owncrol
rh.pn)Fny sho hoilds or in{rots rlrfr)n, !d Bho dG suc[ s()ii htnsclfor hcrcll.r lhrolgh his or hcr oEo cnDlov.cl.
nrovidcd lhlr \uch inrpmkn*ns N noi intctrdc or ollctd fot vlc ll hJwcvcr. thc &ildilu o' imptuvcmnr $ skl sirhii otrc ttrr
of.onDlcrion, rhc O{rcr Builds willhdv. rlr bordcn oftroina rhrl lt or sh. did mr ttrild or in{'nNc rhc pmlh} lor rtE puq-*of
-1,
is owrcr of rhc nmp.ny. ,fl cx.tusncly co rscrin8 sirh li.cn\cd.oMacrnn lo coi\l crrlrnrcrd(Scc 7(xr. Bx(in'{
sid Ptulir\k$ Codc: Thc Conlrenr\ Liccn{ Ln* d.c\ not rr)oly b u osi.r ofPrcl.ny qho huilds or inrpii,vcs lher..tr
.nd who conrEcrs r{tr iu.h prcjc.h $ith a Conhcttrh) li.c.icd Pusuanr ro rh. Conrdoas Liccnsc ll*)
. B &Pa tcrrhFrcJ.,in
UA8trIIEIAITPINIAIION
DECI,ATAITO!
I hcr.by ifll.nundcr pcnrlry ot pcrjury ooc orrhc follosin8 dcclutn,ns
-t
hiv. $d will minrnin r CenifEarc ofConsnr ro S.lf.lnsurc fo! workda .oqEnsarion. as lrolidcd for bY Sccrion 1700.f rh.
t21,or Codc. lor rhc p.taolfue of thc sod< to. which rh p.r.rir is hsucd
l\-/irlf hvc dnd srll nEmrlrn worku*' cumpcns$on msu,ancc. !s rcqxiEd by sNl ion l70O oa rh. bbor Codc lor rh. Fn'mm' or
rhc wort lor which lhis pcmir i3 hsucd. My workes .ompcnsarion insumn.c cr cr and Flky nun$cr {c:tz-v
-!
ccnily lilr in rh. rcd.nrEtrcc olrhc work rbr which rhil t*nir h issucn. I shrll nor cnllllov.nv pcF.n in rtrv matrncr
v, rsro hc.om subrccr ro rhc eortcs con{c.\arion ldwsofC.l 'orniD, rnd Ngrcc rh.l ill should b..onE subiccl l. rlt
workcr\' c. r!.ns,riotr lmrhions ol sc.r ion .l?m or rhc Litrt Cdq I \hrll. nfhwnh omPl, {iih rhoc pnvniuN
NARNINC: I{ilurc b *ctrrc wurkc.(.onqEnsllii'n coecBE. i\ utr1.wtul. nnd \hall \rbirr .I emplo}[r r..rimnr0l P.ulric\ and
civil lincs !p k, o.. hundrcd lhousnnl iolla^ ($1fi),0(x)). irr tddiliotr lo rh..o{ ol.omprnsurion da iaC.s.s pmYi'lnl r;r rh'
::;:}/,2H"
DESLAE{ION
I hcrcby amrnr undcr rE alry nr,r.rjury rhar I im lien{n und.r FJlirion ol Chlprs I (em,Exins eith Seclion 7m0) 'r l)ivtion :l
ol rhc Busines.nd P,olt:iions c.{.. d
'ny
lkcn$ n in tu ll rd.c ,nd ctl'$|.
e3 zs((7e
COISI8I"LGIruN.LINDI GAGENCI
I hrrcby aflli,n uMcr Fnolry oi ptrjury rhar rh.rc h , co.idclbn lcndin! +.ncy l'or th. lErlhnture ol r qor[ li, *hich lhis ,ictnril k
isucd (Scc 1097, Civ. C.)
AIILISANLIEII.ASAIION
I rlriby nmnn undcr lcnall, orp.rjuryonc oflhc lollowins ncchrdri.n\:
Dcnshi{,n P..Dn$Astrslos Nolificarion F.dchl R.Sulatio.s ('l irlc 40, Pd6r
_Rcqrncd llrrf oi Notifi calion
I ccniiyrh rhc rrdcrrlr.suldi('ns rcsddirs ishc{os rtnn)val arc not.t'dilhlc t'rhn p(+rl
ordimr.s dd Sl c Ij$ rclrtin8 t, tu
Jh\r n'ctrri.n(! nnncny f.r in9ccrion
^p',rio'
m
^smr
sismrun )L
Dd nnr and hcrcl,y Duhoriz. eprcsctrfulilcs or I
", n**.,on^,. /Z.&y' fr4>.'zz/-S-
::;ZDi
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathino c t-11-ty h.wu
Shear Wall
Framinq
lnsu latio n/E ne rgy
Drywall
Ext.i lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Depuly Final Report
Enoineer Final Report
Flood Zone Certif
A\
FINAL 0 -zs x-\P+Jd
Certificate of Occupancy \f
Notes, Remarks, Etc.
Sublloor/Vent/l nsulation
g fu=-.
I