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Home My WebLink About101107988 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O11O798E Pin #: 27299il^ Proiect Address: 2529 S Park Dra Assessor's Parcel: 140-132-25 Lot: 57 Unit:Bldg: Address Range:Suite Range: Zoning: R1Block. NA Tract. 2461 Historic: No 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-06023202S9J Garage Area: Proposed Use: # of Stories: Totat: Description of Work: Tear off existing roof materia! and install new comp shingle roof material. 21 squares. Handout given. Patio: T.l.Area: Yards Req'd. Valuation: $10,000.00 Conditions: Replace any damaged wood memberâ‚¬, fascia, eaves, rafters, etc. prior to fina! approval. Owner: Address: r i)hone: ,- Tenant: William and Dorothy Davis 2529 PARK DR Santa Ana, CA 927073316 (7141 454-8032 Contractor: Triple M Roofing lnc Address: 3024 Vera Cruz Corona, CA 92882 Phone: (951) 500-9462 State Lic #: 1061383 Lic Type: C-39 Bus. Lic #: 378906 Workers' Compensation lnsurance: Carrier: State Fund Policy #: 9264520 Expires: 1112012021 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Planning Approval By: Plan Checked By: Permit lssued By: NPDES Insp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd: No Orozco, lvan Date: 09/1 612021 Date: Date: 09/1 612021 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 07176002 07776002 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance havezC Dave*? 57607 57770 57672 57600 57607 Fee Total: Paid to Date: Balance Due: $34s 28 $4.05 $1 00 $23 79 $5e.30 $433 42 $0 00 $433.42 Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd. No Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after ifs rssua nce,or if the work authorized on the site by such permitis suspe nded or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 s1601 01 1 16002 51612 01 1 16002 57770 $23.79 $404 58 $1.00 $4 0s lnspector MID#: 2021-168850 p BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloorA/e nUl n s u I atio n I Roof Sheathinq t/g?/,h laf,a Shear Wall /I Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonrv Pool Fence T-Bar Handicap Req Deputv Final Report Enqineer Final Report Flood Zone Certif I FINAL tols Lt J"o\2. Certificate of Occu Notes, Remarks, Etc. '. D- OWNER BUTLDER DELCARATION I hreby affm uodo pcnahy of pcfjury that I m qmpt ftom thc Cont6clo6' LiccN lrw for the following @n (Se.7031.5 Buinss and Profeion Codc): Any City or County which rcquirc a pcmil to anstruct, altq, improvq dctrclish or rcpail my struclurc. prior to its isuilcc, also rcquin thc applicmt for such pcmit to filc 8 signcd ststmt thal hc or drc is lic@scd pllls@t to thc FovisioN of tlE Cotrtrrctor's Liccnscd law (Chaptq 9, Comcncing wirh Sstion 7000 of Division 3 of rhc Buins md Prcfsions Codc) or that hc or shc is excmpt thqcfrom ild thc bais for the allegcd exmpion. Any violation of Sclion 703 I .5 by ey applicutforapmnitsubjetsthc applicanttoacivilpcmltyofnotmorcthefivchun<lrcddollm($500). _1. os owner of the property, or my employees with wages as their sole compcrnation, will do the work and the structure is not intcndod or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's Liccnse law does not apply to an ouner of the popcrty who builds or irnproves ttrereoru and who does such work himself or herself or through his or her own cmployees. provided that such improvements are not intorded or offerod for salc. l[, how6/er, the building or improvemcnt is sold within onc ],car of complaion, thc Orvner Builder will have the burden of proving ilra hc or she did not build or impnove thc propoty for the purposc of sale). _1, as owner of thc propcrty. am exclusively contracting with licersed contractors to construct the project (Sec. 7M4, Brsiness and Prrofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a Contracto(s) liccrsed pursuant to the Contractor's License l-aw). -IamexemptunderSection-,B.&P.C.forthisreason. flo lo. WORKERS' COMPENSATION DECI.ARATION I hereby affrm under paralty of pe"jury one of the following dcclarations: _l have and will maintain a Certificatc of Consent to Self-lnsure for workers' compcnsation. as provided for by Section 3700 of the I-abor Code. for the pcrformance of thc work for which the perrnit is issued. _l have and will maintain workers'insurance, as requircd by Section 3700 of the l-abor Codc, for the performance of the work for which this ts workers' comporsation insurance carrier and policy number are: a g) O Policy a _l ccrtify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workâ‚¬rs'compensation laws of California, and agree thal if I should become subject to the rvorkers' cornpensation provisions of Section 3700 of the Labor Code, I shall, forthwilh comply with those provisions. WARNING: Failure to se{ure workers'compensation coverage is unlawful. and shall subject an anployer to oiminaq*alties and civil fines up to one hundrcd thousand dollars ($100,000).in addition to the cost of Section 3076 j Code, interest and attorney's [ees..\ I DECIARATION I hoeby affrm under pcnalty of pcrjury that I arn licensod undcr provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu[ force and effect. Numbcr: I W I hmby affm unda Fnalty of pcrjury that thqc is a @ngruction lâ‚¬nding agocy for thc pqfollmcc of thc work 6r ttich this pqmil b issucd (Se. 3097, Civ. C.). Lender's Name: I-cnder's Ad&ess: APPLICANT DECLARATION I hoEby alnrm under pcnalty of perjury one of the following declarations: Demolition Pcrmits-Asbestos Notilication Federal Regulations (Title 40, Part6) -Required lrtter of Notification _l certi& that the federal regulations regarding asbcstos rcmoval are not applicable to this project. rvith all City and County above mentioned propaly for Applicant or Agent Pernritee nflme state that and County to enter upon the 4 Owner: for the cetiS that and State laws relating to D,.",4M-1J,,-- building T tsIc)o\\OrJ \.ofEadgo -t!tr Hs.iE fi,i jto oOx\rao\ |iIiil: {r x l* esBl0t .-.li: S=EHG Fe =3jo -+r =! 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