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HomeMy WebLinkAbout101107561 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O1107561 Pin #: 84035 /,r^ Project Address: 2405 S Salta St Assessor's Parcel 412411-18 Lot: 15 Unit.Bldg: Address Range:Suite Range. Zoning: R1Block: NA Tract: 3962 Historic: No Building Use: Job Type: Nature of Work: Existing Bldg & Use: Proposed Use: Single Family Dwelling Reroof Reroof SFD w/ att garage R-3, U VB cBc 2019 x-0602320259J 1st FL Area 2nd FL Area Other Areas: Garage Area: Totat Patio: T. !.Area: Yards Req'd Valuation: $12,300.00 Occupancy. Constr Type: Code: Flood Zone'. # of Stories: D6cription of Worki TrO exiating root m.terial and lnstall new comp shinglo to SFD with etteched garage Rsplaco sheathingrplyarood e3 n€eded. H.nd out givan. Planning Condltions: Color lo be architocturally comp.tible with ra3idonce. +r Ownet': Address: Phone: Tenant JACKYE MAXWELL 2405 S SALTA ST Santa Ana, CA 927045626 (7141 686-0668 Contractor: Mike Vogt Roofing Address: 2658 Vista Ornada Newport Beach, CA 92660 Phone: (7141 336-6422 State Lic #: 1064773 Lic Type. C-39 Bus. Lic #: 378672 Workers' Compensation I nsurance. Carrier: State Fund Poficy #: 9273545 Expires: 0312612022 Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: lilrt 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 Martin, Eric Zuniga, Allissa Date: 08/1 712021 Date: Date: 08/1712021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt:v 07776002 07776002 07776002 07775002 07776002 57607 57770 57672 s7600 57607 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance $34s.28 $4.05 $1 .00 $23.7e $se.30 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. 01 1 16002 51600 01 1 16002 51601 01116002 51612 01 1 16002 57770 $23 7e $404.58 $1.00 $4.0s Fee Totat Paid to Date: Balance Due: $433.42 $0.00 $433.42 lnspector MID#: 2021-168214 BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG COMMENTS OWNERDUILDERDELCARATION , . I hcrcby affirm under IEMlty of pcrJury that I m cxcmpt frcm thc Contncton' Licens llw for thc following rearcn (54.7031.5 Busincss and Profcssion Codc): Any City or County which rcquircs a 1rcrmit lo construct, altcr. improvc, dcmlish or rcpir any structurc. prior to its issuancc, trlw rcquircs thc applicut for such Frmit to filc a sigrcd statemnt lhat hc or slE is liccnscd puEuant to thc pmvi$ions of thc Conlrrctor's Licensd [:w (Choptcr 9, Comrcncing wilh Sction 7fi)0 of Division 3 of thc Business and Prefcssions Codc) or lhat hc or shc is cxcmpt thcrcfrom and thc besis for lhe lllcgcd cxcmption. Any violation of SNtion 703 1.5 by any applicant for B 1rcmit subjccts thc applicant to a civil pcnalty of not mrc than fivc hundrcd dollus (S500). _1. as owncr of the oropcrty. or my employecs with wagcs as their solc compcnsation, will do the work and thc structurc is not intendcd or offcrcd for sale (Sec.7044, Business and hofcssions Code: The Contraclor's License [:w docs not apply to an owncr of thc proJrcrty who builds or improvcs thencon, and who docs such work himsclf or hcrsclf or through his or her own employccs, providcd that such improvenrcnts arc not intcndcd or offcrcd for salc. lf, howevcr, thc building or improvcrrcnt is sold within onc ycar of comphtion. thc Owncr Builder will have the burdcn of proving that he or shc did not build or improvc the pmpeny for the purpsc of salc). -1. as owncr of the propcrty. am cxclusively contracting with liccnscd contractors to construcl thc projcct (Scc. 7W. Busincss and Profession Code: The Contraclor's License Law does not apply lo an owncr of property who builds or improves thereon. and who contracls for such projects with a Contractor(s) liccnscd pursuant lo thc Contractor's Licensc L:w). -Ialncxc!nptundcrSection-.B.&P.C.forthisrcason.I)nte: }VORK F' RS' COI\I PENSA'I'ION DECLARATION I hcreby affirnr under pcnalty of pcrjury one of thc following declaralions: _lhavcandwill maintainaCcrtificatcofConsenttoSclf-hrsurcforworkcrs'conrpensation,as providcdforbySection3T00ofthc Labor Codc, l'or thc perfornuncc of thc work for which thc pcrrnit is issucd. _l havc and will maintain workcrs'compensation 3700 of thc tabor Code, for thc ;rcrf<lrmancc of thc work tirr which this pcrmit is issucd. My and plicy numbcr arc: a 4,4t Policy --Lo ,1- _l ccrtify that in the pcrfornrancc of thc work for which this pcrmit is issucd. I shall not employ any lrcrson in any manncr so as to bccomc subjcct to thc workcrs' compensation laws of California. and agrcc that if I should bccomc fuUpct to thc workers' comlrcnsation provisions of Scction 3700 of thc [:tnr Code. I shall. fbrthwilh comply with thcrsc provisions. WARNING: Failure to sccure workcrs' civil lirrcs up lo one hundrcd thousand Scction 3076 of the labor Codc. intcrcst and lhc .L I hcrcby affirm undcr pcnalty of pcrjury that I am liccnscd undcr provision of Chaptcr 9 (commencing with Scction 7000) of Division 3 of thc Busincss and Profcssions Code. and my liccnsc is in full force Bnd cffcct. Liccnsc Nurnbcr: I hcrcby alllrrn undcr pcnalty of pcrjury that therc issucd (Scc. 3097, Civ. C.). a construction lcnding agcncy for thc grcrfornrancc of thc work for which this permit is lrnder's Namc: [-cndcr's Addrcss: APPLICANT DECLARATION I hcrcby all-nnr undcr pcnalty of pcrjury one of thc following declarations: Dcrnolition Pcrmits-Asbcstos Notification Federal Rcgulations (Titlc 40, Paa6) _Rccluircd [rttcr of Notification _l ccrtify lhat thc fedcral rcgulations rcgarding asbcstos removal arc not applicablc to this projcct. _l ccrtily that I have read this application and state that thc atnvc infornution is corrcct. I agrcc to conrply with all City and County ordinanccs and State Laws rclating to building construction, and hcrcby authorizc of this City and County to cnler upon thc abovc nlcnlioncd propcrty lbr Applicant or Agent Permitee nanre o,,",'*-17-Ll Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/Vent/l nsu I atio n Roof Sheathinq J uAz- Shear Wall /l V \J Framing lnsu lation/Enerqy Drywal! Ext./lnt. Lath Brown Coat N/asonrv Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif. I FINAL 1 t lt t )-,N o\ Certificate of Occupancy ll t U Notes, Remarks, Etc. Owner:_ \ --.L6- an to crinrirrul Date:_b^ / 7-L/A a tr\ tq qJ+,Eo .)t{--) X lqq,\StE,at\Et.-rrl SEsi -(FIES(lItstr!hECDts 6$ E} IErbg.E Et' aE$fe $$a.O\\et Ei t'$.ii A*r .EH E $EIta tr.3EfE E g$ L-oC 3o +.rl-oo-o Lo- l-o {JU(! L.+)coU E'o(r,l CoU J Aq,so*(, a,€UY P $= bo E 1 PgE 3E 3_ .= g a'Ei E gr-o F- ! o o-g pcrr :sE d o ES*E '=c'r .=- = o o ; dbtr: :r Is € E; rt*: i-u s-c o EE nF_Es ,=E Ez E Ef ;=E, Ii EE * II lEfrH EE E# ; Er' ae: .^ trc '=i o E* 8E:i 66 E; f EE ElEi a.'F tr r, .r = to c EE .EE ,oE H EE- E;s-,g fll PsrI E*" EtESa Ei.J ilE H on = .o* ilE ;fE r i€qg;gE H* EF; i 5i5SEEE E# EHb E ^E;s BH;E ."x €=g E Ei; F..EE^B np ;qoE 6 ;EE AE:-E tE :: E€5 ;E EE **;EE li1 ;tig fiI + .EiE H+g u.iE .iE o 0! 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