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Home My WebLink About101103068 - PermitPermit #: { Ol { 03068city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714], 647-5853 Proiect Address: 5122W Davit Ave Unit Assessor's Parcel 108403-01 Loi l Block: NA Tract: 5530 Historic No Pin #: 97 Suite Rangel Zoning: Rl Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Reroof Reroof SFD WATT GARAGE R-3, U VB cBc 2019 A-0602320256J 1 1st FL Area 2nd FL Area Other Areas Garage Area: Totat Patio: T.l.Area: Yards Req'd Valuation: $17,000.00 Occupancy: Constr Type Code: Flood Zone: # of Stories: Planning Conditions: P,ttt,:h* :54?67 0ff i{e! (:TYH 2/6/2tt2t1 Trrlns+l 35 Rel+ I ID: IlF,INEOA 1 c,f 1 1 l:l I t r-r 5r16s Owner: Address Phone: Tenant Sean Pham 5122 W DAVIT AVE Santa Ana, CA 927041707 (714) 401-s109 Contractor: CertifiedRoofingSpecialistr Addressr 9281 Larkspur Dr Westminster, CA 92683 Phone: (714) 658-0757 Slate Lic #: 956843 Lic Type: C-39 Bus. Lic #: 337515 Workers' Compensalion lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 1949902 Expires: 1210112020 Engineer: Address RrPt+f0?8988{( - 2/6/202tt 11::,1 An Tronsodt ion Totol t4lS. 1:? .iose Vctsc uer Cert i I ied Rost'ine 6pEc iql i Ets Phonel License # Architecl / Desiqner: Address: P,[' i ]d ins i1 I 161:ll]2- 5 16t-r1 t-lt:tlt - 6errErol f'l nn Updtrte FPe rl11l60l.l2- 5 16l,ltll:lrll l-l " lrlds Stds tievolvins t:r I 1 1 6Llll2- 5 I 6l2t:fl1rl- llicnof iI$ f, Do.ufientg l-l1116t_ l2- 5 7 77t-lt:lt:t[l- V isn CC+ r *r*rr*rrrr*r9912 $1.[rrl $41S.1 Au!h+:l|6J7gG Planning Approval By Plan Checked By Permil lssued By : I giann LA\,C-, , Melanie ki, Ieri 0 77 76002 0 7716002 07776002 01776002 07776002 5760 7 57770 57672 57600 5760 7 Permit Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance Date: 0210612020 Misc. Receipt Date: Misc. Receipt Date: 02106/2020 Misc. Receipt Subject to Field: No No Account# $333.06 $3.9'l $1.00 $22.95 $57.20NPDES lnsp. Req'd: (__,/No PWA lnso Req'd: No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp Req'd Total Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No Every pormit issued shall becone invalid unlessthe work on lhe site authorized by such permit is commenced within360 days after its issuance or if the work authorized on lhe site by such permit is suspended or abandoned fot a peiod of360 days after the time the wotk is commenced $22.95 $390.26 $1.00 $3.91 lnspector MID#: 2020-1576'16 01 1 '16002 51600 01 1 16002 s1601 01 1 16002 51612 01116002 57770 $418.12 $0.00 $418.12 Bldg: Address Rangel Description of Work: Tear-off & apply composition shingles. Handout given. Phone: License #: 5.t?U. 26 $3. ?1 Fee Total Paid lo Date: Balance Due: BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDER DELCARATION I hq.qL alrm uid6 pdah, of rojr.y lha1 I m .rcmpr trom lhc Conlra.lo6 Licffi Lae aot lh. fouo{inE tasn (S;.?Ol l:5 Busirss d l'lo,i6sion Codc): Any Cny or Counly shict rqun6 a pinn ro @dtud. .116, inprov.. &moltfi ot rcpotr ey slrucluc. pno! ro rls isuec.. also ,.quic rh. 6pplicer for s!.h pcmn ro 6L a sisncd sralmml lh.l hc or sh. $ liccns.d psudt ro thc pNvisioB oathc CoalEctois Li€cnFd Lav tcluprq s, Comfln.ing wnh Sdrion 7000 olDiviSion I otlhc A6iflcs ed Prolcsione C.d.) or lhal h. or sne b .rdp fiG.iom ed th. bsis iot lh. all.s.d cxflplion Any liolarion of Sdio!701l 5 by e, appiica.rror.p.f,nitsubjdlslh..pplionlloacivilp.n.hyotnolnoElh&fivchui(tudoll6($500) L ,s ownq ofl hc prcr.rly. or ny eoploy6 $ilh wa!6 d lh.tr $1. compcNrio., will do rhe work dd lhc nruclu. s nol mrod.d or ofidcd ror eL (s{.7044, Busines dd Prc lsioB codq l'he (nnrrcrois l-i.qsc I-!N doe not ttpl, ro d oM.r oa Ihe [repqly who huild! or inlprovG rh.on. dd eho do6 soch worl hiNsll or hGcllor throush hG or h.r om .npbr.6, lrovid.d lh such i,rFllnds de nol inlard€d or ofiscd lor el.. I I how@, rh. b(ildine or improvancnl is sot wnhin onc yw alconrpl€rion, $e Oud Buildo will hav. rne bud.n ofpoving lh h.orshc did mt hrild or inplov€ lhe plopoly l rh.purpo*oa I. aowhdoalh.pmp.ny. mcrclGivclyconra.lifl! wirh licds{j coord.ro6 ro co6hd tfi. Foid (Se. 7044. BNns d PDlesFn Codc: Thc Conra.bas Lic.nsc Law do6 not apply ro mown6 of propBly wlo buildr or mpiov6 th(@.. and wh. conlds for ch Ftrjds wilh a Contcclo(s) licscd nu6@r (o th. Comr.croas Li.m. kw). , m cxmfl unds Sdion .ll & l'( f{n rhis rr3on Iaa6EBS:lAUl[tslATION DICI,AAAII(I! I hscbyam und6 poalryoaFjuryon oflhc followin8 dclralio.s I havc u,i w' lllBxdrm a Ccnrficarc or CoMnr ro scll lsu.. for workds conpsotion. s prcvid.d for by Sdlion ll?00 oafic Lrbor CodtH6. pdlomM.c ol rtc worl lor trh(t rhc psm 6 su.d - -lii. u,a *' r, -a,nl''n *r,16' comp.c'l 'on LNUrm.., s '.Iuir€n by serion ]7oo orrhc Llbor codc, ror th. psromarc or rhc sork fd $hich rhis r.mit is ilsnoi My work6 .onposdion csi6: :\a)e- Co J a UI l9qQQoZ -2o I .6ti4/ rh3l in rh. Florm cc ollhe work lor shich rhis p.flnn t 6suaL I shall nor mploy any p€Mn in any mend $ 6lo b..on. subj{t to th. worl6 @npdsaion lass ofcalifomia. Md asr thal ifl should b.cooc subjd lo lh. *0*6 codrctuarion p(vi.ioB of sdio. 3700 o a$. Laurr Co.le l sh.ll. lonh$ilh codply wilh lho* pDlisioB W.{RNINC: t'ailur.lo suc wo*s' @mpNlion .ov6agc ir unla*tul od shall subjer d oployd lo qtninal poEhis md cilil lincs up lo o.c hundrcd lhousdd dollffi ($100,000). in additio. ro rh..osl of.ompcroation, dmscs 6 providcd lor lhc "".., L- 6-tC L Va,r0n C I h@by allm u.do pc@ny o t pdjury that I m !cc.s.d mdB pmvision ofchapls 9 {omedci.r *ilh Scdion 7000) oi Divkion l of thc R6in6 dd Piolsio6 Cod€. dd ,ny licN is in foll aorc. dd cfiat. c-11 ?rq3 (.> - z-'--t C.L-A Ufi/ U I h6€bt aflin, undd Fnalty ot pajury rha! lh6e is a consltoclio. Lnding a!.nc, aor the pdaommc€ ollh. *ort lor Nhich this p6nn ! isual (Ss, 1097, Ci!. C ). A.tg,ICAILD&CIASAIIQN I hody arm und6 F.ally or p€rju,, o.e oflhe rolo*ins d€lettioB: D.molition PdmnlAsb.slos Notificarion Fcddal R.suhion. (Tirlc 40, Pan6) Ratutcd Lltd otNolifi calion rcgul0tioN raedin8 GlEios ronovalare nol apDlicabl. to lhis prcjd Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUlnsulation Roof Sheathinq 4- lo'ro ;#/ot Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . FINAL z-t -20 El'!lr, r6'i Certificate of Occupancy Notes, Remarks, Etc. I 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 AIarm Affidavit rNSP-02 2013 CRC This document moy be lound dt...http ://www.santa-ana.o rqlpbal (Please use a black or blue ink ball-point pen) State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential bu ildings. 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 requ ired locations. Asott boxes below must be checked: EI Carbon 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. Efsmot 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 manufacturer's instructions. lcheck onel Licensed Contractor Property Owner NOTE: Ihis serl-certilicdtion is only used Ior prcjects that ollect the EXTERIOR ol the strudure. This process is opplicable ONLY to projects where occess to the interior oI the dwelling by d Santa Ana lnspector is not rcquired. Have this completed form and the job-card readily available on final inspection! Project Address:'5t22 g,clIAuc Property Owner:9zrrr P/ta-or Contractor:License #: Signoture:,L-"r^/r^-Dote:2 ,--SANTA NA-"ffi' T tr Permit Number: