HomeMy WebLinkAbout101103068 - Permit (4)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectron: (714) 647-5853
Permit #: { Ol { 03068
Pin #: 9763ar, \
\\
Assessor's Parcel 108403-0r
Bldg. Address Range:Suile Range:
Zoningr RlLot: 1 Block NA Tract 5530 Hrsloric No
Bullding Use:
Job Type:
Nature of Work:
Existing Bldg. & Use;
Proposed Use:
Single Family Dwelling
Reroof
Reroof
SFD WATT GARAGE
R.3, U
VB
cBc 20't 9
A-0602320256J
,|
'1 st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patlo:
T.l.Areal
Yards Req'd
Valuation: $17,000.00
Occupancy:
Constr Type
Code
Flood Zone:
# of Stories:
Description of Work: Tear-off & apply composition shingles. Handout given
Planning Conditions:
? / 6/7t12lt 11
t4Owner.
Address
Phone:
Tenant
Sean Pham
5122 W OAVTT AVE
Santa Ana, CA 927041707
(714) 401-5109
Contractor: CertitiedRoofingSpecialist!
Address: 9281 Larkspur Dr
Westminster, CA 92683
Phoner (714) 668-0757
State Lic # 955843
Lic Type C-39
Bus. Lic *: 337515
Workers' Compensataon lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 1949902
Expires: 12lO'll2O2O
Engineer
Add.ess
Architect /
Desrqner.
Address:
Phone
License #
Planning Approval By
Plan Checked By:
Permit lssued By
I g:ann, Melanie
\.A\,C*.*,,".
Date: 02/06/2020
Date:
Date: 0210612020
Subjecl to Field:
017 7600 2
017 7 6002
0 7776002
0 7776002
077 7600 2
57607
57770
57672
5760 0
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc. Receipt
Misc. Receipl
Misc. Receipt
$333 06
$3 91
$1 00
$22.95
$57.20NPDES lnsp Req'd: (_,,No
PWA lnsp Req'd: No
Planning lnsp Req'd No
Landscaping lnsp. Req'd No
Fire lnsp. Req'd:
Police lnsp Req'd H Account#Total
Flood Zone Cert Req'd: No
Every pefinil issued shall become invaltd unless the wo* on the sile aulhottzgcl by
such pe/,rlls commenced wlhin 360 days after ils issuance.or if lhe wort authonzed
on lhe stte by such peftnil B suspended or abandoned tot a penoc! 0i,360 days aftet
the lfie the wo* is commenced
$41 8.1 2
$0 00
s418.12
lnspector ttillD#: 2020-157616
01 1 16002 51600
011 16002 51601
0't 1 16002 51612
01116002 57710
$22 95
$390.26
$1.00
$3.91
Proiect Address: 5122W Davit Ave Unit
Phone
License #
Fee Tolal
Paid to Datel
Balance Oue:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h6cb, arlun undd ta.lt, of Fj!,y rhd I m Gxmp{ tom lh. CorlreloR La6M Lrw fo. lt lollo$m! lsri (s; ?0l l,t
BrBin6r aBl rroldtun (od.) Any Cny or ( ounly whth r.qutr6 3 Fiir lo on tuc1. .llq. io!rcrc, do.6lirh or qu u,
tuclEe Fior 'o r isume lko rcqut6 rh. lrpl(aln ror luch Fnir lo 6k r sE.cd ltcclEr thr lE or 3lE i! nGsd plll:@
lo llE F!vi!o6 of tE comr-tn'r Li6r.{ b* (lEpld 9. ColMfting wilh S.clhr 7000 ol Diyilbn I of llE BuiB &d
Pmfdio6(od.)orrhdlEornEi.!drFrhq.frm.drh.b..Llorrh..Ls.d.ro{iio.4.,virldionofscl6t701l 5b}s,
ap'llic.nr for . rEin $bq r! rhc !prli(&r ro , r,!il p.Dht o f mt @.. rne fiv. hu.&d &,llJ! 11500)
. -t. N o$d of rh. F.F!r. or my al9lot6 "ih *.e6 6 th.r sk onFudo,. sill (h llt *{ri id, rrE !'ffi4 ! mr
ddrlat M.ilaql tc eL ( Sa ,oaa. turJll* &d liofBhN Codc Th. Co'IIeroi! Lade l^ tt)6 mr .CAly ro a orG of
rh. p(ofd) f,ho hrl&o, mtn!6rlEsc a, *'ho &Erdr!* hllulf or h6-lror rhreugn hs lE omatph)6.
p.oud.d rhd rEt mForlcn! G tui doial d.fidql tor $l.. l[ L$6G. E buildus r !rF!\qGt u !U *l]u @ td
6fc.rplcbtr rlr (xG lrilb $ l h.\r tlE h!d6 orForr\B rhd lE or slE dd mr Uild or o+.ov.0r FoFry fr, rlE FrFx ot
l. DorEofrl* rrFry, m d.lB'v.ly.otudi.! *irh licda.d..ffio6 to..ldrud rlE FrF (Sa 7Ol-4, &!tr6
rdt Prblss Qr.l. Tn! (.onkrorr l-rc6$ l!* &6 mr lpply !o e o8s of propsry who bx,ld! ot mptor6 ihson.
Dd st rcdR1r t( e(h F,rdlr trirh. (!nra1d13) h.G.] pllts@i t th.Coflrdoi! tic@ bs)
l0n.!cm unds s(('n .8 &P( fN ihis r8)n
jIABII!8IL-CAUIEIIAIIaN
DICI.AA6IIA!
I h6.by amm undq p.arhy orFjuryon..alh. aollowinB ddlerlioN:
I havc ed q r lljlllHrtm a Csl,tu irc !f Cdnsr !o sd f lBuc tor *orlss .omposrbn, s Ftrvid.d lor ny Sdlio. 1r 700 ol $c
I$or ( Rlr!*r[. psfome(. olrh. so* for uhrh lh. Fm ! BU.d
|#1*. * *','.,.,. **r* (nmp<rlrk MMq6 (quirrl b, se:lbr 7oo oarlrc L!ho, cod.. ror rhc pgfolr@.. of
rh. *ork f{ trhi.h rh" p.mnr s s\u.J NIy tr
,-,- '.'l ( -,nf,a, 1c f1 -_ j
Poltr\ Nu'nlE
orrd comFsioi i.6}(*.n:-n'. I u
o\ dd polky runbE d.
\
, l.dr'i ihri'n rh. Flolrr@c orrh. *o.l for shrh rh6 pdmir s su.d. l dd! mr ophy My Fr$n in rny .sF
raroba.m$bj.<toiEr.6o'nFldirnh$!ofc.lifomarnd.sGtbdrllCDuldb..om$brdto'lE
f,.rr6 onFMls. tRrlirhE otsdrn 1700oarlE Ubor Code I sh.r[ amh* nh onpl! *hh rt r Fo\itEB\+ RNINC FliluE re q{. *nrkd clmp.Mk'n ord.a. ir uhwtul. ,'d shlll bj.{l & qlrploF l. aimid FurE.d
oll in6 up k, or h(iLl rhour.,rl .lolls (tlm.ooo), in !.Birion lo lh. cor of onpquxoi. d!oB6 a Fovilai for th.
scdFn .1076 ofrh. lrlbr cr!.
^'. L'6't-C 0nL Va LO
Dt( l_lR\ I l()\
I hct, dlsnuids Do.llrotF)u,y lhd I m [cd!.d odn Fosioi ofcl',rta 9 (.o ndcin8 with Sclir 70@] of Dlv Bht I
of rh. BciI6 sJ P$f6tioN(!d.. lri Eylc.e i! rn tull forc {d cfi6l
c-?1 q4
'.) -^^
I hs.tr lllm undd pcn.!, of Fjury rhil rhs. i! . coi!(fu.lion L{dog a!6cy aor ihc pdfomR. of thc rul tu *h'ch lhn lEni ir
is!.d tsd. ros7, cir. a.)
AITII(AtrLIIECIASAIIOX
I hodylnmuid.r Frhy orFjuD dE olrh.folro$i,B d..l- io6:
D.frolrFn P6nny^ltElo! Norrli(dre. !'.dqrl R.suhlhB (Tnl. ,10, Pa!6)
Rat!nal ldrdof Ndrff,dM
rcAuLrh6 rtrdrx atEros rmral d. d q?lEabL b rhs rol.{i
lh. !bo\. raor.'tion n.ontr I rrrd kr omplt * h lll ( ilv.fll Couoty
n. !n kcby adtrDr qr6aldn 6 of rhis Ci !, ed ( ouD
'o
6rd qnn
'lE
l-
qrq,tz--
V6.-o uc :-,\rr/l_
t t6 rV
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loorA,/enUl nsulation
Roof Sheathing 4-/o')o ;W/ot
Shear Wall
Framing
ln su lation/Energ y
Drpvall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL a--t -20 Drl.t ta-t
Certificate of Occupancy
Notes, Remarks, Etc.
\d-.,
\1,.,".
rz rark_ lc
I
I
I
I
*O'SA}I'IA
NA
lLrNrc
$mJt\c
$nfl
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
rNsP-02 2013 CRC
This document moy be found ot...http://www.santa-ana.orq/pba/
(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 R3l-5.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R31.4.3 and R314.3.3 define
the required locations.
A eotl, 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 required 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 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. lfurther 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
manufacturer's instructions.
(check onel Licensed Contractor Property Ownert
NOTE: Ihrs sef-certificotion is only used for projeds thot dlfed the EXTERIOR of the strudure. This
process is applicdble ONLY to prcjects where occess to the inte or oI the dwelling by o Sonto Ano
lnspector is not requited.
Permit Number:
Project Address:'5122 il,avil fut uh,
9zq P/te-t-t
Contractor:License #:
Signature:2/--,-/h-Dqte:z
Have this completed form and the job-card readily available on final inspection!
Property Owner:
tr