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Home My WebLink About101107375 - 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 #: tO{107375 Pin #:b 7e554 Zel Project Address: 2215 N Flower St Assessor's Parcel 002-082-10 Lot: POR A Block: NA Tract: 41 Historic: No Suite Range: Zoning. Rl Unit:Bldg: Address Range 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-0602320144J 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: Patio: T.l.Area: Yards Req'd: Valuation:$9,905.00 Description of Work: Tear off existing, resheath, and install 35 squares of comp roofing Planning Conditions: Owner: Address: Phone: Tenant: JULIE GALLIVAN 2215 N FLOWER ST Santa Ana, CA 92706 (415) 244-1261 Contractor: West Coast Home Pro Address: 3501 W Burbank Blvd Burbank, CA 91505 Phone: (818) 478-1685 State Lic #. 984655 Lic Type' B, C-39 Bus. Lic #: 375923 Workers' Compensation lnsurance: Carrier: State Fund Policy #: 9064755 Expires: 0711212022 Engineer. Address: Phone: License #. Architect / f)esioner' 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 Date: Date: Date: 0712812021 Subject to Field: Misc. Receipt. Misc. Receipt: Misc. Receipt: 0777 6002 0777 6002 0 777 6002 07776002 07776002 57607 57770 57672 57600 57607 Permit Fee Microfilm Records Bldg. Stds. Revolving Fu General Plan Update lssuance Fee Total: Paid to Date: Balance Due: $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. Flood 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 afterits issuance,or if the work authorized on the srfe by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. $433 42 $433 42 $0.00 lnspector MID#: 2021-167697 .l INSPECTOR RECORD t SITE.WORK DATE ID/SIG.COMMENTS OWNFR iUILDf,R DELCANATION I hcby affim und6 JEnah]- of lEfjur.v that I am ermpt f(m thc Conhactos' Lissc Law ftr lhc follNing 6on (Sc.7031.-s Busin6s and Profcssion ('odc): Any City or County shich rcquic a pcfirit to NNtruct. alt6. impmvc. dmlish or rcpair .ny smcluc. prior to its issuancc. also Equi6 thc applicant for such pcrinit to lilc a si8trd stat.mnt lhat hc or shc is lic@d puEu.nt to thc pmvisioE of thc ('onmcrtr's l,icdscd law (Chapt6 g. cmmcncing wilh scrim 7000 of Division -l of thc B6in6s and Pmfsims Codc) q that hc q shciscxmptthGfrmandth.b6isforthcallcged.imption. AnyviolationofscctionT0-!l.5byeyapplicantffispcmitsubjcBthc applicant to a civil pdalty ofnot morc than fivc hundrcd dollaE (3500). f,o l, as orrner of thc pmpcrty. or my mployc with 1vag6 as thcir $lc compcnetio. will do thc wat and th. stuctuE is m intdd.d or off6.d for Ml. (Se.7044. Busin6s and Prefcisio6 Cod.: Thc Cont6clor's l,icosc [.w d(6 not apply to an @ntr of thc propsty Nho huilds o imprN6 thqmn. and who dG such rvori himsclf or hmclf or thrcugh his or htr own mployc, providcd that such imFs,qnors e not intcndcd tr offdld ftr sle. If. hwaa. thc building tr improvcmt is sold within m y@ of mplctio. dE OM6 Buildcr will ha1,c rhc hrd6 of F$ing thal hc d shc did d build c impro'. lhc prcp.rty fG 0E BrD(E of slc). YESI. a. o\\'ner of the propâ‚¬ry-. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7M4. Busincss and Itnfession Code: The Contractor's License Lau' does not apply to an owner of property who builds or improves thereon. and rvho contracts for such proiects with a Contracto(s) licensed pursuant to the Contractor's License [,aw). N-o-l ., exempt under Section . B. & P.C. for this reason. WOR.KTRS' COIIIPf,'NSATION NFCI ARATION I hereby affirm under penalty of perjury one of the follorving declarations: No I h.r'. and u,ill maintain a ('errificate of ('onsent to Self-tnsure for s'orkers' com;rcnsation. as provided for by Section 3700 of rhe l.abor (-ode. for the perfonnance of the rvork fior which the pennit is issued. YES I have and will rnaintain rvorkem' compâ‚¬nsation insurance. as required by Section 1700 of the Labor Code. for the performance of the rvork for which this perrnit is issued. My rvorkers' compensation insurance carrier and policy number are: STATE COTIPENSATION INSURANCE FUND('anier: 0064755 Policy Number: _ ozt19t2022Irpires: NO I cerrifo that in the performance of thervork forrvhich this permit is issued. I shall not employ any person in any mann6so as to beconre subject to the rvorkers'compensation larvs of California. and agree that if I should become subject to the workers' compensation provisions of Section .1700of the l-abor ('ode. I shall. forthrvith comply rvith those provisions.. IVARNlNG: Failure to secure rvorters'comperlsation coverage is unlarvful. and shall subiect an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section 3076 of the l.atxr Code. interest and attomev's fees. LICl-NS1'N ('ONTRA('TOR NTCI AR.ATION I herehy,alTinn under penalty of periury that I arn licensed under provision of Chapter t) (commencing rvith Section 7000) of l)ivision .1 of the Business and Professions ('ode. and ml license is in fi.rll force and effect. BAC30 l-icense ('lass:984655 _ l.iccnse Nurnber ('ONSTRTICTION LFNDING AGENC}' I herehy affinn under penalty of periury that there is a constnrction lending agency for the performance of the work for which this permit is issued (Sec. 3097. Civ. C'.). Lender's Name: [,ender's Address: _ APPT ICANT DE('I AR/ATION I heretry aftinu under penaltv ol'perluw one of the followrng declarations [)enmlrtron Pernrits-Ashestos N<'rtrfi catron Federal Regulatrons (Trtle 40. Part6) No_ Required l.etter of Notifi cation "tt t certi$/ rhar rhe federat regulations regarding asbestos removal are nol applicable to this pro.iect. YEs I certifu that I have read this apptication ancl state rhat the atnl'e information is correct. 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