HomeMy WebLinkAbout101108032 - 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
Building Permit #: tOllOIOSz
Pin #: 4'l7C'l
I
Project Address: 141 8 S Oak St
Assessor's Parcel:014421-05 Block: NA Tract: NA Historic: No
Suite Range:
Zoning: R1
Unit:Bldg: Address Range:
Lot: 17
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
x-0602320276J
1st FL Area:
2nd FL Area.
Other Areas:
Garage Area:
Total:
Patio.
T.l.Area:
Yards Req'd:
Valuation:$6,226.00
Description of Work: Tear off existing, install 22 squares of comp roofing
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Raul Ruiz
1418 S Oak St
Santa Ana, CA 92707
17141 31 9-5621
Contractor: RH Roofing, lnc.
Address'. 702 S. Mohawk Dr.
Santa Ana, CA 92704
Phone: (7141381-1870
State Lic #: 1007845
Lic Type' C'39
Bus. Lic #: 352077
Workers' Compensation lnsurance:
Carrier. Zurch-American
Policy #: WC140631701
Expires: 0610112022
Engineer:
Address:
Phone:
License #:
Architect /
Desioner'
Address:
Phone:
License #:
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:
web_user v Date:
Date:
Date: Ogl22l2021
Subject to Field:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
0 777 60 02
07776002
07776002
0 777 6002
0 777 6002
57607
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
$34s.28
$4.05
$1.00
$23.79
$59.30
No
No
No
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Ffood Zone Cert. Req'd
Account#Total
N/A - No
N/A - No
N/A - No
Balance
Balance
BalanceEvery permit issued 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 ffre srte by such prmit ls suspen ded or abandoned for a period of
360 days after the time the work is commenced.
Fee Tota!:
Paid to Date:
Balance Due:
$433 42
$433 42
$0.00
!nspector MID#: 2021 -168954
!NSPECTOR RECORD
l
SITE-WORK DATE ID/SIG COMMENTS O}YNFR BTIILDER DTLCARATION
I hereby affinn under penalty of penurr- that I am exenlpt form the Contractors' License Law for the follorving reason (Sec.70-11.5 Business
and Profession ('ode): Any ('ity or ('ounty s,hich requires a perrnit to constnrct. alter. improve. dernolish or repair any structure. prior to its
issuance. also requires the applicant for such pcrmit to file a signed statement that he or she is licensed pursuanl to thc provisions of the
Contractor's [.icensed l.arv (('hapter 9. ('omrnencing u'ith Section 7000 of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exetnption Any violation of Section 7011.5 by any applicant for a permit subjects the
applicant to a civil penaltv of nol more than live htrndred dollars ($500).
91. "r owner of rhe properry. or rny ernplol'ees s,ith rvages as their sole compensation. s,ill do the work and rhe stnicturc is not intended
oroffered for sale (Sec.7044. Business and Professions C'ode: The Contractor's License [^arv dcrcs not apply lo an owner of the property
rvho builds or improves thereon. and s,ho does such rvork himself or herself or through his or her own onployees. provided that such
irnprovonents are not intended or offere<l for sale. lf. howo'er. the building or imp,rovement is sold within one year of ccrmplaion. the
Orvner Builder u,ill have tlre burden of proving that he or she drd not build or improve the propertv for the puryose of sale).
Yll. a. owner of the properly. arn exclusivelv contracting with licensed contractors to consttuct the pro.ject (Sec. 7044. Business and
Profession Code: The Contractor's l.icense l.arv does not apply to an owner of property who builds or improves thereon, and
rvho contracts for such prniects rvith a Contractor(s) licensed pursuant to the Contractor's [,icense l-aw).
No I a,r, exempt under Section
- . U. & P.C. for this reason.
}T'ORKT'RS' COMPENSATION NTCI ARATION
I hereby affinn under penaltv of penury one of the frrllorving declarations:
*o I f,"". and s'ill maintain a Certificate of ('onsent to Self-lnsure for rvorkers' compensation. as provided for by Section -1700 of rhe
Labor Code. for the performance of the work for which the permit is issued.
YES
_l have and rvill maintain rvorkers' compensation insurance. as required by Section 3700 of the l-:bor Code. for the performance of the
rvork for which this permit is issued. My rvorkers' compensation insurance carrier and policy numbcr are:
FrankCrum('arr icr':
WC1'l-0G317-Ol oat01t2022
l:rpires:Policy Nurnber:
NO
I cerrify tlrat in lhc perfbrlrancc of the rvork firr rvhich this pcrrnit is issued. I shall not ernploy any person in any manner so
as lo beconre sub.iect to lhe s,urkers'c()nrperrsalion larvs of ('alifornia. and agree that if I should become suh.iect to the workers'
compensation provisiorrs of'Secliort .1700 ol'the l.ahor ('ode, I slrall. forthrvith comply u,ith those provisions..
\I'ARNING: Failure to sea'ure rvortem'cornpensation coverage is unlarvful. and shall subiect an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the Section 1076
of the l-abor C'ode. interest and attome),'s fees.
Ltcl'NSEn CONTRJ{CTOR nFCt AR ITION
I hereby afiinn under penaltl of Jrcriury that I anr licensed under provision of Chapter g (cornmencing n'ith Soction 7000) of Division -1 of
ttrc Business and Professions ('ode. and my license is in frrll force and effect.
c39
l-icense Class:
1007E45
[-icense Number
(:ONS'I'RT'C'TION I FNNING AGl'NCY
I hereby affinn under pcnaltl,of periury lhat there is a construction lending agency for the perfonnance of the work for which this permit is
issued (Sec. .10t)7. ('ir'. ('.).
[.ender's Name:
l-ender's Address:
APPI I('ANT NFCL^ R^TION
I herebv atlinn under penalty of per1ury one of the followrng, declaratrons:
Denrolrtron Pernrts-Asbestos Notrficalron Federal Regulalrons (Trtle 40, Part6)
rc Required [-etterof Notilication
tT t cerrify'that the federal regulations regarding asbest<x removal are not applicable to this proJect.
t-E-s
I certi&' that t have read rhis applicarion and state that thc atnve infonnation is correct. I agree to comply rvith all Ciry and Cotmty
ordinances and State Larvs relating lo building construction. and hereby authorize representatives of this City and County to enter upon the
above rnentioned properly for inspection purposes.
Reroof I
Roof (Diaphragm Sheathing/Frame)to /s/o^JrAh^
Structural Final /oV,!/t,ll,w*,
Plumbing
Under Floor I Under SIab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrica!
Service (Meter I Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
tsIc)o
()rJ \.of,
EQqgo.lttr
HS.}E
fi,8
5AoOx\Yo\
|;Eiil: {r x
l* sleIol.a,Iir S=EHc
Fe-r=3o
Spo
g8
F{.
\
i
t
t
{t$
ovr$a.Utooe
trIE3
$ t'tsto-*seE"ltuSFa.oa Fl
=':rJFuq)
tr=Ol=S' tgFl l\sli
la
lo)t::
le;
ld,
lilol-rlol--kllcrlq
1[Is Et+ffiBiflig*1F1-t -Fqile1l1[1] g*i r iit $
;5 Ei
='(r3 =vrrDVtO+aoJ-*- gq; tk ssF t 3ig Ecff
=tglEiEitt*iiia16:EsJ =.,oiq8ga;ai3 I r[ a-+rfOcOc;xqEiiFlir1n ir'd dg3q:=HvY;g?Ef gi ii5r93r:i+[* iH 3;--E Ahd E Ht[ if g-5il€ +8;. t E-L,,':58 65E e egq B+
=
J
]EEE g}*} 5H *
(D (t.<
e3 !383:'r{* { X.qg hfi n€F+ B0 ; :-=fr ;q ;33., n B H o-o, B 5' ,ol :r o,_ .,-=: 3
=f
U.p -roq hi5, + -_in o'E 3<EB Fq 1 E-; =-i E:.tf ; q o a o-..r G T .,a:!i;+.ol .i Tl.-ru,deA 3i .E Ei Ev 5d3; a= ; := u,e *+=i ** g =d aF Eile o,q I ril ilB =ol c+ T aG o sq a5nf 3r r EE Fa s3 qg -r o rD a lo' !^,= o_a o a o, a A ='
Lu; ro3g9 E g 3s q' a
ogq o (D
-('l\rJo('fF
o
=o
=o
rD
tr
!
o'io
o
c+
o{fo
-t
='15 Z
rn3q;.=
G'a (a
iEq
E r$
illE
Fl rJOG.Eo
t'.=aIiS\hoo'\\oE
ilBE$$3Oa
=Bqs
6' st
$i:DariEOOD
-.\.O
=
\tt
Qslqi
aq(asoa\FiU-s;
B*
-Io
o
r-;IrJ
-a'
oo-J
E'-or+oo.
{ro-3
o
=o.
F}ITJo
Lreocrtoql
-l
CL
1oql
CL
-a-
o
g.
-qr
ET-o
of
==gL
='ot,oof.oz
2a-u
Io
N)
t9o
J
G)
ono
oo3
t1>
-loo
f{.o-
1'
-lo'ioof
o{:lo
:.!
To
-l
3
-at+,zc
3cro.
!-obroo,+
CL
CL
-loa
?.
)C'
=\Nfe
\rrve
tsS
n
i'2
r
6'
(D
:]oo
*
aa
TJsd
r^>-
\A
Yt
a
.b
Cr
4q\
(t
OI.]
-.- ,,,lolso]
c
\n)J
a
-
(a
\rQSa
Fls\o
aa
\\)\
a
I\
\
)
\
a
\
I
ooFt
:r
E
\_c
{
Y
}I
11
.-L
t\,l-
J
s
C-r)
U!
u\\(\,
\+\rt\iinbt