HomeMy WebLinkAbout10199047 - Permit,
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:101990,47
Pin #: 67417
EIProiect Address:2111 N Alona Sta
-
Unit Bldg: Address Range:Suite Range:
Zoning: RlAssessor's Parcel: 001-093-16 Lot:196 Block: NA Tract:1724 Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 'lst FL Area
Job Type: Reroof Constr Type. V B 2nd FL Area
Nature of Work. Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: SFD w/det garage Flood Zone: X-O6O2320144J Garage Area:
Proposed Use: # of Stories: Totat
Description of Work: Reroof w/t.o.-Remove and apply comp shlngles/replace sheathing/handout given/auth on file
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd
Valuation:$7,500.00
',iI/' jtll'/
_ __.L, tirLttl:..T. 'tC,liel*
Engineer:.l
t qF.r
Owner:
Address:
Phone:
Tenant
Jon Schorberger
2111 N Alona St
Santa Ana, CA 92705
(714) 42s-3ss0
Contraclor: Cal-State Roofing
Address: 702 Monroe Way
Placentia, CA 92870
Phone: (7141813-7736
State Lic #: 801516
Lic Type: B, C-39
Bus. Lic #: 31 1430
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 1877765
Expires: 1010112019
Address:
Phone:
License #:
Architect /
Desiqner;
Address.
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Guevara, Jerry
Hernandez, Kathy
Date: 01/31/2019
Date:
Date: 01/31/2019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57507 Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57500 General Plan Update
07776002 57607 lssuance
Fee Total
Paid to Date:
Balance Due:
$320.50
$1.00
$22.08
$s5 04\AftNo
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd:Flood Zone Cert. Req'd: No 01i 16002 51600
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 180 days after its issuance,or if the work authorized
on the site by such permit is suspended o r abandoned for a penod of 1 80 days after
the time the work is commenced.
01 1 16002 51601
01 1 16002 51612
$22.08
$375.54
$1.00
$398.62
$0.00
$398.62
lnspector MID#: 2019-149153
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER RUILDER DELCARAIION
I hoeby affinn undr penalty ofperjury that I an erempl from lhe Contraclors License Larv for the following reen (Ss.7031.5
Businss and Prof6sttn Code): Any City or County which requirs a lmnit to construcl. alt6. irnprove. demolish or repair ay
strudue.priortoils issuaf,ce.alsorequireslheapplicmtforsuchpqlnittofileasignedslaternfltthalheorsheislicensedlrrsuant
lo the provisioN of thc Conlractor's Licensed Law (Chapter 9, Commencing wilh Sslion 7000 of Division 3 of lhe Busincs md
Profesions Code) or lhat he or she is exempt lhqefrom ild the b6is ftrr the alleged exmption. Any violation of Srtion 7031.5 by any
applicantforapnnitsubj(tsrhe applicanttoacivilpenaltyofnotrnorethanfivehundreddollas(9500).I
-1.
o orvner of lhe propeny. or my employG wilh $'a86 6 their $le compqsalion. will do the work ed lhe struclue is not
intoded oroffsedformle(Se.T044,BusineandProfasiomCode:TheContractor'sLicenseLawdo6notapplylomownerof
theprcpfiy whobuillsorirnprovsthqon.edwhodo6suchwoilhimselforherselforthroughhisorhqowncmployes,
providcd thal such improvmmts de not intmded oroffsql for sle. l[ horvo'o. the building or improvencnt is mld rvithin one ]q
ofcompldion. the Owns Buildq rvill have the bordm ofproving thd he or she did not build or irnprove the prcpsty for the purposof
ele).
-1.
6 owns of the propqty, m exclusively contracting with licemed contractoE to coElrxct lhe proj(l (S@. 7044, B6ins
ad ProfosionCode:'l'heConlraclor'sLicenscLawdo6notapplyloaorvnoofpropertylvhobuildsorimprovesthq@n.
and who contracts for such projats with a Contmclo(s) licmed purs@t to lhe Conlractor's Licse Law).
_l dr ereinpt undq Setion_. Il. & P.C. for this reaon.
l)tlt: ()N trrr:
WORK!]RS' COMPENSA'I'ION
DECLARATION
I heretry aflirrn undo pcnalty ofpojury one ofthe follo\t'ing drcltrations:
-l
have rutd will mainlain a Cert ificate of Consent lo Sel [- lnsure [or workers' conrpensation, o provided for by Section 3700 o f the
Labor Cclde. for the pefonnmce of the work for which the pmnit is issued.
-l
have and rvill mainlain workers compensation insurance. c reluired by Scction J700 ofthc Labor Code. for the pqfonndce of
the work for which this permit is issued. My workers' composation insurance canier md policy numbo de:
Policy Nunrbcr: Expires:
-l
cffify lhat in the perfonnance of the rvork for which this ;rerrnit is issued. I shall not crnploy any person in any milntr
e 6tobctonresubj(tlotheworkm'compmsationlawsofCalifomia.mdasr€lhatiflshouldbecomcsubjetbthe
workqs' compensation provisions ofSfftion 3700 oflhe t,atnr Codc, I shall. forthwith conlply rvith thos provisions.
WARNINC: Failure lo wue worktrs'compcnsalion covsage is unlaw'ful. af,d shall subjecl m sDployer to oirninal petraltiq od
civil lines up to one hundred thousdd dollm ($100.000), in addition to the cost of cornpemtion. darrages c prorided for the
Sstion 3076 of the Labor Code. inttrGt ed attorney's [s.(L8 )n.ro._4
I hcreby afl'irm undcr penally ofpcljury that I dn licensL{ under provision 9 (comnrencing with Section 7000) of Divisim l
of thc Busines md Profsiom Code. md rny licme is in full force dd effsl.
I.iccme Class:-Liceme Nurnbq:
Drte:_ -_Contractor:C ]AA r7n*
I heeby afhm undr poralty of perjury that th6e is a construction loding agmcy for lhe pa'fomuce of the work for which this perrnit is
issued (Ss. 3097, Civ. C.).
Lender's Name
[,ender's Addrs:
APPLI(:ANT DECLARA'TION
I hotby allnr undo penalty of pojury one ofthe following dsltrations:
Dernolilion Psmits-Asbatos Nolification Fedqal Regulations (Title 40, Pa16)
-Required
Lettcr of Notification
-l
cffify that the fedoalregulations regading cbctos removal are not applicable to this prejdt.
-l
cfiify lhal I have rcad this application ard slale that the atnve inforrnation is coret. I agrlt lo cornply rvilh all City and County
ordinancs md State Laws relating to building conslruction. md hereby authorize reprBmtatives oIlhis City and Counly to flt6 uB]n the
atrve mentioned prope(y for inspclion
Applics[t or Agetrt Signxltrre:.
I'ernilee nirnc (prinl):
puaposG.ol!4 ,,,",/- 7r- 1<
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenVl nsu lation
Roof Sheathinq 7-lz-r 7 7?/c?2 )
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
-\FINAL i1.t 1. / 7 'Z1s/r&:{?7 )
Certificate of Occupancy
Notes, Remarks, Etc.
.') ,/4 /1
Z -//-/ q L/q-.,L /,/
€D7
*-SANTA
NAJ|tHt
t?
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA.92702
(714) 647-s800
www. santa-ana.orq
Smoke & CO
Alarm Affidavit
INSP.O2 2013 CRC
This document mdy be found at...h santa-ana.o
(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 ResidentialCode (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.
nBoth boxes below must be checked:
(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 required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
psmoke 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. Combinatlon 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 I will retest the alarms per the
ma n ufactu rer's instructions.
lcheck onel tr Licensed Contractor Property Owner
NOTE: This self-certification is only used for proiects thot affect the EXTERIOR of the structure. This
process is applicable ONLY to projects where occess to the interior of the dwelling by o Sonta Ana
lnspector is not required.
a
Project Address:A./1tlni
Property Owner:1i-/.lo€rvgrfL;Kb
Contractor
>*=-Date:t.1l;'1 I Ir,Signoture:
Have this completed form and the job-card readily available on final inspection!
Permit Number:lnr6l AeLJ\
f
1-l- C,Irrh-#nar.,',.;^License #: pp l6 id