HomeMy WebLinkAbout101103558 - PermitPermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Project Address: 1201 N Daisy Ave Unit:Bldg: Address Range:
Assessor's Parcel: 405-104-05 Lot.22 Block: NA Tract:1899 Historic: No
Suite Range:
Zoning: Rl
cify of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927O2 Building Permit #:lfJ1l03558
Pin #: 43342
Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work. Reroof Code: CBC 2019 Other Areas:
Existing Bldg. & Use: Flood Zone: X-0602320144J Garage Area
Proposed Use: # of Stories: Totat
Description of Work: Tear off existing, resheath, and install 2 squares of comp and 24 squares of built-up roofing
Planning Conditions
Patio:
T lArea:
Yards Req'd
Valuation:$6,566.00
Owner:
Address:
Phone:
Tenant
Steve Tlaseca
1201 N. Daisy Ave.
Santa Ana, CA 92703
(7141296-s846
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
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
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No NiA - No Balance
N/A - No Balance
N/A - No Balance
Date:
Date:
Date: 04/30/2020
Subject to Field:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
07776002
07776002
o7776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
s7607
57770
57672
57600
57607
$333.06
$3.91
$1.00
$22.95
$57.20
web_user
No
No
No
No
Account#Total
Every permit issued shall become invalid unless lhe 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 permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#: 2020-158760
Fee Totat
Paid to Date:
Balance Due:
$418.12
$418.12
$0.00
BUILDING. INSPECTOR RECORD
Flev. 0B-07-201 5
SITE.WORK DATE ID/SIG COMMENTS owNuR lrull,t)t:R t)ul.cARA'IloN
IherebyaffirmundcrpenaltyofpcriurythatIamexenrptfronrtheCuxractos License[awforthefollowingreasn(S(.?0J1.5
llusiness and Prolcssion Code): Any Cily or County which rcqutcs 6 lrcrmit l(t construcl, allcr. irnprove, dcrnolish or repair any
slructurc, prior b its issuancc. aLso rcquircs the applicailt ti,r such pemit o file a si8ned $tatercnl that lE or shc is licefuEd pursuanl
to lhc provisions ol-thc Conrracor's l.iccnscd l,aw (Chaptcr 9, Commcncing wilh Section 70([) ol Division 3 ol the Business and
ProlessionsCode)orthatltorshcisexempltherclionrandllEbasisfbrtlEallegedexenrptiur. Anyviolati(mofSeclionT03l.5byrny
npplicant lbr a pefinit subjects lhe rpplicant to i civil penilty of not morc thiln fivc hundrcd dollars ($5U)).
_1. as owncr o, thc prolEfly, or rny emplovees with wagcs as thcir mlc cornpcnsation, will do lhc work and thc stfflurc i$ mt
iilcRled or offered for sale (Se.7Ol4. Business and Prcfessions Codc: The Conlrrck)r's License Law does nol apply lo an owner of
thepmpcdy wlnhuildsorimprovesthereil.andwl$dNssuchworkhimselforhcrsclforlhrouShhisorlErownemployees,
proridcdrhalsuch improvcrrcnls@mtintcndedorolTcrcdlbrMlc. lt.hoccvcithcbuildiagorimprovemnlissUwilhinoncyee
of conqrletirm. the Owner Builder will hdve thc burdcn of proviD8 lhat lE or she did Dot build or ifipmve the pmpdy for lhc puqnse of
srlc).
_1, as owncr of thc propcfly, am cxclusivaly conlracting wilh licenrcd conlraclors 10 c_onslruct the pmject (Scc. 7(N4. Business
aill PDlissbnCodeiTheContractrr'sLicenseL6wd@snotapplytoanownerofprofrnywhobuildsorimprovesthercon.
and who coilmcts for such projects with a Contractor(s) liccnscd pursuul to lhe Cootractor's Licensc Law).
_l anr excmpt utrder Sectirln-. B & P ('. l'rrr this reasrrt.
lhler-
\YORKtIILS' CONIPENSATI()N
DECLARAToN
I h!'rcby atllrm undcr pcnahy ofpcrjury onc ofthe Ii)llowing declarati()ns:
_lhaveurlwill maintainaCerlificateofconsenttoSclflNureforworkers'conrpensation,as pruvidedforbyS.ction3T00ofth.
tntx)r Codc, for lhe perforrorce of thc work lbr which lhc pfrmil is i\sucd.
_l have and will maintain workars' conrpcnsalion insurance, as required hy Seclion 3700 of thc Ilhor Cbde, for thc perfommc of
rhc work lirr which this pcrmit is isswd. My workcts' compcnsation ifl\urancc caricr i{xl f)licy numbcr mel
Policy Nuiltber: l'lxpircs:
_l ccnity that in thc pcrlornrancc of thc work for which this pcrmil is issucd, I shall not cnrploy uny person in any nrmner
so as to bccom suhjcct lo lhc workcrs' compcnsation laws ofcalilorilia. atrd agrec thd if I should bccorre suhjccl to the
worliers'compen\ationpruvisionsofSectionlT0OofthcLahorCodc,lshall,fonhwilhconlplywithlhosprcvisions.
WARNING: Failurc to $cure workcn'compensattrn covcrdgc is unlawful, and shall subject an cmploycr to friminal Fnahies und
civil lines up b onc hundred thousand dollars (S100,(Xn), in addition lo lhe cosl ofconrpens{tion, damrgcs !s providcd for lhc
Scction 3076 ofthe tabor Code, iNerest and attomy s fce\.
I)nlc:_
LIC'ENSED CONTRA (--TOR
DECLARATION
I hcreby allirm undcr pcnaky ofpcrjury lh.t I .m licensd undcr provi$ion ol'Chaplcr 9 (cornmncin8 wilh Scction 7fin) ofDivision l
of rhe Business and Profcssions Code. and mv liccnsc is in full forcc md elfcct.
[-iccnsc Cliss:-l,iccnsc Nurnher:
Dstc
-
Contraclor:
CONSTRIIC'TION I,I.]NI)ING A(;1)NCY
I herchy allirnl under [rcnahy of pcriury lhnt there is a con\rnrctbn lcrxlilg r8ency li)r the Nrfomunce of the work ti)r {hich this pemlit is
issucd (Scc. l()97, Civ. C.).
l-cnder's Nililre:
lxnder's Address:
APPLICANT DECLARATION
I My aflimundcr pcnalty of pcrjury onc of thc following dclaations:
Dcmlilion Permits-Asbestos Notification Fcdcral Rcgulalions (Titlc 40, Pan6)
_R.quircd [rttcr of Notifi calion
_l cdili thit rlrc fedcral regulatioro rcgarding ashcslos rcmval aE nol applicablc to lhir prcirt.
_l cdify that I havc rad this application arxl stalc that lhc abovc infomlion is corcct. I a8r€ to comply with all Cily aftl County
orlinanccs and Statc kws relating lo hoiHing constructio[ arxl hereby authori4 r.prcsntativcs oflhL City 8nd County lo cnlcr upon thc
above ftnlt)ned proprny lbr inspedion puqnses.
ADDlicent or Apmt Sisnatuft: I)alc:
Prmlle nEme (Drlnl):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathino
Shear Wall i.td 7 a9iat U/vf)Dtnnzz-# 8<
Framinq t,
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
tt
FINAL lSlr l?a ,Dtm c n-fi dq
Certificate of Occupancy I vv
Notes;Remarks, Etc.
t't'
-,.-SANTA
ANAJII}ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647-5800
www.santa-ana.oro
Smoke & CO
Alarm Affidavit
I
This document moy be found at... http://www.santa-ana.oro/pba/
(please use a black or blue ink ball-point pen)
Project Address:l2;}l 0- Daisv Ave
Permit Number:101103558
Property Owner:Sleve Ttaseco.
Contractor:License #:
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 R315.3 define
the required locations.
nBoth boxes below must be checked:
ICarUon 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.
E[Smot<e 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 be functio
lcheck onel ctor Pro Owner
NOTE: This seff-certificotion is only used for projects thot offect the EXTERIOR of the strudure. This
process is opplicoble ONLY to projects where dccess to the interior of the dwelling by a Santo Ano
lnspedor is not required.
Have this completed form and the iob-card readily available on final inspection!
Lice
Signoture:/)Date: