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Home My WebLink About101107916 - PermitPloject Address: 2620 S Bristol St Aqsessor's Parcel. 412-201-07 Lot. NA Unit:Bldg:Address Range: 2600-2520 Historic: No Suite Range: Zoning: C4Block: NA Tract: NA City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {O11O79{6 Pin #: 82093 Building Use: Commercial Occupancy: B 1st FL Area Patio: Job Type: Reroof Constr Type. V B 2nd FL Area T.l.Area: Nature of Work: Reroof Code: CBC 2019 Other Areas yards Req,d Existing Bldg. & Use: Commericat Flood Zone: x-0602320259J Garage Area Valuation: Proposed Use: # of Stories: Totat Description of Work: T/O exisitng BUR and apply new layers of torch down BUR to existing commerical building. Hand out given. Planning Conditions: $14,700.00 Owner: Address: Phone: Tenant Sara Zaki 2620 S Bristol St Santa Ana, CA 92704 (626) 705-1 377 Contractor: U SARoofing lnc Address: 380 S Lemon Ave Walnut, CA 91789 Phone: (909) 4684872 State Lic #: 937639 Lic Type: B, C-39 Bus. Lic #: 374495 Workers' Compensation I nsurance: Carrier: State Compensation lnsurance Fur Policy #: 1665387 Expires: 1110112021 Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone. License #: 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 Insp. Req'd: No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Orozco, lvan Zuniga, Allissa Date: 09/09/2021 Date: Date: 09/09/2021 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07776002 57607 Permit Fee 07776002 57770 Microfilm Records 07776002 s7672 Bldg. Stds. Revolving 07776002 57600 General Plan Update 07776002 57607 lssuance Fee Totat Paid to Date: Balance Due: $34s.28 $4.0s $1.00 $23 7e $59 30 Account#Total Every permit issued 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#: 2021-168695 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 $23.79 $404.58 $1 00 $4 0s $433 42 $0 00 $433.42 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby affrm undcr penalty of pcrjury that I en cxcmpr frcm thc Contracto6' Liccn$ Law for lhc following rcasn (Sc.7031.5 Busitrcss and Profcssion Codc): Any City or County whhh rcquircs ! Frmit to @nstruct, altcr, imprcvc, demlish or rcpair ily struclurc. prior to its issuarce, also rcquircs thc applicanl for such lrcmil to lilc a sigrcd slatercnt that hc or she ir liccnscd pusuanl to thc provisions of tlE Contractor's Liccnscd law (Chapter 9, Comncing with Setion 7000 of Division 3 of thc Busincss ud PnfcssionsCode)orthathcorshciscxcmptthcrcfromandlhcbasisforthcallcgcdcxcmption, Anyviolalionofs@tion703l.5byany applicant for a prmit subjccts thc applicant to a civil pcnalty of not mre than live hundred dollus (3500). -1. as owncr of thc propcrty. or my cmployccs with wagcs as thcir sole cotnfrensation. willdo thc work and thc stnrc{grc is not intcndcd or otTcred for sale (Scc.704f, Busincss and Profcssions Codc: The Conlractor's Liccnse law docs not apply to an owncr of thc propcrty who builds or improvcs thcrcon. and who docs such work himsclf or hcrsclf or through his or hcr own crnployccs. providcd that such improvcnrcnts are not intended or offercd for salc. If, howcvcr, thc building or improvctrnnt is sold wilhin onc )car of cornplction. the Owncr Buildcr will have the burdcn of proving that hc or she did not build or improvc the proprry for tlrb purpsc of salc). t -1. as owncr of thc propcrty, arn exclusivcly contracting with liccnscd conlraclors to construct the projcct (Sec. 7W, Busincss ancl hofession Code: The Contractor's License Law docs not apply to an owncr of propcrty who builds or improves thcrcon, and who contracts for such projects with a Contracto(s) liccnscd pursuant to thc Contractor's Licensc [,rlw). -IamcxcnrptunderScction-'B.&P.C.tbrthisreason. 0wner: WORKERS' COMPENSATION DF'CLARATION I hcrcby affirm undcr penalty of pcrjury onc of thc following dcclarations: -lhaveandwill maintainaCcrtificateofConsenttoSclf-hrsureltrrworkcrs'conrpensation.as providcdforbyScction3T00ofthe Labor Codc. ltrr thc lrcrformancc of the work lbr which thc pcrnrit is issucd. -l have and will maintain workcrs' comFrcnsation insurancc. as required by Scction 3700 of thc Labor Codc, tbr thc lrcrformancc of thc work for which this pcrmit is issucd. My workers' compcnsation insurance carrier and Jxllicy nunrbcr arc: t .? -l ccrtify that in thc pcrformancc of thc work for which lhis pcrrnit is issucd. I shall not employ any lrcrson in any manncr so as to bccorrrc subject to thc workcrs'compensation laws of California. and agrce lhat if I should bccorne subjcct to thc workcrs' cornpcnsation provisions of Section 3700 of thc [:bor Code. I shall. forthwith conrply with thosc provisions. WARNING: Failurc to liccure workcrs'cornpcnsation covcragc is unlawful, and shall subjcct an empklyer to criminal lrcnalties and civil lincs up to onc hundrcd thousand dollars ($100.000). in thc cost of com;rensation. danugcs as providcd for thc Scction 3076 of thc Latxrr intcresl and fees. I hcrcby aftirrn undcr pcnalty of prjury liccnscrd provision of Chaptcr 9 (conrmcncing with Scclion 70m) of Division 3 of the Business and Profcssions Codc,my liccnsc is in full forcc and cffcct. Liccrtsc g Numbcr:'z?7 6t? W I hcrcby aflirm undcr pcnalty of frcrjury that th@ is I @nstruction hnding agcncy for thc pcrfotmre of the work for which Ihls frcmil is issucd (Scc. 3097, Civ. C.). kndcr's Namc: lrndcr's Addrcss: APPLICANT DF'CLARATION I hercby affimr under penalty of pcrjury one of thc following declarations: Demolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40. Part6) _Rc<lu ircd l,cttcr of Not ification -l ccrtify thut the f'ederal rcgulations regarding asbcstos rcnmvalarc not applicablc to thi.s projcct. --l cdaify that I havc rcad this application ard statc atnvc infornration is corrcct. I agrce to comply with all City and County ordinances and Statc laws rclating to building and hereby authorizc rcprcsentativcs of this City and Counly to enter upon thc abovc mcntioned propcrty for Applicant or Agent I)ennitee nanre Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenUl nsu lation I ,l .l I Z Roof Sheathinq 0 Z7 ,LI DHU.Z ;/ Shear Wall Framinq lnsulatio nlEnerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif ll IA 1- FINAL h 0 -L I)tq'(>/ Certificate of Occupancy ll I Notes, Remarks, Etc. Date: a-., *i^-. Policy *"^ Expires:L/ \*,",?/7 /z/