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Home My WebLink About101108031 - Permitl City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927o2 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Building Permit #: lO{lOIOIl Pin #: 72I5I Project Address: 3002 W Wisteria PI Unit:Bldg: Address Range:Suite Range: Zoning: RlAssessor's Parcel:109-752-09 Lot: 150 Block: NA Tract. 4025 Historic: No Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Reroof Reroof Occupancy: Constr Type Code: Flood Zone'. # of Stories: R-3 VB cBc 2019 x-0602320256J 1st FL Area: 2nd FL Area: Other Areas: Garage Area. Total: Patio: T l.Area: Yards Req'd: Valuation:$7,075.00 Description of Work: Tear off existing, install 25 squares of comp roofing Planning Conditions: Engineer: Owner: Address: Armando Gomez Contractor: RH Roofing, lnc. Address . 702 S. Mohawk Dr. Santa Ana, CA 92704 Phone: (7141381-1870 State Lic #: 1007845 Lic Type' C-39 Bus. Lic #: 352077 Workers' Compensation lnsurance: Carrier: Zurch-American Policy #. WC140631701 Expires: 0610112022 Address: Phone: Tenant: Santa Ana, CA 92704 17141 381-1870 Phone: License #. Architect / Desinner' Add ress: 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: web_user Date: Date: Date: 0912212021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 0 777 6002 0 77760 02 0 777 6002 0 777 6002 0 77 7 6002 57607 5777 0 57672 57600 57607 Permit Fee Microfilm Records Bldg. Stds. Revolving Fu General Plan Update lssuance $345.28 $4.05 $1 .00 $23.79 $59.30No No No No Fire lnsp. Req'd: Police lnsp. Req'd: Flood Zone Cert. Req'd No No No Account#Total Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days afterifs issuance,or if the work authorized on fhe slfe by such permit is suspen ded or abandoned for a period of 360 days after the time the work is commenced. N/A - No N/A - No N/A - No Balance Balance Balance Fee Total. Paid to Date: Balance Due: $433.42 $433 42 $0.00 lnspector MrD#. 2021-168952 INSPECTOR RECORD { SITE-WORK DATE ID/SIG.COMMENTS O\TN['R BUILDER NEI CARATION I hereby affinn under penalty of periury that I am exempt fcrrm the Contractors' License [,aw for the following reason (Sec.7031..5 Business and Profession Code): Any ('ity or County rvhich requires a permit to corLstruct. alter. improve. demolish or repair any structure. prior to its issuance. also requires the applicant lor such permit to file a signed statement that he or shc is licensed pursuant to the provisions of the ('ontmctor's Licensed Law (Chapter 9. Commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the ba-sis for the alleged exonption Any violation of Section 7031 .5 by any applicant for a permit subjecs the applicant to a civil grcnalty of not more than five hundred dollars ($5001. No l. ,. o\\'ner of the property. or rny onployees rvith rvages as their sole compensation. rvill do the rvork and the suuctune is not inrended or offered for sale (Sec.7044. Business and Professions ('ode: The Contractor's License Law does not apply to an owncr of the fpâ‚¬rty rvho builds or improves thereon. and rvho does such wort himself or herself or through his or her own onployees, provided that such improvonents are not intendod or offered for sale. If. horvever. the building or imp,rovernent is sold within one year of cunplaion. the Orvner Builder rvill have the burden of p,roving that he or she did not build cn improve fie properW for the ptnpcc of sale). ]Et. ar owner of rhe property. am exctusively contracting rvirh licensed contractors to construct the project (Sec. 7044. Business and Pnrfession ('ode: The ('ontractor's l.icense [-arv does not apply lo an owner of property who builds or improves thereon. and wlro contracts for suclr projects with a Contracto(s) licensed pursuant to the Contractor's l,icense l-aw). !o I ., exempt under Secrion - B. & P.C. for this reason. WORKT'RS' COMPF'NSATION NF'('I ARATION I hereby alTinn under penalty of perjury one of the following declarations: N-o t hru. anct will rnaintain a Certificate of Consent to Self-lnsure for workem' compensation. as provided for by Section -j700 of the l-abor Code. for the performance of the work for which the permit is issued. YES _ I have and rvill maintain rvorkem' cornpensation insurance. as required by Section 3700 of the Labor Code. for the perfonnance of the rvork for u,hich this permit is issued. My workers' compensation insurance carrier and policy number are: FrankGrum('arrier:_ wct4-o&317-01l'olicr Nurrrhcr':Expires: 0610112022 NO I certify that in the performance of the rvork for rvhich this prmit is issued. I shall not employ any pefion in any manner so as lo become subiecl to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section .1700 of the L:bor Code. I shall. forthwith comply with those provisions.. WARNIN(i: Failure lo secure rvorkem'cornpensation coverage is unlarvful. and shall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section -3076 of the Labor Code. interest and attomey's fecs. LI(' FN SF'T} ('ON'I'RACTOR NFC L.\RATION I hcreb5'alTirnr under penalty of perjury that I am licensed under provision of Chapter g (commencing rvith Section 7000) of Division -1 of the Rusiness and Professions Code. and my license is in ftrll force and effect. c30 l-icense ('lass:1007c45 License Number (.ONSTRIICI'ION I TNDING AGFNCY I hereby alTinn under penalty of per'fury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. .1097. Cir'. C.). l.errder's Narne: l.encler's Address: APPI ICANT NTCI A.RATION I heretry attnn under penalty of per1ury one of the followrng declarattons: l)ernolition Perrnits-Asbestos Notification Federal Regularons (Trtle 40. Part6) No_ Required Letterof Notification t11 t cenif)' that the lHeral regularions regarding asbestos removal are not applicable to rhis projecr. YES I cerrifo that I have read this application and state that the atxrve infornration is correct. I agree to comply with all City and Cc,unty orclinances ancl State l-arvs relating ro building construction. and hereby authorize representatives of rhis City and County to enter upon the above mentiord property for inspection purposes. 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