HomeMy WebLinkAbout101102909 - Permit (3)Project Address: 1605 E Wellington Ave
Assessor's Parcel: 400-285-26 Lot: 100
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock. NA Tract: 2648 Hisloric: No
Permit #: {O{lO29O9
Pin #: 2498$
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work: Roroof Code: CBC 20.19 Other Areas:
Existang Bldg. & Use: 5pp yy1x1t garage Flood Zone: X-0602320163J
Garage Area:
Proposed Use: # of Stories:
Total
Oescription of Work: Reroof Wt.o.-Remove and install comp shingles/replace sheathing/handout given
Patio:
T.l.Area:
Yards Req'd
Valuation: $11,000.00
Planning Conditions:
Owner:
Address
Phone:
Tenant
Laurie Lendzion
1605 E Wellington Ave
Santa Ana, CA 927013236
(7'l 41 67'1 455e ext. 01 97
Cootractor: J w Roofing
Address. '12892 Fieldstone Dr
Santa Ana, CA 92705
Phone: (71415384577
State Lic #: 436187
Lic Type: C-39
Bus. Lic #: 133639
Workers' Compensation lnsurance:
Carrier: State lnsurance Fund
Policy #: 3002681
Expires; O1lO1l2O21
Engineer
Address:
Phone:
License #
Architect /
Desiqnerl
Address:
Phone:
License #:
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P,lde std:
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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
Soto. Ricardo Oale: 0112312020
Date:
Dale: O1l23l2O2O
Subject to Field:
NIisrl. Receipt
lvlisc. Receipt
l\4isc. Receiptffn"rn"no"r, ^",n,
0 77760 0 2
0 77760 0 2
011760 0 2
0 71160 0 2
017760 02
5750 7
57770
576 72
57600
5760 7
$333.06
$3.91
$1.00
$22.95
$s7.20
Permit Fee
Microlilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceNo
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd No
Every pemit issued shall bocomo invalid unless the wo* on the sile authotized by
such peml is commenced within360 days after its i$uance,or if the wo* authorized
on the sile by such pemit ts suspended ot abandoned for a period ot360 days aftor
lhe lime the wo* iscommenced
lnspector MtD#. 2020-157287
01'1 16002 51600
011 16002 51601
01'1 16002 51612
o1116002 57 770
$22.95
$390.26
$1.00
$3.91 Fee Total
Paid to Date:
Balance Due
$418.12
$0.00
$418.12
City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, cAg27o2 ' Building
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-21'38 lnspector Section: (714) 647-5853
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS O1lNI]R BUILI,DN DELCARATION
I hcrcby arfim undcr pcnllry ol Flju'y rtur I m .icmpr rx,m rhe Conk&ros Li.cn* tjw lnr rhc tblli,wi€ rcaq,n ( Srt ?0l l 5
Busircss !d Prof.sion Codc): An, Ciry or Counry whi.h rc.tuircs r pcrmil lo .on(tocr. alls. imrtrov., d.nmlkh or rcirrt ntry
slJu.lue. prin lo irs issur.cc. ulso rcquncs lhc applic.n 'or su.h pcrnir t' filc r sised {0i.mnr rh.t rf,or shc is liccn*d Purunl
tu rlr. E.vi\idN.f rlt Contr.ror's Li.cnkd tjw (Chapr$ 9. CornmminA wirh Scclion 70(ll oI Divtnrn I ofrhr ausin.* a.d
Pmfc$ions Codc) or rh hcorshc is cxcmll rhcrcliom md rhcb.sh ror lte ol!.scd crcniprn,n. AnyvnnitionofScthnr03l.5hyany
aprlicanr lor !pcrmir su$jErsrhc arplica.r ro a.ivilpcnal'f.rnor ntrcrhn filc hundred dolles (S50o).
-1.
as owrcr of thc !r)rany. ornrycnDlorcs $il[ *ll3cs0\ lheir sikLl,hp.i\ n. will do IL work and rhc (nrrurc is ml
inrcmLd.rolhr.d{rtr{lc(Sd.Tt}{.4.aurinrsandPJ'da$i,,nr(lxid'lhc(bntrcrolst,iccDsct.rwdocsnortrPFlrbrnosi.rof
rhc pmFny qho builds or inproKs rhcmn, iJd *tu dm\ \tch to* him\.lfor h.^clfot rhfuugh his or hcr o*rttupk,ycc\.
Ir)ridcd lhrrsu.h impnvcnEtrhm trn idcrlcd oroltbrcJ,nr $k lllhowcr.r.rlft ildirS ot mpncmnr i\ $ld *irhin one ,sr
of.o {lrri,1. rlr ow cr Build.r will hiw ihc burdctr .f trcvir8 lhd hc or shc did mr huikl or impmk rhc Brpcdt td rh. Nrlr*.1
l. ns o*ncr of rhc pm|xny. rflcxclusilcryconrractiDs silh liccn*dco rn.u{ h .ohdru.r rh. ln)icl (se 7Lr4.l, Bu\irrc$
!ftI hbfssiD Co.lc: 1 hc Conrrtrdoar Liccns. L,w docs nor +ply k, ,n oq.cr olt'rop.ny wh{ tuilds or improvds rh.rcon.
a.d who .oma.rs rur such toj.ds pnh o conrndo(9 litnsd purunr ro rhc conrr(tr s Lic.isc L,E).
l aDcrcnr u.dcrSdr 0 & l'.C turrlnrcrvni
IIABXEf,S:I:AMTEISAIION
DESAAAII9N
I hcrcby afilrnr utrds p.Mlry of pcrjury onc olrhc folloqins dalaarions:
-l
h0vcud*ill nDi {inaCcdiltarcol(onsctrlioSelflmurcl'oreorkcA conrrcnsari.n. .s ptuvidcd lor by Sdion .l?(xl ol rtc
htxtr Codc. lor rhc pcrformnc of rhe w. for which rh. Fnnil t h\ucd
)cJ lr\c r d *,ll ri' riD v.rkcr!..nr|rtr\rrion i|\urrmc, r!1,ySc.ri, .l7(xr.lrhc lihinC{)dc. tur rhc |trinanincco{
N1j {rri.r arxl lrricy nu'nttir e.l
-lccniiy
rh(l in lhc perfo.momc oirhc No.k ro. *hth rhi\ rcrmir n is\udd.l \h.ll nol cmlloy.Ii pcr$,r in lnt 'nriirs a\ kr hc.m subj.ir o rhc *orkcs' .onl')c.sar ion l.ws of C!l,forni.. d aSerhar iIIsli,uld h.&tE bjcd torhc
wor*${ d,npcnsr ion pmvisions ol sdion 37m oi thc tibor Codc. I sh!11- aod h{ir h conply wirh rhosc trovisions
WARNINC: Flillre lo sccurc *orkc6 crnrpcnsarion coErlEC i\ unhwtul. aM shrll suhjsr a. cmployc, n, ainin Ftutics Md-
cnil fincs uI k, one hundrcd rhoteDd Jollx^ (Sl(Xr,(Xn), in rddirion kr r ofcomncnslrioo- &ro!.\ as nn,vid.d fur rhc
!}In!U].!&!
orpcrjuryrh rI.mli.cNnu c.l'rovhionofChaprc'9lc.'n'mncin!wirhso.ri(r7ft)0)o,Divi\i,)n.]
of rhc arsiftss.id PofcsionsCodc. old lnylicctrs is ir full foi.c {cllecl
Ptw ealllitl]l-LuNrrllllllilclrN(]r
t heEby sfnrm,d€r p..llryofpcrjuy lh lh.rc is. on!rucrhn lcndinS{8crc} lor lhe p€ri{}lrr1l@ ofrhcwork iorwhich$n lEmil t
isslcd {Scc. 3097. Civ. C.)
AITLLCANLDI.CIAtsAIIQ!
I irrthy amm lodcr pcnalry.rpojxry onc orrhc rollowin! dcclaraliotrs:
Dcnmlilion Pcirnih'Asbsros Notifi .arion Fcderul RcEuldionr lTirlc 40, Pd6)
-Rcquncd
Lclrcr oa Norifrdhn
-l
cenily rtur tbc tncnlEsuluri.ns Esrdn,! a\hc{os rnrvxlrrc ur amlic,blc b thh frcjNr
{,.-'n,"rlluvcto l rhi! rtplic.rionmd iarclhd lhc0&,vc inrbnndi,n i\c.trer IagrNtoco ri,lywirhtrllCiryr0dCounry
snrc Ldws rclntirr lo huildinecotr(rrl lu.hyrurh.rnc r.0r.\cnrrrnr\ ol {h ! Cir
rbo!c trf,nrioncd !mpcny li,r in\p!rri(,n ;/#
Set Backs
UFER Ground
SLAB Floor
Subf loor/VenVlnsu lation
Rool Sheathino l-2 c -2-*airf I o,
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif .
FINAL ,-l t -2,.o Mrl lo7
Certificate of Occupancy
Notes, Remarks, Etc.
Forms/Steel/Holdowns
Erection Pads
/, l>t
,9 71o,..f2
€--
i---+---
,,-SANTA
NA,',riilfi
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
www.santa-ana.orq
INSP.O2 2013 CRC
This document may be found at...htto:.santa-ana rqlobal
(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
bu ildings.
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 R314.3.3 define
the requ ired locations.
A eoth boxes below must be checked:
E C"rOon 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.
.t!
fA 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 10 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.
(check onel Licensed ontractor P rope y Owner
Project Address:b05 € \.lc\0 y-1 l-( v^.b
Permit Number:0l\DLq 0q IN
Property Owner:tUt 7-1U y
Contractor:IV (oDfi;License #:'kvpa C--sq
Signoture:\Dote:7 5 >DArl
Have this completed form and the job-card readily available on final inspection!
tr
NoTE: Ihis se/r-certificdtion is only used for projects thot offect the EITERI0R of the structure. This
process is opplicoble ONLY to projects where access to the interior of the dwelling by a Sonta Ano
lnspector is not requircd.
p *t (An