HomeMy WebLinkAbout101103192 - PermitProject Address: 2116 S Orange Ave
Assessor's Parcel:403-152-23 Lot: POR 5
Unit Blds Address Range: 2114-21'16
Historic: No
Suite Range:
Zoning: R1Block: F fract.284
City <rf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714)647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:101103192
Pin #: 1661fl.i
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:
Existrng Bldg. & Use: SFD Flood Zone: x-0602320276J Garage Area:
Proposed Use: # of Stories. Total
Description of Work: Reroof w/t.o.-Remove and replace comp shingles/replace sheathing as req'd/handout given/auth on file
|rttLl,ll t ' .i') i(1..:
Patio
T.l.Area:
Yards Req'd
Valuation:$10,000.00
Planning Conditions:llf f ice: CTYH
?/ 19 /?t-1211
Trnns*:11S
ornor Q
I frt
Contractor: Popa Roofing lnc Dba Westt
Address: 13672 Onkayha Circle
lrvine, CA 92620
Phone: (7'l4l778-6294
State Lic #: 675902
Lic Type: C-39
Bus. Lic #: 189537
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9249035
Expires: 0411512020
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Rcpt.i:02997$97 - 2/19/'Xt2r:r l:3lt FIl
Transnct i on Totol t721 . 1?Owner:
Address:
Phone:
Tenant
Barbara Tilton
2116 S Orange Ave
Santa Ana, CA 92701
(949) 400-6644
f'opn Foof ins Inc Obn tjestenn Fi
Bu i Id i ng
rtl I 16tttt2- :il6LtluLttr-
Generol Flqn Updnte Fee
Ltl 1 I6tt02- 51 6u[[:il:ru-
EIdg Stds Revolving
U1 I l6rrtr?- 51612trtrlr*
11 icrol iln & Document.s
Lrl I l5trlr?- 5777tillrrrr-
ICL Checl: l:r?21
$;i?r],76
$22.?r:
t1 . t:lt:l
13. ?1
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:
Enriquez, Gissel
Hernandez, Kathy
Dale'. 0211912020
Date:
Dale: 0211912020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:\-*
No
No
No
No
07776002
0LLL6002
07776002
07775002
0L716002
57607
57770
57672
s7600
57607
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$333.06
$3.91
$1.00
$22.95
$57.20
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert. Req'd: ' No
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 permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
lnspector MID#. 2020-157881
01 1 16002 51600
01116002 5160'l
01 1 16002 51612
01116002 57770
$22.9s
$390.26
$1.00
$3.91 Fee Totat
Paid to Date:
Balance Due:
$418.12
$0.00
$418.12
@
BUILDING- !NSPECTOR RECORD
Rev. 08-07-201 5
SITE.WORK DATE ID/SIG COMMENTS ()wNI.tR IrUtt,t)!)t t)l).cARA'I t()N
IhercbyaffrnrunderpcnaltyofpcriurythatIamexenrptfromtlreContracloN l-icenselnwforthcfollowingrcason(Sec.7031.5
Rusiness and Prdlcssion Code): Any City or Counly which requircs a lrcrmit lo construcl, altcr. improve. dcrnolish or rcpair any
slnrcturc, prior to irs issuance. aho requires the applicant ti)r such pcrnril k) file a signed slatentsnt that Irc or sha is liccnsed pursuant
lo rhc previsions o[ rhc Contractor's l,iccnsed law (Chapter 9. Comrnencing with Section 7UX) ol l)ivision 3 of thc Busincss and
ProftssionsCode)orthatheorsheisetcmpltherelronraildtlEbasislirrthcallegedcxenrptiur. AnyviolationofSectionT03l.5byany
applicrnt for n pennit sub.iects lhc rpplicaDl to x civil penolty ol-nol rnore lhan five hundred dollars ($5(X)).
_1. as owncr ol'lhc profDny, or my ernployecs with wagcs as thcir sole compcnsrtion, will do (hc work and the structurc is mt
irlerilql or ollered for slc (Sa.?(X4. Business and Pntfcsskts Codc: Thc Conlracor's Liccnr law dws not apply lo An owncr of
thepmfEdy whohuildsorimprovestlEBnlar&lwlpdNssuchworkhinlselforhcrselforthroughhisorherownemployecs,
provid!'d rhat silch irnpmvcmnts ee ml inlerded orollbed lbr Mle. ll, howcvcr, tho buildinS or improvemnt is sld within onc ycu
ofconpletinr, llE Owtrr Builbr will havc the burdcn ofpovins llut hc or shc did mt buill or impovc thc prepeny for lhc purposc of
sale).
_1, as owner ofthc prcpcrty, am exclusivcly contractin8 with liccnsd conlraclors to conslruct thc prcject (Scc. 7(N4, Busincss
aul PrrlissilrCode:TheConlracbr'sLicenseLawdoesnotapplybanowoerofpropenywhobuildsorimprovesthereon.
and who contmcls for such projccts with a Coil@lo(s) liccnsd pursuant to the Coilractor's License kw).
-IamexempIUndersection-.B.&P,C.l.rrrthisreason.Dsle:-
W0RKI]RS' C0MP]]NSATT()N
DECLARATIoN
I hcrcby alli rm u nder penalr y of pcrjuly o nc of lhc Ib II('w ing dcc larar ions:
_l havc and will nuintain a Ccnitlcate of Conscnt to SclElosure for workers' rnmpensat irn, as prcviderl for by Section J700 of the
Labor Code, for the performrce ofrhe work for which rhe pcrmit i\ issued.
I;have and will nraintain workcrs' compcNalion insurance, as rcquircd by Sccli()n 3700 oflhe llhor Code, fbr the pcrfomure-e of
work t'()r which lhis lErmit is issucd. My workcrs' compcnsation rnsurancc cr[icr rmd lBlicy nunbcr $c:
l,olicy 9 Lo
_l ccf,ify lhat in thc perli)rmncc of the work for which this lrcrmil is issucd, I shill nol enrploy any pcrson in any mlnner
so rs lo bccotrrc suhject to lhc workcrs' conrpensation laws ofcslifomia, and ngrce that if I should bccorN suhjcct to thc
con)ply with thosworkers' conrpeDsrtion provisions of Section l70Oof thc tatxrr Codc, I shall,
WARNING: Failorc to scurc workers'compcnsntion covcrrgc is unlawtirl,suhjcct xn k, crim!f,il| Fnaltics and
civil llncs up to one hundred thousand dollars ($100.(X)q,
Section 1076 ofthe htDr Cqle, intcre{ and arbrrey's fces.
as provided for lhc
u^,",7-lol'zo
I hercby all'irm undcr penahy ofpcrjury that I am liccnrd I (cornrencing with Scction 70fi)) ol Division 3
of the Busincss and Protcrsions Code. aml my liccnsc is in flll fbrcc and
Czq btLiceosc
1/\
CONSTRI'CTION I,I.:NDINC AGI.:NCY
I heEby aflirm undcr Fnallyof perjury that thec Ls a con$nrdi(xr leriling agerry for the tErformree of thc work for which Ihis fEmit is
issuetl (Scc. 3097. Civ. C.).
[rnd!'r's Narne.
kn<lcr's Addrcss:
APPI,ICANT DECLARATION
I hereby dffrm under penalty of perjury onc of thc following dmlarations:
DenDlition Permits-Asbestos Norification Federal Regulations (Titlc 40. Pan6)
-Required
tf, lter of Nolification
_l cenify lhilt thc ted€ral reSulaf ioDs regeding k) tlris pri)ic(1.
\l ccrrify rhat I h{ve ren(l thi\ applicrtioo and rhe is corecl. I agr@ to conrply with nll Cily nnd Counly
representalives of this Cily and Cotrnty to enter uF)n llEordiEnces and Slate Inws relariDg to
ak)ve mcntionc(l propcny lbr
Applicont or AgeBt
l'rnnilcr nanr(
and
o
z-14-ze
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation ,l - -flRoof Sheathinq Zl2ol*)Dtf^1 tvL.-+>-l
Shear Wall tl rt
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL zlZqfut Dktfi1 x-+8"1
Certificate of Occupancy tt
Noles, Remarks, Etc.,rr-o-I27t)Wl 01 xT7 - Dftm)sa#o7
*-SNTA
ANA-"'ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647-5800
\./\.r,,/.s anta -a n Lo ral
Smoke & CO
Alarm Affidavit
rNSP-02 2013 CRC
This document moy be found at,..://r,nvyr.santa-an
(Please use a black or blue ink hall-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 R314.3.3 define
the required locations.
{ }tBoth boxes betow must be checked:I
d CarUon monoxide atarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrogrrns and also on each levelof the dwelling. Alarms are required in bedrooms with gas-fired
appJi6nces (i.e. hot water heater, cooktop, furnace) or a fireplace.
d 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 tested to be functional. l, also, hereby certify that I will retest the alarms per the
ma nufactu rer's instructions.
lcheck onel Licensed Contractor Property Owner
NOTE: This self-certificotion is only used for projects thot offect the EXTERIOR of the structure. This
process is opplicable ONLY to projects where occess to the interior of the dwelling by o Santo Ana
lnspector is not required.
Project Address:2 tt b S. Ocarrec U/e ,
Permit Number:lor I o) lqt \
Property Owner:T; {tan.
Contractor:License #: (;l{qo?
Signoture:r Dote 2. q ,zo ?!)
Have this completed form and the job-card readily available on final inspection!