HomeMy WebLinkAbout10194484 - Permit (2)brProject Address: 815 E Clemensen Ave
Assessor's Parcel. 396{11-17 Lot: 26
Unit Bldg: Address Range Suile Range:
Zoning: RlBlock: NA f tacl 4226 Historic: No
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 Section: (714) 647-5853
Permit #: 1lJ19/lJ,8,4
Pin #: EGE76
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Nature ofwork: Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: gfp s116 g313gs Flood Zone: AE{602320163J Garage Area:proposed use: # of stories: Totar: flil l;;rit,ii
Description of Work: Reroof wrt.o.-Romovo and apply comp shinglos/sheathing to romain/handout givon
il,;i;[.ii,,,r,,r,.,ur,
1'tt1 "' 1 ''t
Patio:
T.l.Area:
Yards Req'd
Valuation:s8,000.00
li/ t$/21717 ID: (:(:UELLAI
Irons+: ?14 1 of iFef+: 1r:t1944i14- 1t:r/ l6l2tt17 3:49 Pn
6 I t_49? 7.:
Planning Conditions:
Owner:
Address
Phone:
Tenant:
Engineer
Address:
David Slaton
815 E Clemeflsen
Santa Ana, CA 92705
6er'elol F lan [Jpdolr
L|l 1 1 6(r]2_ 5l 6(x:rr_I:[:l
Phone (714) 523-7664 hldt
State Lic #: 96'1826
Lic Type: C-39 g
Bus. Lic #: 349002
Workers' Compensation lnsurance:
Carrier: Midwest Employers Casualty Com
Policy #r BNUWCo141580
Expires: 08/30/2018
H{L
ffi qv4
Phone:
License #
Architect /
Desiqner:
Address:
Phone;
License #
P.u i 1d inetl1ll6tI,t2.
81de Std !
Dl l 16002.
I(:L (:hecl
: 1 6f I r:I:n:r _
RevoI v ine
5l612uDir-
1(i6
llar
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Orozco, lvan
Hernandez, Kathy\0[
Date: 10/16/20'17 Misc. Receipt
Date: Misc. Receipl
Date: 1Ot16t2O17 Misc. Receipt
Subject to Field;
No
No Account#
07776002 51601 Permit Fee
07776002 51672 Bldg. Stds. Revolving
01776002 51500 General Plan Update
07776002 5160, lssuance
$308.52
$1 .00
$21.25
$52.98
No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp Req'd: No Flood Zone Cert. Req'd: No
Every peinit issued shall becofie invahd unless the $/otl< on the sito authonzecl by
such pemil is comnenced within 180 days after its tssuance,ot il lhe wotu authonzed
on the site by such permit is iuspended or abandonad for a peiod o1180 days aftet
the time the work is cornfienced
lnspector MID#: 2017-139370
Fee Total.
Paid to Date:
Balance Due:
$383.75
$0 00
s383.75
01116002 51600
01'116002 51601
01 1 16002 51512
$21.25
$361 .50
$1.00
Conlractor:
Address:
MK Roofing lnc
1572 N Batavia St #2
Orange, CA 92867
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS O\f, NER BI]ILD6R DEITARATIOIT
I hd.b! .llrm uid.r p.nrhr- ol Fjuh_ iht I m .rmfl 6.n rlr CodrdoR' l.r.e lr* for (h. folh$ns r.sn- ilc r0!l 5
In,i'n6r ad Prorermn (.dc) An) Cily or Coui! trhrh r.qur6 ! pqni ro .odrud. rt6. inprorc &mlsfi or rq.tr &l
$ru.1ur.. Fior ro tu sue., it!. rquic rhi ry?lrer fr 3uLh Fmn ro fik i r[n.d i .l@t rh,r h. or rh. i l(a!.d ,uEud
h rh. rolBroc ofrh. (\.rrturori Li.cns.d li\r (ah.pt6 9. Comma.ins \virfi s6rr,. 7000 of DivBt n 1 of t& Buti.cs lid
l'lofdions Cod.) or rhar h.or rh. i!.r.mfl rhft.fom and rhc b.sB ror rtr rll.sdl .rm0ridn Any r6l,rion of sdnrn 70115 b, rny
lrplicEnllorip.rnilsuhjal!lh.aFplicmlto.civilDorhyolnormorcrh.nfiv.hundr.ddolles($5CO)
l.6.trEof'h.FrFny.cmymployB"th$+6arhnbkcomFsirn."iU&'$.rst&n'lErrLra.imr
'dqxldj or ofrs.n lq {L (Sa 7Ou. BBiB! ud Pmftshd ( od.r TIE Conrrrd ! t.acE L^'&E ml q'gl} lo d o\w of
rlE Frlxn) $ ho t!il& omrgfr€ tlEac ,n *h d6 nrh w* hina.lf 6. hdrll o. rhmu3h h6 d rE o$n mplo)6,
roid.n rhd ru.h mFo\!d3 c Dl nod.d q olH ,n $l l( ln*6s- rlE h!'U!{ ( ilqsqEi ir -ld *rh'. oE ra
.fsr{,lrhn. tlE O{F &*h eill lEr. $c h!.tdr ofrmtql rlld lE or slE dn mt hilii or sImr! tn. FrFr} tu llE Fitx of
l.6o\en6 ofrh. p$Fdy. dn.r.lNi\.ly.6nk6.o.* wirh lico..d conrrd.Eh coBrn(1!h. F)jdr tsd 701,1,Irci.d
6rrl l\lrrqsD Codc ln.(i'nl,.clors l.ic6e.l.awdo6 n, rrnlr ro mo\n6 of',r)r.nrqho blildior imrror6lh66n.
inJ shD sdBd3 fd 3u.h FD]!CI! * hrC.dtubnn lr6sd ,r6ud hrlE(ndrxroas l.i.N lru)
I m .rmpr und.r S<x\n
D.r. oi.d
$ oni(Enr' c(iarra\siildi
DDO.ASAIIO!
I hcrdy.mm und6 p6.hy ofn-turyon. oflhc aoll.$ins Jrle'lions
I h.\. ald \ ill mainrain ' ( d,nclrr orcolsr lo s.lf' l,Lru.. aor \ 0116 comrE qr
'otr. 6 rlolided ror h) Sdr 'on
17(x) orlh.
I rbr (_d., ror thc pqro!Il5a---.. otlt! r o* lor qtrh rtt Fn E isu.d
I h!r. .d u ill n.'.t.in $ul6 omD.dbn i6u.rft.. a r.qu".n b sfrtsn ! 7m .l !h. kt r (-od.. for
'h. Ffomft. of
ih. *.rl fd uhih thii FDii ! e!.d My wort6 onFMirn icutr. ffi an FlEy.omb.r s.
I ccniry !h.1 h lhc Ddfoffi. of rh.*orl ad $hi.h rh6 Fnn i! str.d,I rhlllfr{ mplor m, Fr$. in.ny mon6
s A t' b...n. suqd b th. wlt6 strpqsn'on htr r of ( nifom4 snd lsc rhd if I rhould tcom tut 6r ro rrE
so*6 mmFdl,r Fnt 6i'B otscrb. lT00 ot rhc L,tx, Co<L- l iull. fo{rh* nh onFi u,nh $or FlrnsB
$ARNINC Flilur. ro EUc r.rt6' o.pcMhn .o\6re. i dlr*tu!. .nl lttrll 3ut'i.n r ophld h aimml Ff,,is md
rR'l li.6 ur lo oE nun al rh.u$ &lhB itloo,lxx)r
sdhn 11076 otlh.likn ( od.. inrsd Md eonrr s rc
of .rmlENri.n. d,tu!6 !s Forir.d for rh.
,"., /O./b '/7 no,u-",
DECIdEAIIAN
Ih6tby.mm utult pcnth, {l p.qury rha I d licd!.d lnds Fovnion ofch,rr6 9lcomhtrins n iih S.cl{n 70 r) otl)nnioa !
ol rhc Busn& !d Ptot<Fnr Co&.,n my la6E 6 m full foie md.,tcr
cadlla!(Jl0NtllDllc_ac.EltI
I lEllJy tmm uldd lE lry ol FJury lhd lh6c n ! sn!rudhn Lidhs .stry for lh. pqfoffi. of thr so* iri snEh lht pq.it it
su.d (s(.1097, Civ C )
lrn&r ! Nlm
A[[L(A&L!ECj.A8 rla!
I hdn,y dlm dda Fnahy ofF<jury on.olrhc folhpin8 ddlJ.rio.3
t).nrnnion Ptuit.-Ash6ro! Noriliclrion F.ddal Rcsuldion! {1n1. 40. Pan6)
Rqun.d lIlrs of lk{'6cnrn
I cdib rhd lh. rddll r.BllihN Elrana al6br rmn rl r. mr rpd..hk h rhn trnj.Tl
l.drfrrhd I har. rdd rha qDlrcdrn ed !br. rhd rt rh'\. rnaotuion n..rd llrrarocomply*ihlll(iyinrl(ou r
ord'un(6 Md Std. L.$ Ehmrr ro trildin8 coNtud io.. &n hcby lh.riz rF.hllr 'v6 of lhis Cir], lit (hu.ryro olF uIFn rhc
lhrE mario...l troM\ f.r iBkrionffi
n**-, - n.-,,.n,,* U& A*4t;r1r/1wf:-,, /e n'/ 2
Set Backs
Forms/Steel/Holdowns
Ereclion Pads
UFER Ground
SLAB Floor
SubfloorA/enVlnsulation
Roof Sheathin
Shear Wall
l)cS'a o(19.,.,,4
l/7--r;V
Framing /,&'-a
lnsulation/Ene rgy 7
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
D uty Final Report
Engineer Final Report
Flood Zone Certif
FINAL -Fn E/115.tu uf-ih<6
pancy r 7-Certificate of Occu
Notes, Remarks Etc
I
I
I
I
I
*,,SANTA
NAqffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(71.r) 647.5800
w\rw.santa-ana.otq
Smoke & CO
Alarm Affidavit
INSP.O2 2013 CRC
lhis document moy be lound ot.h ttp:/i ww,v. santa-a na.orqi pba,
(Please use a black or blue ink ball-point pen)
Project Address:<l< A. (11-/h-,^\iF^\
^\L,--Permit Number:lotqqq*1
Property Owner:L A(o
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
bu ild ings.
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 required locations.
Aeoth boxes below must be checked:
I C..ton 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-fjred
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
A,
F[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 lwill retest the alarms per the
ma n ufactu re r'.st ru tio
lcheck onel tr Licensed Contractor ope OwnerP
NOTE: fhrs self-ceftificotion is only used lor projects thot oflect the EXTERIOR of the strudure. lhis
process is opplicoble ONLY to projects where occess to the interior ol the dwelling by a Sdnta Ano
lnspedot is not rcquircd.
Signoture:Dote:lo
Have this completed form and the job-card readily available on final inspection!
tr