HomeMy WebLinkAbout101102843 - PermitProject Address: 1422 W Hemlock Way
Assessor's Parcel: 140-2A3-13 Lol: 43
Unit Bldg: Address Range:Suite Range:
Zoning: R1Blockr NA Tract: 5580 Historic No
City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requesls: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 1011028,43
Pin #: "rtr.\r)
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3
VB
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$8,207.00
Description of Work: Tear off existing, install 29 squares of comp roofing
Planning Conditions
Owner:
Address
Phone:
Tenant
John Bell
1422 W. Hemlock Way
Santa Ana, CA 92704
17141820-5482
Contractor: Mc clain Roofing lnc.
Address: 12812 Valley View St #33
Garden Grove, CA 92845
Phone: (7'l4l897-1780
State Lic #: 525013
Lic Type: c-39
Bus. Lic #: 160402
Workers' Compensalion lnsurance;
Carrier: State Compensation lns
Policy #: 1713760
Expires: 0110112021
Engineer
Address:
Phone:
License #:
Architect /
Desiqner:
Address;
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
0 7176002
0 77 76002
07776002
0 77 7600 2
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
web user
Date; Masc. Receipt
Date: Misc. Receipt
Date: O1l14l2O2O Misc. Receipt
Subject to Field:
No
No Account#
N/A - No Balance
N/A - No Balance
$333.06
$3.91
$1.00
$22.95
$57.20
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Flood Zone Cerl. Req'd: No N/A _ No Batance
Evory permit issued shall become invalid unless the work or, lhe site authotized by
such peml is commenced within360 days aftet its issuance,ot it the work aulhoized
on the site by such permit is suspended ot abandoned for a porlod of360 days after
the tifie the wotk is commenced
lnspector MtD#. 2020-157073
Fee Total
Paid to Date;
Balance Due
$418.12
$41 8.'12
$0.00
5760 7
5?770
57672
57600
5760 7
BUILDING. INSPECTOR RECORD
COMMENTSSITE.WORK DATE
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVl nsulation
L1,/Rool Sheathi I z3
Shear Wall
Fram i
lnsulation/Ene
wallD
Ext.i lnt. Lath
Brown Coat
l\,4aso n
T-Bar
Handic R
De Final Re rtt
En ineer Final Re ort
Flood Zone Certif.
FINAL
Certif icate ot Occu n
Notes Remarks, Etc
otvNFx BUll,lrt]R DF.l,('ARAIION
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WORl<EITS' CO]IIPIiNSAT!ONpEclaxauo!
t h.rct'y !ltmrutulo lcnrlryof Fjoryonc ollh. l;llowmg dcclMrlons:
l hlvc alrl will h,int.h ! ccdincxt. ol conscd b s.It]Insurc lnl workdr conrPcnsaln]n. as tlDvidc.l trhys..tio! ]700oflhc
ld$r Cdc. for rhc Frfoame of rhc work ror *hich rhe lxmit $ issucd.
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workcs' comFnsatn'n B)visions ol Scc(n)n t7O0 ol lhc Lrhtr Cul.. I slrll lnn hwirh comPl, wirh lhoe Imvirions
IVARNINC: Failur. 1,, {0uE work r' conl,.lsaron .rvcngc r1 nnla*ltl. Mn shlll \rbid in cmphvd h qmiorl IrMhics Md
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Sc(ton 10?6 ofrhe Luhtr Cc{.. ,rlciesr anl atomy'( lccs
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DECI.ABAIIQ!
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of rhc Busircrs and Potcssiotrs cl)d., ,rxt my licensc t i. tull lor.! dld cltccr.
aELl!ANLll[1L48{r&{
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D.nruhl.n Pcrm $ sbcnos Nolrliu(r)n F.JcrllR.3uhroo\ (T(lc 40. Pan6)
_RcqurcJ Le(crol Notrlt.lk'n
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at[vc ftnrioncn poteny tor insn crion lurFscl
Appti.snl Dr Asen( Sisuruc, Da
P.mltcDm.(pnr0:
Set Backs
Pool Fence
CONSTRUCTION I,ENDING AGENCY
I h.rhy iflirm und.r Fnrlry oi pcrjury rhar rhcrc s . .onntu rion k.Jin3 atcmy fd rhc Jrrl'omuc' 'i lhe e tu whEh lhir Fm C
issrd tScr. .109?, Civ. C )
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ID/SIG.
*,,SANTA
NA
PII\\NC
t lul-0nG
\CilII
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box '1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.sanla"ana.or0
Smoke & CO
Alarm Affidavit
Project Address:l0-t-- O. +-QavtlwV- vl-t
Permit Number:ro((o"t--Kq"1 I
Property Owner:
Contractorr &C.Tts^ {L*U License *: lAz-fi|)
This document moy be fuund ot.,.htto://www nta-ana.oro/pba/S
(please use a black or blue ink ball-point pen)
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
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 required locations.
A sott boxes below must be checked:
X 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.
flsmok" "l"r.s: 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.
lcheck onel tr Licensed Contractor A Property Owner
NOTE: IDis sell-certificdtion is only used for projects thot offect the EXTERIOR of the strudure. This
process is applicoble ONLY to ptojeds where occess to the inte ot oI the dwelling by a Sonta Ana
lnspedor is not required.
Signoture:Date l-\t-?-D
Have this completed lorm and the job-card readily available on final inspection!
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