HomeMy WebLinkAbout101107076 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927o2
Permit Counter: (7141647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Building
Historic: Yes
Suite Range:
Zoning: Cl
Permit #: lOtlOTOZG
Pin #: ll0lIlz
Project Address: 2002 N Main St
Assessor's Parcel: * t: 3, PORS 1,2,8
Unit:Bldg: Address Range:
Tract: RESUB ORANGE GRBlock: B
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Other
Reroof
Reroof
Museum
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories:
A-3, B
V B, SPK
cBc 2019
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas.
Garage Area
Total:
Patio:
T l Area:
Yards Req'd
Valuation:$180,000.00
Description of Work: T/O existing roof material and reroof over existing. Flat portions of roof only
Planning Conditions:
Owner:
Address:
Phone'r'
Tenant:
Thuy Nguyen
2002 N Main St
Santa Ana, CA 92705
17141 567-3622
Contractor: ADCO Roofing
Address: 5743 Cahuenga Blvd.
North Hollywood, CA 91601
Phone: (818) 505-9272
State Lic #: 560144
Lic Type' B, C-61, C'39
Bus. Lic #: 341281
Workers' Compensation lnsurance:
Carrier: REDWOOD FIRE AND CASUALW INSUI
Policy #: ADWC239685
Expires: 0210512022
Engineer.
Address:
Phone:
License #:
Architect /
Desio ner'
Add ress:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES Insp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd.
Landscaping lnsp. Req'd.
Jacinto, Heidi \
web-issrd
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
Fee Total:
Paid to Date.
Balance Due:
Date: 0612812021
Date:
Date: 0613012021
Subject to Field:
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
07776002
0 777 60 02
07776002
0 7776002
0 777 6002
57607
57770
57672
57600
57607
$863.20
$4.05
$8.00
$23.79
$59.30No
No
No
No
Account#Total
N/A - No
N/A - No
N/A - No
Balance
Balance
BalanceEvery permit lssued 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 permit is suspen ded or abandoned for a period of
360 days after the time the work is commenced.
$958 34
$958 34
$0.00
lnspector MID#: 2021-1671 10
INSPECTOR RECORD
SITE-WORK DATE ID/S!G GOMMENTS OWNFR BUILDER DEI CARATION
I hereby affirm under penalty of perjury that I am exempt form the Contractors' Liccnse Law for the following reason (Sec.7031..5 Business
and Profession Code): Any City or County which requires a pennit to construct. alter. improve, demolish or repair any structure, p,rior to its
issuance. also re{uires the applicant for such pennit to file a signed statement that he or she is licensed pursuant to the provisions of the
Contractor's l-icensed Law (Chapter 9. Commencing with Section 7000 of Division .1 of the Business and Professions Code) or lhat he or
sheisexernpttherefromandthebasisfortheallegedexemption. AnyviolationofSectionT0Sl.5byanyapplicantforapernritsubjecsthe
applicant to a civil penalty of not more than fir'e hundred dollars 1$-500).
91. ,r owner of the property. or my employc.es w'irh rvages as their sole compensation. will do the work and rhc structur€ is nor intendcd
or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an own€r of the p,ropcrty
who builds or improves thereon. and who does such work himself or herself or through his or her own employees. provided that such
irnprovernents are not intended or offerod for sale. lf. howwer. the building or improvement is sold within one year of completion, the
Owner Builder will have the burden of proving that he or she did not build or imp,rove the propertv for the purposc of sale).
I11. .r owner of the property. am exctusively contracting wirh licensed contractors to constnrct the project (Sec. 7M4. Business and
Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and
rvho contracts for such pro.iects with a Contracto(s) licensed pursuant to the Contractor's License Law).
!9 I arn exempt under Section - . B. & P.C. fcrr this reason.
WORKF'RS' COMPF'NS ATION ]IF'CI { ITATION
I hereby alTinn under penalty of perjury one of the following declarations:
!t f,"*,. and will mainrain a Ce'rrificare of Consenr to Self-lnsure for rvorkers' compens:ltion. as provided for by Section -1700 of the
l-abor Code. for the performance of the work for which the permil is issued.
YES
-_l have and rvill maintain worken'compcnsation insurance. as required by Section 3700 of the LaborCode, for the performance of the
rvork for which this permit is issued. My workers' comp€nsation insurance carrier and policy number are:
Carrier:_
Policy Number
ltlO
ADWC239685 o21oit2022
[.,xpires:
__ I certify that in the performance of the u'ork for rvhich this permit is issued. I shall not employ any person in any manner so
as to become subiect to the rvorkers' compensation larvs of Califomia. and agree that if I should become sub.iect to the .vorkcrs'
cotnpensation provisions of Section 3700 of the l.abor Code, I shall. forthwith comply with those provisions.. t
WARNING: Failure to secure rvorkers'compensation coverage is unlawful. and shall subject an employer to crirninal penalties and civil
fines up toone hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided forthe Section 3076
of the Labor ('cxle. interc'st and attomey's fees.
LI('FNSFN CONTRACTOR NFCI A]TATION
I hereby affirm under penalty of per.jury that I am licensed under provision of Chapter9 (commencing rvith Section 7000) of Division .1 of
the Business and Professions Code, and my license is in full force and effect.
c3e
License Class:
56014a
License Number
CONSTRI.ICTION I ENNING AGENCY
I hereby allirm under penalty of perjury that there is a construction lending agercy for the perfornunce of the work for which this pcrmit is
issued (Sec. 3097. Civ. C.). "D
l-ender's Nanre:
I-ender's Address:
APPI ICANT NF'CI A]TATION
I hereby atlnn under penalty of per1ury one of the followrng declaratrons
Denrolrtron Pennrts-Asbestos Notrficatron Federal Regulalrons (Trtle 40, Part6)
!1 Required Letterof Notification
YEs I certify that the f'ederal regutations regarding asbestos rernovat are not applicable to this project.
YES
__ I certiS that I have read this application and state that the above information is con'ect. I agree to comply with 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
Structural Final ro/rfilflr g{h*64Wn
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)
Groundang / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
,I