HomeMy WebLinkAbout101103480 - Permit,ffh City of Santa Ana 20 Civrc Center Plaza (l\1-19). Sarrta A.na, CA927a2 Building /
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ter. (114)G47-5800 tnspection Reqrests \714) oc7-2738 tnspector section: ti4) 047-sls3 t'/
Permit #: 1011O348O
Pin #: AAO42
Project Address: 2510 N SanIaWS!
Assessor's Parcel: 396422-28 Lot NA
Unit.t3ldg: Address Range:Suite Range:
Zoning: RlBlock. NA -iract: NA Historic: No
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 2019
x-0602320163J
iii FL Area
2nd FL Area
Other Areas:
Garage Area.
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation: $8,490.00
Description of Work: Tear off existing, install 30 squares of comp roofing
Planning Conditions:
Owner:
Address:
Phone:
Tenant
Kevin and Amanda
2510 N Santiago St.
Santa Ana, CA 92706
(714!.473-7051
Contractor: PremiumRoofingSystems
Address: 2054 Continental Ave.
Costa Mesa, CA92627
Phone: (714) 884-5108
State Lic #: 1042214
Lic Type: C-39
Bus. Lic #: 370747
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9233137
Expires: 06l'1312020
Engineer:
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:
Landscaping lnsp. Req'd
web_user
Date:
Date:
Dale: 0410712020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07775002
07775002
07776002
07LL6002
57507
57770
5L612
5L600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1.00
$22.95
$57.20No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No l'l/A - No Balance
N/A - No Balance
N/A - No Balance
Account#Total
Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of360 days after
the time the work is commenced.
Fee Totat
Paid to Date:
Balance Due:
$418.12
$41 8.1 2
$0.00
lnspector MID#: 2020-158522
I
BUILDING- INSPECTOR RECORD
Rev.08-0/-2015
SITE.WORK DATE ID/SIG COMMENTS owNER lttJILl)UR t)Et,CARA'ilON
I lEreby affirnr under penalty of pcrjury lhat I am exempt from the ContrrctoD' License liw for thc following reason (Sd.70J1.5
llusiness tftl Pro,tssi()f, Codc): Any City or County which rcquircs a fErmit h con\lruct, alter, irnprove, dermlish or rcprir any
slnrctrrre. prir)r to ils issuance. al-so rcquires the applicanl lbr such pmlil () fib a si8ncd stalemnl lhat he or she is liccNd pursuant
ro rhc nmvishns o[ lhc Contrach. s l,iccnsed lxw (Chapter 9. CommcncinS wirh Scclion 7000 ol l)ivision 3 ol the Busincss and
ProtcssionsCode)orthatheorsheisexemptthereliomandtlEbasislbrtlEllle8edexen)ption. AnyviolationofSectionT03l.5hyany
npplicrnrfornpcnnitsubjccrsrhe applicantroilcivilpemltyofnolnoreth{ilfivehundreddollilrs($5(x)).
_1. as owner ol lhc profEf,y. or my crnployccs with wagcr as lhcir solc compcnsation, will do lhc work and the stMlure is ml
irlerxlql or offcred tor ulc (Se.704.1. Busincss and Prcfesskus Cqle: TIE Conlrack)r's Licen\c lnw does nol apply lo an owncr of
thepoprny wlx)tNildiorimpmvestherur[adwhodoessuchwrrkhinrselforlrrselfortltrou8lrhisorherownemployecs.
pro\ idcd that snch irnprcve mnts de ml intcrded or olfcrcd Ibr sle. Il. howcvcr, thc building or improvcmnt is sld wilhin orc )ed
ofconpleti(n\ ttE Owrrer Builder will have thc burdcn ofprcvinS lhN lrc or she dirl not build r)r impn)ve thc pmpe(y for tle purF)s of
sale ).
_1. as owner of the pro|Erly, am exclusively contractin8 with licensd conlrack)n to.otrslruct tlE pmject (Sec. 7(N4. Business
and Pn)tissinrCode:'IheContracrrr'sLiccnseLawdoesnotapplyn)rtrowoerofpropenywhohuildsorimproveslhereol
and who conlracts for such prcjccls with d Coilracto(s) liccnscd pursuant to lhe Con[actor's Liccnrc Law).
-IanlexemntUBlerSectilln-'B,&P,c,ti,,thisrcasoD,l)atc:_
tvoRKuRs' ('ot\tPENsA'iloN
DECI,ARATIoN
I hcrcby nllirnl undcr pcnrlly of pcrjurv onc ot lhc li)lhwing dcclarrri()nsl
_IhaveafllwillminlainaCcnilicateofConsenttrSelf-lnsureforworlers'conrlxnsation,as pmvidedforbySecti{)n3700oflhc
ht{tr C(,dc. for the pcrformarce o[lhc work lbr which thc pcrmit is issucd.
_l have and will maintain workers' conrpcnsali(,n itrsurance, as requircd by Secli()n 3700 ofthe kbor Code. for thc perfornurce of
rhc work ti)r which lhlr pcrnil is issucd. My workcrs' conqrcnsati()n lnsurilncc cafiicr and policy f,umtEr de:
Policy Nunrher: Exfics:
_l ccnily thnt in thc pcrli)rnunce of thc work for which this prnrit is issucd, I slull mrt cnrploy any pcrson i[ any muncr
so as to bc$rrc suhjcct lo lhc workcrs' conrpensal ion laws of Califomia. and agrce thal il l shotrld hccorE subjcct to thc
workers'coNlrnsationprovisionsofScctionlT00of(heLaborCode,lshall,fofrhwithconrplywiththosprcvisions.
WARNING: Failurc t) sccurc workcrs'compensation coveage is unhwful. and shall subject an emphycr to qiminul frcMlties md
civil fines up to onc hundrcd thousand dollars ($lU),((x)). in nddilion to lhe cost o[ compcnsdtion, darmgcs as providcd foa lhc
Seclion 30?6 r)frhe tihlr Cixle, interest and dtbmey s fees.
I)rlc:_
I,ICENSED C()NTRA(]T0R
I)ItCI-ARATION
I hrR'by al lifln undcr r-nalty of pcrjurv thal I arn liccnsd undcr provision ol Chaptcr 9 (cornrtu'ncing wirh Sccti()n 7(Xn) ol Division 3
of thc llusines\ rnd Prol'cssions Codc. ml mv liccnsc is in tull ti,rcc un(l tllcct.
l-iccnsc Nurnbcr'
CONSTRT'CTION I,I.:NDlNG AGI]NCY
I heehy allirm undcr p*nalty of periury that there is a consrructi([ lcodilg agercy l'or thc perf(]murEe ofrhe work fi)r which this pemrit is
issucd (Scc. 1097, Civ. C.).
Lctrdcr's Nnnlc:
I-cnilcr's A(l,Lcs\:
APPLICANT DECLARATION
I hwby aflm unrjcr penalty of perjury one ofrhe followinS dfr'lararions:
f)emolitiotr Pernlits-Asbestos Notificalion Fcdcral ReEUlations (T[le.l0. Pan6)
-Required
tf,llcr of Notification
_l cenili thrt the fe(leral regulxliuN rcgilditr8 ashcstos rcnx)vill are mt nllplicnble k) rhis proiecr-
_l cenify lhdt I lurve reid this applicalion and statc lhat lhe ntnvc infomation is corccl. I aSree to conrply wilh all Ciry and County
ordinaNes and Statc tiws rehtiilg to h!ilding constructio[ ilil herehy authorize rcpcsentalives of this City and County to cntcr ulrcn the
atDve mnti()ncd propef,y lirr inspecli()n purF)scs.
At)l)licurrt or Agrnl Date:-
l'cnnilft nan)0 (Dfint):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation tt It ./2
Roof Sheathinq Fltzlt{tu Nztliflaa *{.,
Shear Wall tt
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Jt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
,lt, /^I t-/?
FINAL ff/b-/ftrL'0Utlltljt ,YJ
Certificate of Occupancy
Notes, Remarks, Etc.
*,,SANTA
NA-"ffitr
Plannlng & Building Agency
20 Clvlc Center Phze Ross Anner
P.O. Box 1988 (M-19)
Santa Ana, CA92T02,
ol4) 047€800
www.santa-ana.oro
Smoke & CO
Alarm Affidavit
This document moy be found oL- http://www.santa-ana.org/pba/
(please u* a black or blue ink Mllpoint pen)
Prolect Address:15 io N Sonho.q o S+
Permlt Number:\otto3'{8o
Property Owner:kevtn
Contractor:Pre .., i u* Rorfi " j (y..{"-s License#: loqlz\L{
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC) Section R314.1 and 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.
Aao,h boxes below must be checked:
FCarUon monoxide atarms: 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.
FSmote atarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping'room, and on each levelof 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 Property Owner
NOTE: Thts seff<erttficatlon ls only used lor protects thqt offect the EXTERTOR ol the $ruaure. This
proaess is applicoble ONLY to projeds where occess to the lnterior olthe dwelling by o Santo Ano
tnspector ls not requlred.
Have this completed form and the job-card readlly available on llnal lnspectlon!
Signoture ,re-Dote:,1 I I Za
l