HomeMy WebLinkAbout101102764 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-?738 lnspector Section: (714) 647-5853
Permit #: 1O11()276,4
Pin #: 65f {,,.1
Proiect Address: 5632 W Keelson Ave
Assessor's Parcel:108-574-02 Lot: 44
Unit:Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Historic: No
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 2016
A-O602320252J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Areal
Yards Req'd
Valuation:$7,641.00
Description of Work: Tear off existing, install 27 squares of comp roofing
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Dacquisto
5632 W. Keelson Ave.
Santa Ana, CA 92704
(714) 318-8693
Conlractor: Mc Clain Roofing lnc.
Address: 12812 Valley View St #33
Garden Grove, CA 92845
Phone: (714) 897-1780
State Lac #: 625013
Lic Type: C-39
Bus. Lic #: 160402
Workers' Compensation lnsurance:
Carrier: State Compensation lns
Policy #r 1713760
Expires: 0110112021
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
Date:
Date:
Date: 01/06/2020
Subject to Field:
Misc. Receipt
Misc. Receipt
NIisc. Receipt
017760 0 2
017760 0 2
077760 0 2
0711600 2
0 711600 2
57507
57770
576 72
57600
57607
Permit Fee
l,4icrofilm Records
Bldg. Stds. Revolvinq
General Plan Update
lssuance
web use N-,,,,
$333.06
$3.91
$1.00
$22.95
$57.20No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemil issued shall become invalid unless the work on lhe slte authorized by
such permit is commenced within360 days after its issuance.or if the wo* authorized
on lhe site by such pemit is suspendec! ot abandoned fot a peiod of360 days after
the tme the wo* iscommenced.
$418.12
$418.12
$0.00
lnspector MID#: 2020-156924
N/A - No Balance
N/A No Balance
N/A No Balance
Fee Toial
Paid to Date:
Balance Due:
I.acl 3821
BUILDING- INSPECTOR RECORD
COMMENTSSITE-WORK DATE
Formsi Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulalion
Shear Wall
lnsulation/Ener
wallD
Ext./lnt. Lath
Brown Coat
Masonr
Pool Fence
T-Bar
Handic R
De Final Re rtut
En ineer Final Re rt
Flood Zone Certif .
-zz-FINAL
Certificate ol Occu anc
Notes Remarks, Etc.
OWNER BUII,DTJR DELCARATTON
I hcrchy arftrm undcr Fnalty,, Fqury rh.r t !n crcnlr to rhc adnkrnn- l-$trs tj* tui rhc truowma rc'ern (sc''?oil l
Busincs , P(nasio! Cdlc)r Any Cry or Coonry shirh rcqurcs r Fnnn nr .ondtucr' .lrct. mn!'Y', &molrh ' rcnrt 'n,
sruclurc. nrstr b ir\ rsu!trrt. rl\o rcqoii( thc r{,plE.nr l'o. \uch Flnnl l,r lik r !8kd narcmni rhrr lr u shc is li&n{d 0nsulnl
n) rhc pn)v(knN ol lhc Conrr(kr\ Liccnscd La* (Ch.Pr.r 9. C.flrncncLn! qith Sctrion T000 .l Drvisioo .r oI th' Busin'* dnd
Pinasnons Codc) or ih3r l* orsltr F c\cnrnr rhdcftu and rhc hlns lnt thc allclc,l crcmtrDn. Anvvid'rtr"dtS"lion 70115 hy'nv
rrpliu,nrl,,, rrem[ $rbjeols rhc , 'hrtrr to {uivilpcnahyornor nxrc rhrn tiv. hnndtcd Jollrs(t500).
L N owncr ol rh. pbpcny. o ny .nfkty.cs w lr w33cs ri rhctr $lc conlEnsarion, will ,lo rh. w.lk an! ll* nrurm is n'r
inr.rial nr.ftarcn Inr \alc rse.?(l14. llulinc\s and Pnnass.ns Gnlc: lh. Conrh.ktr \ L,ccnsc Lr* Jocs ndr amlv lo u own( ot
rhc pn'Fdy wln, bu is or opmt\ dmrn. who&Esnchmid(hnns.llorhcncllorrhDughhisothcrowncnflovccs.
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woRKEX-S', COIII ANS TION
DECLARATION
I h.rcby tm utulcr !.nalry or t'djury om ol rh. follo*ine dc.hntn,ns
I nlvc ltrl wrll minrrh ! Ceniicxr. olConscnrb Sclr_lnsurc ntr *o,kc6' compcnsarbn, $ F)vidc!,or bv Sc'rn'n lT(xlorrhc
btdr Orle, li)r rh. Frfomr.ncc ol lh. wo* nr which lhc Pcmir $ 6sucd
-l
h.r ud uill hninun workcs co.f.nlrton rnsuEn e. as r.quftrl iv Sei t,n lTtD of rhc Lihot Cod' ttl rhe Frrolmmc ol
lhc xxk turlhichthis pcrmir is issu.rl. My worksr comn ns,hon insumnce.riq drlFlicvhxmb" m:
l.cniyrhrrinrh.t)crforme-.cofrhc*orklnrwhi.hrhx!. n r sn'c'1.I nllllnol cnlPlo,anv Pccdn in3n,nrincr
q' Nbh.oft subie.^l brhc workcs' .o nrtc n\rr on lrwsolCallll)mE. snd 4e rhar ill rhould bc.om srhlccrt0 rhc
worlcF co rpctrsalionpovnn,n\ofsc.tirn.lT(){ofrh.tibrC(lc.lshrll.lorihw h .onPly wirh lln}$ tn'vllons
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Daicr- ADDIi
UIENSILqONISACIO8
DECLABATION
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ol rh. Bu\incs .nd Prulcsion\ Codc, d my nccnsc is o tull l(}ru. axl .tlccr.
Lr.tr\cChs
CqISItsuCIONI,INOIXGjj;NNCI
I h.Fhy rfltrn undcr licnrlty ol pctlury rtrar rt'crc i" a .mslrucrrrn Eftling nlctuv lbr rhc I}. nrMtrcc ol rhc work l{tr which rh' Fmil is
isruql {SN .1047, Crv. C.)
APPLICANT DECLARAfIoN
I lrrhy tmruntlcr lEulry orFriury o.c orrh. rollowxrs Lrccld,arnrn\:
Dcm.l !,n P.rnn$Asicnos NoulicdL.n lrcder{lRclular'on\ (lrrlc 40. Pd6)
R.qutrcn lr(crdl Ndr l.ii(tr,
-lccnn-vlhal
rhc rcJcrdl rc-rulllions rc![Jms ashcnos rem,val &. nol {di.rhlc ro rhr tln)jcar'
-1..n'lyrh
l h.vc ral rhii atdEx n anl drrcthdr lh.abvc inlnnrdon $cotrccr.I.ErerocomPlyrfhrllCrryandCounrv
-r&r*s'a Sr.lc Lrws rlxrirtiio t'uiLlins oi{o.rion. lnr hcrcby,trrrnnizc rcnr{nrarvcs ol'rhis Crr tnd Cou'rvro drct ur}nrlE
il$vc n hroncdnopcnyftr itup.crnn pnr.'{s
\pDlic{nr or Agcnl liEnaluF.-
Pemilee nrmc (pnnl):
IEEEI
Set Backs
Roof Sheathino
Framinq
I).t.:-
r
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.sanla-ana.orq
This document may be lound at...htto://www.san ta-ana.orq/oba/
(please use a black or blue ink ball-point pen)
Project Address:fb3z-- UJ t /rpls^n
Permit Number:Lo I to 2-1a24
Property Owner:t)+xq LLis-b
Contractor:MCC h
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC) Section R314.1 and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R315.3 define
the required locations.
A eo,h 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 recommended in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
El 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 carb monoxide ala s have been installed in compliance with the governingI
Codes and have been te to be fu nctiona I
lcheck onel se ontra tor EJ.-P perty owner
NOTE: Ihis serr- certificotion is only used lor projeds thot olfed the EXTERIOR of the structure. This
process is applicable ONLY to projects where occess to the inte ot of the dwelling by a Sonto Ano
lnspedot is not required.
J1 :I -/Dote )0*0l+
Have this completed lorm and the job-card readily available on final inspection!
-,-SANTA
NA/riilffi
Smoke & CO
Alarm Affidavit
E]
License #:
Signoture: