HomeMy WebLinkAbout101108131 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 5202 W Wisteria PI Unit:Bldg: Address Range:
Assessor's Parcel:108-586-01 Lot: 11 Block: NA Tract: 4262
Building
Historic: No
Suite Range:
Zoning: Rl
Permit #: to{ {oE{st
Pin #: 232E4
Building Use:
Job Type.
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories.
R-3
VB
cBc 2019
A-0602320252J
1st FL Area:
2nd FL Area.
Other Areas.
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:$7,924.00
Description of Work: Tear off existing, install 28 squares of comp roofing
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Julie Nguyen
5202 W. Wisteria Pl.
Santa Ana, CA 92704
(7141 277-7366
Contractor: All Pro Rooflng
Address: 905 S Calico Circle
Anaheim, CA 92804
Phone: (7111 220-2822
State Lic #. 768511
Lic Type' HIC' C'39
Bus. Lic #: 189038
Workers' Compensation lnsurance :
Carrier: State Compensation lnsurance Fund
Policy #: 1943739
Expires: 0410112022
Engineer:
Address:
Phone:
License #:
Architect /
[)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:
Landscapang lnsp. Req'd
web_user n
Py'e
Date.
Date:
Date: 10/,0112021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0 777 6002
0 777 6002
0 7776002
0 777 6002
0 7776002
57607
57770
57672
s7600
5760 7
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Ft
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$345.28
$4.05
$1 .00
$23.79
$59.30No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd:N/A - No Balance
N/A - No Balance
N/A - No Balance
No
No
No
Account#Total
Every permit rssued 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 fhe sife by such permitis suspended or abandoned for a period of
360 days after the time the work is commenced.
lnspector MID#: 2021 -169195
$433.42
$433.42
$0.00
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNF'R RUILDTR DFI CARATION
IherebyaffrrnrunderpenaltyofperluwthatlanrexenlptfornrtheContractors'LicenseLawforthefollowingreason(Sec.703l5Busrness
and Professron Code) Any City or County whrch requrres a permil to construct. alter. rnrprove. demolish or repatr 8ny struclure. pnor to tts
issuance. also requires the applicant for such pernrrt to file a srgned statement that he or she is licensed pursuant to the ptovtstons of the
Contractor's Licensed Law (Chapter 9. Conrntencing wrth Section 7000 of Division ,1 of the Business and Professrons Code) or tltat he or
shersexenrpttherefronrandthebasrsfortheallegedexenrptron AnvvrolatronofSectionT03l 5byanyapphcantforapermtlsubfectsthe
applicant to a crvil penaltv of not more than fir'e hundred dollars ($500)
[1. ,= owner of the property. or my enrployees wrth wages as tlrerr sole compensatton. wrll do the work and the sffuctttre rs not tntended
or olTered for sale (Sec 704.{, Buslness and hofessrons ('ode The Contraclor's l,rcense Larv does not apply to an o\\Ter of the property
who burlds or rnlproves thereon. and rvfto does such uork himself or herself or through his or her own entployees, provrded that strch
improvemens are not intended or offered for sale. If, however, tre buildrng or improvemenl is sold wrtrin one year of completron. tre
Owner Builder will have the burden of proving that he or she did not burld or improve dre propero for tlre purpose of sale)
E.* owner of the progrcrty. am exclusrvely contracting wrth lrcensed contractors to construct the pro;ect (Sec 7M.1. Bustness and
Professlon Code The ('ontractor's l-rcense l-arv does not apply to an owner of property who bullds or tmproves lhereon. and
who contracts for such pro;ects Mth a Contractor(s) licensed pursuant lo the Contractor's Llcense Law)
No t rrn exempr under Sectron . B & P.C. for this reason
\UORKERS' COM PENSATION DTCLARATION
I hereby affirnr under penalty of per.lury'one of the followrng declaratrons:
rc I h"r. and wrtl nrarntarn a Cerrificate of Consenr ro Self-lnsure for uorkers' conrpensalron. as provtded for by Sectton 3700 of the
Latnr Code. for the performance of the work for u/rich the permrt ts tssued.
YES
_l have and rxrll marntarn u'orkers' compensafion rnsurance. as requrred by Sectron 3700 of the Labor Code, for the performance of the
work for r,r,lrrch this permrt rs rssued My workers' conpensalron rnsurance carner and polrcy number are
('arrrer State Fund
ItrlllTto
Pohcy Number. Exptres
0at01t2022
NO
_l certifo that rn the performance of the work for which thrs pernut rs rssued. I shall not employ anv person tn any manner so
as to beconre sublect to the workers'compensation laws of ('alifomra. and agree that rf I should beconte subject to the workers'
compensatton provisions of Sectron .l700 of the Labor Code. I shall. forthwrth comply witlr those provtstons
WARNING Farlure to secure workers' conrpensatton coverage is unlawful. and shall sublect an emplover to cnmtnal penaltres and crvil
fines up to one hundred tlrousand dollars ($100,000), rn addrtron to the cost of compensatron, damages as provlded for the Sectron 3076
of the Labor Code. interest and attomev's fees
LI('TNSED CONTRACTOR NECLARATION
I hereby affrrnr under penalty of per1ury that I am hcensed under provrsron of Chapter 9 (conrnrcnctng wtth Section 7000) of Drvrslon .l of
the Busrness and Professrons Code. and nry license is rn full force and effect
c39
Lrcense Class l,rcense Nunrber
75E51 I
CONSTRI.'C-TION I FNDING AGENCY
I herebv aftirm under penalty of per1ury that there rs a consln.ction lendrng agency for the performance of the work for whrch thts permtt ts
issued (Sec 3097. Civ C )
l-ender's Nanre
Lender's Address:
APPLICAI\T DECT ^ RATION
I hereby affimr under penalty of perjury one of the followrng declarations
Demolition Pernrits-Asbestos Notrfication Federal Regulalrons (Title 40. Part6)
rc Requrred Lenerof Notrficauon
YEg f cerliry that the federal regularions regarding asbestos removal are not apptrcable to this ploJect.
E | ..rt,fo thar I have read thrs apphcatrcn and stare that the above rnfornration is correcl I agree to conrpty with all Crtv and Cotnty
ordinances and State Laws relatrng to burlding constructmn. and hereby authorze represenlauves of this Crty and County to enter upon the
above nlentioned properw for inspeclron purposes
Reroof
Roof (Diaphragm Sheathing/Frame)/o/gz Z( TTZ 7
Structural Final telzut >LN +ffi
Plumbing I I
Under Floor I Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical
Service (Meter / Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.