HomeMy WebLinkAbout101108178 - PermitPin #: 39PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 2106 N Poinsettia St-a-Unit:Bldg. Address Range:
Assessor's Parcel: 003-131-07 Lot: 50 Block: NA Tract: 1335 Historic: No
Suite Range.
Zoning: Rl
city of Santa Ana 20 civic center Plaza (M-19), santa nna, cnutloz Building Permit #: 1O11OB178
Building Use: Single Family Dwelling Occupancy: R-3, U 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: SFD w/att garage Flood Zone: X-0602320163J Garage Area:
Proposed Use: # of Stories:
Total
Description of Work: Reroof w/t.o.-Remove and apply comp shingles/sheathing to remain/handout given
Patio:
T.l.Area:
Yards Req'd
Valuationr $t 26,500.00
Planning Conditions:
Owner.
Address:
Phone:
Tenant
Don O'Neal
2106 N Poinsettia
Santa Ana, CA 927062924
(7141 345-8704
Contractor: Be King Inc dba King Roofir
Address. 1044 W Orange Road
Santa Ana, CA 92705
Phone: (7141 542-0101
State Lic #: 759061
Lic Type: B, C-39
Bus. Lic #: 31 1980
Workers' Compensation I nsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9214300
Expires: 0613012022
Engineer.
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #
I POnEO(
iegnnlcl,
Be K rns
Lrlll6Lrtrf- ,
ienerol rlct
Lrl i 16Ll(r?- I
Ilds Stos F
ttllloLlLtf- :
1r crol' I Ifit &
[t11ro[ru!- :
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd:
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd: No
Police Insp. Req'd: No
Flood Zone Cert. Req'd: No
$
Martin, Eric
Hernan dez, Kathy
Date 1010612021
Date:
Date: 1010612021
Subject to Field:
Misc. Recerpt:
Misc. Receipt:
Misc. Receipt:
07776002 57607 Permit Fee
07776002 57770 Microfilm Records
07776002 s7672 Bldg Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$34s 28
$4 05
$6.00
$23 7e
$s9 30
No
No
No
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issua nce,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 MtD#' 2021-169275
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
$23.79
$404.58
$6 00
$4 05 $438 42
$0 00
$438.42
B !LDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.CUmMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUI n s u latio n
Roof Sheathins 10-1-Zl r(J h)
Shear Wall \-/
Framinq
lnsulation/Energy
Drnruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
,
FINAL lo/tzlu fZut lq
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUILDER DEI'ARATION
I hscby affm undo poralty of perjury that I m cxmpi iom thc Crntraclo6' Licw Law for thc followiry r@n (Se.7031.5
Busin6s ed Profeion Code): Any City or Couty which rcquire a pannit to @mtruct, alt6, improvc, danolish or ropair my
struciurc, prior to its issumcc, also rcquirc thc appli@t for such p6mit to filc I signed strlmdt thar h€ or Sc b liccnscd p|Net
to thc provisiore of thc Contractor's Licmscd bw (Clnpts 9, Comocing with Sclioo 700O of Divisioo 3 of thc BBiB ffd
Profsions Codc) or that hc or shc is qcmF rhqcfrom ed thc bosis for thc allcgcd cxoptio[ Any violstion of Sction 7031.5 ty my
applicant for a pctmit subjcts thc applicmt to a civil pmlty of nol morc tho fivc hundrcd dollm ($500).
_1, os owner ofthc property, or my employees with wages as their sole compensation, will do the work and tlrc struclure is not
intcnded or offered for salc (Sec.7044, Business and hofessions Code: The Contractor's Licerue Law does not apply to an owner of
thc propcrty who hrilds or improves theroon and who does such work himsclf or hcrsclf or through his or her own employccs,
provided that such improvonents are not intendod oroffcrod for sah. I(, howcvcr. the buildiug or impmovanrent is sold within one )€ar
of complaioru the Orvner Builder will have thc hrd€n of proving tha he or she did not build or improve the propoty for thc purposeof
sale).
_1, as owner of the p,ropcrty, am exclusively contracting with licensed contractors to construct the projcct (Sec. 7044, Buiness
and Pnofcssion Code: The Contractor's Licensc Law docs not apply to an owner of property who builds or improves thcreon,
and who contracts for such projects with a Contracto(s) liccrscd pursuant to thc Contractor's License taw).
-l
am cxempt under Section-, B. & P.C. for this reason.
I hereby alTirm under penalty of perjury
Owner:
WORI("RS' COMPENSAT
DECI.AITATION
one of the following declarations:
_l havc ald will mhtain I Cqtifiete of Comt to SclfJrourc for wrk6' composalion, c provided for by Sction 3700 of thc
tabor Codc, for thc pqfomcc ofthc work for which thc pqmit b issucd.
$ havc ud will maimah work6' compcnstion irmncc, s requircd by Sction 3700 of thc labor Codc. for thc psfoIrmcc of
lhl rcrk for which this pcrmit is ised My workc' compqsdion iremcc oia ad policy numb< rc:
<#^+€ n nnr^l
Policy 4Dt (o t"o (a(fo3
-l
ccrti& that in the pcrformance of thc work for which this pcrmit is issued, I shall not employ any pcrson 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' cornpensation provisions of Section 3700 of the labor Code, I shall, forrhwith comply with those provisions.
WARNING: Failure to secure workers' compensation coveragc is unlawful, and shall subject an ernployer to criminal poralties and
civil fines up to one hundred thousand dollars ($100.000), in addition to the cost of compensation. damages ali providetl for the
Section 3076 of the tabor Code interest and attorney's fees.
ou", Lo I ro 12 |
I hereby aflirm under poralty of perjury that I arn licensed provision of Chapter 9 (commorcing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
Liccnse C
tO v '2- \
W
I hwby afiim uda pcrnlty of pcrjury thrt th@ is a onnruaion lmding agmy for thc pcfotmcc of thc worl 6r which this psmit b
isucd (Sc. 3097, Civ. C.).
lcnds's Nme:
Lcndcr's Address:
APPLICANT DECLARATION
I herebr)/ afnrm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Requircd
trtter of Notification
_l certi& that the federalregulations regarding asbestos removal are not applicable to this project.
_l certi& that I havc read this application and state that the above inflormation is correct. I agrec to cornply with all City and County
ordinanccs and State l-aws relatirry to construciiorL and hcreby authorize reprcsentatives of this
above mentioned property for
; Applicnnt or Agent
Permitee n&nle
City and County to enter upon the
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