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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). -l am exempt under B. & P.C. for this reason. WORKERS' COMPENSATION DECLARATION I hereby affrm under penalty of perjury one of the following declarations: -l 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. -l 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: -l 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 -l cqtiry thal thc fiical rcgulatioro rcgrding rbctos movd re not spplicablc to this prcjet. -l 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,