HomeMy WebLinkAbout101106435 - PermitProject Address: 2106 S Standard Ave
Assessor's Parcel:016-211-02 Lot: 49
Unit.Bldg: Address Range:Suite Range:
Zoning: RlBlock: A Tract: 1541 Historic: No
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 #: iO{{OG435
Pin #: gt ll0z
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
R-3
VB
cBc 2019
x-0602320276J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $3,000.00
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
Description of Work: Tear off existing, install 12 squares of built-up roofing
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Jose Velazquez
2106 S. Standard Ave
Santa Ana, CA 92707
(7141 290-0122
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address
Phone:
License #:
Architect /
I)esioner'
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 lnsp. Req'd
web-us
\-
Date.
Date:
Date: 0411412021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
0777 60 02
0777 60 02
0 7776002
07776002
0 777 5002
57607
5777 0
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due
$345.28
$4.05
$1.00
$23.79
$se.30No
No
No
No
Fire !nsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
N/A - No Balance
N/A - No Balance
N/A - No BalanceEvery 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 the sfe by such permit is suspen ded or abandoned for a period of
360 days after the time the work is commenced.
lnspector MID#: 2021 -165535
$433.42
$433.42
$0.00
I
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNTR BTIILDER DELC^ RATION
I hereby affirm under penalty of periury that I am exempt form the Contractors' License Law for the following reason (Sec.7031.5 Business
and Profession Code): Any City or County which requires a permit to construct. alter. improve. demolish or repair any structure. prior to its
issuance. also rcquires thc applicant for such permit to file a signed statement that h€ or she is licensed pursuanl to thc provisions of th,'
Contractor's I.icensed Law (Chapter'9. Commencing with Section 7000 of Division -i of the Business and Professions Code) or that htior
she is exempt therefrom and the basis for the alleged eremption Any violation of Section 70-11 .5 by any applicant for a pcrmit subjects the
applicant to a civil penalty of not more than fir'e hundred dollars ($500).
1=1. ,. owner of the propery*. or my employecs rvith wages as their sote compensation. rvitl do rhe r.t'ork and rhe stucture is nor intendod
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of the Fopeny
u'ho builds or improves thereon. and who does such rvork himself or herself or through his or her own employees. provided that such
improvanents are not intended or offered fcn sale, If. howeter. the building or imp'rovemext is sold within one ycar of complaion. the
Orvner Builder rvill have the burden of proving that he or she drd not build or improve the propertv for the purpose of sale).
No l. as owner of the property. am exclusively contracting with ticensed contractors to construct the project (Sec. 7044. Business and
hofcssion Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon. and
who contracts for such projecs with a Contracto(s) licensed pursuant to the Conffactor's License Law).
No I ., exempt under Section . B. & P.C. for this reason.
WORKT'RS' COMPT'NSATION NF'C! AITATION
I hereby affirm under penalty of perjurl,one of the following declarations:
!t n"r'. and will maintain a Certificate of Consent ro Self-lnsure for rvorkers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of the work for which the permit is issued.
NO
_l have and rvill maintain workers' compensation insurance. as required by Section .1700 of the Labor Code. for the performance of the
work for rvhich this pennit is issued. My workers' compensation insurance carrier and policy number are:
('an'icr:
Policy' Nurnber:__Expires:
YES
_ I cerrify that in the performance of the work for which this pennit is issued. I shall not employ any person in any manner so
as lo become subject to the u,orkers'comp€nsation laws of California. and agree that if I should bocome subject to the worters'
compensation provisions of Section 3700 of the L-abor Code. I shall. forthwilh comply wilh those provisions..
WARNIN(i: Failure to secure workers'compensation coverage is unlawful. and shall subiect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section -1076
of the Labor Code. interest and attomey's fers.
LI(' FN SI.'N CONTITACTOR NF'CI AIIATI()N
I hercby afTirm under penalty of perjury that I arn licensed under provision of Chapter9 (cornmencing rvith Section 7000) of Division J of
the Business and Professions Code. and my license is in full force and effect.
[-icense (-lass:l.iccnse Nulnber
CONSTRTICTION I F'NNING AGTNCY
I hereby aflirm under penalty of perjury that there is a construction lending agency for the perfornunce of the rvork for rvhich this permit is
issued (Sec. 3097. Civ. C.).
Lender's Name:
Lender's Address:
APP! IC^NT DT'CI ^ITATION
I herelry aflimr under penalty of per1ury one of the followrng declarations:
Denulrtion Pernrits-Asbestos Notrfication Federal Regulatrons (Title 40, Part6)
!!_ Required Letter of Noti fication
YEs f certify that the federal regulations regarding asbestos removat are not applicable to this project.
ttt I certiry that I have read this application and state thar the above infonnation is correct. I agree to compty wirh all City and County
ordinances and State laws relating to building construction. and hereby authorize representatives of this City and County to enter upon the
above mentioned property for inspection purposes.
Reroof
Roof (Diaphragm Sheathing/Frame)a-0.2t i ]atdtlZ 5/a. lh.ryoatr 6tr,**,
Structural Final q/?or'?4 \*z*ils
Plumbing
Under Floor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
lVlechanical Final
Notes, Remarks, Etc.
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