HomeMy WebLinkAbout10196891 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa A.na, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: t.714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: {O19689{
Pin #: 49801
E
Project Address: 809 E Avalon Ave
Assessor's Parcel:003-212-33 Lot: 73
Unit Bldg Address Range Suite Range:
Zoning: RlBlock: NA Tract: 1529 Histonc: No
Building Use: Single Family Dwelling Occupancy: R-3, U l st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Nature of Work: Reroof Code: CBC 2016 ether Areas:
Existing Bldg. & Use: Sfd Wdet garage Flood Zoner X-0602320163J Garage Area:
Proposed Use: # of Stories: , ,orr,,
Oescription of Work: Reroof house & detatched garage - remove comp shingles, resheath with 7/16" OSB radient barrier,
squares GAF Timberline HD Lifetime shingles. Handouts given.
Patio:
T.l.Area:
Yards Req'di
Valuation: $10,500.00
install 'l layer uderlayment & 22
Owner:
Address
Phone:
Tenant:
Planning Conditions:
TONYA SKURZYNSKI
809 E Avalon Avenue
Santa Ana, CA 927063030
(310) 980-6s03
Contraclor: WeatherlineRoofing,lnc
Address: 533 W Katella Ave #F
Orange, CA 92867
Phone: (714173'l-3425
State Lic #: 933810
Lic Type: C-39
Bus. Lic #: 349134
Workers' Compensation lnsurance:
Carrier: Zurich American
Policy #: WC4758691
Expiresi 06/0 l/2019
Engineer
Address
lofl
I r:rl96g? I
It.r: r-13 Anlt.I. 7ri
ae rnnE : l4Accti: Fef+:
Rcpt+:02305131 - &!29,/Z("tty
fronsoct ion lotol I
!,eother I ine Roofins. Irl,:
Genprol Plon Updote FEe
01116002- 5160000(r-
Bu ild ins
01116002- 91601000-Bld: Stds Revol v ins
01116002- 51.4120(rU-
ICL Check 002193
Phonei
License #
Architect /
Desiqner:
Address:
$21 . ?t
$ 3,51 . 5r:r
t1.rl0
+a'St 7c
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Flores, lvan
Amsden, Julie
01776002 51601 Permit Fee
01776002 51672 Bldg. Stds. Revolving
01775002 57600 General Plan Update
07776002 51601 lssuance
$308.52
$1.00
$21.25
$52.98
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#TotalPlanning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unlass the wo* on the site authoized by
such pemit is commenced wlhin 180 days aftet its issuance,or il the work authonzed
on the site by such permil is suspended or abandoned for a period of180 days after
the time the wo* is commenced
$383 75
$0.00
$383.7s
lnspector
011 16002 51600
01 1 16002 51601
01 1 16002 5't6'12
$21 25
$361.50
$1.00
Fee Tolall
Paid to Date:
Balance Due:
Botch+:44527 - A/28,/?ittR ro: rFn,...,}r l.i
Phone:
License #:
Date: 06/28,12018
Date;
Dater 06/28/2018
SubJect to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
MID#: 2018-144350
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNI'R BUII,DER DET-CARATION
I h.rcby aflirm lndcr prMlry i,r p.rjury rhar I n!.kmfl rrdnr rh. Conh.kri Licctrsc Lrq ln lhe nnhsir8 rcrvnr (S(7{)l}15
ax\incsl ,id Pn,fc*ion Codc): Any Cily.r Couhry whi.I rcquncs a Fnnil lo connrucr. a,t.r, nnprcvc. dcmlish or Eprt rny
nrudue. prdh irs rsu cc. nlm Bquncs rhc {ppli.rfl n su.h ncflnirto nlc a ligncd srlrcnrnr rtur hcor shc ( li..n\cd l]U^ninr
h rh. Frvtion\ of rlt (..nrtudor's Licciscd ljw (Chrrrf 9. Connncmir8 wirh Scciion ?Ul0 oi Division :l of rhc Businr$ and
Itolcssions Code)or lhrr lEorshe iscxcnd rhercr'romrnd thc btr\h lor rhcallcscdcicnlPrn,n Anyvn'hrn,norsdt,n701l5hy.try
Jpplicr ror a pcrmir suhje(rs rhc lmlicrnr ro acirilpcmhyofnor mrdrha nvc hnndr.d dollars ($500)
-1.
n owtrcr ofthc F)pcny. or nry cnplorrcs wilh wtrgcs ar th.t s)k compcnsDrion. willdo rh. wrk uri rh..rtrruE is mr
inr.ndcd or oflcrcd ftn slc (sr..704.,1. Bosituss and Irrufc*ions cod.: Thc Conr.ctols l-tcns ljw docs nor rnply b nno*ncr of
rhc pmllcny rh. ttrihs o, inq,ows rhcmn. nl who dmr {ch slk hi'nsllf.t h$*lfor thmu8h hrs or hcr.sn cn,ployccs.
ptulidcd lh,r su.h impmwEnls e mt imcndcd or olfeEt lor slc ,L l{Ne$r rlE hiklins or iqmitnrnr is sh wnh,n oro y.-
ol cohrkrioG rhc Owrcr Bliklcr siu har rtr hldcn of rmlins rhd hE o. sh. did nor huild or in{,mw ihc tmtE ry f.r lhc purtFs of
_1. r\owncr.lric pmp.ny, ancrrlusildlyconta.ring wnh li.ci*l.otrtrd.iorsr. con\rru.1rhc nrcr$r (Scc.70.1,,1, Bu\inrs\
Fnlilqsi)n Codc: Thc Contrd.tr's Lic.trsc Lrw docs nor llply h .tr .s.cr .f l)lol'cny *ho blildso. idpR,Y.s rhcr..n.
and who conlmcrsn such pmicls wirh a A,nrmcron s) licen{dpu^uunr ro rhe Cootrcttr s Li..n* bR)
-l
!mcxcmfl under Sctio
-lhalcudwillmrinrain!CcnificarcofCon*
roSeltlnsueforworl(cB.onp.nsaiion.aslmvidcdlorbySNtionlT00oarhc
t ho. Codc. for lhc pcrformncc of lhc work for which lhc lermit h hrucd.
< havc dd will tuiitlii anrkc( c.mp.nsarion truarq as icquini by S(riotr 1700 of rhe L€hor Codc, for rh. rsrofrncc or
rlr qork tu. *[i.hrhir lrcnnn
A.,eircc.
.o'npcis on in\ur.ncc cMicr o'n llolty nuarbcr &l/
\^,
ZvreI'-
7-%-1-O
-t
ccnifyrhrr in rhc Ii.rIornDncc ol rhc sotk fd *hich rhhl.rnir i! isiucd.l \h.lltror cnrtloy 8ny pcrsotr itr trn, nhikr
$ b b..onr \rhid b rhc wtrrcn d np.nsarion la*s or crlitoiriu. and esrcc in ilIrh,uldt !,h{bi.dtollE
"orkcr.orp.trsariotrptuvishnsoisccrio.l?fiioflhctitqC.dc.lshlll.tunh*irhconiplywnhrho$tmvisionsWARITIN(;: Frilur. r. *curc w.rkls compcnsatknr covcrige is unlo{(ul. utrd rhrll suhj.{r a..trDk,fr Io crimiMl pcmlrics and
civil 6trcs up lo om hutrdrcd lhous{nd dollm (SlLxl.(x)0)- in uddiriu, t, rhc..r or.orFnsnlion- d.nEacs as prcvidcd r(tr rhc
Scclion.10?6olrhcLltnrCodc.inrcrc\lrndtrtronrcy.lces
Y,.,",t/zqlFI
DECI,ANtrION
Ihercnylmrnundcr pcnalryolFrjorrrhar I an lidn{d rndcr tbvisn orchrpts 9(commncin8 s irh Scdio. 7fir) or Divist,n l
.i rhcBusim$ d PDltsion\ Codc- Md my liccns n in tu ll fo.ce dxi cffc.r
q ,,."-,,,,-. 1733:5lc
-."",-".,lttb*1,cr 1," e 1crcxf,,3 t R f^,r
calirf,urJQN.LENDuc-dliEull
Incrby arfirmlnder p.nllryorpcrjuryrhar rh.r. k a.on(flclirn lcndinS lgcrcy for th. Ilfformk ofrhc wo ror *hidhlhn lrmil is
nsucd (ss 109?. civ c.).
A.EPIICANI.IIECI,AAAUON
Ilrrhyu innlDdcr pcnalry of pcrjury onc olrhc folk,*ins d6br ionsl
Dcnrlilion PcmnlAst slos Notitication ltdcral Resublions ('lnt.10, Pan6)
-Rcquncn
Lcttcr of Norirt tbn
_l.cdifyrh rhc rcdcralr.luhrions rSdding dsb.so\ r.m)vdlnrc kn rtdi.ablc ro lhis lmjar
-l.cnifyrhd
I ldvc rcod thnlpplicarionuntndc rlurrhcrh)vc infl,nx i{nr is.or..r r.EccrocoflrplywilhlllCiryud Counry
ordinomcs.nd SIare L.ws rclarins ro buildins con(Dcrion- ond hcr.b, llrhtri7c tuprcscDr,tiv.s oil[h Cnr rtrd Cou.ryro cnr.r xF,nrh.
rhnc nmriotrcd pr.p.ny rur insNcr
>pplcnnl or Asent
\-'l* *-"rn.i {
,.,",ek*liL
Set Backs
Fo rm s/Stee l/H o ldown s
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVlnsuiation
Roof Sheathinq 't/0/t^;tffi
Shear Wall
Framing
lns u lation/E ne roy
Drywall
Ext./lnt. Lath
Brown Coal
Ivlasonry
Pool Fence
T-Bar
Handicap Req \
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL 1
Certificate ol Occu n
Notes Remarks Etc
]Ia!$i8[1;!]!tutNsa.IlaN
lEl;I"Anr[UN
I h.rchy alllrmundcr lEnllryofp.rjuryo't oilh. n,llo*in8 d$larari,r:
I
i-
Pla n ning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (tu1-l9)
Santa Ana, CA 92702
(714l, 647-5800
'rl' .3enla-ana ota)
n]sP,02 2013 CRC
Project Address:
Permit Number:
OA 3l.a rr{,Lr
icense #:q73$t
State of Ca lifornia requires that smoke and carbon monoxide (Co) alarms are installed in residential
b u ildings.
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 req u ired locations.
fi eo,tr boxes below must be checked:
fuC"rionmonoxide 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.
i-z
A{ 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. I, also, hereby certify that I will retest the alarms per the
m a n ufacturer's instruction s.
lcheck onel Licen sed Contractor rop rty Owner
NOTE: Ihls self'certification is only used for projects that offect the EXTERIOR ol the structure. This
process is opplieable ONLY to projects where occess to the interior of the dwetling by a Santo Ano
lnspector is not required.
trP
*a A
Property Owner:
Contractor:rhr
Sig n otu re:Dote:
Have this completed form and the job-card readily available on final inspection!
Smoke & CO
Alarm Affidavit
This document may be |ound dt... http //,,,,",,i,,y santa-ana orq,rocal
(Please use a black or blue ink ball-point pen)
\\(LAA\
Z _)