HomeMy WebLinkAbout101108078 - PermitProject Address: 2502 S Laurelwood Ave
Assessor's Parcel: 935-1 31-33 Lot:
Unit:Bldg Address Range: 2418-2540
Historic: No
Suite Range'. 2502-2508
Zoning: R2Block: NA Tract: 9505
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 #: 1011O8O78
Pin #: 17654
U-,-
Building Use:
Job Type
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Multi-Family (5 or more units)
Reroof
Reroof
Apartments
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat 0
Deacrlptlon ol Work TrO exkting roof matoalal and inatall new roofahingla to exi3ting .p.rtmont bulldlng (2502-2508 Lrurolwood). Rephce
.he.thingrplywood aa nesded.
Pl.nning Condltlona:
Occupancy:
Constr Type:
Code:
Flood Zone'
# of Stories.
R-1
VB
cBc 2019
x-0602320258J
Patio:
T.l.Area:
Yards Req'd
Valuation: $93,377.00
Owner:
Address:
Phone:
Tenant
Keystone Pacific Property Mgmt.
16845 Von Karman Ave
lrvine, CA 92606
(949) 838-3217
Contractor: Charles Antis Roofing
Address: 48 Waterworks Way
lrvine, CA 92618
Phone: (949) 461 -9222
State Lic #: 562480
Lic Type: B, C-39
Bus Lic #: 342381
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Co
Policy #: 9254842
Expires: 0710112022
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner:
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 !nsp. Req'd:
Orozco, lvan
web issue
Date: 0912712021
Date:
Date. 0912712021
Subject to Field:
Mrsc. Receipt.
Misc. Receipt:
Misc. Receipt:
0 77760 0 2
07776002
07776002
07776002
077760 0 2
5760 7
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
$34s 28
$4 05
$2 00
$23 7e
$5e 30No
No
No
No
Frre 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
BalanceEvery permit lssued 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
lnspector MrD#' 2021-169079
Fee Totat
Paid to Date.
Balance Due:
$434 42
$434 42
$0.00
BUILDING. !NSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DET,CARATTON
I hqchy affm undo pcnalty of pcrjury thar t m cxmpt fiom thc Contrsctotr' Lire hw for thc following @n (Se.7031.5
Buins ard Prcfsion Codc): Any City or Coutrty which rcquirc a pcrnit to snstruct, altq, imprcvq danolish or rcpair uy
sructuc' prior to its issmcc, also requirs thc applicmt for such pamit to filc a signcd statmmt that hc or slrc b licos€d pGuet
to thc provisioB of tlE Contractor's Licmscd hw (Chapt6 9. Comcncing with S*tiotr ?000 of Division 3 of thc BBitrs sd
Prcfsios Cod€) or thst hc or shc is qop rhqcfrom ud thc basis for thc allcgcd cxmption. Any violation of Sctbn 7031.5 by uy
applicut for a pomh subjets thc applimt to 8 civil pcmlty of not mrc th& fivc hundrcd dollm ($500).
-1,
u omq of the propcrty, or my mplo)6 with w8g6 I thcir sle smpcGatioo. will do thc wort atd thc {rulw is rct
intadod or ollcrcd for slc (Se.7044, Buine ud Profeioro Codc: Thc Contractor's Lic6c kw do6 not apply to e omo of
thc propqry who builds or imprcs thoor1 sd who dc such w* hiruclf or hmelf or thrcugh his or ho om cmploycc,
providcd that such imFovqmts e rct htodod or offotd for slc. If, hoM, thc huildiru or impromt is sH wilhin one )@
of@rpldioa thc Ovtr6 BuiH6 wil h.E thc hrda ofproving thd hc or shc di, mt buiH or improrc lhc propqty for thc prpos of
ele).
-1,
r omq of thc Fopaty, m cxcluivcly contrscring with lics€d contrscloE to coEtruct thc Fojci (Se. 7044. BEir6
and Proftssbn Codc: Thc Contrutor's Licosc Law doe not apply to u owno of propaty who builds or imprcve ths@q
ud who contracts for such projcts with a Contncto(s) licos€d puBunt to thc contrac{or's Lic@c llw).
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am exempt under B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I hereby affrm under penalty of perjury one of the following declarations:
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havc and will maintain a Ccrtificate of Consent to Self-lrsure for workers' compensation. as provided for by Scction 3700 of the
I-abor Codc, for the performance of the work for which thc permit is issued.
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have and will maintain workefti' compensation insurance, as requircd by Scction 3700 of the l-abor Code, for the pcrformance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy Number: Expires:
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certify that in the performance of the work for which this permit is issued, I shall not anploy any person in any manner
so :rs to becorne subject to the workers'compensation laws of California. and agrce that if I should bccome subject to the
workers' compensation provisions of Seclion 3700 of the t-abor Code, I shall. fonhwith comply with those provisions.
WARNING: Failure to sccure workers' compensation coverage is unlawful. and shall subject an onployer to criminal perTalties and
civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compcnsation. damages as provided for the
Section 3076 of the tabor Codc, interest and attorney's fees.
I hereby affrrm under penalty of perjury 3
of thc Busincss and hofcssions Code, and my licerue is in full forcc and effect.
License Class: Liccnse Numbcr:
I)q i o'
W
I h@by 8ffm mdcr Falty of Frjury thrt tbsc b i @ndrudbn hndiry rg@y for thc pqforec of thc mrt 6r which thb pqmit i!
issucd (Se. 3097, CiY. C.).
knd6's Nmc:
Lender's Ad&ess:
APPLICANT DECLA]TATION
I hercby aflirm und€r penalty of pcrjury one of the following declarations:
Demolition Permits-Asbestos Notification Fedcral Regulations (Title 40, Pafl6)
_Required Letter of Notification
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cqtiry thal thc fiical rcgulatioro rcgrding rbctos movd re not spplicablc to this prcjet.
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cstiry thal I havc md this application and stalc thal the abovc infomstion is cor61. I rgr to @mply with all City ed Couty
ordimcB od Statc l:m relalLu to buildirg coNtruction, od h6cby ruthori4 rcTrMtaliv6 of thb City ud Couty to mt6 upon thc
above m@tioncd prcpqty for iroperion purpos.
Applicent or Agent Signeture: I)ete:_
P.mile umc (prlrt):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nul nsu latio n
Roof Sheathinq 7-u-zo ffitu
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL
Certificate of Occupancy
Notes, Remarks, Etc.
a,