HomeMy WebLinkAbout101102992 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1fJ1102992
Pin #: ,"\'J
Project Address: 2025 W Harvard St
Assessor's Parcel 408-371-18
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock. NA Tract 4433
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Natureof Work Reroof Code: CBC 2019 OtherAreas:
Existing Bldg. & Use: SFD w/att garage Flood Zoner X-0602320257J Garage Area:
Proposed Use: # of Storiesr Totaf
Description of Work: Reroof w/t.o.-Remove and apply comp shingles/replace sheathing/handout given
Planning Conditions
0
tiIFI;-tra5s.:156 7-
Trnnsctct ion Totol
I7Sr,';T..7: r--r
Owner:
Address
P hone
Tenant
Tony Baxter
2025 W Harvard St
Santa Ana, cA 927044624
(7't4l s52-1329
Contractor. AmericanSupremeRoofin
Address: 501 S King St
Santa Ana, CA92704
Phone: 19491877-9074
State Lic # 1059373
Lic Type: C-39
Bus. Lic #: 374990
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fut
Policy #: 9262616
Expires: 1011712020
Address n M( , rrnn Supl,efie Racll i n
$418.1?
Autlii: tl
Phone:
License #
Architect /
Desiqner:
Address:
Phone
License #
Genernl Pl(n Updote Fer
Lt1 1 l6t:ttt?- i160t:t[rfrtr-
Euildins
t:t1 1 I 6ittt2- 51 6u1 t"l[u-r-
BIds Stds Fe'/olv ins
01116(tU?- i1612t[-r(t-
fl icrol i l,'r & oocuftents
u111$i,t?- 5777U(rr: -t-
V iso
(:(:+ i r r r *r rx *r i x x tir:,9
Planning Approval Byi
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Graham, Jeftery
sden, Julie
Date: 01/30/2020
Date:
Date.01/30/2020
Subject to Fieldr
Misc. Receipt
Misc. Receipt
Misc. Receipt
017760 0 2
o17760 0 2
077760 0 2
07776002
0177 60 0 2
57607
57770
57672
5160 0
5760 7
Permit Fee
l\,4icrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1.00
$22 95
$57 20
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemil issued shallbecome invalid unlessthe work on the site authorized by
such permil is commenced within360 days after its issuance,o( if the wo* authoized
on the sie by such permit is suspended ot abandoned lor a penod of360 days after
the time lhe work is commenced
$22.95
$390.26
$1.00
$3 91
lnspector
01 1 16002 51600
01 1 16002 51601
01116002 51612
01116002 57770 Fee Totat
Paid to Date
Balance Due
Lol 27 Historic No
Engineer:
Patio:
T.l.Area:
Yards Req'd
Valuation: $10,850.00
Batchi:!4tf? - | /3n/2tt2tJ I0r flFINEDAolfice! (:TYH Trqns+: f,3 1 0l IAc(ti: Fiel + r 1tr1ll-l?9??
$418.12
$0.00
$418.12
MtD# 2020-157442
BUILDING- INSPECTOR BECORD
SITE-WORK DATE ID/SIG.COMMENTS
I. $ owncr or
'hc lnrpcnr. or my cnplo)$r eirh wo8cs .s rhcn sob com!.nsal ion- *ill do rnc worl a.d rh. nturm n fr
inrcndcd or oilced for $lc ( Ss 704,4, Busine$ .nd ttoac$ions Codc 'I hc Conrrachis l,icEn* hw docc nol |ldy x' m o$ncr o,
rhc pDpcd, wfu) boilils or in fl*rs rh.Ki. ar*] slo des skh wo* hnn\.lf or h.r*lf oi rhn{8h his or hcr oun c'nploycc\.
Dovidcd lh such nnDruv.nrflh !rc nol inrcndd o! ollcrcd f(, vlc ll ho*cq. rh. t'uill]iry or improtn.nr h k,ld uirhnr onc )Mr
ofconrlndi.tr. ih.()wi$ BDildd willlrvc tl[ hudcn ofl,rovinS lhd hc or shc dd not huild or iry)rovc lhc lnpcny nn lh. rorliNc of
l..sowncrolrhc nro!.ny. aDcxclusivclycona.lir8 wrh li.cnscn co rrcloF ro con(rucl l hc pmrccr (Scc 7orJ. Bunms\
ud Ph,t6si,n Cone lhcConrracror'sLicenscl-awdoe!lorxpplybMo*ncrofpR)pcnyphobuildsorinlinveslhcrcon.
rnd sho ontd.B ld such pr oJc.k wirh . Comd.ro(s) Iiccnscd l)usuMt ro tlr Conrracr{tr s l-iccn* Ils )
Irn.xc rtrridcr S.crn .B &PC larrhi\rcrsotr
Dile: OPDer:
woRKERS', C(nrrPEftSATl(|l{
DEIITIIAIIUN
I hcrct y 0tfi.mDndcr Fnohy.f!.riuryorc.flhc follo$ins {iN,irolions:
' Ihr\c d s'llrorirr'nJa.nrfildcolCnn{.nrr. \cll.ln\urc lnr q rlcF omFnqri r
ritxr Cirdc. for lh. r.rfomMcc olrhc aork ror whi.h rhc pcrmn is i$tr.d
r\ pnrnbd for b) Sc.rirnr:l7tn olrhc
\rl-rq.\'rq\'rhhnnc'tr'i.'.u,1 MJ\,rla.',,nF-rri,{'r.u' h.,'r,- r"lt{,1.\ Lr'l\'.d.
r-i, Stqfe t-nd
Y..,,.,.,,,,,^., qzc 2 c /6 _-_E,* /o - | ? -Ze ,
l..niryr[rri',rhcI.rlarrnai..ofrhcu.rklarshi.hrhispcnnir]\is\uctl.IshrllnolcorlloynnypcroninJn,,rnnrr
\o s lo hccoN nrhl.d ro rlrc sorkcr omDcns ion h$roa(lliromii. ! rsrc. rhrr irl \houl(lh.(,N subjc.r tur,t
workcrs'conrrnnrlnrntrovi\ionsofScclion.lTlx)ollhcl-rnrr(lic.l\k'll.r.nhwilhconrly$irhrln,{provi\tun\
1VARNIN(i lrritrc k) rcrrc $ork.ri c. rFn\dn,n
civil fint\ ut k) of. htr rcd rhou\and drlhn (lllx
S.cri.n.1076.i11[ I r})(rCodc. intcrc{ rtrtlritnml \
'rul. rnd (hrll suni(r rtr cnnl.]cr lo .nmi,rllr rlr xnd
t, rh..oi of.onrEnsdiotr. drnrscs rs nnrlnlcJ nx ihr
y,,,,,", l- 3D 'Zt)
DECIdAAIIQN
I hcrcbylrfiirnundcr pctrlltyo{Frjurr rhor I !'n liensd trndcr tovnn'n orCh,rln 9 (connrncing eilh Sccli{,n 7(x)() ol Oieisioi.l
.t rhc Busitrc$ ond lhrn$ions Codc, lrd my liccnsc G in iull fore ,Jld c,Iecr
n,.
&,.
a-3q o
1-$o -fi *",*^, oro.,S-ercn'c" rio649c44
lllrltrlll.IlllllJll]lj(i]niEJ(I
Ihcruhy,ffinnudcrlInrllyofpcrjuryth.rrh.rcisa.onsodionkrndirBo8ctrcyforrhcpcrlornunccofrhcworkf{,*h'.hrhFFi is
nsucd (Ss.:1097. Ci! C )
txndcis Namc
Lctrdcr. Addrcs:
-
ATIIICANLDII;ITIAAION
I lf,n$y nfiim undcr l)cnnlry oI pcrjury onc ofrh. fdlowing d(lMrn,ns
l)cnrlirion l'cnnils Asbcslos N.rillcari,,n Ftdcral Rc3rhriinN Ifib,10, fth6)
R.quncd Irlrror Norill. rinr
-l
ccniryrhor rhc itdcrol rc8ulari{rN r\h-(os'rnniHlxr. ror rtnl'crbk n, rIn t'r]r.r
!.*,,,'u,,,:,ci!.rl, .,r,,r rhdrhdrhrv. orrdior tcor.cl.I r!rcc hconrplt*irhrllCiryrtrd C trfty
rnnr. o hcrchyrurlxtrizc rcprcscnrsrilc\ ofrhh Ciry rnd C.unlyro cnlcr utonltE
rhk nrnri{nr{l nn)n ny lor ins
)
P€mir& n.me lFinr)t<t/4zet/LZ
/ 40-zo
Set Backs
Forms/Steel/Holdowns
UFER Ground
SLAB Floor
Subf loor/Vent/l nsu lation
Roof Sheathinq a bl-?lt /1,w2'z'/
Shear Wall ur
Framinq
lnsulation/Energy
Drywall
Ext./lnt, Lath
Brown Coat
Ivlasonry
Pool Fence (
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certil.
FINAL 2 -/o-ze fuQto.t
Certificate of Occupancy
Notes, Remarks , EtC.
\
7
Erection Pads
'D/rA/l (
oWNER AUII,DTJR DIiLCARATION
I h.r.by rrfiiin uM$ Fn,lry of p.rjury ihal I .m crcnfl fmn rhc Conrlo6 Licn{ liu fitr rhc follo*ing rc.nnr (s& 7rrrl.r
Busnr$ ..d Pnncrsn)n Codc) Any Cily or Counly *[(h r{nir$ a rEnnil ro con{rud- rlrcr. nnpr.vr, d.nn,lish or rclrln any
nru.rurc- prnrn) ir\ hsurtuc. ho rcqunc\ rh.lPpltaDr t{n such pcnrir b lllcasSncd sd.nf, rhd hcor shc n liccnscd !u6u!nr
ro rhc flolnions ofrhc Conlrlclors l,icensen L!$ (Chopr.r 9- ConnEncing wirh Sccrn,n 7ffX) of Divistun :1 ofth. Bu\ircss trn:l
PnrrcslnnN c(d.) or rhsr hcorshc kcxcrpr rhcrcfionrnd rhc hrih f(trrh. rllcScd cxcnDrnnr. Aryviollri.nolScclion70.rI 5 h! rny
imli.anr lor ! prnnil subje..h rhc aprlicanllo acivilpcnaltyoln.rnr8lhan fivc hl ndrrd dollar\ ( $5fi))
I
INSP-02 2013 CRC
This document may be Jound at...http:/, !,,^l/,,/. sant a-ana.ol qi pba.l
(Please use a black or bl ink ball-point pen)
4.,
noxide (CO) alarms are installed in residential
California Residential Code (CRC) Section R31.4.1 and 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 requ ired locations.
f,l ro,r, boxes below must be checked:
\arbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedlooms 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.
Q Smote 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 buildlngs 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
m an ufactu rer's instructions
lcheck onel sed Contracto r Property Owner
NoTE: rhis serl-certilicotion is only used lor projects thot alfect the EXTERIOR ol the structure. This
process is applicoble oNLY to projects where occess to the interior ol the dwelling by o sonta Ano
lnspector is not rcquhed.
Have this completed form and the job-card readily available on final inspection!
Permit Number:
Property Owner:
Contractor:os-q 3 7License #:
Signature:tv Ddte:7-G-?o
Planning & Building Agency
20 CiYic Center Plaza Ross Annex
P.O. Box 1988 (M.',9)
Santa Ana, CA92702
(714) 647.5800
wY/'r'r' santa-ana.orcl
Smoke & CO
Alarm Affidavit*,,SANTA
NAJIffi
Project Address:fU.
State of California requires that smoke and carbon
bu ild ings.
tr
A-",.)fi,