HomeMy WebLinkAbout101102770 - PermitProiect Address: 1610 W Twelfth St Unil Bldg: Address Range:Suite Range:
Zoning: RlLot.26 Block: NA Tract 1146 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counte( (714) 647-5800 lnspection Requests: 17'14\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O11O277O
Pin #: 2214{\)
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Planning Conditions:
Single Family Dwelling
Reroof
Reroof
SFD w/ att garage
Occupancy:
Constr Typel
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2019
x-0602320144J
'l st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat I il t r:ll ; j
Patio:
T.l.Area:
Yards Req'd
Valuation:
l ,/ 6 / .tt-t it.l
oescription of work: T/O existing roof and install new comp shingles to SFD with attached garage. Replace sheAthing/plywood es nFFCPd. HAlf, put
given. . ,
$6,000.00
l0l unicr,r L r:'-r lii
onsqfc ion iitt(t1 3i4ti,l
inceclei iongr,r uLL r un (:l'l
Owner:
Address
Phone
Tenant
lsabel Lopez
1610 W 12th St
Santa Ana, CA 92703
(7',t41791-8429
Contractor: ConcecretConstructionCol
Address: P.O. Box 2787
Garden Grove, CA 92842
Phone: (7141791-8429
State Lic #: 1040511
Lic Type: B, C-8, C-39
Bus. Lic #: 374753
Workers' Compensation lnsurance:
Carrier: NATIONALCASUALTYCOMPANY
Policy #: WCC332678A
Expires: 12lOSl2O2O
Engineer:
Address:
Phone:
License #
Architect /
Desiqner:
Address:
utrolng
i r i6irir:- ii6('iiifiii-
Bnenqi i'ion Updote Fee
ir irrnir:- iidnnaitii-
i.de Stds t{evoIv ine
i i i.tltrtr2- ii 6i;iii0-icrsfiio S uo,:uaerts
i.i i6irirr- =-,7'i 1 ;-'iiiii-
iso
i.i.;, 1r r* * *rrr***iii'jiT
Planning Approval By:
Plan Checked By;
Permit lssued Byl
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd;
Landscaping lnsp. Req'd
Graham, Jeffery
Zuniga, Allissa
Date: 01/06/2020
Datel
Date: 0'l/05/2020
Sublect to Fieldl
Misc. Receipt
Misc. Receipt
Misc. Receipt
01 1 16002 51600
0't1 16002 51601
011 16002 51612
01116002 57710
$22.95
$390.26
$1 .00
$3 91
07776002
0 77 7600 2
017160 0 2
017 7 60 02
0177 60 02
57607
57770
51672
5760 0
5750 7
$333.06
$3.91
$1 .00
$22.95
$57.20
Fee Total
Paid to Date:
Balanc€ Dua:
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceNo
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#Total
Every permit issued shall become invalid unless the work o, the s,le authorized by
such permt is commenced withln360 days aftet its issuance.or if lhe wo* aulhoized
on the site by such permit is suspended or abandoned fot a period of360 days aftet
lhe time the work is commenced
lnspector It/lD#: 2020-156932
$418.1 2
$0.00
$418.',tz
Assessor's Parcel. 405-152-15
Phone:
License #:
$745. I
hi : uB7tl53
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS I hcrcty allirm un,lcr p..aky oi pcriury rhal I ur crcnfl iiom rhc (-onlr..r'a Lictnsc Lrw for rhc i{n!,*m8 rca$o (sLc ?ojl5.
Buvn.1\ r,rl Proltse.n Culc): Any Cir, or Cou y whi.h rcqutcs r Fnni nr colrslrucl alrer inDn v.. dcmolNh or Nlair lny
nnr.rurc. !fltrlo rr\ i\sus-'., alnr rcqurcs lhc appli(lnt Inr sulh Frn r r.l'lcJ \'qn.J {rrcmnr rh hc r \hc n lircn\cJ tunu.nr
b rhc fl)visions ol Ih. Coor!3ctr's Licc.{d l-.w (Ch!pr.r a. C,,n'ntrtu'n! w h Sc(r!,n rr[lt, ID'vr.n ] nl rhc AusinAi and
Pdtsn,ns Co'1.)orrhir hcor shc sctcnnr rh.e,ion Md rh. bnst li'! (hc rllclcJ.(nfl6n Anyrirhi{,nofSccronT0ll5bv y
"Ftli..nl lnrr|f,mi sunjcch rhc apPli(dot b acivrlFnallyoinor mor.rhM,rvc hu rcdJollrs($500)
t. !s own r ol rhc lr)lEdy. or my eny'l,,y.cr wirh qlscs r{hci $lc con0.n\ on, wd dn rhc woll ,nJ rh. {tutm s nor
dtc, .J olollcrcd ld sslc (5&.7044, Bushcs rnJ Pdi$b.\ G .: rh.Co rd.toa s Lrucn{ trw docs .ol rmlv b an owncr of
rl..IruFny wk) huilds.r m{r)ws rhcK)n. anJ wlb des such u).k nmxcllo. hcrtlfurrhfl,ugi hir or h.roa..mplovccr.
pr.vi,lc'lrMrsuch,nptuv.nEnsmr urc*l.J or o[.ft] l't sh. ll, hoMv.. rlt bu Jiry n inu&vcEnr is $ld wihm onc vc{
Dl complcron. llE o*ncr Bliner will harc thc hslcn oI lnrvins rhar lt oi shc diJ tror tnriu or in{ft,vc thc nmFnv lor ihc Erlx,s or
l. N o*ncr ,
'r
rhc tln)pcny. in c\clusivcly courrucri,rr w h lrcr*d ..ntr.t,F b connrud rrE P!+.r 1scc 7G4. Busu'c$
atul Pnrc$in Ordc: Thc Conkdck*-r L,ccnsc Law io$ nor lprly k, anowncr ofPrcPcny {ho builds or mpnrv$ thcrcoi
,nd who co tr.B lir su.h rlijc.h wnh a Co.r.a.h(s) li.cnsq.l Pursua n,rhcconlr!.k, s Liccar lja)
I Jn c\cmprunJ.r S.r
ItoSrcBlcolltENlarll)!
DECT,ABATION
Ihcrcbydltrmundcrl,cnalryolFduryoncof rh.6llorin3nc.l arioh\:
-I
hrwlilwill mmlain sC.nilic,r.ofConrnl k' Sclllnsurcfor workdr ompctrsarion, r\ fn,viJ.d tnr ty Sc(rion.l7lo.frh.
tlbor c(d., lor rhc peritrmn{ of rfic work for whi.h rhc lcmn n hiucJ
I hrvc !n l will nr'nrr'i workcF .omFnrlrion insrhtu.. d\ rcqurol by Sernr .17{D ot rhc Lnho! Codc. lor rh. n rfomu.e .1
rh. work li)rwhichrhlr p.m i\ issucd. My sdrkcn' .omfnsdt on iNurnnuc carif drl f$licy nun$cr n:
o t 242-4
I ccnilyrhrt inrhc |f,rlarnrne.ollhc wor[ nrwh'rlr rhi\ Pcirnii r iss'crt.I \hallnor cnl|1 any IE6on in anY m.trrc!
$ r\h h(om \uhiccr k' rhc v)'icF (ohpctr\"lon hw(olCr[ti,mix. rft]
work.r( co Nn\rllotrlrlovstr)rsolScdn lTt().l rhc l-alir CoJc.l \hrll.
cnDl,'ycr n) sim,nrl lcmlrcs,nJIVARNING: Iirilrc t, :ccurc w.*c .omFnsdit)n.o!cn!c N trr
.Nrl iinc\ u, h onc hunJrcJ rhotrsaftl Jourh lslm,000), m lddiror J,mr!c\ a\ !n,vllcJ l(n r1[
SNhotr :1076o1rh. trhtr Ci c. tr crn md arknncy's
/ - 6 ' 2a24
DEC!,AB{IION
I hcrchy,rlt'hr dcr p.nnlryol pcrju,, (har I a lrcn*l urJcr t'n,vnNn ot ch nrk 3 wtIs(.rx{ Tlxxr).i l)'vBr)n 1
ol rh. tlurin $ a ProLssiors Codc, trt! m, licch\c 6 in tull lorcc all el,c.r
c---5 lo q o-{ tt
- 2o?nt""l 6,4 o-ql 6^sT*^ c t't o"-r
I hcehy ailirm unl$ Fn.lryol friury rhar rhd. t..on{rucrr)n bn,ln3 rtcncy for rlt l]crli'rmrcc ol rh. w.rk lor *hrh rhh lf,mn n
isucd (Scu.1097. Ci! C.)
tJnJ.i< AJJF$:
-
APPI,ICANT I)ECLANATION
ll.nty rllimrnnrr pctrrlry ol pcrjury onc olihc folk,wtrrg Jc.ldrir!)ns
l)ctrr,Irn)D P.nn \ nx.jo\ Norrluri'r] lic'l.n'l l.{.!
R.qlmd L(.rol Noril.ir0n
_I.Lrtilyrhlr rhc Irlrrrl tolulfons Egdilrne nor iml(ihtc r) rhn riR,j.cr
_l ccnifyrh l hrvc rcil thk .pphurtr'n rd {xl i('n i{ coN*r.I agre i' cohrly wnh rll Cnyrftl Cooiry
o.Jn*nc.\ x d Sr c tiwsalarug broc rcprcsnrarivcs orrhn cirya Counry k, cnr.r uB1n rlE
rtmvc mcnrr,tuJ lolcdy lar
,\ppliLnnr 0.,\xr l Sit.ilrr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation ,{a
Roof Sheathinq lllqq/u {x,fiM oa.s-t /
Shear Wall I
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coal
Masonry
Pool Fence
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certil.
I I
FINAL tltfli/4/,a M ffi
Certif icate ol Occupancy I
//)-4 rl Ifl tr/ 3,t 2n 1l
T-Bar
EtC.
l/
Dil.:-
- ,- 1!- zo2J
Drt. '
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Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1933 (tul-19)
Santa Ana. CA 92702
(714) 6.17-sa00
!t/'rl,i/, s 3 nti -a na or!
hrs2-02 20 r3 cRC
This document may be found at.-. httc'/^,r,'lv Santa-a na.o ro/oba,/
(Please use a black or blue ink ball-point pen)
T-I,t
State of California requlres 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 dv/ellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314,3.3 define
the req u ired Iocations.
<, IlBoth boxes below must be checked:
EI Carbon monoxide alarms: Are insta,led outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the d,,,relling. AIarms are required in bedrooms with gas{ired
appliances (i.e, hot water heater, cooktop, furnace) or a fireplace,
El Smot<e alarms: Are installed in each room used for sleeping, in each haliway 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 r,^rlth 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 rarith the go,rerning
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.
lcheck one)Licensed ont o(q Pro pe rty O\.^/ner
NOTE: This self-certilication is only used fot prcjects that oflect the EXTERIOR ol the structure. This
process is applicable olvLY to projects where access to the interior oJ the dwelling by a sdntd And
lnspector is not required.
a
'il aa\Permit N umber:0
Property Owner:
c{r License #: \gContractor S
Signoture:Dote:\-\i-
Have this completed form and the job-card readily available on final inspection!
Smoke & CO
Alarm Affidavit
l Project Ad d ress:
I
I
tr