HomeMy WebLinkAbout101106459 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Arra, cAg27o2 Building
Permit Counter: (7'14) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit#: 1O{{06459
Pin #: 17927
Unit
<lt-'Proiect Address: 523 S Baker St
Assessor's Parcel: 010-112-11 Lot 49 Block NA Tract'1405
Bldgr Address Range Suite Range:
Zoning: RlHistonc. No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Occupancy:
Consk Type:
Code:
Flood Zone:
# of Stories.
R-3
VB
cBc 2019
x-0602320257J
1st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Patiol
T.l.Area:
Yards Req'd
Valuation: S4,245.00
Description of Work: Tear off existing, resheath, and install 15 squares of comp roofing
Planning Conditions:
Owner:
Address
Phone.
Tenant
Oscar Azucena
523 S Baker St
Santa Ana, CA 92703
Contractor: OC Custom Roofing, lnc.
Address 23591 El Toro Road Unit #2(
Lake Forest, CA 92630
Phone: (9491431-2220
State Lic #: 1042433
Lic Type. C-39
Bus. Lic #: 372090
Workers' Compensation Insurance:
Carrier: State Compensation lnsurane Fun
Policy #: 92387772018
Expires: 0912512021
E ngineer
Address
Architect /
Desiqner.
Address:
Phone:
License #
web user
077760 0 2
077760 0 2
077 760 0 2
077760 0 2
077760 0 2
57607
57770
57672
57600
57501
Date: MiSc. Receipl
Date. Misc. Receipl
Date: 04119/2021 Mlsc. Receipl
Subjecl lo Field:
No
No Account#
Permit Fee
Microfllm Records
Bldg Stds. Revolving
General Plan Update
lssuanceNo
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Flood Zone Cert. Req'd: No N/A _ No Batance
Evory peinil $sued shall becnme invaltd unless tho wo* on the sito authonzed by
such pemit ts commencod withn 360 days aftet ls issuance,ot il the wo* aulho zed
on the slo by such peml ts suspended ot abandoned fot e penod of360 days aket
the tme lhe wot* ts cornfienced
lnspector MID#: 2021-16558't
$433.42
$433.42
s0.00
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By;
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fee Total
Paid to Date:
Balance Due:
$345.28
$4.05
$1.00
$23 79
$59.30
N/A - No Balance
N/A - No Balance
BUILDING- INSPECTOR RECORD
SITE-WORK DATE COMMENTS OWNER BUI.I}EX DALTAX TIOI{
I h6.ty llfm uald FDl, oa poJ@y thi I m dal$ frDm rlE Colf*l6 UclE Lls to, lhc followog .C&. (S+,701Li
t\!in* atl Prof<io. Conc) tuy Cny or Couly *hih r.qun6 . Ffi lo corBltu.t dta, inFlE, dcmlth or lF.n ay
irudR. prior to rt! L!suc.. .Lo r.qut6 th. &91@r for 3tch p6on ro fiL . ii8Ed n..Et llli b or tE a lkoE d Flt !r
b $. p.ovsioN of dE CotrMo.s Uc6i.d Llw (Ch!pr6 9, Coffius tr nh Scrion ?000 of Divilion I of
'lE
AGiB od
PmfdioE Co&) or rtd L o. nE it do9r rhdrtroE !d tlE b..ir hr rll dkr.d sdrFion Aly rhLlb. ots.dion 701 I 5 by &t
lppl'cer lor. Fnn $blxr rh. .r?lkrn to . ovilFdt, of ml mE rhr fivc huidEd {hU,6 (1500)
L ! ow of th. FoFty. or my mDlo)6 wnh was6 a rlEr &1. comF6dirn, *iI {b rlE m* lrd dE nndr ir E
ordr&l o, olfd.d fo, srl. {sc.7044, BBi.d ed Prof6ioN Co&: TIE Codr(d r tj.o& t& dG ,Br 4pl, lo - orE of
tlE poFB who hili.! 6 lrsoE Eq !d wlE d6 nrn Nd hirello.lEslf or rtrcud! hit mlE ow atploy6,
Fovit d th.r .uch imFDlEiEa E d irdrll orofld.d tur sl Il tsM, ilE tuildirB o. !,p.!vaEi ir $ld winin om )d
ofcoEplibE 0E Owna BoiEa wiu h.G lh. hldn orFo'nls du h. or lhc did mr t ild or i,4..r. lh. FrFr, aor dE FrFr of
-1.
B o*E olrtE FDFry, @ ddGi*ly coflreri.B wirh lkaB d codrrroBlo oi*ucl rh. FDicl (sc. 7044. IrrEu6
.!d Eoks Cot!.:'rh. Co trroar Licdc kv doa nol !9plyro downaoaFopdly*ho huildror improv6th6dn.
ed rho .o.rdr aor locn F jd! wnh ! ConMoi.) ltdE d FrM to rh. Codarq. Ltoe L!*)
I m crdF uxl6 Sdion
woRxEns'co Pr\sarloN
DICIJIAIIa!
I hd.by .lTm un.ld Fdry oi Fjury oE ofth. followin3 d.cl@l Ed
I hrw !d sitl mhr.in . CdiaEd. olcoM to Sclf-lM fd vqtd moqa..io!. B Fbrid.d lor by Ssriotr l?00 ol$.
rrD6 Cod., f6 {E Ffol]re. oldE NlI f riih lh. FEn it isEd
I hlvc ed will nainlain wort6 coindBilior iNlfuc., a r.quird by salio. l70O of rk lrbor Cod., for llE Ffotlrld. of
th. wri ,or *hich rhi! F6, i! &!d My worr6 @nvaaaion iGiJle. .sid !n poky .unbq r.:
I cdiry rh4 ir rlE Ffolrmc olllE wor* for *tich ltis Fiil n su.( I dull nor aIlloy ry ps$n in ey f,und
e a
'o
tdom $bi-r lo th. woAd coDr.Narn law! of Cllitohl. ed .3r thn if I rlnulC haod st*tl lo llt
stt6'(nposrionpo6io6ofsdio.lT00oflh.rtt-co<L.liEll.fqlhwnnomplyvntthodForilio6
WAR]\ING: F.ibF b s@ wl6' onpdlnion oE s. it uLwtuL ntd rlull sbixt e olpklF to sibin.l Frri.! ud
citil fb6 up ro oE hu&.t rholgd dolbt (i1m,000). in rddnhn ro rh. con of coo!.Ndion. dm!86 E providrd for llE
Sdrion 10?6 ofrlE Llb.r Code id6.d.rd dorE s 16
lr0lld!t_
TJCEIIED.COtsIAACI9f,
ar4laSAlro!
I heby .rm undd !.tuIy ot pgjury rhll I o liGs.d uod. Fodrhn olctlFa 9 (@ffiins *nh SelDt 7000) of Diltb. l
of rh.lluind d PnfdioE Cod.. dd Ey ltc& a in tull to,€ rn cr6r
Lic.N.Nunbs:
qQriral(Jlq!-LtlDAc El(lt
I bdlty.rlim oi& Fdr, of Fjlry E lhqc ir. od.u<lior la'dins.s4y tor th. Ffollffi. of rh. wo* for sti(h lhis pshil !
,sqi (Sc 1097. Civ C)
AITUI]AITLIECIJSAIIO!
I ha!4.trm unds p6tly of pdjury oB of lh. lollowir8 d..lalrioB:
DgFliriro P@ne^lbdo! Notilic.rion !-.datl R.8uldios GnE 40. P.n6)
R.qun.d lnrs olNodfidir
I cdiD lhd rh. lcdsal r+uhlioN ,csudin! 6b6tos r6(v!l &c nor .pplicdbL b rh6 poid.
- I csiify $n t h.t. @d rhis .rplrnio. .ld ra. thd tlE lholqrfodion u.qrd. I isrc ro @md, *nh rI Cny Dd Couly
nlE !6 ..d Sltr. Lff drr.g ro b(ildiru @rEtuiotr rn ha*r &lhori4 rqerdivd of tr Ciy rd C.ury to alq upon tlE
aloE MIbn d Fopdly lo, ir.Dcli6. purFs.
Al,plicsnr or/\8rrl SiAn u.(
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsulation A( .t./9
Roof Sheathina ,.4{dl urdtL W6
Shear Wall I
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
I
I I
7a-Et t\w1u,
Certificate of Occupancy
Notes, Remarks, Etc
ID/SIG.
li &PC forihnr6n
I
FINAL
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CiQ of Santa Ana 20 crvrc Centor P
Permit Counter: (714)647-5800 lnspection Req
Project Address: 523 S Baker St
Assessor's Parcel 010-112-11
Single Family Owelling
Reroof
R6roof
D€rcription ot Work: Tear off existing, resheath, and install I
Planning Conditions
Owner:
Address
Orcar Azucene
523 S Brkor St
Srntr An., CA 92703
Conkaclor
Address
Phone
Tenent
Phonel
State Lic #:
Lic Type:
Bus. Lic *:
Workers' Com
Canier:
Policy #
Expires:
Planning Approval By:
Plan Cheded By:
Permit lssued By:
NPOES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd
Landscaping lnsp. Req'd
web_user
Fire lnsp Req'd. I
Police lnsp. Req'd: I
Flood Zone Cert Req'|
Every Nrmil issued shell becone inlalid unless lhe woi< on lha sile authoized by
such Nirltt is @nfience<l wilhin 360 clays aner ils issuan@ ot rt the wo*
authonzed on the sile by such Nmil is sus.Enchd or abancloncd lot a peno<l ol
360 days allet lhe tune lhe wo* ts connenced
lnspeclor MID#: 2021- 165581
a (M-19). Santa Ana cA927021
tn.p""tor, I",ion (714) 647-5853
Building Permit #: lol'l0a4to
Pin #: ',|Un(714) 667-2738
Unrl Bldg: Address Range Suite Range:
Zonang RlElock NA Tracl la06 Hrsloric No
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
1st FL Arear
2nd FL Area
Other Areas:
Garage Area
Total:
$4,245.00
squaaes of comp roofing
C Cuitom Roofing,lnc
Engineer
Address591 ElToro Road Unlt 1208
ke Forest, CA 92630
I t31-2220
0{2433
-39
72090
ation lnsurance
Compensation lnsurane Fund
387772018
9t25t2021
o1t19t2021
ct to Field:
No
No Acmunt#
57607
57770
57572
57600
57601
Permil Fee
Microfilm Records
Bldg Slds. Revolving Fr
General Plan Update
lssuance
$345.28
$4 05
$1.00
$23.79
$59.30
Total
No N/A ' No Balance
N/A - No Balance
N/A ' No Balance
Fee Tolal:
Pard to Dale
Balance Oue
$433.42
s433 42
$0.00
Lol:ag
Patio
T.l.Area:
Yards Req'd:
Valuation:
Buildrng Use:
Job Type:
Nature of Work
Existing Bldg. & Use.
Proposed Use:
R-3
VB
cBc 2019
x-060232025rJ
Misc- Receipl:
Misc- Receipl:
Misc. Recerpl:
Phone:
License #
Archilecl /
Address:
Phone:
License *
07776002
077r6002
07716002
01176002
07176002No
No
No
No
INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Reroof
ROOf (Diaphragm Sheathrng/Frame)r-23-Z)AW w)
Structural Final 1-zz-zt vwt
Plum bing
Under Floor / Under Slab
Rough
Shower Pan / Tub Test
Water Service
Sewer / Sewer Cap
Gas Air Pressure Test
Plumbing Final
Electrical
Service (Meter / Panel)
Grounding / Bonding
Rough
Electrical Final
Mechanical
Gas Air Pressure Test
Rough
Piping (HW, CW, etc.)
Exhaust Ducts
Mechanical Final
Notes, Remarks, Etc.
, r-.o, *-,J
*,rff",s
#.;*fl*,":Hxc
ffiI
*,--*J
, r*t r--,1
L:s:-;:J*t
*.n ro, "h(hrhl
;;";1
,,-.".n-"J
:,:::j
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AnJ (rt or Coury $h,.h r.qunE . Fni ro ctunxr- .liq- nr6!r. &mlsh d Epu s, rtEtw. Frr r. i!
rh. .ptlEd f6 str Fn b6k.lgnn l6rd rlEilErdE6h..EdFIigbrlEFlvtbFofrlE
lr* ( ch.pl6 o, (mm.sns x'lh Sd,o 7fin oa Ds6in 1 of rh. a6'B .id Pmfdlm Cod.l r du lE r
.nd dE bGis td rh. dl.a.i adpr6 Ary riolro of S.dM 70ll I ty ry ,pli6r fa. Fnn sbi6E dr
l! of nd mc rh.^ fiv. hu.dEd rtollc (!500).
r$rd) , or my npk,.-6 sirh *.96 c rh.r srl. .mrdleln. *'ll 6 rtE *st .rd rhc 5M@ ir d inr.nd.d
7(}4.1, 86ilB .rld PmL$rm Cod. Tlf, Cdh(! Li@ l.w dG d .pply io u ffi olilE pftpa!
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. dE h,&n of Fsrry lhr h. r dE dd M ltu d ( 'r!Fs. & F Ft t( l'r FIFE ol d.l
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( onti.rofs Lic..r.l..s des.or rpply ro rn0*.6olpropdyuho builds o.improvc! rhcr.oh. rnd
h poina wifi a Conhrdlsl licdE d p6uxrr. rh. ('ontun s l ic.el:w)
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n . ( difr.r. ol (td ro S.if-lBw fft h,rt6 con!.Ers- E pro'iLd for lr! Sds.l7m of rrE
of rtE ert rtr *n'.h ilr Fni 6 6rn
Ff(]mDc. or rh. *d fd \ h'ch rhr p.m R ssu.d, I sh.ll d oploy ey Fso rn Dr nlJE so
r. rh. $!dd'..mr.Ntdi l.ss oI Crhlomir. lnd .Bc rhr rlI Ehould bcm subJ€i k' rhc wo&6
ns of Sdion :1700 of rh. I:bor ( od., I shtll, ft)nhr.h conDly *th rhG. pG'ision!
kJ hu sdt6' cmFErm s..u. 6 61.*ful. .nd slEll 'u!<n.. ddold r. no..l Fdri6.rt oil
itn{.d dollrs (tloo,lxxr). in .dddm h E srof .mFE ri6- d.nr.a6 6 Fald.d lr tlE SdB:\076
L(1T$DIO,IUAACT)&DECJ lll]l
IEdx).lFN+- rh.r Lm hc.N.d u s FNA$norClllBda(.(mtrnc.n3*ih SAlsi 7(xx))oaDtr6{n !.r
.6 (-od...rn n\ l..E 6 r tull f(N.,n dlnr
(:olsII.t(roBJ.[lDtlGlGfBCr
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,. rod rhs rprlicrtrn rrd ,1. rh.r rh. tno\. mt(mr5n E oM I ryc ro @ipr( *iih.ll Cry.rn Coory
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Jcnr s s,ra ur ""*m' conlp.rrnn 'n$ffi. cffi Dd polir nunba I.