HomeMy WebLinkAbout101107971 - PermitProiect Address: 2033 S Oak Sta
Assessor's Parcel: 014-093-36 Lot: 9
Unit:Bldg: Address Range:Suite Range.
Zoning: R1Block: 7 Tract: 560 Historic: No
,
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Rna , ingZtOZ Building Permit #: {01107971
Pin #: 7O8O2o
Permit Counter: (7'14) 647-5800 lnspection Requests: (M) 667-2738 lnspector Section: (714) 647-5853
Building Use: Single F.mily Dwelling Occupancy: U lsl FL Area Pelio:
Job Type Reroof Constr Type V B 2nd FL Area T.l.Area:
Naturo otwork Rsroot- Detach c...g. Only Code: cBc 2019 Other Areas yards Reqd
Exbting Bldg. & Use (2) SFD Flood Zone: x.{r802320276J
proposed use # of storie.: Garage Area vtluation: $4'500'00
Total
Ooac.iplion ot WoJk TrO oxisting roof on detech.d ger.ge only and inltall narw comp ahingle. Raplaca aheathingrplywood .. noeded. Hand out given
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Amy Nagabayashi
2033 Oak St
Santa Ana, CA 92707
(7141 872-2314
Contractor: Ending Roofing
Address: 528 S Harris Ave
Compton, CA 90221
Phone: (310) 365-0537
State Lic #: 1030582
Lic Type: C-39
Bus. Lic #: 368752
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9216807
Expires: 0812512022
Engineer.
Address:
Phone:
License #:
Architect /
Designer:
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 lnsp. Req'd: No
Guevara, Jerry
Zuniga, Allissa
Date: 09/1 512021
Date:
Date: 09/1 512021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07775002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$172.64
$4.0s
$1.00
$23 79
$59.30
$260.78
$0.00
$260.78
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
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 permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-168811
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 57770
$23.79
$231 .94
$1 .00
$4.0s
ILDINC- INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVl nsu lation ,l tl
Roof Sheathinq ?ht/q,ffiu
Shear Wall t//\)
Framinq /
lnsu !ation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
I\/asonrv
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
t/n
FINAL tbl6le fLuI fi )
Certificate of Occupancv --Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I hcrcby affirm undcr Fnalty of pcrjury Ihal I m exempl frcm the Contreto6' Liccnsc [:w for rhc following rcasn (5@.7031.5
Busitrcss and Profcssion Codc): Any City or Counly which rcquircs a IErmit to construct. altcr, imprcvc, demlish or rcpairtny
structurc, prk r to its issuance, llso rcquircs thc applicant for such IErmit to fih a signcd slalcrent th{t hc or she is liccnpd pursuant
to lhc pmvisions of thc Contractor's Lien$d Lrw (Chaplcr 9. Comrcncing sith S6tion 700O of Division 3 of thc Busircss and
PrcfcssionsCodc)orthathcorshciscxemptthsefromandthebasisforthcallcgedcxcmption. AnyviolalionofsGlionT03l.5byany
applicant for a lrcrmit $ubjsts thc applicant to a civil pcnalty of not mrc than five hundrcd dollars ($500).
_1. as owncr of thc propcrty. or my cmployccs with wages as thcir sole compcnsation. willdo thc work and thc stnrcturc Ls not
intcnded oroft'crcd for salc (Sec.7044, Busincss and Profcssions Codc: The Contractor's Licensc [,aw docs not apply lo an owncr of
thc propcrty who builds or inrprovcs thcreon. and who docs such work himsclf or hcrsclf or through his or hcr own employccs.
providcd that such improvenrnts arc not intcrxlcd or offcrcd for salc. If, however. thc building or improvcnrent is sold within one year
of complction. thc Owncr Builder will have thc burden of proving that hc or shc did not build or improve the proprty for the purposc of
salc).
_1. as owncr of the prolrcrty, am cxclusivcly contracting with liccnsed contractors to construct thc projcct (Sec. 7U4, Business
and Proficssion Code: Thc Contractor's Licensc Law does not apply lo an owner of propcrty who builds or improvcs thercon,
and who conlracts for such projccts with a Contractor(s) liccnsed pursuant to thc Contractor's Liccnsc taw).
-l
am cxempt undcr Scction- . B. & P.C. for this rcason.
Datc:
}YORKERS' C( TNI PENSATION
DECLAITATION
I hcrcby atfirm under pcnalty of pcrjury onc of thc following declarations:
_l havc and will rnaintain a Certificatc of Consent to Sclf-lnsurc for workcrs' compcnsation. as providcd for by Section 37fi) of the
Latxrr Code. tbr thc perforrrrance of thc work fbr which thc pcrmit is issucd.
_l havc and will Scction 3700 of thc Lrbor Codc. for thc lrcrformancc of
thc work for carrier and policy ttunrbcr arc:
-
Policy ZS
-l
ccrtify that in thc pcrformancc of thc work for which this pcrmit is issucd. I shall not employ any lrcrson in any manncr 7
so as to bccorne subjcct to the workcrs'compcnsation laws of California, and agrce that if I should becomc subjcct to thc
workers' compcnsation provisions of Section 3700 of the L:bor Codc. I shall. forthwith comply with thosc provisions.
WARNING: Failure to sccure workcrs'comlrcnsation covcragc is shall cmploycr to criminal pcnaltics and
civil fincs to one hundrcd thousartd dollars ($100.000), in darnagcs as nrovidcd for thetuScctionintcrcst and fccs.Z/
I hercby affirnr undcr pcnalty of pcrjury that I am liccnrcd under provision 9 (cornnrcncing with Scction 70m) of Division 3
of thc Busincss and Prol'cssions Codc, and nty licensc is in full fbrcc and clfcct.
a so 5&z
I hcrcby aftirm undcr pcnalty of prjury that thcre is a construction hnding
issucd (Scc. 3097. Civ. C.).
for lhc lrcrformancc of thc work for which this pcrrnit is
L,cndcr's Narnc:
[.cndcr's Addrcss:
APPLICANT DECLARATION
I trcrcbyaffinnunder pcnalty of perjury onc of thc following dcclarations:
Dcmolition Pcrrnits-Asbcstos Notification Fcdcral Regulations (Titlc 40, Part6)
-Rcquired
lrttcr of Notification
_l ccrtify that the l'cdcralregulations rcgarding asbcstos rcmovalarc not applicablc to this projccl.
t
_l ccrtify that I have rcad this application is corrccl. I agrcc to comply with all City and County
<lrdinanccs and Statc Laws rclating to reprcscnlativcs of this City and
abovc lncntioncd propcrty lbr
Applicant or Agent
Pernritee nanle d
to entcr upon the
_ Owner:
ZJ
Liccnsccrass: C-37 lil"nr"
Dale: "
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