HomeMy WebLinkAbout101106889 - PermitAddress Range. 2502-2518
Historic: No
Pin #:
Suite Range:
Zoning'. Cz
o
Proiect Address: 2502 W Westminster Avea Unit:
Assessor's Parcel:198-1 32-20 Lot: NA Block: NA
Bldg:
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 #: {O1106889
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Commercia!
Reroof
Reroof
Commercial
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
B
VB
cBc 2019
x-0602320144J
1st FL Area
Znd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $Sl ,000.00
Description of Work: Reroof dt.o.-Remove and apply cap sheet, replace sheathing
Planning Conditions:
,)
3
Owner:
Address:
Phone:
Tenant
Martha Velastegui
2502 Westminster
Santa Ana, CA 92706
(7141 856-3075
Contractor: T&G Roof Removal
Address: 960 N Enterprise Street
Orange, CA 92867
Phone: (7141 637-1530
State Lic #: 657689
Lic Type: C-39
Bus. Lic #: 7278
Workers' Compensation I nsurance:
Carrier: State lnsurance Fund
Policy #: 1976314
Expires: 0710112021
Engineer:
Address:
Phone.
License #:
Architect /
Designer:
Address:
Phone.
License #:
rPri EP Ct I I
:r1 1 1 ,5t:nt2,.trildins
I1 I 1,5ur:t?
I I 16t_il-l
:1. (.h e
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
Enriquez, Gissel
Hernan dez, Kathy
Date: 0610712021
Date:
Date: 0610T 12021
Subject to Field:
Misc. Recerpt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
0 77760 0 2
07776002
57607
57770
57672
57600
57507
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$863 20
$4 05
$3.00
$23 79
$5e 30
$953 34
$0 00
$953.34
\x
ib
No
No
No
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 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.
Inspector MID#: 2021-166581
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23 79
$922 50
$3 00
$4 05
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl nsu I atio n t,fr
Roof Sheathinq
Shear Wall /
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
,A /
FINAL a Y.o/r-t
Certificate of Occupancv tt) / /
Notes, Remarks, Etc.l
oWNER BUILDER DELCARATION
I hcrcby aflrtn undcr pcnally of prjury lhal I m cxcmpt liom the Contraclon' Liccns tiw for thc following rcarcn (Ss.7031.5
Busincss and Pmfcssion Codc): Any City or County which rcquires a yrcrmit to construcl, altcr, improvc, dcmlish or rcJuir any
structure, prior to its issuancc. als requircs thc applicanl for such lrmil lo filc I signcd statemnt lh8t hc or slE is licen$d puswt
lo thc pmvisions of thc Conrractor's Liccn*d law (Chaptcr 9. Commcncing with Srction 7000 of Division 3 of thc Busincss und
PrcfcssionsCodc)orlhathcorshcisexcmptthcrcfromondthcbasisforthcalhgcdcxcmplion. AnyviolalionofSetionTO3l.5byany
npplicant for a Ircmit subjccts lhe applicant to a civil pcnalty of not nbrc thsn five hundrcd dollsrs ($500).
_1. irs owncr of the propcrty, or my cmployccs with wagcs as their solc compcnsation, will do lhc w<lrk arxl thc structurc is not
intcndct or olTcrcd for sale (Scc.7O14. Busincss and Prot'cssions Codc: The Conlractor's Liccnsc Law docs not apply lo an owncr of
thc proprty who builds or improvcs thcrcnn, and who docs such work himsclf or hcrself or through his or hcr own cmployccs.
providcd that such improvcnrcnts are not inlcndcd or offcrcd for salc. If. howcvcr. thc building or improvcnrcnt is mld within one ycar
of cornphtion. thc Owncr Buildcr witl havc thc burdcn of proving that hc or shc did not build or irnprovc thc propcrty for thc puryrcsc of
sale).
_1, as owncr of thc propcrty, am cxclusively contracting with liccnscd contraclors to construct thc projcct (Sec. 7W. Busincss
and Prolbssion Code: The Contractor's License Law docs not appty to an owncr of property who builds or improves thercon.
and who contracts for such projccts with a Contractor{s) liccnscd pursuant to thc Contractor's Licensc taw).
I am cxcmnt undcr Scction . B. & P.C. for this rcas<ln.
0wner:_
*u **o-ns' cot r pnrr slnox
DECLARATION
I hcreby affinn under penalty of perjury one of thc following declarations:
_l havc and will rnaintain a Certificatc of Consent to Sclf-lnsurc for workcrs' compettsation, as providcd for by Scction 3T00 of thc
Latxrr Codc, for thc lrcrformancc of thc work for which the Jrcrmit ls issued.
l@nou"and will maintain workcrs' compensation insurancc, as rcquired by Section 3700 of thc t-abor
thc work for which this permit is
E{Ed-
Myrkcrs' comFnsation insurancc carrier and policy number
Code. for thc
arc:
pcrformance of
a
Policy /4
_l certify that in lhc lrcrformre of thc work for which lhis pcrmit is issucd, I shall nol cmploy sny Jrcrson in any manner
m as to trom subjcct to thc workm' comFnstion laws of Californi!, and agrc thrt if I should bccom subitt to tlE I
workqs' compcnsation prcvisions of Sstion 3700 of thc Lihor Code. I shall, fonhwilh omply sith thos prcvisions.
I{ARNING: Failurc to scurc workcrs'compensstion covcBgc is unlawful. and shall subjsl m cmploycr lo simiml lEmllics and
civil fincs up to one hundred thousand dollars ($100.000), in addition to thc cost of compcnsation. danragcs as provided for
attorney's fccs.
^{ichoks
DECI ARATION
I hcrcby affirm undcr pcnalty of perjury that I am licenscd under provision of Chaptcr 9 (comnrcncing with Scction 7000) of Division 3
of the Busincss and Professions Codc. and my liccnsc is in full forcc and cffect.
Liccnsc C-I
W
I hcrcby affirm undcr tf,nalty of Frjury that therc is a construclion lcnding agcrcy for thc lvforroncc of thc work for which this Jrcrmit is
issucd (Scc. 3097, Civ. C.).
Lcndcr's Narnc:
I-cndcr's Addrcss:
APPLICANT DT'CLARATION
I hcrcby affrnn undcr pcnalty of perjury onc of thc following dcclarations:
Dcmolition Pcrmits-Asbcstos Notification Fcderal Regulations (Titlc 40. Part6)
_Rcquircd [rttcr of Notification
_l ccrtify that thc fcdcralrcgulations rcgarding asbcstos rcn'nvalarc not applicablc to lhis projcct.
_l ccrtity that I have rcad this application urd state that thc atnvc irtfornution is correct. I agrcc to conrply
representativcs of this City
with all City and County
and County lo cnlcr uJnn thcordinances and Statc Laws rclating to building construction.
abovc nrcntioncd propcrty lbr inspcction purg)ses.
Applicant or Agent
Pernritee nanre
authorizc
6 7
9/to /e.
I /
"ln{
Section 3076 intcrcst
?7 Liccnse