HomeMy WebLinkAbout101102825 - Permitcity of Santa Ana 20 Civic Center Piaza (M-19), Santa An:r, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests; 1714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 1O1102825
Pin #: 8{ {22t,1
Proiect Address: 914 S Elliott Pl
Assessor's Parcel 188-103-06 Lotr 44
Bldg: Address Range
Block NA Tract: 3656 Historicr No
R-3, U
VB
cBc 2019
x-0602320256J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $11,280.00
Description of Work: Tear-off & apply composition shingles. Handout given.
Planning Conditions:
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1418.12
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: 'qnsq a:i ton totol
Phone:
Tenant
RAUL & MARGARITA NAVARRO
914 S ELLIOTT PL
Santa Ana, CA 927042104
(714) 483-0854
Contractor: HermanRoofing
Address. 4050-1/2 Brotherton St
Corona, CA 928791813
Phone: (951) 288-1328
State Lic #; 348265
Lic Type: C-39
Bus. Lic #: 187811
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9030938
Expires: 11lO1l2O2O
E ng ineer
Address
ttefnnn HOOi ln5
a1 i iri ins $390.26
i22..93
g1 . r.lli
tr,91
$41S.12
,.,r1 l6UUl- :-'16UtUUl"r-
iienerqi rion upLiuLc i,re
rt,i i i onni_ iio[rit:[]tl-iidg Si.i$ nevuivi,rj
I . ,!iu i- i r,r.tlu-rlj
r, i.t'r,i r!fl & itLrrumerrLs
iriiid0tli.. 1I ? | t-r-tii-
ii.i ihecir +iii
Architect /
Desiqnerl
Address:
Phone:
License #
Phone:
License #:
Planning Approval By: Arabe, Jill
Plan Checked By:
Permit lssued By: , BrOdowski, Teri
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Date: 01/13/2020 Nlisc. Receipt
Dater Nlisc. Receipt
Date: 01/13/2020 lvlisc. Receipt
Subject to Field:
No
No Account#
0 77760 0 2
017760 0 2
017760 0 2
017760 0 2
0 777600 2
57607
57770
5 7672
57600
5760 7
$333.06
$3.91
$1.00
$22.95
$57.20
Permit Fee
Microlilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No 0111600251600
Every perfiit issued shall become invalid unloss the wotu on lhe sile aulhoized by
such permit is commenced within360 days after its issuance.or il the wo* authoized
on the site by such permlt is suspended or abandoned fot a peiod of360 days aftet
the time lhe wo* is conmenced
t,J o
No
No
No
Total
$418.12
$0.00
$4',t8.12
lnspector MtD# 2020-157032
01 1 '16002 51601
01 1 16002 51612
01116002 57770
$22 95
$390.26
$1.00
$3 91 Fee Total:
Paid to Date:
Balance Due
Unit:Suite Range:
Zoningi Rl
Building Use:
Job Type:
Nalure of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Reroof
Reroof
Sfd Watt garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Owner:
Address:
BUILDING. INSPECTOB RECORD
COMMET{TSSITE.WORK DATE OWNER AUTLDER DELCARATION
I h.rhy alarm undcr JEndlyolFljury rfiar I m cx.mnt rom rhc Conl.,croE l-i&n{ hw for thc toln'wins rca$, (Scc 70]ls
Busincs and PFtasi,n Cdlc)r Any Ciry or County *hich Equircs d tfmir l. .onslruul- allcr. inptulc, d.molth or EPan anv
srrurrurc, tBtr b ns i.sudrlT, llw requiEs rb. !0plir r tr such Fmil lr) filc a sisncJ {arctunr rh hc or slE t lic.o{d puNer '
ro rhc l)^rvisn,n\ or rhc Conkctoas Ltcnr'l L,.w lchaflcr L Co.mc.cns wir[ Sccrion 7000 or Divton ] ol rhc R jin'sr rntl
Pdltsid.i C\lc) or lhrl h.orshc i.knyr thcrcfom lnd lhc biss lffrhc alLgcd.kcmpt n. Anyviola(i,'n.fsfrri,n701l.5 bv.nv
lppltranr ,br n lcmrir {ohjek rlr applMnl lo a.irilp.nall}oaoor Nn rh tivc hundEl doll{\ 15500)
-1,.1
owncr ol lhc pmlrny. (tr my cnplott \ wirh waScs r\ rh.r n,lc .,,nlPcnsn,n. s'lld. rlr trifi ml rhc nturw h n.r
hrcfilcJ o, olli,cd n)r sk (sN 7&4. Busrcs in! l\olistr,n\ C, ilc Thc Li,nrr.i! { ! LtrcnE Lru J,r' n'i Jiflv i' an o*rcr or
rhcpn'tcdy qk,builds r impl)v$ rhcR'n. drl *h, d(B {l.n $)d( hinsc ll or hc^.lf or rhDU3h his or icr own cmll,vcci
IJn)liJcJ rhd n(h iDpNrnnh m rn inrcnJcJ or otLrJ tur kt. Il h)Mve. rrr t uiuins or inlhtnrnr N $Lr within ^nc trr
ofco.{krn,6. rlr O*rc! Builder will hf,h rh. bxrJcnol Pn)vm! tharhc or\h. J fr, huiU or in{orc lhc nnBny tur rhc Nllr'* of
L r\owncr., rlErmpcny, rhcxclunv.ly.onk,cluu w h liccnsc.l rotrracroF t,.onstrucllne pn+d (S(.704'1. Busm$
.rrl Pd!:sir CoJc: Th.cotrtr.lr'r l,lucnsc l-rvdoc\ nor aprlyk, downcro, p0Pc ywiobuildsormrProvcsth.r€on.
rn'l qh. onnacl s t)r such pn+ds wnh a GJntrtu(9 lcctrscd pununnl b rhc cdnM.ntr s Li.ctrE uw)
Lrcr.mDr un,lcr Sc n,n
rloBtsE8strorllErt lroN
DA(n-ARATION
IrnrXyol ncrjury dnc olrhc Llk,*'n3 Jc.l*3r(ris:
,Jr!anJ*illminrainx(tnrllcalcolConscnrroSclllnsurcntrwortcs.ompcnsdnrn,ar Pnvidcd lir hv Sccnon lTlll) .f thc
jtuG c, for rhe p<dbll@. of rlt worl( for which ihc 0cm is isru.d
-l
hrvc d wrll trrrnian workcri on,|tnrrrk{ ffurlrEc, as rcquncJ hySccrin' \7U) 1rlE l,rhorC, c nr rhc ncdnrnrn.c ol
rltr *,trk l,tr whrhrh( mmm,s rsu!{ Mt w, lcr'
crn,c, SLl< fr41
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. dl inthc pcrli)rnun colrhc wd* ntr whahrhis Pctrnil is r\ncJ,I rh.U h.r cmlkly any t€6un inrnv.Enrr
'-.ohq,msul'jecrbrhcworlcN.ompcns{tn,nhwsoic{ntaha,aidaSrccth{riltsholLth.comsuhj.ctlnrhc
workcn c.opcnqriont!,!irir.s olSccrio,lruolrhc LahtrGic,I sh,ll. funhwithom0ly wirh rli,{ tln)vnioN.
IVARNINC: Ira'hE (, *eur. *orkcr
.'v,l ,n,cs uf h trc htr nrc'l rhousrnJ
Scllon 1076 I rh.litu C{ri.. inrcrcn
fi-^ /3- zozo
, L&I;AIIUIONI&ICIQ8' \ ITECLARATIoN
I hcruby d11tr u.,jcr pcnrlly ol Frjury rh Lm lienrd\dcr provision urcha cr9(ommncins urh Selt)n ?OO0l otDiliiion l
ol ihc Busftls dJ Pmrcssn'ns Codc, lri ny lic..sc L\ in tull lirrue lxl cliccr.
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7-t3 2eLo
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sru.d (ss.1097. ci! c ).
('o^sTRUl"TtON t.ENprN(i A(;ENCY,t'./",."^ro{.n rnumg +ctr. y xr rh. rrlrtutrlc Irh.!.'kl, trh(n'hslrm r
APfLICANT DECI ARATION
I ltEby 'ntim ontlfi p.nrhy ol pcrjury onc ol rh. tulk,wre dcclirx( ons
D.mnirion Pcrmih Arh.st.s Nolili..lion Fcdcrll Rcsrl,rion\ (Tnlc40, PM6)
Rcquircd tdrcr ol Nd,rql,,
I cdify th.l ltu fclcral Eilhriors Eeudi.e LrtEnos Emv.l se nn ,rlluhl. ro rhk ImFr.
-l
ccnrfy rh,rt h,vc ad,i rhr amlndDn ad {'rdhrr rhc xhovc inlomron is co@r I a8E to 6mply *irh dl city rnd Countv
or,imu..s.d sr\c !/v\ rch!ns ro hu'ldrn! oniru hr, ol hcEty aurhoriz. r.pr.*hralivcs oI lhis Cn, a8i Cou.ly lo dls uIDn thc
rh,v. nrnti,nk'l Fr0.dy ld FtEcri,
,\ppliLhnt or A/trr Si(."1 a /J zoao
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SLrbf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulationi Enerqy
Drywall
Exl./lnt. Lath
Brown Coal
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL /-22- 2D wr/o,
Certilicate of Occupancy
Notes, Remarks, Etc
ID/SIG.
Set Backs
.onrpctrsarnnr inluan c crnnr lnd lr,lry nn.,nc! m:
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krdci\ AJJrcs:
-
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Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M.'19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.orq
Smoke & CO
Alarm Affidavit
NSP.O2 2013 CRC
This document mdy be Iound ot...htto://www.sant a-ana.orql obal
(Prease use a black or blue ink ball-point pen)
Project Address:1t,/ s EttDrrPL.So4ta- Oua Ca iZtay'
Permit Number:/0ll0z/25
Property Owner:Md/4ar;la /P-ai / t,/aorarro
Gontractor:V License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ings.
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 R3L4.3.3 define
the req uired locations.
A sottr boxes below must be checked:
EICarbon 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.
[ZISmoke 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 llfe 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 ufacturer's instructions.
(check onel License ctor Property Owner
NOTE: Ihis sef-certification is only used for projects thot olfect the EXTERIOR ol the structute. This
process is opplicoble ONLY to projects where occess to the interior oI the dwelling by a Sdntd Ano
lnspector is not required.
Signature:Date:o/-2/- zozo
Have this completed form and the job-card readily available on final inspection!
,,',SANTA
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