HomeMy WebLinkAbout10196944 - Permit (2)City of Santa Ana 20 civic Center Plaza (M-'19), Santa Ana, cA g27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit#: {O{96944
Pin #: 66766
q
Project Address: 2125 S Rousselle St
Assessor'sParcel: 0'16-1'11-06 Lot: 7
Unit:Bldg: Address Range:Suite Range:
Zoning: R'lBlock: '11 Tract: 560 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Alteration Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Code: CBC 20.16 Other Areas:
Existing Bldg. & Use: SFD w/det Garage Flood Zone: x-0602320276J
Garage Area:
Proposed Use: # of Stories:
Total:
Description of Work: Tear off existing roof material and install new comp shinngle roof material. 17 squares, #+fdOii sii
: , i}:
Patio:
T.l.Area:
Yards Req'd:
Valuation: 94,913.00
en.
l.lt
Planning Conditions
R' pt+:r:r7319321 - 7/1/2i11$ ,
Tronss,:t ion TotoI
Owner:
Address
Phone:
Tenant:
Contractor
Address:
Engineer
Address
t1inh Ihoi! 1./,r A Jone K i Do
Minh Tham Vu & Jane Kim Do
6522 Halifax Drive
Huntington Beach, CA 92647
(714) 925-1926
Owner-Builder
Phone:
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Build ins
r:r I 1 16002" :i16r:r1(ltrtl-
ienenol FIqn Updote Fee
rI1160(12- :;l6ttt[tr(r-
F.lds StdE Revolv ing
Irl116tr02- i16l2fr(10-
U iEo
(:(:+ i rrFI {r*rrrrrS?25
P hone:
License #
Architect /
Desiqner:
Address:
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Escamilla, Manny
Chavez, DaveV.-
Date: 07/05/2018
Date:
Date: 07/05/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51501 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Gene.al Plan Update
07776002 51601 lssuance
$320.50
$1.00
$22.08
$55.04
Fire lnsp. Req'd
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 01i 16002 5i600
Every peflnit issued shall becoma invalid uhless the work on the site authorized by
such permit is comfienced wilhin 180 days after its issuance,ot il lhe wotu aulhoized
on the site by such pemit is suspended ot abandoned for a period ol 180 days aftet
the time lhe wo* is comfienced.
$398.62
$0.00
$398.62
lnspector MID#: 2018-144469
0'1116002 51601
0'1116002 51612
$22.08
$375.54
$1.00
Fee Total:
Paid to Date:
Balance Due:
Phone:
License #:
AULI+rr
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS oWNEII BUII)I]R DEI-C AATDN
I hcrcby rfinn undcr lci,lry ol pcrjury rh.t I n crc.rl, ri.rn lhc c.trrrcr,N Li.chc Ltrw tur rhc rollosine rcrs. (Scc.70rl.5
&ninc$ nd Prolc$ion Codc) Any Ciry or County whi.h rcquns r Fi,nir ro consrflct. alrcr, inl)rovc. dcmolhh nr rcnJt rny
{tucroE. pri)rb ns nsuancc- ako rcqun.s lhc ll)plic.nl ior nrh pcnnilro filc a sisncd (lrcnEor lhal hcorshc is liccnsed pursuor
h rhc rcvi\ions ol thc Conrractor's l-iccnscd tjv (chvrfi 9. (-lnnnEn.irr qilh sc.lbn 7u)0 or Divis n I of rhc Bu{irc$ lnd
Prclc$ions C.dc) or rhnr h.or\h. i\crc lprrhxrclronlndihcha\tforrhcrllclcdcr0nprion Atryli{nariMofSc.ri,nTO-ll5hyaiy
xp!licanr ror apcrnrir sul'r!cls rhc 0U,lic!nr ro acirilr'cnalirol,rot nNrcrlEtr lilc hundrcddolla6 (S5m).
l..s owtrd ol rhc rrcFny. or m, cnrn,F.\ with slgcs a\ rhct v,le co'npctr\dn :. wrll do rh. sork d rlf, {mruE (
'hnintcrdcil .roftrcd lor ek lS( 7(}14. auimss and Prohs\i(,n\ codc Thc Cotrtd.tofs Li..trsc Liw docs norapplr lo,tr oqncr or
rhc f,Rrtdt sh, hrilds or inlPu$ rlltB)n. and sho docr such wolk hinrrll or hcrcll or rhmugh his or hcr own cmployc$.
,rovid.d rhrr such iDtmvctrrfismnn i rctrdcdorofl.rcd li,rsaL lll h.w.vcr. rhchikliuor inrpovcmnl is \okt *iihi',onc ru
ol.onpkrb6. rlr Owi.r Build$ *ill hnvc rh. hrdcn oflrovinE rhd hc or shc did rer hlila.r nlrlnovc rhc pDrcnr lor rhc pu4-s of
_ l. r\ owncr oi ihc |) ol.ny. rr cNlusivcry .onr cring wirh li(n*d cotrrr.ln b co.rru.r th. lnicd iscc 7t!u. Ilu\ircs
rid ftinG\in (i'dc:'l hc C.nracttr i Li.cnsc L!* doc\ tror rt'Ilyn, ano$ncr ol pn,pcny*ho I'uilds or nnpovcs rhcrcon.
and who co nds ior such t]m]c* qirh r Coir b(t li..nscl pu.lur rhrh.Cofutr.rtr\Lk.tr{tis)
;:;"i'r]iu ion-. a &PC lorrhtMsn
Il[cta&tro!
I huclry nflnrr unJcr |xnxlryofFrlury om or'rM ftrlhi*i[E rlcchrurir)nsr
Ihrlc trlwill'nrinrrin rCcnificrrcofc.nscnr lo S.ll:lnnrrc l.r workcr' .ompctrrrri,,n. providcd tur hySr.ri .lT00ofrhc
bI,r Codc. r{n r1r pcrrormarcc o I lhc &rk lor wnich ,hc pcrn hisucl
lhn\c.nd trill nrni.t n poikdJ .onprnsaooh iNunncc. r\ Equimd btS.cri{ ]70Oolrhc Ltrbrtr Cod.,lar rhc FrLnndncc ol
rhc work Lrwhichrht p.nn ls is\ucd Mysorkc '.oi,pctrqrrnnr iNurri.ccadidr rfrlBri.y n.rh.r du
Poticy Nunhcr:_
-l
ccnilrrhrl nrrhcttrloirMtrccofrhc work for ahirhrhis p.rfrn is i\su.d.l shallnor cnlploya.ylc6otr ir rnynN.cr
$rsrobc..ftsuhFcrbrhcsorkdi.on\xn\!ri,rn[wsofCllifinnia."ndugrccrhrriflshouldhccomso],j.crhrh.
work.*.ompcnsurn,prorhionsofS..ri.n:l?(X)ofrhcljktrG c.l shall, fodhRiih .annplr wirh (ho\c tmv$i.trs.
W.4RNINC Irilurc Io wurc rork r{ comlcns i r covcrrec ir utrliwful. ..d shrll snhrccl M cnlploycr lo lriminrl Forhics lnd
civil lincs u! lo onc hun,lrcd rhousrnd doll0s ($l(x),(xxD. n rddiriotr b rhc coi oa conDcnsatiotr. dr FAcs as pr]vidcd n)r rhc
Scri,,n loln ofrhc ljbn Codc. inrcrc< ind ar.rmy ( rN\.
,,,., z )f lt* ^"",,-",,-.
-rt1'\,.zvJ^T \!tV'' rflNsrn t'rwrurlon
DECI.ABATIAN
Ihcrcby dlltn uMcr rcnrlryofp.rrury rh.r I rm lletr*l und.r [.vnn ol Ch.Ucr 9 ( connmNitrB Nirh SLrtion Tu)o) ol Division :]
oi rhc Bxsitusnnd Pn'fcidrn\Co.b. urlmylicci\c i\ in lull ktrc. mncr{ccr
C!}ILIItrIJCIIONIINIIINC.ACENII
I hcrcby dfl,nn und.r F.rlryofpc,ury rh thcr.isr.onsttu.rn,nhndingn8ck!forrh.pcnirilrumrof$.workfor*hichrhispcirniti\
issucd rS.. lt)97. Civ C )
AIIU(ANI.IJ'1;LABAIIU!
I hftt'yrrinmuktcr pcnalry ollrrjury onc orrhc roll,,*nc d.rl rrn,N
Dc n,lirion P.nus A\b.nor Norili.dnrn Fcdcral R.grhrn,n\ ( lirlc 10. Pan6)
Rrqtrtr.d txrrur of Norilicrrxr,
l.cnifyrhar r hc ltdcral rcgu lar i( )D\ rc!?rdi.E alh.{orr.nrvrlrc Dor J!fli.Ihlct)rhis l,n,jc.r
[\h crniiyrhd I tu,. rdd rhi! af,,li.dion dxl srJrc rh.rhcabvc nrtunniridr
^.odccr
I !sLr kr(,nplyrirlrllcrryrnd counly
inoENand Slrrc tjpsrcl,tin8lo huildir8.otr{fl.tn,n. d h.r.hyaurh"izcrcprcsctrr.tirc}olrhnCityr.rlCounlyr.cnreruFnlhc
1r ntu fonrd pn,J[ny ln i'rsp.crnr pu'Fxcs
noo,"un, o. n*"n, .',*nouo", !!
pemirenanrrprin,:}( Mt}Ld'TAr4 VU
tlrls
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Sublloor/VenVl nsu lation
Roof Sheathing l.' IV"E.J ,/e-A-d"fztP
Shear Wall
Framing
lnsulation/Energy
D all
Ext./lnt. Lath
Brown Coal
lvlasonry
Pool Fence
T-Bar
Handica p Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL J2etd
Certificate of Occu pancy
Remarks Etc.
+
Li.cnsc C hss:-Liccn sc Numb.r:
-
DIt.: C.nIn lo.
UFER Ground
-7-?l-E <vq)
Notes,