HomeMy WebLinkAbout101102866 - Permit (2)City 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 Sectionr (714) 647-5853
Permit#: lOl{02866
Pin #: 624Q(.1
ProjectAddress: 1821 N Poinsettia St Unrt Bldg:
Tract: DERICOT
Address Range Suite Range.
Zoning: R1Assessor's Parcel 003-162-20 Lot: NA Block 6 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use:
Single Family Dwelling
Solar
Solar
Sfd w/det garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2019
x-0602320163J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l Area:
Yards Req'd:
Valuation:$8,700.00
Description of Work: lnstall roof mounted solar. Per Residential Photovoltaic Checklist.
Planning Conditions:
Owner:
Address
Megan Klempa
,I821 POINSETTIA ST
Santa Ana, CA 9270629'17
(310) 760-1329
Contractor: Clean lnitiative LLC
Address: 2400 E Katella Ave
Anaheim, CA 92806
Phone: (805) 324-3844
Stale Lic #: 1038376
Lic Type: B
Bus. Lic #: 374a11
Workers' Compensation lnsurance:
Carrier: Harttord
Policy #: T6WEGAA6RGZ
oouglas M Morales,
Douglas M Morales
,L.-.r | . - r/ Id/,:t-ttt-l
Fngrneq{, tln E_+ I 1u
lui l.lrtNErrtt
1lr1'1
1rJ1 1r"r2966
1r:17 f'n
it:;1.66
Address
Phone:
License #:
Phone:
License #:
20271 Lightl$rs'e .l4ns . ; i,,lnr.,,
Huntington BEaotq GA 92648 ,
(949) 285-5104
69163 i,"rfr irt.r!rrLir i.r ,
lllnllr::Architect /
Desiqner:
Address:
ll tolJr.rl- ;r1oLrlLr-ru-
irrof iim i\ ;,uLUfl€nts
i i i.i'lni- i777t-ttt-rt-t-
issi.ii i *r**r****rrr:t84
- $4Fl.l. tl0
$1ul.66
$551 .66
Allth+iul t 71li
Planning Approval By
Plan Checked Byi
Permit lssued By:
NPDES lnsp. Req'di
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No
Every permil issued shall become invalid unless the wo* on the stte authorized by
such permtt ts commenced withn 360 days aker ls issuance.or tt the wo* aulho zed
on the site by such pemit is suspended or abandoned lot a penod of360 days after
the tifie the work is commenced
\ \,/-) Date:
I \. / oate
'--l lr\dolski. Teri Date: 01/'16/2020
--){o Subject to Field:
No Fire lnsp. Req'd: No
No Police lnsp. Req'd: No Accoun
lvlisc. Receipt
t\4isc. Receipt
l\,4isc. Receipt
t#
$450.00
$101.66
$0.00
$0.00
Total
$55'1.66
$0.00
$551 .66
l\AlD# 2020-157152
01 1 16002 51601
01116002 57770
$450 00
$101 66
Fee Total
Paid to Date.
Balance Due
Engineer:
Phone:
Tenant:
01716002 51501 Permit Fee
07716002 57770 Microfilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
lnspector
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OlVNE[ AUII,DER DELCARATION
I h.rcby rfitm undcr pcnalry,)l I.rJUry rhar Ln .rcDPt loo rhc Conrra(o6' Lic.n* Ltw fot lh. hU{'wing rc.nrn 1S...?0J1 5
Busincs .nj Pdtsir Cdr.): Any Cily or Counly vhich rcqunes a lrmi ro .nn(n'cr- alrcr. ihptuvc dcmokli r rp rnv
srnrcnrc.orn,rlo ir\ ,$uM.c..ts rcq(tcs lhc apPlicln! lnr ru.t Fm lo nbn srsBl n"tmnl rh h.or shc n li.cn{d pu*u,nr
h rhc rovi$ons o{ ltr Conrracroa\ Liccnsd tiw (Ch.!tcr 9, Conncncnr! wirh Se_ri,). 7000 orDivtion.l oi thc Brsinds sd'
Pmicsions Co'lc) or rhd h.orshc $ crcry)r lhcrclroh M,l rh. h*i f,tr thc allcgcd c(hfln,n Ary v,oLlionolSctlidn 7011.5 by lnv
aprlMnr rr, a pcnnit subjNtslhc applicrr ro rcivnpcn.llyntnot morc rhai tiv. hundrcd douas (5500)
-!.
rr dwtur ot rh. ptulErly, (tr my cnployss wirh w3g.\ r\ rh.n erb comFtrsarion, *ill d rlr qdk o!.1 th. sr@rm ir n
i.nJ&l oro,lclcd ttr s.lc (5(.70:14. Buiin.$.nd Pftnassons Colc:1hc O,ikrciDis Ldnsc Law 'lms nor rlply ro owmt ol
thc nD[rny who tuiusor mttuB llEBu sx, wh' rtf,s s&h kl* h,hscltor hcrsllor rhn,uSh hir or hcr own cnlilottcs
F,vid.J rhdr tucb ,qh)vcmnls @ lnn inrcBlcl or oficr.J li)r eL. ll h*rcr, ltr hlili.S or mlrdtm.r Lr $! wnh'n oft y.d
ofco Dlcron. rh. Owrcr Ruildc! w h.k ih.6rd.n ol Fmvin3 rhar h. or rhc JiJ frn buill or im0ow rh. PDIdy f.r rhc ldqnsoi
t. !s owner oi rh. prup.d y. am cxclusivcly uoot'crins w h li(ned .onla.bn tu conrldd llr pDjet (Scc 7044, 3u$rcs
aJri Psr6ibn Crod.: Thc Cotrrrukv s Liccnic t-rw .lors nor {ply t. an o,ncr ol rtut'.rty who bu ds or ifrprov.s tlErcon,
anJ *ho Lrnr,nk lir $.h pbilts wilh . Contmub(s) ltcnsJ ptnurnr rt lhc Conrr.ck, s l-iccn* tjw).
I.m.r.h.r u crScluxn ,B.&PC.L rhhrcr.'n
Itaarcrs:.collrlNs rlo!
DECI.IIBAIIA!
I lrrcby aaltm unJcr penalty of pcrjury om or thc rollowi4 delaarirns:
-l
h,!c dd {in mrhm. Ccdil-f,ar. oac.n*nt ro SclHBurc for workcE {onrcnraron. is nmviled fu byS&rirn 37m oflhc
tibor C{!.ta. foi rh. p.nomc of rh. port l'or wtich rh. p.mir i! ilsucd.
-zt hrvc !n j wiu nainrain workcs .onpcnsarion inn&Nc, as Equtrcd by Scction 1700 of th. L.bor Codc, tur thc Fctforllr,N or
n'n inlrratrcc c.trrcr uJ F'licy nun$.r a
-7t ue 6-4 A t bG7
-l
ccnity rhnl in lhc pcrlormancc olrhc work for whrh lhs !.rmil N ssuc'1. I shnll nor cmfloy any pcron in 2hy nunncr
kr mbh.v)m suhjer ro rhe sork.tJ .omlcnsal bn hws ol Caliiom( Md +rc lhrl ill slnuld hNom sublcLlto lhc
workcn (o,npcnrari,,n pnlvs'ohs of Selon l?m of rh. litrr C{rlc. I dBU. lorihw h connly virh rho* 0tuvrbns
wARNlNc: trdilurc ro scutwortcn uomptn\aro. u'!c.rsc,r u.L*lnl. aBl ih,ll \uhjtcr M cnrPloycr ro (Minal Fnal'ts rnd
.ivil nncr op k, otu hu, rcd ll[uson Joll{s (SlAr,fllo), in aJd flr n) lhc co\t cotrrtEnsltidr, iama8$ a\ ptuvid.d n{ lhc
Sr.rn,n.1076ofrhc Lahx Cotlc, inrcrcd an'l atroro.r's f(\.
V
I h.rchy lfrm undfi p.nilty ol pcljury.rhar I
pEg!!8l!MN
In!l${'n)vi!on.lChaprcr9(r(,nrcncor * hSc(rtn,7lxx))olDrviv.n:l
ol thc Blsirc$ and Prur.$n,"s Colc, nftl my liccnr t in flll foc ,J cael
B /D j*3 7.1
9./ 7D /2o
----
c-oMf ttt'tttrl Lrrottrt; lcetrt'Y
I krchy rftum dnJcr Fnrhy ulr.qury rhrJtcrcHiErrucr n kn.linS !3cNy td rh. ldiamncc ol ihc uork n)r which rhir ltcrmir is
nsu.d (Sa. l(y)?. Cir. C )
ATTLICANT DECT,ARATION
l [.nby all]m rn'lrr p.trrlry ofpcrjry on. ol rl[ fdk,wing 'lc(ld tr,ns:
l)emolirnn P.irnirs shc!os Notilieali,!r tcJcril RcNuLrdr\ (1nic,t0. Prn6)
RcqunJ k(crol NorlL otr
-l.dilirh
lhc i.dqal,csr'ldioN rcgddnr! 6lr(.srcmovrlrE nor {dHblc rolhnln,Fr
\,.*rly 'hJnJ
hJ\.e,J rhtr itrl(. tr,nsrl Jrc rl'r rhcil!,v. trrtotnrrr)n is tomd LPftc k, conrlly w rrh !ll Ciry $d c:$rnrv
\r,'lSitlclrs(!c1. tr'g h,htrrl,lrnp ran{ruJrn, m'l h$chy iurhtrizc EFr\cnr.tlrcs of lhF (\ry ICornryb.nrdu!.trrlE
rM nEtrri,,ncd 0!'pcny lnr n,\F.l,on I'lrl})scs
Applic{ o.Ap€ltsisn;rue
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVlnsulation
Roof Sheathing
Shear Wall
Framino //3 V** fL:?ttJ \.A /b,t
lnsulation/Enerqy ,d
Drywall
Ext./lnt. Lath
Brown Coat
lVlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
F[oo( Zpne Certil.,
W( VP,Pt4crl 3:t'2rtl Vuufue ,ub
,1,
VV';ts/v Vhrlw,EO
Certificate of Occupancy
Notes, Remarks, Etc
Set Backs
FINAL
8/tt/zo
--_-2
titrJcir Nrm:
-
tJnJc.s AJJrcs:
-
*,,SNTA
NAffi
Planning & Building Agency Smoke & CO
Alarm Affidavit
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647.5800
,'!r1il,tt.l l:iI
This document may be found ot...
(please use a black or blue ink ball-point pen)
Project Address:t s zl P.:t..s-lti "- g L. i/". +L^
Permit Number:/0t/ozs:lL I zotToctl
Property Owner:fle e^l(l1ag2
Contractor:C lea.^ 71tl; rL, r- ] Li""n," #i / o 3v 3 7 6
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild in gs.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon rnonoxide alarms. CRC Section R314.3 and R315.3 define
the req u ired locations.
f\ aotl, boxes betow 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 recommended in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
Efsmoke 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 Fii'e Marshal! (5FM). Battery life mu5t be 10 yeai.s.
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 governrng
Codes and have been tested to be functional.
lcheck one|Lice n se d ontractor Property Owner
NOIE: This seff-eertification is only used for projects that oflea the EXTERTOR ol the structurc. This
process is applicable ONLY to projecls wherc occess to the interior of the dwelling by d Santo And
lnspector is not required.
Signoture:Date:1/lo/ zo
tr
Have this completed form and the job-card readily available on final inspection!