HomeMy WebLinkAbout102107705 - Permita City of Santa Ana 20 Civic Center Plaza ('1vl-19),.Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1O21O77O5
Pin #: ,rfrfr
Project Address: 1318 S Flower St Unit:BIdg: Address Range:Suite Range:
Zoning: RlAssessor's Parcel: 013-083-16 Lot: 5 Block: 10 Tract: 352 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof/Windows
SFD w/det garage
Occupancy:
Constr Type.
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2019
x-0602320257J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio.
T.l.Area.
Yards Req'd
Valuationr $t 8,000.00
Description of Work: Reroof dt.o.-Remove and apply comp shingles to sfd only/replace sheathing
Window changeout-same size, same style
Planning Conditions:
Owner-Builder
Engineer:
Owner:
Address:
Salvador Gonzales
1318 S Flower St
Santa Ana, CA 927072140
(7141 74s-72e4
Contractor.
Address:Address:
C
o Phone:
Tenant
Phone:
State Lic #.
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Phone:
License #:
Architect /
Desiqner:
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
Jacinto, Heidi Date: 0812312021
Date.
Date: 0812312021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
07775002
07776002
57607
57770
57607
57607
57672
57600
57507
Permit Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
I ssuance
$345.28
$4.05
$104.26
$261.96
$1.00
$23.7e
$5e.30
Hernan dez, Kathy
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23.79
$770.80
$1 .00
$4.05
Every permitissued 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 the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
Fee Totat
Paid to Date:
Balance Due:
$799 64
$0.00
$799.64
lnspector MID#: 2021-168249
a
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS )i toeuy amm unda pmtty orperj- *" ,olLT."pukl",['.tfl"Hto,lr* ,* ror the roltowins r"*n 1sc.zo!t.s
Buines and Profsion Code): Any City or County which require a po'mit to @ciruct, alto, improve dmolish or rcpair uy
structuc, prior to its isuocc. also rcquirc rhc applicmt for such pqmit to file a signcd statmmt that h€ or $c b licqEcd pledt
to the provisiore of the Contrrctor's Licqscd Law (Chapt6 9. Comcncing with Setion 7000 of Division 3 of thc Busins ud
Prcfssions Code) or that hc or sh€ is ex€mpt thqefrom ild thc basis for thc allcgcd umpion. Any violation of Salion 7031.5 by ey
applicut for a pcrmit subjets thc applicant to a civil pcnalty ofnot morc tha five hundrcd dollus ($500).
-1.
as owner of the propeny, or my employees with wages as their sole compensation, willdo the work and thc struclure is not
intended or offerd for sale (Sc.7044. Business and hofessions Code: The Contraclor's License [-aw does not apply to an owner of
the propei'ty who builds or improves thereon. and who does such work himself or herself or through his or hcr own cmployees.
provided that such improvonents are not intendod or off€rod for sale. lf, howcrrer, the building or improvement is sold wilhin one year
of cornpletion. the Orvner Builder will have the hrden of proving that he or she did not build or improve the propoly for the purpose of
sale).
_1. as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7U4, Business
and Profcssion Codc: The Contractor's Licensc Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License taw).
_l am exempt under Section_. B.P.C. for this rcason.
o*u, {/4 * J:( owner:
,,
I hcreby affrrm under pcnalty of po'jury one of the following
.-l havc and will maintain a Ccrtificate of Consent to Self-lnsure for workers' compersation, as provided for by Section 3700 of the
l-abor Code, for the performance of the work for which the pennit is issued.
-l
have and will maintain workers' compensation insurance, as rcquired by Section 3700 of the labor Code. for the performance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Carrier'
Policy Number: Expires:
-l
certify that in the performance of the work for which this p,ermit is issued, I shall not employ any person in any manner
so as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions.
WARNING: Failure to serure workers'compensation coverage is unlawful. and shall subject an onployer to criminal poralties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the
I
Section 3076 of thc Labor Code, intercst and attorney's fecs.
2
DECI.,ARATION
I hereby affrnn under penalty of perjury that I am licensed under provision of Chapter
of the Business and Professions Code. and my license is in full force and effect.
9 (comrnencing with Section 7000) of Division 3
License Number:
flq t r..
CONSTRUCTION LENDING AGENCY
I hrcby affm uda pcnalty of pcrjury tha! thft is a ooslruc{ion kading agocy for thc pafomcc of thc rcrt for which this psmil b
issucd (Se. 3097, Civ. C.).
lmdd's Nmc:
Lender's Address:
APPLICANT DECLARA'TION
I herdry affinn under penalty of perjury one of the following declarations:
Dernolition Pennits-Asbestos Notification Federal Regulations (Title 40, Part6)
_Required Letter of Notification
-l
cotiry thal thc fcdml rcgulatioro rcguding rbalos rooval rc not applicabl€ to this projcct.
_l cstiry thal I havc rod this application and state thar thc abovc infomtion is coret. I agc to comply witt 8ll City ild County
ordimncG ud Statc las relating to building constructio& ad h6eby authorizc r@r6ataiv6 of this City md Couty to mtq upon thc
above mentioned property for inspeoion
Applicant or Agent
l)erntittre nilnre
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUI nsu Iation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drnruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
t//t
FINAL to/</t
Certificate of
Notes, Remarks, Etc.a
o
U
r
I -icense
Contractor:
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