HomeMy WebLinkAbout101107265 - PermitCity 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 #: {O1107265
Pin#: ,rW
Project Address: 1134 S Austin St
Assessor's Parcel: 108-331 -15 Lot: 43
Unit:Bldg. Address Range:Suite Range:
Zoning: RlBlock. NA Tract: 2219 Historic: No
Building Use
Job Type:
Nature of Work.
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio.
T.l.Area:
Yards Req'd
Valuation:$1,000.00
D6crlplion ot Work: R.roof wilh lear-off tor 2nd 3tory only - now l.yorto be comp shlngles (MountainBid.) to m.tch oxbllng. Replace wlth aynthetic
undedayment. Handout! givon.
Ptanning Conditions: Replace/repair sheathing, eaves and fascia boards as needed.
Owner:
Address:
Phone:
Tenant:
Edward L Cortez
1134 S Austin Atreet
Santa Ana, CA 92704
17141 2ee-3832
Contractor: Heriberto Alcantar Roofing
Address: 1926 S Main St
Santa Ana, CA92707
Phone: (7141 858-9225
State Lic #: 1030621
Lic Type: C-39
Bus. Lic #: 367186
Workers' Compensation I nsurance.
Carrier: State Fund
Policy #: 9244082
Expires. 0111112022
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address.
Phone:
License #
Planning Approval By.Guevara, Jerry
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA Insp. Req'd:
Planning lnsp. Req'd
, Julie
Date: 0711612021
Date:
Date: 0711612021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
07776002
07776002
07776002
07775002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
!ssuance
Fee Total:
Paid to Date.
Balance Due:
57607
57770
57672
57600
57607
$345 28
$4 05
$1 00
$23 79
$59 30
-No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping !nsp. Req'd:Flood Zone Cert. Req'd: No
' Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
01116002 51600
01116002 51601
01116002 51612
01116002 57770
$23.79
$404 58
$1.00
$4.05 $433.42
$0.00
$433.42
lnspector MrD#'. 2021-167492
No
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/S!G.COMMENTS OWNER BI.IILDER DELCARATION
I hcreby affirm under penalty of prjury that I am excmpt frorn lhe Conlractors' License l^aw for the following reason (Scc.7031.5
Busincss arxl Prolbssion Codc): Any City or Counly which rcquires a permit to construct. alter. improve, dcmolish or rcgnir any
struclurc. prior to its issuancc. also requircs thc applicant for such pcrmit to filc a signcd statemcnt that hc or shc is licenscd pursuant
to thc provisions of thc Contractor's Licensed Law (Chapter 9. Commcncing with Section 7000 of Division 3 of the Busincss and
Profcssions Code) or that he or she is excmpt thcrcfrom and thc basis for thc allegcd cxcmption. Any violation of Scction 703 t .5 by any
applicant fbr a perrnit subjccts thc applicant to a civil pcnalty of not morc than five hundred dollars ($5001.
-1.
as owrrcr of the propcrty, or nry crttployccs with wages as thcir solc compcnsalion. willdo thc work and thc structtnc is rxll
intendcd or offcrcd for salc (Scc.7044, Busincss and Profcssions Codc: Thc Contractor's Liccnsc [aw docs not apply to an owncr of
thc proprty who builds or improves thcrcnn. and who docs such work hirnsclf or hcrself or through his or her own employecs.
providcd that such improvemcnts arc nol intcndcd or offerccl for salc. If. howcver. thc buikling or irrqrrovcmcnt is sold within onc ycar
of cornplctioru lhc Owncr Builder will have thc hurdcn of proving that hc or she did not build or improvc Orc propcrty for thc purynsc of
salc).
a
-1.
as owncr of thc proprty. am exclusivcly contracting with licenscd contractors to construct the projc.ct (Sec. 7W, Business
and Rnfession Codc: Thc Contractor's License Law docs not apply to an owner of property who builds or improvcs thercon.
and who conlracts for such projccts with a C-ontractor(s) licensed pursuant to thc Contractor's Licensc Law).
-IamcxemptundcrSection-.B.&P.C.forthlsrcason.
WORKERS' COMPB{SATION
DF'CLARATION
I hcrcby atlirnr under penalty of per.;ury one of thc following declarations:
-lhaveandwill
maintainaCerriticatcofConscnttoSclf-lnsurcforworkcrs'com[rcnsalion,as grovidcdforbyScction3T00ofthe
Labor Grde, for the performancc of the work for which the prmit is issued.
f, nor" and will maintain workcrs' compensati<ln insurancc, as requircd by Scction 3700 of thc [,abor Code, for the performance of
thc work frrr which lrcrrnit is issucd. My workers' compcnsation insurancc carricr policy nunrbcr arc:
Policy
-l
ccrtity that in the pcrfornrance of thc work for which this pcrrnit is issucd. I shall not cnqrloy any pcrson in any manner
so as lo bcconrc subict to tlrc workers' compcnsation laws of California, and agrec lhat if I should becornc subjcct to the
workers' compcnsation provisions of Section 3700 of the t-abor Codc. I shall. forthwith cornply with thosc provisions.
WARNING' Failurc to sccurc workcrs'compcnsalion covcragc is unlawful, and subjcct an cmploycr lo criminal pcnaltics and
compcnsation. danuges as provided for thc tcivil fincs up to onc hundrcd thousand dollars ($100.m0), rn addition to thc
.Scction 3076 of the l,atnr C'odc, intcrcst and attorncy's fecs.
Date:_.->-/6-3 r Applicant: _
I)I.]CI.AIIAI'ION
I hereby affirm undcr pcnalty of pcrjury that I am liccnscd under provision of Chaptcr 9 (comnrncing with Scrction 7000) of Division 3
of thc Busincss and hofcssions Code, and my license is in full forcc and effcrt.
License C Numbcr:
Date:-.Conlractor:
W
I hcrcby alfrm undcr pmlty of Frjury lhsl thcrc is a @nsruction bnding rgcrcy for tlE perforlwe of thc rcrk for which this pcrmit is
issed (Sec. 3097, Civ. C.).
bndcr's Norrc:
lrndcr's Addrcss:
APPLICANT DECI ARATION
I hrrcby affrm under pcnalty of perjury one of lhe following dcclarations:
Dcmolition Pcrmits-Asbestos Notification Fedcral Regulations (Title 40. Prrt6)
-Requircd
lrttcr of Notfficathn
{ t cenifythat thc fcdcral regutations rcgarding asbcstos rcrmvatare not applicablc to this project.
with all City and County L
and County to cnter upon the
above mentioned property for inspcction
Applicnnt or Agent
Permilee nanre
statc that
I )al e:?-16-fl/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenUl ns u latio n
Roof Sheathing 0- | t-?t DGinef tl z.{lolzc.- trfr ort C.rnr
Shear Wall ,?rAp1,
Framing v
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
[\Iasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL t_g-a #42
Certificate of Occupancy
Notes, Remarks, Etc.
Rev. 08-07-201 5
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