HomeMy WebLinkAbout101108016 - PermitProject Address: 1916 S Cypress Ave
Assessor's Parcel: 403-163-01 Lot: 7
Unit:Bldg: Address Range:Suite Range:
Zoning: R2Block: A Tract: 284 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 1O11O8O{6
Pin #: 95920
Building Use: Other Occupancy: B 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work: Reroof Code: CBC 2019 Other Areas
Existing Bldg. & Use: Church Flood Zone: X-0602320276J Garage Area
Proposed Use: # of Stories: Totat
Description of Work: Reroof w/t.o.-Remove shingles and apply cool roof shingles/sheathing to remain/handout given
Patio:
T.l.Area:
Yards Req'd
Valuation: $95,000.00
I0tch+: '5lJjrl ice: (:Planning Conditions:
l Owner:
Address:
Phone:
Tenant
La Semilla
1916 S Cypress
Santa Ana, CA 92707
(7141 957-3131
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address.
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
Mendoza, Jessica
Hernan dez, Kathy
Date: 0912112021
Date:
Date: 0912112021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07776002
07776002
07776002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
$863 20
$4 05
$2.00
$23.7e
$s9.30
$es2.34
$0 00
$952.34
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd. No 01 1 1 6002 51 600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterits issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-168872
$23.79
$e22.50
$2.00
$4 05
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hoc$l afum und6 paalty of psjury that I m qmpt fiom thc Contrs.lon' Licre law for thc followiag rwn (Sc.7031.5
Buins and hofeion Codc): Atry City or County which rcquim a pumit to coEtruct, sltq, isprovq daaolish or npair my
struclue, Fior to it3 ismcc, also rcquire thc ryplicet for such pcnrit to filc E signcd statmot thd hc or shc b licasrd plmst
to thc prcvisioru of thc Conractor's Limcd law (Ch4tq 9. Commcing with Sction 7000 of Division 3 of the Buine md
PrcfeiomCodc)orthathcorshcisq@ptthqc&omedthcbosisforthcallcgcdaoption. AnyviolationofS€rion703l.5byey
applicet for a psmit subjets the applic&t to a civil pcnalty of not more thd fivc hundred dollus (S500).
_1, s oma of thc Fop6ty, or my mplolc with wag6 a thcir slc @mpsMtioo, will & thc wr* ad tlE srrudrc b mt
intqrdod or ofiqed for salc (Sa.7044, BEins ud ProfsioN Codq The Conlmctor's Licffi trw do6 not apply to u oMs of
rhcFopqty whohrildsorimprorcttuocsdwhodo6zuchwr*hiwlforhelforthrcughhisorhqommploye,
providcd that such improffits rc mt intqrdcd or ofu for slc. lf, trcw, thc hiHhg or inprovmt is sld within onc )qr
of compl*bn thc oluao BuikLr wil lurc thc hrd6 of poving tha hc or strc did mt huiH or inprovc thc popaty br thc prpos of
sdc).
-1.
I oMq of thc propqty. m cxcluivcly coilmcling with lic@s.d contrutoB to coctrud tlrc Fojet (Se. 7044. BNinB
and Profcsim Codc: Thc Contrctor's Licdsc Law do6 not apply to e own6 of prcpcrty who builds or imprcvG thq@o,
md who coolracls for such prcjcts with 8 ConEaclo(s) licascd punuant to thc Confactor's Licre hw).
_l am under Section-. B. & P.C. for this rcason.
I hereby affrm undcr penalty of pojury one of the following declarations:
_l have and will maintain a Certificate of Consext to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
Labor Code, for the p€rfonnancc of the work for which thc pcnnit is issued.
_l have and will maintain workers' compensation insurancc. as required by Section 3700 of the L^abor Code. for thc performancc of
the work for rvhich this permit is issued. My workers' compensation insurance carricr and policy number are:
{
_l certi$ that in the performance of the work for which this permit is issued, I shall not employ any p€rson in any manner
so as to bccornc subject to the workers' compensation laws of California, and agrce that if I should become subject to thc
workcrs' compensation provisions of Section 3700 of the kbor Code I shall. forthwith comply with those provisions.
WARNING: Failure to secure workers' compemation coverage is unlawful, and shall subject an employer to criminal poulties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
Section 3076 of the l-abor Code, interest and attorney's fees.
DECI,ARATION
I hereby affurn under penalty of perjury that I arn licenscd undcr provision of Chapter 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code, and rny license is in full force and effect.
License Class: License Number:
Contrrctor:
W
I ha$y alhm undo pqdty of psjury rhd thc is a @n$rucliotr lading agmy for thc psforocc of thc wrk for which this pqtnh b
isucd (Sc. 3097, Civ. C.).
I-cnder's Namc:
lender's Addrcss:
APPLICANT NECLARATION
I h€rcby affirm under penalty of perjury one of the following declarations:
Demolition Perrnits-Asbestos Notification Fcderal Regulations (Title 40, Part6)
-Required
lrtter of Notification
-l
cdiry that thc fcddal tcgulatioro rcgading ubatos r@oval ac not appliceble to this proj61.
_l cdiry that I havc rcad this application and statc thal thc abovc inforrralion is corot. I agre to @mply with 8tl City ed County
ordimcG ed Statc lrs rchting to building coDgruclion, ad h@by authorizc rc?rBqrtarivc of this City md Couty to otq upoo thc
above mentioned property for irspection
Applicant or Agent
l'ermitee nRme
Dric ltulL{
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl n s u Iation I t I
Roof Sheathinq 0 \q0\1L vwy I /
Shear Wall rl /
Framing
Insulation/Enerqy
Drynrvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Fina! Report
Engineer Final Report
Flood Zone Certif
t .A e I
FINAL l\q\7/\ulr{6
Certificate of Occupancy
Notes, Remarks, Etc.
Policy Numbcr: Expires:
UtYr.aaq€ f^/C"h8f'tLlrt
rl
1:
C
J
I
iEiliiE3
$
giEtgg
d HsilE,E
Jo
!1'
a
J
(^t
o
@o
No.l
CD
Uo
TD
1l
oEo
=o{fo-
:f
TDrop-
o'
o)f.o
=o
TDu
J
0)a(,oof
@C
=rooc
o-o
o
=o
E
oroo
=
=E
o
o
3o
=o
aEoo
o'o-
o)
$FEq
AodE
=oila
g,e
o-E
EE8{
@='
g.J
6- ol
_rf
e2-lo
al=
PEelo6lE
3'loolacl>- lc)ulx\< l=_lodl{<. lo
=loro lo
=l;rol=
EE
=lo-l=
ts lq"cl=
8. l{
-'15'rl=
Elr
-r la.
-l=tdlsJ l=.oloal=
$ lTrolo
rtigo{3
=o)OxToWl<cO-. -
-L_q?
o
dq
o
=
$3 6
='=/-\ =:v)--o-a-o'ro o :..-''+a
ooU)-rEc$-ro
E $o'd ct'g
6 q=
q *,=
trilE
E(nfq ='-== o-c_,
-.r^l )4. i\t =.a[;
OE
=t -= A)
EE3
e"el='
J1+o qr'
?sdx
-r \r,c() -t0)==-)-9, &od5a'8a
Fi.od3o
@' -+i
-o-9ts
()')OEcA
(D- Ur'
Eg
oaFto'
=eO-o
P0)€aO-re3o={dfO-o Ft-' =@'
EF AF 31T3gF il]'e E'v Ea&='- 33; 9; =ail; oEa E+ ui"qg+ 6qA rA F6---osi$s 6s ;.EE:g il
=r ;3 gsrpr id*a 1E ;=nA+ E
e3_ ,=+ Y3=5# Ias E; fli*Be ugl il* #g[$a $
J, o1 8.* qJE+8 gtod Og d-:s:oe- B1r sa EEtsEi Sq'3 ilE dEiEi sai 6E f;sEQE Sil ill 15Ait I
= 5 2 0 7
$E1$a*1E1$Ho ."r q_q-d3a \3C gg lo'id= d
!* E-i :=a^=o) E
EIgEIE;lflI
=g 3 $E?.$E :o o = <oE rD = = ato-= O o d ='or d
=.li ? qiqin :sa g FH:ilq t-'a ,, =P30=
].nq a E*itg :.is s E3ifrs io= = *lfd5rD o
=ot O OTiioi P#= r sBtFgO= =r = -.rd-O-A* i iE, iB3cB 6 Esls=s{?
o{
=Hffi gHI*;F
I j', -f; 9'sr, i'l
= A --J (nq.== E:s s=E=_# aq* a*e=il 3*a Eils*i H+i il3EEl E== AB"53E A@ q =iil=j ag: t'jPq qge= A,_ E -',t. C 4; cng;B --+,-'t 0)ctsd 353 6
vlv=-t* <.o- ro o[Fg == €$*; ffB E
=g= ao o-
O- ;5f, ,-,r f CF
838 fri E-rc ;3 dEEH. g; B*rY oo :[$r ;s q
*36' E-d fiIsE 4o o';gi E_A 3
frs=H tsr g
E;il- -r= a;=q 38 g
r5F 3A =E8l *= q
834 dil 3!g o o -= o)!l 9e ar=fi E3 1dF= Hg i@ 'l+ cr+ A'qda cre 'i+sst aB t@oa BF 1=3 il = - ='BF6' 8-g U
=€s ;- Auai =t 3ai8' d 5-8q U -?0'- 3
seF +Hs
e 9l' $ E FIju 9o --o-6l3(D
tq = fr As t-. 1)*3q -'=
=
q' e. 9 q -u=9
cO JOOq)
=.= 1-g -(O =O cL Or_O g?
',o)@ u, cr91<
==ss
=E
gqg; =Fd,^.d Y 3il rg
=d e o.3 qEs ilfiiE
sg 3rt3
86. qf,sq= :;u'-3t ga*
=E =
dtsO-1f 4,*l-a9 = dE\-/., $ J =ilq e ars3 $*s
=r o- 0)+.4 o) t =-r J - )n
lp E E
=
oo== FEqo1 I
= P6a' ,-9*3fr q;q;"e trq=
== = 9qC)= -r-r=.01 xd o-o<- q- a'o-@eq Esg
n,^6 -r:(Qso. gE Eis drg
=o c an\<
: q **soo -160-+e g+gJJ-+r)ntD=' q6ol'?$ rut=C)
zo
=o
lTt{o
T'7o!rnF{
o
€2rn7
='
I
{
.Q\o-\ool
(U
oF
-l .
s
oaG+a
Seo=(,Soo
.E.F
3 -r,Eb
\F9T\o
snoa
b$da.\oo
ES.N,h
\risb
-\o
SE
$.[Suto'i
€'E.otbt.lots
ta S
5Es=
Etots
EE\4.
$;EU9
€'i
uoc
=o
o
o
Eoz
E.E
o-
o
oo
o
=(Uc.9a
ai-oC
=o
Eoo-o
o-
o
o
-o(U
o
.C
=o
E
_o)
(U
Coa
oo-
Eco
0)
o
-o$
o
0)
e
aao
'lCE
(U
o
-C
o
0)C
=o
E
0)o-o
o-
o
-C,
E
(U
=o5;
2"8
l-'rroXo-6beb;==\v?
IBr-Eocjo(U
I_ro
o'EEP() ,--ooEE
uCoo)
E
0)N
o
-C,
:f
'lo
o
-o
E
=z
oCo
-co-
ucoo)
ooN.E
o
-c.
:l
o
aao
E'1O
jicoo)
EoN
o
-C
=
o
0)
E(I,z
aaq)
EE
l-o
Eo
N
C)oJ
oo'd
l-
o-
-Y
o
=r+-o
Co
o-
oaoo
o
oo'o'
o-
co
C)
=acoO
o
0)o-oo
U)
(|)r-NO.EEo:-c. f,5q9bic
EEc) \-/
.C, C$j.E.=ou
E8COo +.,o->
0sa(U(l)cooo)AC
ogo-t
>.. 0)EE
.9, 3
E€ooaibo'xE
5oc
(U
-c.o;
-c o)
='atlob
g t+'
.9>
=o-d3xoo+'o6-
-
\r/=Ero)OO)C(U
oE
-bor-(U
00)uo- (:
9(Uo-o
Q ,^.+raqE6.goo6 2 0-zEa
-C. CD C+r1]t-
P= b'= o rr-
7rl-.&J
=Oc
-
r#- L-9ebrulo-
lJ.J
-I
]U
mak
lUz
=o
Ftr
lU
o-ot
o-zo
F
C)
ol-
Fz
]U(9
ltozo
IF
Nto-IFf
cl
I
^),
d
l-oc
=o
rFo
o
E
(U
C
*-tC.E
o-
o
(\,o
l-oC
3o
Eoo-o
o-
'lo
o
=(U
C.9a
f
-r,-(.\
0F"
c
EI
EIol
SI
.gl
*ltrl
EI
ilol
pl
al
EEln
l*l El
iEl tl
ESI :I
i$fl
E:l El
tsg
-,nS el
E:'3
?.Ol
EE EI
.g t 3lie sl
IEfl
Ef HI
-al.= .ct =l.- t- \rlEOEI
r i$tu, o 'tll-9rols;il.=PEI
I rEIef sl
f; .g.SI
'r- Eo.'-E I9EE; E,(U o ?4.>.o-c'Lo>EP
E fiE E: g
(D.L.Y OtF ().Qru=>oo\r -a o i-o o
.,3 e lfr'F E
= >"9 H.a;
H EE 3r
=H =i: L L c
E 9.H B8E
8 E€- l= E5E;6
=
6
EE# si36 P o{ -^'o
F 6; 0 e (J
Ec-3oo
b:-E#Eg;Ed;EE=s=q8
==EBqEE
o 3 =:-E=E;o;9b
=
*a e') -c. a
gqEE:E
Eg oD o - o
E oEE Is
SEEEgE
;EEEruE>E6oc
e: H;a:(r E 11 1p A=.
E 8= g..I 8-6m:g E I
BE H HIT
Eq $; gr
'=d 4.9 g SEE P 86 EgIgsss
9.6 bo- q
8.E=EgE
E5s s E E!eEEE;If {-' o -H r:-EE bt 9 E= oS
Eg PEEg
6c
-o6oEPt--oe(I,C
:o=E $-jo
.Zc.F, OC)N9
La.9o+' (r)o--
=fi,--a6
ol-oo
EU;(l)E8e eo-o o9- o0:o- 'jo
.e E ,o50, 5!q 'E
€(U EgE H
9,a c
b(Uo-t, b
:o\----otrq tok oEe
=E= E
o-Ec= ktu<u +/>B .a?fi o) -c.EEE
>- 'E?'a o
=qe ao- q;r aoEEF ^gC-=u=8+ EExE 6aIf,F
-C, E .C+.CO{-'
O(II+'CPa Eob,= EHo o ollSfTT L)\v --
r[ g-,E la).9. r
d+ {eE
IT)
(U
o)c
=o
o
o
-c
(U
=.z
C)(I,
Co
of
acoo
l-o
o
-o'a
Eoo-
iE
ECo
=(I,
(r)o
E(oo-
,B:=B E
ooog E7.q- o
0 E6 ;pE; g
l-L' (U J 7rcC)U) EEg3 ESP E 8
.g 68 5u--\n o ntrttn EEEE }hil= Elo-o ru0=6 c
;aa eCC9E *i E
-\''=l-Lrts+tL.rA(U O ()X .Xq+'- g H o$ b Z. E .q
3ES b EE CI Nzr (U
g.qF fr E€E* I I>=o - o)SEeE €c ([l+'-o :E()E I .B
E-=r € EL,YL-c o >t JEf ge t(U L I-.t- O
E 3; E
=€EEP O
.I-n- Ce{ H a o
E frEE :c.E: q dE 96 S', af,m:"1 E
eE a q EEE*e. =l cu
EE#
=I
Es#t: sb,o lq [d $
EgEN. Ff c =\/-fo0def; P
<l.EE: dll> ruecn^ sl