HomeMy WebLinkAbout101102764 - 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 Sectionr (714) 647-5853
Permit #: 1()11027G,4
Pin #: 65{4f .,1
Proiect Address: 5632 W Keelson Ave
Assessor's Parcel '108-574-02 Lol 44
Unil Bldg: Address Range Suite Range:
Zoning: RlBlock. NA Tracl 3821 Histonc No
Building Usel
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 20't 6
A-0602320252J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T I Area
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 128'12 Valley View St #33
Garden Grove, cA 92845
Phoner (714) 897-1780
Stale Lic #: 625013
Lic Type C-39
Bus. Lic #: 160402
Workers' Compensation lnsurance:
Carrier: State Compensation lns
Policy #. 1713760
Exprres O1lO1l2O21
Engineer
Address
Phone:
License #
Archrtect /
Desiqner:
Address:
Planning Approval By:
Plan Checked By
Permit lssued Byl
NPDES lnsp. Req'd:
PWA lnsp Req'd
Planning lnsp. Req'd
Landscaping lnsp Req'd
Date:
Date:
Date.0l/06/2020
Subjecl to Fieldl
Misc. Receipt
Misc Receipt
Misc. Receipt
0 777 6002
07776002
0 777 600 2
o717 50 0 2
077160 02
51601
57770
57672
5 7600
57607
$333.06
$3.91
$1 00
$22.95
$57.20
Permit Fee
lvlicrofilm Records
Bldg Stds. Revolving
General Plan Update
lssuanceNo
No
No
No
Fire lnsp. Req'd: No
Police lnsp Req'd: No
Flood Zone Cert. Req'd No
Account#Total
Every pemit $sued shall become nvalid unless the wod< on the sile authoized by
such peml is commenced wnhin360 days after ils issuance.or il the work authorized
on tha sle by such permtt $ suspended or abandoned for a period of360 days aftet
the lifie the work iscommencecl
$418',t2
$41 8. 'r 2
$0.00
lnspector MtD#. 2020-156924
N/A - No Balance
N/A - No Balance
N/A - No Balance
Fee Total
Paid to Date.
Balance Due
Phone
Lacense,
,r"O-r""r'S/
BUILDING. INSPECTOR RECORD
tD/slG.COMMENTSSITE.WORK DATE
Set BaCKS
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation
Shear Wall
Framin
allD
Ext./lnt. Lath
Brown Coat
It4aso n
Pool Fence
T-Bar
Flood Zone Certif
-22FINAL
Certificate ot Occu nc
Notes, Remarks Elc
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lnsu lation/Ene rqy
Handicap Req.
Deoutv Final Repo(
Enqineer Final Report
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M.19)
Santa Ana, CA 92702
(714) 647-5800
www. santa-a na.o rq
Smoke & CO
Alarm Affidavit
This document may be found ot.,,httD://www. santa-ana.orq/Dba/
(please use a black ot blue ink ball-point pen)
Project Address:
Permit Number:
Property Owner:
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.
E Smoke alarms: Are installed in each room used for sleeping, in each hallway outsade 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 a lar s have been installed in compliance with the governing
Codes and have been te to be functional
Signoture:
lcheck onel SE ontra or EfP perty owner
NOTE: Ihis sef- certilicotion is only used for projects thot ollect the EXIERIOR ol the structure. This
process is opplicoble ONLY to projects wherc access to the interior oI the dwelling by o Sonto Ano
lnspedor is not requircd,
3z- w
io r Lo 2-1114
L) qroxi:6
Contractor:M'(litn t'""k License *, QZ-{C.L 4
):l -/Dote:n?0l+
Have this completed form and the job-card readily available on final inspection!
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