HomeMy WebLinkAbout101102743 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), SantaAna, CA927o2
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
(/u Build ing Permit #: 1O11O2743
Pin #: 24234
Proiect Address: 2026 N Mirasol St
Assessor's Parcel 396-'105-10 Lot: I
Unil Bldg: Address Range Suite Range:
Zoningr R'lBlock: NA Tract: 6461 Historicr No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area T.l.Area:
Natureof Work: Reroof Code: cBc 2016 other Areas yards Req,d
Existing Bldg. & Use: SFD w/ att garage Flood Zone: X-0602320164J Garage Area Valuation: $12,000.00
Proposed Use: # of Stories:Totat 0
Description of work: T/O exsting roof and install new comp shingles to SFD with attached garage. Replace shlethhd,prylvooqlgffnded. li'It{,p$tr- L.,|igiven, I i,:e; r.iYH ir urrs*r ilE 1 cli ?. r,:!; j Ftef+t 1l:rt1r.l:t/+.i
'ii;;lliiillt'il,"i ""'0"' liiil,'i''Engineer: lse 'v r.r:r,r ui,,;Owner: Jay Perry Contraclor: Certified Roofing Specialist! i:riti r,:,1 Roof ins spe.i[]lrtg
Address: 2025 MIRASOL ST Addressi 9281 Larkspur Dr Address:
Santa Ana, CA g27O578O7 Westminster, CA 92683 r;rlr;t(i ; ifln llpriLrle iEe $"1"! 'Li'i1
Phone: (7141211-1512 Phone: (714) 568-0757 Phone i r iri'r'-';" lll3r:rr:rrllrr-!-
Tenanr stale Lic#: es6843 l-i."nl" o ,lll,l',i"a r,rr,rroo,r- 'l;'i'/rr':l
Licrype: c-3e Architect/ ll:"ii:: [i:iii;fi: {1"rrr
Bus. Lic #: 337515 Destaner.
workers' compensalion tnsurance: Address ,, il]r,.,1' i rl)'o,][i]"t ] r ' 'J I
Carrier: State Compensation lnsurance Fur ieo !r,?11, Ll,
Policy #: 't949902 Phone: ,.{..t: inrrxr*}*x}}grl2 Arrlhi rtr!6 t 16
Expires: 12lO1l2O2O 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
lvlccann, Melanie
Zuniga, Allissa
Date: O'l/03/2020
Datel
Date O1lO3l2O2O
Sutject to Field:
N.4isc. Receipt
NIisc. Receipt
NIisc. Receipt
0 77760 0 2
0 77760 02
017760 0 2
0 77760 02
0 77160 0 2
s1601
57770
57672
5750 0
51601
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:
Police lnsp. Req'd
NoNo Account#Total
Flood Zone Cert. Req'dr No
Every pemit issued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days after its issuance,or if the wo* authoized
on the sile by such permit is suspended ot abandoned fot a period of360 days after
lhe time the wo* is commenced.
$418.12
$0.00
$4',t8.12
lnspector MID#: 2020-'156866
01116002 51600
011 16002 51601
011'!6002 51612
01116002 s7770
$22.95
$390.26
$1.00
$3.91 Fee Total
Paid to Date:
Balance Due:
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARATION
I h.r.hy dltn trnd.r F.alry ol Jr4ury lhdr I dr c\cmtr ft)m rhc Conlrucron l,i.cnsc I-!w lor rhc lnlbw'nt rcrc,n (S..7011 5
Busi"cs aBr Pdc$ion Ciic): Any City o, Counr, whrch lcquias r Irrmn b con{dcr. ,lrcr. inrrorc. dcfr)lFh or rcp.ir lny
nructur. prirr t' ih is\rafre. nl$ rcqrnc\ $c,mncanr tur such p.m[ k! Iilc r sitncd srdrcnrnr lhar lE or sic is li(n{d nururr
k' rh. pmvri,)trs ol rnc Cr,trr.aukni Liccn\cd trw ((rhapic. ,. Conrnrncm! wnh Srron 700(r or Drvmon J .l rhc Busincs an'l
Px'lcsn,nr CoJc)or rhdr h. or shc s.xcntfl (hcrcfoh rJ rhc hrn! ntr rhc.llclql cicmtrion. Any vn'hrnnr Dl Seriod 70ll 5 by rny
!!fli.. 6r aI'(mr $rhjels lhe arrolica b 0.ivilpcnrllyolnor morc rh3n livc hunJr&l doUrs (5500).
_I- as ownc, oa rhc ptuFny, or hy cnpn,ye\ *irh w,!cr !s rh.t snc conEtrsrlnnr. will!o rhc *o.k anJ rh. {turm n nor
!iL:rl.J oro,Lrcd lor salc (Sa.7044. Busincsand Al,ttsil)"s C( c I hc O,nlra&tr's LM.s. La* drs nor aPFly l. an owrcr oi
rhc F)pcdy wh{J $oiusor mlrt)Es rh.d)n, ,rl who d(s such M'It hmsclfor hcncll or rhNugh hk orhero*n cflploycc\.
pruv cd rhrrnrh nDn)rmnk c nn inlcRl.rl or oltaBJ lor sk. Ii bwcvcl rlE lxilliry or iq{ovcBd is $Ll withinonc rd
.l con[,.rin. rh. Own$ Bu ds will havc tlE b{ntcn ol l]nrvr3 (h.l hc or shc did nor huil] or impn)rc rhc nmFny for rt puqrM of
l, rsownci.l rhc potFdy, rn.rchtrNtly conrrdrg rirh lt.n\cJ c.ntdrh\ n'..tr{flr.r rh. pn*cr (Scc. 70,14. Busincs
. PnnL\<hn Cod.: Th. Conr&ttr s Li.cnsc Lrw docs r.r .pt'ly b ! owtrc!oipoF.dywhohuild\orimpiov.srhcrcon.
rn'l who.arnrc(rslorstr.hpojccrswirhacro a('(r lircnscJ NnMnr ro rhc (i, ra.u's Lic.nsc Lo* ).
_l lhercnpr utulcr S*tn,n_, B. & P.C. ror thi Hso
Iyll86E8EtlMrENlAro!
UECIABAIII}!
I hcrcby atltm uklcr Fnrltyol pcrjury orc ol lh. tollowhs Jal.,arbns:
-Ihrvc.J
will mainlalr a Ccrl rlrllc .t Conscnt b Scllr$uN tu workeB ompcnsrrn,n. rs pmviJcJ tur $y Sexon r?Lx) ol th.
litrtr Ciile. tor rhc penomNc of rh. w.rk for which rh. p.mn t s\ucJ
I hnv. rid wrllmrintr q.rkcra .o nrnc.s a I ion rnsunh_c, ds rcqut'lhySernr.lT0Oolth.lll$rCodc,ntr[cncriinn ccof
lhc qrk lirwhrhth$ ncmnr is nsued. Myworkcr'i,mmneri,'n i'rurrnlc.rrirr JD.] tuhvIrns. Fuyr\'-Sia\e Coyn z-\:Lo,49A,oL \
.N'l ltrk! ot) k, !trtr hrtrJRl rh.!\ rJ ,s{,lr,, m turdrru,tr t) rhc cod uf conpcnnbon. drmscs as prcvi,lcJ ftt lhc
ryi'jrdi""Ua
I lErcby alinm unlcr I'cnaltyol Frjury rhar I an liLcnsn ondq pn,visth olChnprc.9 (onrmncinS wilh Setion rfix)) oIDilhion.l
ol rhc Burin.sr anJ ProLssirns Codc. ari my tccns. is in txl nrcc !n] ct'tcur.
,C-@ qb6?q3
,r'-t-Cov r6lielflect
dIBIISAXTPE!:Idf,AIIAN
I lrtbyafmunJ.r p.nrlry.fF jury onc ofrh. tallow,n8 Jelxr ionsl
Dcfrnnn,n Pcrnih-Aihcdo! Norifi.aron F.dchl R.lularions (T lc 40. Pan6)
_R.qutcd lrtr.r ol NorilMrion
_l ecdililhd th. Ldorlr+ul.lklns rcEr,irng rsbcsor rcnn,vrl !!. nor applicrhk t, rhn ttu cci
ill lqrirylhir lhJvc rc r[n iml (rl drrcrhrrrhoJrNc'nnn Ia!rL\r,LonryqfhallC[yrtrJ(in'nty
oiJiJrn..s rnJ Slrrd I r!\ rchring iUinf condnknon. ml hcrhy 3urhntrc rctlrc\c dnvcsofrtusCitya Cotrnryt,cnr$ur$nrh.
I ru,vc Nnrn,rd pruFny nn
A pplienl 0r ,1A.rt SiEtr{lu
q,n
c
uW .L-3-20
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Rool Sheathinq -1"%V-+n tl?T
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
I
FINAL I qnoTo I\hal Yt >4-x6
Certificate of Occupancy T I
Notes Remarks ElC ,b Ja r',JI}-rw AT l{dA h
BUILDING. INSPECTOR RECORD
s
Sublloor/VenUl nsu lation
Flood Zone Certil.
_lccdilyrhdn,rhcp.r,i,rnunc.olrhcworkturwh,chrhnl}.rm n '\rcJ I dull n.r cmpl,,y rny pcr$n i. uymrncr
$ N(obcconr sublcd ro rhc w)dcr' u.nlI).nsaron laws ofcalibmia..n'l a8rc rhrr l sk,uld b.com \ubicd k,rhc
worftcs' ..mp.ns!ri'. pn)v6 tr,ns ot ssnon J?(x) ol rh. Ijhtr c,rlc. I \hdl. lodhw h eonPly {,lh rhosc l,ruvsons.
IVARNIN(; Eailuc ro s.r'c ktrkcrs u{nlllc s!ri,,r lovcrrrc ]\ u lariul. dDJ shall subje.r rn cnrploys b cnmral Fnr[a\ MJ
collralJclloN.tsNuNcl(iElrl
I h.rchyalllrnu cr p.nahyolp.iJuryrl r rhdc is a coninrrtr)n htrJnB a!.ncy liJr rhc ocdnm.u. ol rhc *oA ,nr whrh rhls rcmnr i\
issrd(Scu. (r97,Crv. C )L' r,'\ Nrn*
Lcn lca' A,l lrc*:
-
Planning & Building Agency
20 Civic Center Plaza Ross Annex Smoke & CO
Alarm AffidavitP.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.orq
INSP.O2 2013 CRC
This document moy be lound ot.http://!,rr/w. santa-ana.orq/oba/
(P/ease use a black or blue ink ball-point pen)
Project Address:2o zL Miro =ol 9. Sc"t,'h, AM A\q zlog
Permit Number:lovq,+rl9
Property Owner:r
Contractor:\\License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
bu ildings.
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 R314.3.3 define
the requ ired locations.
6\ gotl, boxes below must be checked:
dcrrbon 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-fjred
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
Efsmoke 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. Combinatjon 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 ed to be functional. I , also, hereby certify that I will retest the alarms per the
ma n ufacturer's inst
lcheck onel tr I cens Contractor w Property Owner
NOTE: Ihrs sef-c ertificotion is only used Jor projects thot dlfect the EXTERIOR of the structure. This
process is applicdble ONLY to ptojects where dccess to the interior of the dwelling by a Sdnta Ana
lnspector is not required.
Signoture:Y-/Dote:(
II
Have this completed form and the job-card readily available on final inspection!
*,,SNTA
NA.ffi