HomeMy WebLinkAbout10192948 - Permitcity of Santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CAg?702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit#: {O{9294E
Pin #: 36343
ProjectAddress: 621 N Baker St
Assessor's Parcel 405-082-21 Lot: NA
lb\
Block: NA Tract: NA
Patio:
T.l.Area:
Yards Req'd:
Valuation: $30,000.00
Owner:
Address:
Phone:
Tenant:
Conlraclor
Address:
Enganeer
Address I0. LRoS'4/ [i/2tJl /
Trsng:: 5l-l
- 5r l tltz'? tlrl
Augustin Lopez
481 S Paseo Estrella
Anaheim, CA 924074210
(7141271-1676
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
,:hi I ig6tr? -
;s I (:TYH
iL,lr-!st in Lope
1n r 9?1
'1t24 |
9928, r:r ,
Phone:
License #
:p Ii:01S47910 -
r {lrrsclcl ion Total
Architecl /
Desiqner:
Address:
Phone:
License #
cr'eroI Plon llpdote Fet
I116002- 5160r:r!00-
urLdins
I I 16r-r02- 516tr1trrru-
ltlor ? t-tLt
Planning Approval By
Plan Checked By
Permit lssued By
NPDES lnsp. Re
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd
i, Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
rozco,n Date: 05/10/20'17 Misc. Receipt
Date: Misc. Receipt
Date: 05/10/2017 Misc. Receipl
Subjecl to Fieldl
NoNo Account#
0777600,3 5f601 Permit Fee 97a8.21, ,
o7tt6oo2 Stt&it Edd,iSiUUi {te{otvin$r,1. h i r ti i lg, Oo
07776002 51500 General Plan Update $20.56
07776002 51601 lssuance $51.26
No
No
No
No
Total
Flood Zone Cerl. Req'd: No 01116002 51600
Every petmit issued shall become invalid unlessthe wotk on the sile aulhorized by
such pemit is commoncod wtthin 180 days after ils issuance,or if tha wo* authodzed
on lhe stte by such pemit ts susponded ot abandoned for a peiod of180 days aftet
tho hfie the wod is commencod
$820.07
$0 00
$820.07
lnspector MtD#. 2017-136077
01116002 51601
01'1 16002 51612
$20.56
$797.5'1
$2.00
Fee Total:
Paid to Date:
Balance Due:
Unit Bldg:Address Range: 521-63'l
Historic: No
Suile Range: 621 - 63'l
Zoning: Rl
Building Use: Singlo Family Owelling Occupancy: R-2 1st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Natureof Work: Reroof Codel CBC 2016 Olher Areas:
Existing Bldg. & Use: APTS WDET GARAGES Flood Zone: x-o602320'trt4J
Garage Area:
Proposed Use: # of Stories: , ,or",,
Oescription of Work: Tear-off & apply sheathing (where noeded) & composition shinglos. Handout given.
Planning Conditions: Replace any damaged wood members, fascia, eaves, rafters, stc. prior to final approval.
BUILDING. INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNr.R AUILDER DE[-CARATION
I hd.tt rllm und.r Frn) oa Fjury rlu I m .rdnl{ 6om rh. cotutrlm l.td* lis for rlE lolh*ins 16. (S< 70! l ,
&!Uld rn Pr.f6bn Cod.) A$ C ).r C.udt trhkh r.quG r Fni ro c.,\{to{i..lro. mFo\e rkml& or rw! !.'!
nMEq Frnro ns isllaE. &o r.qur6 rn +?lter fd ruch Fni ro 6hr lrsad nn.l6t tr lE6. !h. i lkqed puorr
b rlE Fo\nh6 ol rlE c6drdo.s Li..N.d t " ((tuF6 9, comtrir8 unh Sdio. 7i)00 of D'rnD, I olilE Bdi,6 t.d
PrladioN ( o&) or rhd lE m JE it .rdF rhd.from dd rlE t-it for llE .Uenl 6ol9|(n Any \ hLrion oas€lion 701 I 5 b nt
rfil'o lor {ciir rubjdG tlj. rrpli.ur to ..iril p.eh] of mt eE thh liv. hun&d {hUr6 (1500)
l.aiosnsofrh.Fo[i6ly,ormt.mplo)6* h$aX6f,rrhor*n.comFneion.$nldrrtu*ot{ lh.nnd@bmr
i.radal o.ofid.n LrsL(sd70a4. BlsinRrdnd ltof*n,N ( od. 1nG Conlrrkr'r I icoE l{* &6 nor aqtl, lo an .\rF of
lhcrlrEly sho hi!.hor impmv6 thdon. Md srk\ &!6 uch BrrI himr.li or h6rl r or
'hrourh
hn or hd o$ n cmploy6,
!rcv id.i th strch inFivoMt & mt i add o olI6.d ntr eL lf. howd6. lh. tlildint or im[ro!.lBl t snd *ithin on. td
orcompLlior ltE(nv6 BuiEs Billhlr.lh. hrdo orF$rn! d!{ l. or ih. dit mr hrild or n{ror. rh. tn,Flt for lh. Ert soa
I. e o*G.tllE Fopdry. B d.lcn.b codrdh$ $nh lk.tri.d .onlr&lo.
'o
rctrrrucl rlE Fr]lcl isd 7014, &6n6
En Aoks{ ( o& Tt Conu-ior.! L'cdk lrtr d(E mr !p9l} ro d o}c olFoFry s h. noildr or mprovBlh6@n.
md !tk' .odftr.f 3u.h F.!rs "nh ! (ndfto(rl ltau.n FJjlld b !,F Co.ir..lo r I -.* l^ )
I m.rmr, un&r Sdrio.,-/-
"
!t! ( l \Rrrr0\
Ih.'.h\ rlli'tr' trtr(1.' lttrrll\.rpoJUn fn..lrh. n,LL\\tr,N Li(lrr nn$
l havc ml $ ill mainrain a C.nificsle of (inliol k' s.lf'l BU,c Ior s ork6i .lnrpdsr nJn, s lr.\ id.d lu bt s(tion !70(r or rhc
ljho. (irh lorth.!€fommcofth.eo* lor shicnrn.,qmi! ir i$ucd
I h!v. rRl r il I h.inliin u o,kd' comp(sr Rrn
'Buratu<.
{r r.qu'Eil b, sRrion i 7(xr .f rh. I !t$r (ndc. fo, th. psf.mift. of
th!*o for qfi'chrh! Fnn i iqEd M!*o 6 cdnFdion 'NUre.sE ai lrlEr_ nu.rhq s.
I cdlfyrl'.l brh.pstolrrffi.of rhcuort loruh(hlh6Fnn n saL l3h.ll mr mplor mr, rErsn rn Mrmd6
$ s ro b.<.m. ruli{ir r. th. so 6 .ompdd i.. h"a of c.|aomia sd lsr lhd it I itr,lld tEco@ 3uq.d to rtE
Bo 6r.omFutionpmvtioEolsc-lionl?O0oflh.libor(o&.1{Ell.fonh*irh.tnpl}$dhrlklklmliioDs.
wALNtN(; f.,lurc ro sr. No.[6'.omp.Mi.n c.r-qr i! unls*ful. md sh.ll rlbid e oploF lo sinin.l p.shi6 and
.irrl lin6 op h on. hun&.n lhousnd dol
srt1krn 1r)76.rrh. r.h.r (-.d. inrEd Md
l \ tll(r0.(xxr), in ddiFn to lhe f. ,lxn r$ n: r"!rtlil nr rh(
I reFra llfm und6 Fsxy ol Fru.y rht I m lEqkl u.& Im\ thn of Cluda 9 (mmnEc'ns s (h sdlM 7000, oa Dn is6n 1
or rh. BuriB bd Prcf*sa Cod.. rJ ny lt.B a r tull rorc ai .lld
I '.ai. Numb.r' _
IaIjiITIJSIONIITDIIC-AIIi!(I
I hs.by rllrm und6 F allyofFrjur' rhrl lhrc i5 ! co.rlruclon lddns aracy for lh. pc nnn{n.c oflhc sort nrt shich rhis t imir i!
i$!.d {sd 10e7, cn (-).
I d.id ! N n.
Aftu(lxlDEclJaallo!
I h.!tr.fiinqnd.r Fnrhy olpqjur) oE ofllE folloqin8 &(la iont
Donnisn Pomiii Asb61o. Noriicnion F.d.trl R.8u hr6nr {Ink .r0. Fan6)
R.ttuiEd l.. d of Noriff,diotr
I alllN r'.ondy tr irh all C'tl and (irnry
dn6 ofthis (-(v.nLl ( otrnlJ_ ro drd qFn d'.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathing b/? /i .,,1D-1r1)
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
h,4a son ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
t0lt)Llt? a.vc lL?ll.,t 4'
Certificate of Occu p;n--
Notes, Remarks, Etc
DATE
v
\4,'<..-
v
4<.--\
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Flood Zone Certif .
FINAL
*,,SNTA
NA,Tffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Sa6ta Ana, CA 92702
(714) 647.5800
ta-ana.oro
Smoke & CO
Alarm Affidavit
rNSP 02 2013 CRC
This document moy be lound at...htto.//www sa nta-a na.orq/oba/
(P/ease use a black or blue ink ball-point pen)
Project Address:6Z t -t= t #q r,(stt-
Permit Number:lontqqy
Property Owner:-5 € ,,.r2 A Rt r ile-Z--
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 R314.3.3 define
the required locations.
{-}r",n boxes berow must be checked:
W{^rbonmonoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedroo s and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appl ces (i.e. hot water heater, cooktop, furnace) or a fireplace
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. l, also, hereby certify that lwill retest the alarms per the
manufacturer's instructions.
(check onel tr Licensed C ontractor P roperty wner
AAN Ao)'6fL
NOTE: Ihrs sef-certificdtion is only used for projects that affect the ErTERIOR ol the structwe. This
process is opplicoble ONLY to projects where occess to the interiot of the dwelling by o Sonto And
lnspector is not rcquired,
.43 Ddte:
Have this completed form and the job-card readily available on final inspection!
Signature:n
I