HomeMy WebLinkAbout101103952 - Permit (4)a
CitV Of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (rrO)UUr-rrrU ,nrr".,o{*
Building
(714) 647-5853 ,, )
Permit #: 1O1{03952
Pin #: 55852
./oor"r, Range: ,rr-rl suite nange: 6lProject Address: 922 N Bewley St
Assessor's Parcel:1 98-231 -09 Lot: POR 13
Unit:
i \/
Bldg:
Block: NA Traat: 1022 Historic: No Zoning: R2
Building Use:Fourplex Occupancy: R-l 1st FL Area:Patio:
T.l.Area:
Yards Req'd:
Valuation: $8,200.00
Job Type. Reroof Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Code: CBC 2019 Other Areas:
Existing Bldg. & Use: Fourplex Flood Zone: A-0602320143J
Garage Area:
Proposed Use: # of Stories: Total: O
Description of Work: Tear off and install new comp shingle roof for building. Handout given. Owner-Builder form on file
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Morteza Hajian
30141 Anamonte
Laguna Niguel, CA 92677
(949) 370-7366
Contractor:
Address:
Owner-Builder
Phone;
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
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:
Kelaher, Selena
Chavez, Dave
Oale: O7l01l2O2O
Date:
Date: 0710112020
Subject to Field:
Misc. Receipt:
Ivlisc. Receipt:
I\i1isc. Receipt:
07776002
07776002
07L1_6002
0L176002
07776002
57601
5777 0
s1672
57600
57607
Permit Fee
lr/icrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$345.28
$4.05
$1.00
$23.79
$5e.30
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permit ls suspended o r abandoned for a period of 360 days after
the time the work is commenced.
No
No
No
No
No
No Account#Total
0'1116002 51600
01 1 16002 51601
01 1 16002 51612
01116002 57770
$23.79
$404.58
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due
$433.42
$0.00
$433.42
lnspector t\t'llD#: 2O2O-159863
BUILD!NG. INSPECTOR RECORD
SITE-WORK DATE !D/SIG.COMMENTS olvNuR lrt[l,t)t:R t]EI_cARA't'l()N
I kreby rlfirnr under penulty ofpcrj!ry that I 0n) e\enrpl fronr the (.irtrtractos l-icense Law for the following reasol (Sec.7031.5
llusincss And P()ltssion Codc): Any City or County which requircs n fErinit k) c(rn\lnrcl, lllcr. irnpmvc. dcm)lish or toai!Jny
to lhc nft)visions ol'lhc Conlrack)r's l,iccnscd Iiw (Chaptcr 9, (lnnnrcncing wilh Scction 7(XXl ol l)ivision 3 ol'lhc lJusincss and
ProfessioNC(xletorthatlrcorsheiseremptlheretronraildrhebu\isli'rllElllegedexcilrnrioil. Anyviolari(rofSecti(n70ll.5byany
ilpplicdnl lbr n frrilil subjects thc rpplicrnt lo r ci! il perultv ol nol nnrc lhotr live hundred dollilrs ($5(x)).
_1. as owncr ()l thc prolEfly, or rny crnployccs with wngcs is lhcir solc c()rnpcnsati(rn. will do (hc work rnd rhc structrrc is not
irlendetl or ofltrerl lbr sale (Se.70.1,{. Business rnd Pft)fessions Co.ler l'hc Conlrnclrn's I-iccnsc Lnw does nol npply b an owner of
the ptr)pcdy who builds or inIft)ves therilD. ard wh, d()es such worli hinrselfor herseli(,r lhrongh his or her owtr cmpl)yees.
p,o\idedlhrtsuch irnpfllv.lrnlsecmlintcrrlcdorollircdlor$L. ll.hoscv.'r.thLtilildingorirnprovcrrcntis$bwilhinonc}!tr
ofconplcti(nr tlE Owrcr Buiklcr will have the burden of pn)virU! llil lt or shc rlid ftl build or irprove llrc fnrpny for tlt puryrrr of
s!lc ).
l. as owncr olthc prlpely, an) exclusively c(nlracti,r! wilh licensc(l cotrlrnckn's k) c(nl\lruct the project (Sec. 7(X,1. Burirrers
arrd F\olissirrr(irde:TheContractor'sLicerrel-awtloesrctapplytrrarownerol'propertywhobuildsorinlprovcstllere(trr.
rn(l s,h() cr)nlrncts for such pftriccts rvith a (irntracktr(s) liccnrc(l pur\urnl lo lhc C(,nlrrclor's Liccnsc Lalv).
_I anrexenrln !Rlcr Sect I] & P.C li,r rhi\ rea\oI
I
W( )RKI.IRS' (\)Nll'IINSATION
T,ECI,ARATIoN
I hcr!'hy n,lirm undcr pcnalv ol pcrjury onc ol lhc I(,ll('wing dcclarali(Ds:
l,ahrr Codc, li,r thc r-rformAn(c o[ lhc work li)r which lhc peilnit is issu.(l
_l have and will mainraitr workers c()n)petrsali(tr1 rr\nrxnce, is requircd hy Secli{rl l70O of lhe trhor (i)de, f(tr lhe perfornw)ce of
rlr' work l()r whlch lhis Nrnnl i\ is\ucrl. My workcrs' cotrrJxnrali(in iDsulilncc canicr iwl lx)licy numb.r uc:
(
l,olicy Nunrher: llxpircs: _
_l ccrity rhilr rD tlrc pcrli)rnuncc ()l'rlE work li,r s,hich lhis pcrnlil i\ issuc(I, I shall n({ enrploy any lrcrson in any manncr
sorrlotrcoDEluhjcctlothcu,orkcrs'conrl^*ilsllionlnw\ofCrlrlbrDin.rnilrgrcethatiflsh)uldhaconrsuhjcctlolhL
worlers (onr|ro\rl,oDp(^'i\tnNofSection.lT00ofthet-abor(irlc,lshrll,fonhwithronrplywilhlltosprovisions.
WARNINGT liililrtr'c k) sccurc work!:rs'conrlf,:nsaliol covcriSc is unlilwlil. anrl slHll suhjcct nn cn)l)k)ycr t) criminul lrcnalties xnd
civil llnes uI k) one hundred thousrnd dollrrs ($l(X1.0(X)), itr rddili{iI lo lhe cost ol cornp€nsnlion, drnrrSes As providcd lbr lhe
Scction :1076 r)fthe t-ahor Code. iilerest and rtlorrcy s I;es.
l)rl(
1,I(]ENSED C()NTRA(]ToR
DECI,ARATI0N
I hcrcby al liiln undcr pcnalty ol pcrjury that I arn Iiccnscd undcr provirir)n ol Chaptcr 9 (corn,ncncing with Scclion 70fi)) ol l)ivision 3
(,f lhe Ilusincss ilnd Pruflssi(,ns Co(lc. sd my liccnsc is in full lirrrc un(l cftcct.
l.iccnsc Cl^ss:-Liccnsc Numbcr:
Cotrlrtrcl0r:
C0NSTRTJCTION I,I,]NI)ING AGENCY
issuod (Src. 1097. Civ C.).
l,cildcr's Nrnrc:
I.cntlcr's Adrlrcrr:
APPLICATIT DECLARATION
I ltrcby ilfltrnl undcr pennhy of perjury one of Ihc followirrg (leclarilt ions:
Den)olition Pernrils-Asbestos Notification Fccleral ReSulations ('fitle,l0, Pait6)
_Required I-ctter of Ntlifi cation
_l cenify that rhc llderal rrguhti{nN regarding nrhcsk)s renx)vill rrc Nr applicnble rr) rhis project.
_l cenify lhat I lrave reatl this applicalioh and stnte lhrt lhe above infortrulion is correct. I ngree to comply wiLh all City anrl County
ntx)\'( nEnt()nc(l pfi)lEny ti)r inrpccti()n puqx)scs
,\pplican( or,\getrl l)iltc
Prnniler narnc lnrint):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation I .9/
Roof Sheathing Y/17 2^{'tz0 DIU,|tyta t4dD
Shear Wall I I
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lMasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 11 e?w4a2j7
Certificate of Occupancy
NoteS, Remarks, Etc.Ir
Q)r- l, l v
tlev. Lt8-07-2015
ilSNTA
NAffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647-s800
,..r'rrr,v. s a nt.r-a n a orq
Smoke & CO
Alarm Affidavit
Project Address q N ,4
t'e u-t l< '/ Sf.Totgtz
Property Owner
"nse
#Contractor:
INSP-02 2013 CRC
This document mdy be found at...httc.//r,.n,;.,v. sa nta-ana.orolobai
(Please use a black or blue ink ball-point pen)
State of California requires that smoke and car on monoxide (CO) alarms are installed in residential
bu ildings.
California Residential Code (CRC)Sectlon R314.1and R315.2 states in part that exlsting dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
f\ Both boxes below must be checked:
E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
EI Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be L0 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manufacturer's instructions.
Signature &^*.n CAr.r orf-r+/Date t o - ?- z o
lcheck onel Licensed Contractor ? Property Owner
NOTE: This self-certification is only used for projects thot offect the EXTERIOR of the structure. This
process is applicoble ONLY to projects where access to the interior of the dwelling by a Sonto Ano
lnspector is not required.
Have this completed form and the job-card readily available on final inspection!
t
Permit Number:
INSP.O2 2013 CRC
This document may be found at... httc:/iv'r,',",v.santa-ana,orqi Oba.'
(Please use a black or blue ink ball-point pen)
Project Address:q77c v IStvtc\t s+
Permit Number:/oi\ o jqtz
Property Owner:
T
Contractor:%oLD"* fuTprJlicense#
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC)Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R31-4.3.3 define
the required locations.
A Both boxes below must be checked:
E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
El Smote alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be t0 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manufacturer's instructions.
Signature fi 2o',tt 1t P uJ{t E-/Date i6- 7- z o
lcheck onel tr Licensed Contractor * Property Owner
NOTE: This self-certification is only used for projects that alfect the EXTERIOR of the structure. fhis
process is applicable ONLY to projects where dccess to the interior of the dwelling by o Sontd Ana
lnspector is not required.
Have this completed form and the job-card readily available on final inspection!
ilSNTA
.NA,ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647-5800
w'na,v.slnta-3na.or!
Smoke & CO
Alarm Affidavit
t
ilSNTA
NAffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647-s800
w'Jrarv.slnta-ana.or
Smoke & CO
Alarm Affidavit
q7a P Rru, lc'/ 3rProject Address:
lo t/07/rLPermit Number:
Property Owner:
License #Contractor:,4u rLr-.--- t- f /r^/
INSP.O2 2013 CRC
Thisdocumentmaybefound at... httc://'r';',',",v.Sant3-ana.orq/cba'
(Please use a black or blue ink ball-point pen)
State of California requires that smoke and carbon monoxide (CO)alarms are installed in residential
buildings.
California ResidentialCode (CRC)Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
f\ Both boxes below must be checked:
EI Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
EI Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 1,0 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manufacturer's instructions.
lcheck onel tr Licensed Contractor Property Owner
NOTE: This self-certificotion is only used for projects thot offect the EXTERIOR of the structure. This
process is applicable ONLY to projects where dccess to the interior of the dwelling by o Santd Ano
lnspector is not required.
Date:/ () - ?-t Afv
Signature {tn o;, C,a u) t try
Have this completed form and the job-card readily available on final inspection!
t
t