HomeMy WebLinkAbout10193196 - PermitCity of Santa Ana 20 civic Center Plaza (M-19), santa Ana, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
I
Permit #: {O{93196
Pin #: 28472
Project Address: 929 E Jonouil Rd
Lot: 80
Unil Bldg: Address Rangel Suite Range
Zoning: RlBlock. NA f?d.4226 Historic. No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Singlo Family Dwelling
Reroof
Reroof
R-3
VB
cBc 2013
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $9,056.00
Occupancy:
Consk Type
Code:
Flood Zone:
# of Stories:
Description of Work: Tear off existing, install 32 squarss of comp roofing
Owner:
Addressl
Phone:
Tenant
Conlraclor
Address:
Owner-Builder
Address:
Architect /
Desiqner:
Address:
JohnA&MercedesGomez
929 E Jonquil Rd
Santa Ana, CA 927056737
(714) 292-9s8s Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #GOPY
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit Issued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Link, Patricia
Date:
Date:
Date: 05/06/2017
Subject to Field.
[,lisc. Receipt
Misc. Receipt
Misc. Receipt
07176002 5160I Permit Fee
07776002 51672 Bldg. Slds. Revolving
07776002 51600 General PIan Update
07776002 51601 lssuance
$298.50
$1.00
$20.56
$51.26
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No N/A - No Balance
Every permit issued shall become invalid unless the wo* on tho site duthonzed by
such pemit is cofimenced wilhin 180 days after its issuanco.ot if the wotu authoti|ad
on the site by such pefinit ts suspended or abandoned fot a penod of 1 80 days aftet
the lime lhe wotk is commenced
lnspector MtD#. 2017-136654
N/A - No Balance
Fee Total:
Paid to Date:
Balance Oue
$371.32
$371.32
00.00
Assessofs Parcel: 396412-22
Planning Conditions:
Engineer:
BUILDING- INSPECTOR RECORD
SITE-WORK COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathin s
Shear Wall i/
Framing
ln sulation/E nerg y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Engineer Final Report
FINAL uluri -.ffiVn r$s
Certificate of Occu a n
Noles, Remarks, Etc.
O\INER BU I T-DER DEI.('A I'{TION
I lE l^ lllm un& Fu]l] of Fl!r] lhd I m crmrx fn'm th. ( o r(oE t.r.e Li* tu rh. tollos'n8 Ra{"e...7011t
Asin63 a Prof*ion (ixL) An) ( iry .r ('ounly rh'ct r.qutrB . p6nn to Nnnruc!. at6, 'mp.orc. &n'l6h or rqE; uD
sttudu( rior h n! isud(, aL!. r.quic rh. +plad for such rEmit lo filc6 sEnsl ndtur rnar h.or rh. ir licdrRl puNr.n(
lo lh. F{rn6N ol llE ConkNu s l.rcds.d 1,tr (Cfi,F6 9. Commfti.8 eirh S.drn 7m0 ol lhirhn r ot rh. lro.'ns lnd
Pofs(,N Co&)or lhal lEorsh. n.ropl lhd.6omr.d th. barE for rh. rll.*.d.\mFo. Anrrohriorofs.(lbnTorl 5br mt
.pfli.8 htr . pdm'r sub(rr lh. apphcullo !c,vilp.nallyofnol nMclh& fiv. hund,.! dollss(t500)
L 6 o*G orth. FnFny. s my mptDE n nh *q6 a rh.ir $k Lnmp.dior srll do E urt ,n
'h.
ldE ! d
nndrdal or or6.1t for 3.1. {sc ?O14, Rri.a ed PiofartuN Corl. 'rh. Con[i.rof i rn* Llu rl'6 nor rplly ro M .$nd o I
rh. FrrEly *tn hlild! or itrp.lv6ltEs( ald qb dE kh $od hnro.lf or hdrlf or rhmulh hit or lE orn mploy6,
tro\iLd rhd {crr imp.o\ffi E Ln idor&l f otuEd ir sl. l[ l$*E6, rlE hl'Lltrl3 ( rrFroEr ir rfi xrhd o* ]a
ofculFk@ tlE (xG adBd $'il l*. lh. hnl, otFora* rhi tE { JE drl d hnld or nnFort $. FtrFry rDr rlE F,!r'k of
l, 6 o*ffi oarlE FoFdr. m crcl6'r.lt co.rdins $ dh h.d&i co'nd6 nr odod rlr Fj..r (sd 7(11,1. Bsrnd
exl PNh3in cod.: Th. Conlr&ror'3 t-icru l,{ do6 fr,irp?ly to an ovn6 ofrolqly *ho buil.,s or inpruv6lhsoa,
and rho m ...1s for such Fojd! sith s (nnhdons) liasd !{6Mr ro lh. (ndr*N s Lic.M t tr)
I e.rmpr trn'j6 SE Nn
D.re or.cr
$oRxsR( a'onlPr'iaa'il()ti
orlhr
lrb.r (tdc. lor lhc pdforoc€ otlhc worl for whi.h lh. rcnit i! isu.n
I hlrc.nd tr1ll Einl.'n wdd conrEr6ns. 'ffiq s !<tu!rl by S.dirn 17l]O of lh. ljtni Co&. lor lrE FlomG of
rh. $ork lor $hih rhu pdnir i! sad My *ork6 @oFlrdion 'Nuluc crE Dd rFliy.mb.t rcl
l.dib rhd ii t,E Ff.llre.of rh. $ort fd shrh lnB Fhn B i$u.41 Jallmt 6npby et Fe. in !., nuffi
e 6 lo b(om tlbjd to rh. wri6' onFMhn hwr of cilifomn, ..d .gR rhd if I rhould hGoe subi6 ro rlE
wo*6' comDddrion FovnioB oI Sd ion 1700 o f th. Lhr Cod., , JEll. f.nhwirh comrly with rh* provnn,N
\{ARNINC: Fiihc h sE sond .o.rFMion ov6!s. ii 6L*fuL Dd 3h,ll sbrd D 61910lr b amin l Frh6 md
.nil fiffi up ro oE hudql tlbN.d rbllr: (llm.ou)), r rdd..n to rL Nn of.on!E!nior, &,!96 6 Forid.n f.r th.
S.clion :1076 oath! llbor Co&, i.t6.i md nbnEy 3 aG
IICEXTID.I;ANIAAqAA
DECIdAAIIO!
I h@br tflim u*jd ,Ehr o r rdjury lhd I M l'(aEl ulld Foviriin of (ntflq 9 {commiry u h sdi.n 7000) ofl)nision I
.a rh. uGi,B.rd PFI*IB Cod.. drt m! lrre n in turl lo(. ii.rftr
CqISIAI(]JA!I,EIDI!C.Aq!!CI
I hd.b, .llm udo Fnrli, of Fjury lhd lhs. i! ! .o.llrud ioi lddrn* aed.} fn lh. pdfome. of lh. wrt fttr shicn rhL Fnil i]
i$u.d {Sd 10J7, (-iv. C )
AIIII(A LDIclAf,ATO!
LEelJ aIIm undd pdrlt, of pdjur,.n. otrh.ldlo*ins d(lrdn,nr
D.ml'rion amnlAsb6l Norifrdnn Fcdaal Rcguldi'N (Ink,r0, Pd6r
R.quncd Ldl6 olN.tific ion
l.d'! rhd rhc f.d6rl (Xuhtohs r.!dd6* tr\trroIdno\ al r. n.r 4r,l'.!bl. ro rhs pnlF
I cdif, rhd I hrr. rsd rhit .pplkdi'n drd s!t. r hd lh. ,ti\. infondior ir (ord I E{ld io .omdv s nh rll ( ily a.,j ( i,un!!
odiw6dsld.h*:EhiBbbliUint.odtud.trnrlhqdt.urlrtrn,.F6ddn6olrhir(-nrdd(o.n'}ro616l+onrlE
.tF\. nErn n <t FotEny aor NF(rrn Nrlre
,\Dpli..nr.r,l*dl Sit..rur.
;-.rrt2l'=-=
I onre I rolsrc.
I I
I
Subf loor/VenVlnsulation
I
I
Deputy Final Report I
Flood Zone Certif.I
I I
*-SANTA
NA
ll"l\\Nc
tB0.0nG
$n$
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www. sa n la-a n a -o rq
fhis document moy be found ot.--http ://www. sant a- ana.oel pb al
(please use a black or blue ink ba -point pen)
Proiect Address:PD(.//
Permit Number:/D,/" ,?/ ?L
Property Owner:Ehp G*,acz-
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ings.
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 R315.3 define
the requ ired locations.
A aoai, 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.
ilsmoiealarms: 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 pro.lect. 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.
(check onel Licensed Contractor Property er
NOTE: Ihr's serr-certificotion is only used for prcjeds thdt ollect the AfiERIOR oI the structurc. This
process is opplicoble ONLY to projeds where access to the inteiot of the dwelling by o Sonto Ano
lnspedor is not rcquircd.
Have this completed lorm and the job-card readily available on linal inspection!
Signoture:'4-Dote o,/ly,/r>
Planning & Building Agency
20 Civic Cenler Plaza Ross Annex Smoke & CO
Alarm Affidavit