HomeMy WebLinkAbout101108166 - PermitProject Address: 2544 N French St
Assessor's Parcel: 396432-01 Lot: 44
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 1473 Historic: Yes
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {OllOE{66
Pin #: 9OO14
Building Use: Single Family Dwelling
Job Type: Reroof
Nature of Work: Reroof
Existing Bldg. & Use: SFD w/det Garage
Proposed Use:
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area:
Total:
Doacrlptlon of Wo.k: Tea. off oxlsting roof m.torial and install now wood ahake ct.sc A m.torl.l. ESR - 1410. Contr.ctor authodzallon on lll.. 28
aquarca. Handout glvon.
Planning Conditions:
Occupancy.
Constr Type:
Code.
Flood Zone:
# of Stories.
R-3
VB
cBc 2019
x-0602320163J
Patio:
T.l.Area:
Yards Req'd:
Valuation: $99,975.00
Owner:
Address:
Phone:
Tenant:
Jeff Martinez
2544 N. French Street
Santa Ana, CA 92706
(7141 815-5226
Contractor: Pacific Coast Roofing, Inc.
Address: 418 Jonquil Road
Santa Ana, CA 92706
Phone: (949) 795-1 190
State Lic #: 1037854
Lic Type: C-39
Bus. Lic #: 370192
Workers' Compensation lnsurance.
Carrier: State Compensation lnsurance Fut
Policy #: 9228280
Expires. 0312112022
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #.
_1t
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
Gomez, Pedro
Chavez,DavV?,
Date: 0913012021
Date:
Date: 1010512021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
01776002
07776002
07776002
07776002
07776002
57507
57770
s1672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$34s.28
$4.0s
$2.00
$23.7e
$se.30No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
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 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 daysafter
the time the work is commenced.
lnspector MID#: 2019-155701
$23.79
$404.58
$2.00
$4.0s Fee Total:
Paid to Date:
Balance Due:
$434.42
$0.00
$434.42
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEIfARATION
I hrcby affm undc pcnalty of po'jury that I m qmpt from thc CodractoE' Liccrc t w for thc following l@tr (5€.7031.5
Busiscs afld Prcfsion Code): Atry City or Couty which rcquirc a panuit ao conrtrucl, altq, inprovc' dmolish or rcpair uy
strucluc, p(br to its isuucc also rcquic thc applicot for such Fnuit to filc I signcd stdmot thd hc or EIE b licGcd pBusrn
to thc prcvisioB of thc Cotrretor's Liccnscd Law (Chapt6 9, Comacing with S€tion 7000 of Division 3 of thc BuinN ed
Prcfeiom Codc) or thst hc or shc is qmpt thcfrom md thc basis for thc allcXcd uoption. Ary violation of Setioo 703 I .5 by my
applicutforapamitsubjctsthc applicmttoacivilpoaltyofnotmorcthefivchunrlrcddollm($500).
-1,
u omq of thc prcpcrty, or my cmployG with wag6 6 thcir mlc compquation" wi[ do thc wfik md thc strudG b rct
intqdod or oflrcd for salc (5€.7044, Bsins md Profsioc Codc: Thc Cootr&|tr's Liccre law do6 not ryply to e oms of
thcpropqty whohrildsorinsrosthso&adwhodo6shwilhimclforhmlforthrcughhisorhoommploye.
Fovidcd that such improvqrcnts e not intqdcd or olfqcd for sle, If, howeq, thc building or improvmt is rcld within orc )s
ofomptctbq thc O!vo6 Buildr will hrvc thc h[dar ofprcving tha hc or shc did mt hild or improvc thc ptopqty for thc ptrpor of
slc).
-1,
I om6 of the propqty, m qclwivcly cotrttactitrg with licdtscd contractoB to @Ntruct rhc Foj6t (S€. 7(N4, Busins
ad Proftsbn Cod€: Thc Contrctor's Licerec Law do6 not apply to d own6 ofpropqty who builds or improvd th6@n,
ed who contracls for ruch projcrs wirh a Contracto(s) licqEcd pE@t to thc Cootraclor's Lic@ t w).
-l
m exmDt udq Setion-. B. & P.C. forthis two.
WORI(ER.S' COMPEN SATION
DECLARATION
I hereby alTinn under penalty of perjury one of the following declarations:
_l havc and will maintain a Certificate of Consent to Self-lnsure for workers'compensation, as provided for by Section 3700 of the
labor Code. for the pcrfoffnance of the work for which the pcrmit is issued.
-l
have and will maintain workers'3700 of the Irbor Code, for thc pcrformance of
the work for ls and policy numh are:
rD
a )OY ?-Z
_l certify that in the performance of thc work for which this permit is issued, I shall not employ any person in any manner
so as to bccome subject to the workcrs' compensation laws of California and agree that if I should become subject to thc
workcrs' compflsation provisions of Section 3700 of the labor Code I shall, forthwith comply with thosc provisions.
and
the
I hercby affirm under penalty of perjury that I am licensed 9 (commencing with Section 7000) of Division -j
of the Business and Professions Code. and my license-js in full force and effect.
t I
7S6lLicenseL.>
a C?
W
t hmby affm undo panalty of pqjury that th@ is I cons(ruction ktrding ag6cy for thc pqfomcc of thc mrl for which this psmit b
issucd (Se. 3097, Civ. C.).
Lcnder's Namc:
Lender's Address:
APPLICANT DECLARATTON
I her,*y affirm under pcnalty of perjury one of the following declarations:
Demolition Pcrmits-Asbestos Notilication Federal Rcgulations (Title 40. Part6)
_Required l-rttcr of Notificaion
I certifothat the
Wr*iry tr,a I have
fcderal regulations regarding asbcstos removal a^re not applicablc to this project.
read this application the above information
ordinances and State l-aws rckting to
above mentioned propefly for inspcction
Applicant or Agent
YAIterlrritcc nanrc x
and hereby lhe
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloorNenUl nsu Iation /-\
Roof Sheathinq flD6U 5e e ilDre
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Fina! Report
Flood Zone Certif
,/\\
FINAL O)-/
Gertificate of Occupancy \--
Notes, Remarks, Etc.
/
l FY--L
A L
l-OF LT
oF OFS
K
WARNING: Failure to sccure workers'
civil fines up to one hundred thousand
Section 3076 of the Code".L intercst
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