HomeMy WebLinkAbout10193274 - Permit (2)City of Santa Ana
,ierTit coTEf#I647-s800
20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 10193274
Pin #: 53163
a;ffi I I
Assessor's Parcel:407 -03',t -27
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Lot: 29 Block: NA f?d 3423
Bldg Address Range Suite Range:
Zoning: RlHistonc: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Singls Family Dwelling
Reroof
Reroof
SFD Waft garage
R.3, U
VB
cBc 2016
x-0602320257J
,t
1st FL Areal
2nd FL Area:
Other Areas:
Garage Area
Total:
Patiol
T.l.Area:
Yards Req'd:
Valuation: S7,000.00
O6scription of Work: Tear-off & apply composition shingles. Handout given. Auth. filsd.
Planning Conditions: RePlacg sheathing, eaves, & fascia boards as needed.O,,r .-Lat?On<r"t - L Itatattt 7 rn' I Oner\l ca
Owner:
Address
Phone:
Tenant:
Contractor
Address:Address:
Sam Ouang Nguyen
14181 Donegal Drive
Garden Grove, cA 928114
(657) 337-2888
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
(!lf rce: CTYH Trons+: 87 I of I
A.r,: ti: Refi: 10193271
I{oti!01922978 - 6/!5/2017 lz0l Pn
lr (nsoct ion Totol t3/t.3?
.,,h Ouone l{suyenPhone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
,)ri,€rol Plon Updote Fee
rrl 1 16002" 51611(nl0u-
li, r I td inerl I 16r-102- 516r:rl00tr-
P,lde Stds Revolvine
rrl I 16r-r02" 5l6l2rlorJ-
ll,'. i.er (:qrd
,- i: rrrr*rrrrr *16393
t?0. -'d
s319.76
91 . (rtl
r371 .32
Authl:03923t1
vara, J Date: 06/15/2017
Date:
Date: 06/15/2017
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51601 Permit Fee
07776002 51612 Bldg. Stds. Revolving
07776002 51600 General Plan Update
07776002 51601 lssuance
$298.s0
$1.00
$20.56
$51.26ki, Teri
Fire lnsp. Req'd:
Police lnsp. Req'd ffi Account#Total
Flood Zone Cert. Req'd: No
Every perfiit issued shall become invalid unless tho wo* on tho site authorued by
such pemit is commenced within180 days after ils issuance,or ifthe wo* authoized
on the site by such peml is susponded ot abandoned fot a penod oI180 days after
lhe time the wotk is comfiencod .
01116002 51600
01116002 51601
011 16002 51612
$20.56
$349.76
$1.00
Fee Total.
Paid to Date:
Balance Due:
$371.32
$0.00
$371.32
lnspector MID#: 2016-129520 xe?Drlur}h$\ v@t+&?>-
Unit:
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Engineer
Planning Approval By:
Plan Checked By: .
Permit lssued By: \Z-
NPDES lnsp. Req'd{ No
PWA lnsp. Req'd: \/ No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
SITE.WORK DATE ID/SIG.COMMENTS
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB FIoor
Subf Ioor/VenUl nsulation
Roof Shealhinq ',t/'tllt + ).>,t-L111 t,(
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL nonl l lvacz i'u x(
Certificate of Occuparicy'
Notes, Remarks, Etc
BUILDING. INSPECTOR RECORD
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R.qut d ldr6 oa Notificllion
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This document mdy be found ot... h ttC. /,'//.,,/,,v Sa n ta-ana.orqi pbai
(P/ease use a black or blue ink ball-point pen)
*-SNIA
NA,ffi
Planning & Building Agency
20 Civic Center Plaz. Ross Annex
P.O. Box 1988 (M.19)
Santa Ana. CA 92702
(714) 647.s800
wwrr,santa-ana.orc
Smoke & CO
Alarm Affidavit
Project Address:2ct1 ul /^iil(av', tN ,9r,&' t)ra A ,zt
Permit Number:
Property Owner
C ->A
N"1 |{trLty€N
Contractor:
Signoture:in|t Dote:T,n ?-cl Ao t1
(check onel tr Licen sed Con tractor .E P roperty Owner
NOTE: fhis sef-c ertification is only used lor projects that dffect the EXTERIOR ol the structure. This
process is opplicable ONLY to projects where access to the intetior ol the dwelling by a Sdntd And
lnspector is not tequhed.
Have this completed form and the job-card readily available on final inspection!
t-t
License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ing s.
California ResidentialCode (CRC) Section R3L4.1and 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 loca tions.
A eoth boxes below must be checked:
$Carbon monoxide atarms: Are lnstalled outside of each sleeping area in the immediate vicinity of
bedrooms and also on each levei oF the dweiling. Alarms are required in bedrooms with gas-fired
appliances (i.e, hot water heater, cooktop, furnace) or a fireplace.
6-ot" 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. Combanation Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery ljfe must be 10 yeais.
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 lwill retest the alarms per the
ma n ufacturer's instructions.
\