HomeMy WebLinkAbout101107552 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA927o2
Permit Counter. (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: l0l'107llli2
Pin #:w'
Project Address: 717 S Oak St
Assessor's Parcel:011-093-04 Block. NA Tract: 532 Historic: No
Suite Range.
Zoning. Rl
Unit:Bldg: Address Range:
Lot: 24
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:$5,377.00
Description of Work: Tear off existing, resheath, and install l9 squares of comp roofing
Planning Gonditions:
Owner:
Address
Phone:
Te na nt:
stommeyer
717 S Oak street
Santa Ana, CA 92703
Contractor. Westminster Roofing
Address. 450 W Valley View Dr
Fullerton, CA 92835
Phone: 17141 541 -5351
State Lic #. 694940
Lic Type' C-39
Bus. Lic #: 168571
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9043501
Expires: 01101/,2022
Engineer:
Address:
Phone:
License #:
Architect /
l.)csioner'
Add ress:
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
(
Date:
Date:
Date: 08r1612021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
0 777 6002
0 777 6002
07776002
0777 6002
5760 7
57770
57672
57600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving Fu
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
$345.28
$4 05
$1 .00
$23 7e
$59.30
No
No
No
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd:
Account#Total
Balance
Balance
Balance
N/A - No
N/A - No
N/A - NoEvery 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 fhe sife by such permit is suspen ded or abandoned for a period of
360 days after the time the work is commenced.
$433 42
$433.42
$0.00
lnspector MID#: 2021-168191
INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDTR DELCARATION
I hereby affirm under penalty of peqiury that I arn exempt form the Contractors' I.icense l.arv fcr the following reason (Sec.7031.5 Business
and Profession Code): Any City or ('ountv u'hich requires a permit to corlstruct. alter. improve. demolish or repair any stnrcture. pior to its
issuance. also requires the applicant for such prermit to file a signed statement that he or she is licensed pursuant to the provisions of the
Contractor's l-icensed l.arv (Chapter t). ('ommencing rvith Section 70O0 of Division -1 of the Business and Professions Code) or that he or
she is exernpt therefrom and the basis for the alleged exemption Any violation of Seclion 70.31 .5 by any applicant for a pennit subiects the
applicant to a civil pnalty of not more than fir'e hundred dollars 1$.500).
!-o f . .. owner of the property. or my employees rvith rvages as their sole comgrcnsation. rvill do the wort and the structurc is not intended
or offered for sale (Sec.7044, Business and Professions Code: The Contractor's License law does not apply to an owner of the p,rop€rty
rvho builds or improves thereon. and who does such work himself or herself or through his or her orvn employees, provided that such
irnprovements are not intended or offered for sale. If, howev'er. the building or improvement is sold within one year of complaion. the
Owner lluilder rvill have the burden of prrrving that he or she did not build or improve the properw for the purpose of sale).
N! t. as owner of the property. am exclusively contracting with licensed contractors to construct lhe project (Sec. 7044. Business and
Profession ('ode: The ('ontractor's l.icense l.aw does not apply to an owner of properly who builds or improves thereon, and
rvho contracls for such projects rvith a ('ontracto(s) licensed pursuant to the Contractor's [,icense l-aw).
No I u* exempt under Section B. & P.C. for this reason.
}VORKFR.S' COMPFNSATION NFCI dRATION
I hereby affirm undet penalty of perjury one of the following declarations:
!-t n.*'. and u'ill maintain a Ccrtificare of Consenr to Self-trsure for rvorkers' compensation, as provided for by Section -1700 of ttrc
Labor Code. for the performance of the work for rvhich the perrnit is issued.
NO
_lhaveandrvill nraintainrvorkers'compensationinsurance.as requiredbySection.lTfi)ofthelaborCode.fortheperformanceofthc
rvork for which this permit is issued. My rvorkers' compensation insurance carrier and policy number are:
rtatc fund
Carrier:
904350'l
Policy'Nurnbcr:
01t01t2022
I:rpires:
YES
I cerrify thal in the perforrnance of the rvork for rvhich this pennit is issued. I shall not employ any person in any mann€r so
as to become suh.ject to lhe u,orkers'compensation larvs of California. and agree that if I should become subiect to the workem'
compensalion provisions of Section .i700 of the Labor Code. I shall. forthwith comply with those provisions..
\l'ARNIN(i: Failure lo secure rvorters'compensation coverage is unlarvful. and shall subiert an employer to criminal penalties and civil
fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section -1076
of the Labor Ccxle. interest and attomey's fees.
LI('FNSFN ('ONTRACTOR NT('I dR.ATION
I herehy alfinn under Jrenalty'of per.iury that I am licensed under provision of Chapter 9lcommencing with Section 7000) of Division .1 of
the Business and Professions Code. and mv license is in frrll force and effect.
c3e
[,icense Class:
G94940
l-icense Nurnher
CONS'tRT'C'I'ION LEN DIN(; AG ENC }'
I hereby alTinn under penalty of peliury that there is a construction lending agency for the performance of the work fior which this permit is
issued (Sec. .1097. ('iv. C.).
I-ender's Narne:
l,ender's Adclress:
APPLICANT NF('I ARATION
I heretry atlimr under penalN of per;ury one of the followrng declaratrons
Denlolrtron Perrnrts-Ashe$os Nolrficatron Federal Regulatrons (Trtle 40. Parl6)
[o_ Required l-etter of Notilication
t-t1 f cerrify that the federal regulations regarding asbestos removat are not applicable to this pro.iecr.
t=t f cefliS/ that I have read rhis application ancl state that the atnve infonnation is correct. t agree to comply with all City and County
ordinances and State l-arvs relating to building construction. and ha'eby authorize representatives of this City and Clounty to enter upon the
above mentioned property for inspection purposes.
Reroof "ll
Roof (Diaphragm Sheathing/Frame)b tL1/,zt Kl4 -I-I O
Structural Final Bln/u X^;I5X )?
Plumbing I \-'7
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)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
t
ts!oqt\
ir\o=.ot3aEr.o0D
Hs.tg
fi,E
iBx5
o\
EEfli
l$
stE
EHg
Ps,
.=a
=n
po
gB
t+,
I
oo
=.+-ooar;o.
'u-ot,o;l
ot
=o-
!o-Ij
=ztr
3
ETo
I'!
'o-obroo
F}
CL
CL-looI
a
zo!
!ol\)
f\)o
(^)
o7o
ts
-. Foovr0, a.oooP
STBE
of Ftq=or-*HgB
raEu=Fa.ooS. I-T
Uq,
F! l=-
3. E'
sti
ItnIoI=!;+
Irl=
IP
lc.'
i{.
rc)lcr
lo)J l-.
(t vtF r-+
=. o)4df,oga -h?(.)
o)
-iro-t:lil'
-to
-oC
-a-t
rD
Vrn:t
(Ur+
Vr
3
O -o
t
Jo-
oxdrt
(-Io
ru
o,
-t
3a
o)
-to
5'
1t+
IU
oo-
='-lovt.
CLo
=
=?.o,
J -'l arrroo=.+ -l'aao-o =-lc n=.
:r(Dr,LD o-v(I--6p;r =. 9.
u 5g
.+AJ
=' :f t.5dg? e-go, o-ilo
-t^I r')d'nru-0atror)o, n.&qc)_:fn wJPO -F.:) tr9;o-;rD-ord
g)H
=(na.d r\)
. Irh(-) fl7JXnoawrlt :i'o-
=tEnoJv
-l-, .+
v!tIt ol
tt+ouJxo, 6'.qr (+
Jo-f
;EgauJ o'
FE(.r) :Lu;
o- utgr
=lo
\
d-h c\g)eg g
g5 :rad sol5 VA'\gx. 9,3* rogL 6-Bq €
=I =..4 JEn fi;6 rj= +6 [ g
o- =- ,f,-e3 E
=gq 9.:o-
oJO
-l +i3o.Jt O)
oJ(1.1J
ovt
€$
-aI
-Jnj Crclo_o,
-t=,8oo,O- .-+
l-
A-)
Uro-3Ilrl =)
=de+ O-Jo)
OC t+o)o
=6'd='o-=
o--+r
=i,
=or+
€
o)r+o
-t
=o
OJc+aa
c)ooFfro
E
-+tc
^ta
(r)oo
o
-t
o)
=na
rD
TJil()
rD
ltr
3oro
o-o,aT-9
-to
a.+
o)
oo-
5'
(D
o,
c)=-too
3
c,J,
orI
-+to
-t
lt't
(D
fi)
E.:,
ge
='(D
o)
C)
=i7i)
€o,
o
Cr-ttn
o-o
o
o,
VI
oo
E.
=qa
= (^) = grE n =
*s gA r+1 ,13i*; ila[ i
d il;_f i;+ 3
I:H T3 t3 & E
=Cl-==-rr.'
n * O-oJq*[r il3r e_
? 1sd'E5F +
er3 = =rc 3, o-
5: il sBs tiiq Els n6'o o :i H
=oJ-lJ-6-, + o^2I'-t7i,-t3fD-- j-: = c o-
ArVlgt-q-h:.._.= ? 3qiHE rs s
n) o- € ='g- =a R o ;; Fgi.= o, =ao = (D i s €fpcn-t:-=i-sq gil{-"* I g A
==aj seOJ:'TDA1+ rr cr U 5'
EE B rq
=Eo ,* q13-E. 3 er-
E I3 Sdi= i *Brr
= e q, g++a ad3 d il ;EJgq a ru rD.h a O olEE3
=I j.5 A
(Doa o
.A(\
$o(1F
oSoY
tr
r.oo
f(a
(D
CL
(^)o
:Je+.-t
o)
C)
o
il
(D-
*H
=
q 3.+
B. a r/t
iEe
E $$
rlE
FluOA.Eo
€'-1
Bfi
Ed"Sr \hGo-\\oE
HE8i*E$$go.O
=Bqs
6' It,
$.I${G TTia-Isg
-.t=.oS\taItsia+(atraa\Fl
iFE*
-o
o
r+5
-aa
oo
3
E'-o-.;o
CL
{ro-3
ql
a
CL
-.,}
EJo
brocrIoo.a
rL
-lG
A'*-
A}
P.
Iog
o
o
=
==g
-t
=o!,oo*oz
h\.QSaFis\o
lj
N
ooFto
la
t
\
S
\i\
S
N|.-.rN
N.
=r
-lI
=v,os
$..
\e
$
\a
l
-\.cJ
4
N)
{,\
{
n