HomeMy WebLinkAbout101107919 - PermitProject Address: 514 S Kinq St
Assessor's Parcel 109-781 -1 9 Block: NA Tract: 3921 Historic: No
Suite Range:
Zoning: R2
Unit.Bldg: Address Range
Lot: 52
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: l0ll079l9
Pin #: CIIOOL
.j
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Description of Work:
Single Family Dwelling Occupancy: R.3, U 1st FL Area: Patio:
Reroof Constr Type: V B 2nd FL Area: T.l.Area:
Reroof code: cBc 2019
other Areas: yards Req,d:
Sfd w/att garage Flood Zone: x-0602320257'
oarage Area: vatuation:
# of stories:
rotar,
Reroof house & attached garage - remove comp shingler, replace any damaged sheathing, install new comp shingles.
$ 1 0,000.00
Planning Conditions
Owner:
Address:
Phone:
Tenant:
SALVADOR VILLALPANDO
514 S KING ST
Santa Ana, CA 927041603
(7141504-7629
Contractor: Select Roofing Services
Address'. 2502 W Moore Ave
Santa Ana, CA 92704
Phone: 17141 225-0164
State Lic #: 984203
Lic Type' C'39
Bus. Lic #: 377987
Workers' Compensation lnsurance:
Carrier: STATE COMPENSATION INSURANCE F
Policy #: 9289265
Expires: 1211212021
Engineer:
Address
Phone.
License #:
Architect /
Desioner'
Address:
Phone:
License #.
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Amsden, Julie
web_issue
Date: 09109l,2021
Date:
Date: 09r10/,2021
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
0 7776002
0 7776002
0 7776002
0 7776002
0 7776002
5760 7
57770
57672
57600
5760 7
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$345.28
$4.05
$1.00
$23.79
$59.30No
No
No
No
Subject to Field
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
N/A - No
N/A - No
N/A - No
Balance
Balance
Balanceaa
Every permit rssued shall become invalid unless the work on the site authorized by
suc/r permit is commenced wilhin 360 days afterils issuance,or if the work
authorized on fhe sife by such permit is suspen ded or abandoned for a period of
360 days after the time the work is commenced.
lnspector MID#: 2021 -168706
$433.42
$433 42
$0.00
p'
INSPECTOR RECORD
SITE-WORK DATE ID/S!G.COMMENTS OWNER BUILDFR DEI CARATION
I hereby affinn under penalty of periury that I am exempt form the Contractors' License Larv for the following re:$on (Sec.7031.5 Business
and Profession Code): Any ('ity or County rvhich requires a permit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also requires the applicant for such permit to file a signed stateflr€nt that he or she is licensed pursuant to the p,rovisions of tte
Contractor's Licensed Larv (Chapter 9. Commencing rvith Section 7000 of Division -1 of the Business and Professions Code) or that he or
sheisexempttherefi'omandthebasisfortheallegedexemption. AnyviolationofSectionT03l.5byanyapplicantforapcrmitsubjectsthe
applicant to a civil penalty of not more than five hundred dollars ($500).
*1f . ". owner of the property. or my onployees with rvages as their sole compensation. rvill do the work and the structur€ is not intendod
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Larv does not apply to an owner of the prop€rty
who builds or improves thereon. and rvho does such rvork himself or herself or through his or her orvn employees. provided that such
irnprovements are not intended or offered for sale. If. hou,o,er. the building or impovement is sold within onc year of complaion. the
Orvner Builder s,ill have the burden of p,roving that he or she did not build or improve the properW fcn ttre purpose of sale).
Y!st. as owner of the proFrcrty.am exclusively contraoing rvith license<l contractors to construcr the project (Sec. 7044. Business and
Profession Code: The Contractor's l.icense Larv does not apply to an owner of property who builds or improves thereon. and
s'ho contracts for such projects u,ith a Contracto(s) licensed pumuant to the Conffactcn's [-icense Law).
!!1 ., exempt under Seoion
703r.5
_. B. & P.C. for this reason.
WORKFRS' COM PF'NS ATION NFCLARATION
I hereby alTirm under penalty of perjury one of the following declaratiors:
*a I tlru. and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
l.abor Code. for the performance of the work for rvhich the pennit is issued.
YES
-_lhaveandrvill maintainu'orkers'compensationinsurance.as requiredbySection-1700ofthel.aborCode.forthepcrformanceofthe
work for rvhich this perrnit is issued. My workers' compensation insurance carier and policy number are:
Statc Compcnratlon lnrurancc Fund('amier:
1211212021
l'}olicy' Nurnber:
ilo
_Expires:
_l cerri$'that in the grcrformance of the rvork for u,hich this permit is issued. I shall not employ any person in any manner so
as to become suhject to the u'orkers' compensation lau's of Califomia. and agree that if I should become subiect to the workers'
compensation provisions of Section .1700 of the Lahor Code. I shall. forthrvith comply with those provisions..
WARNIN(i: Failure to secure rvorters'compensation coverage is unlau,ful, and shall subiect an employer to criminal penalties and civil
fines up 16 on€ hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section.1076
of the [.abor Code. interest and attomel"s fecs.
LI('FNSFN ('ONTRACTOR NFCI AR ^TIONI hereby alTirm uncler penalty of perjury that I am licensed under provision of Chapter g (commencing rvith Section 7000) of Division -1 of
the Business and Professions Code. and my license is in frrll force and effect.
c39
License Class:
98/t203
l.icense Number
CONSTRUCTION I FNNING AGFNCY
I hereby affirm under penalty of periury that there is a construction lending agerrcy for the perfornunce of the wort for which this permit is
issued (Sec. -1097. ('iv. C.).
Lender's Name:
l,ender's Address:
APPI IC^NT NFCI ^RATION
I heretrv aflimr undel penalty of perluw one of the followrng declarations:
Denrolrtion Perrrrits-Asbestos Notrlicatron Federal Regulatrons (Trtle 40. Part6)
!o Required l-etterof Notification
t-t1 t certiS/ that the federal regulations regarding asbestos removal are not applicable to this prqect.
at
YEg
I cerriI that I have read this application and state that the above information is correct. I agree to comply'rvith all City and County
ordinances and State l-as's relating to building construction. and hereby authorize representatives of this City and County to enter upontre
above mentioned property for inspection purposes.
Reroof
Roof (Diaphragm Sheathing/Frame)la s.-- Ztl
Structural Final /6-(*z-t L-rnil' {r.G
Plumbing
Under Floor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
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