HomeMy WebLinkAbout101103052 - Permitcity 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
Permit#: {O{{O3O52
Pin #: 38f \\
Project Address: 702 E Twentieth St
Assessor's Parcel 396-083-01 Lot: 80
Unit Bldg: Address Range:Suite Range:
Zoning: R lBlock: NA f'ad 5282 Historic: 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:
Nature of Work: Reroof code: CBC 2019 Other Areas: yards Req.d:
Existing Bldg. & Use: Sfd Watt garage Flood Zone: X-0602320163J Garage Area: Valuation: $17,000.00
Proposed Use: # of Stories:
Total:
Description of Work: Reroof house & attached garage - remove comp, replace any damaged sheathing, install synthethc underlayment & so-year comp
shingles. Handouts given. .. I i i' i' ,' l;, il': i iri ; ti
Planning Conditions: Repair and repaint any damaged eaves, rafters, fascia, etc as needed',i(
Phonel
Tenant:
Jeffery Kirchner
702 E Twentieth St
Santa Ana, CA 92706
(703) 380-0324
Contractor: CertifiedRoofingSpecialist!
Address: 9281 Larkspur Dr
Westminster, CA 92683
Phone: (714) 658-0757
State Lic #: 956843
Lic Type: c-39
Bus. Lic #: 337515
Workers' Compensation Insurance:
Carrier: State Compensation lnsurance Fur
Policy #: '1949902
Expires: 1210112020
Address:
o.t i l1r, Tctql
y'q
f i ed F:c'c,i irs
rB lh.dote Fee
S l6triluIir-
i 41ii . 1:2
S 1 ,ltl:l
$3, ?1
Phone:
License #
Phone:
License #:
l
Architect /
Desiqner:
Address:
r?- 5161?r:[-rrr-
1n & Docu,ren I
r:rr:r?-:i?7tr(rt[:r
Planning Approval By;
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd
Pezeshkpour, Ali
Amsden, Julie
Date: o2lOsl2O2O
Date:
Date: 0210512020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Updale
lssuance
$333.06
$3.91
$1.00
$22.95
$57.20No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cerl. Req'd: No
No
No Account#
$22.95
$390.26
91 .00
$3.91 $418.12
$0.00
$418.12
lnspector MID#: 2020-157589
0'1 '116002 51600
011't6002 51601
011'16002 51612
01116002 57770 Fee Total:
Paid to Date;
Balance Due
Owner:
Address:
Engineer:
-! : r r * v + rl r I t rr l: 1 -
0777600 2
01116002
07776002
07776002
07776002
51607
57770
57672
s7600
57607
Every permit issued shall become invalid unless the wotu on the site authorized by
such permit is commenced within 360 days atter ils issuance,or if the work authoized
on the sito by such pemil is suspended or abandoned tor a peiod of360 days aftet
the time the wo* is commenced .
Total
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erectron Pads
UFER Ground
SLAB Floor
Subf loorA,/enUl nsulation
Roof Sheathing ?-la.'b al lz>**=rc'tt-.t
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL 2-/>to U{l/at
Certificate of Occu pancy
OWNER AtII LDER DI'LCARA'TION
I hdcby aiii,n und6 pdahy of pcrl!ry tbal I d crcmpl non thc Conta.lon Li..N tzw for rtd lollo*ing i.Mn (Sd 701 I 6
Bcin6s ed Protesion Code). Any City or Counly which r.qun6 a pdnit lo co.slruct. alr6. improvc dflolish or rquir m)
slflctue. Fior Io irs isuMc., alio r.qriB !h. arplicmt for su.h ldmi to fiI. a sig..d stddnt lhd h. or she is li.mrcd p@61
to rh. povsio6 oithc Conracrois Licenscd Law (Chapt6 9. Comm.ncins vith S4rion 7000 of DivGion I ofthe Buin6s d
PmaesioB Cod.) or $al h. or.hc ir crenp rhqcfion dJ $e bas6 for rh. all.s.d .xdFion Ar) violarion ol Sdion 70115 by&!
rplicant for . pmit subjals lhc applic&l ro a cilil p.@lry of not 60r. rhd 6!e hun&.d dollds ($500)
-1.
a( o$n6 ofrh. propery. or ny cmplo)6 with v46 s rheir elc conpssaion. sill do lhc work dd lh. srrucr@ is mr
inlqd.d or .fi6.d aor eL (S@ 7044, B6in6 ed Prof*io6 Co<tcr Tn ContBdocs t-icffc L.* do6 .or .pply lo d oMa ol
rh.lnopd, who builds or idF6r6 tl6oq ad who doe such w* himsclf o. hqFlf or lhrcush hG or ho om cmploycB.
plovid.d tn,t such imprcvmts e not inlanlol o.ona.d for eL If, ho*ffi, rh. toildin8 or inprrvmt is $lc *ithb on. rd
ol m,ngldion. th. O*ne aliBe {ill hav. $c htrda oaprovinS thd he or shc did d hnld or inFo!.
'nc
prcpdl, for th. purpo* ol
. !, d orntr o fth. propsry, m crclusively contactin8 $ ilh lica$d co rzdou to conslrucl ih. pNjal (Sd 7044, Bushs
Md A$l6snn Cod. Th. Cont&roas l-icm. ti* d.6 nd apply lo d oNnn o f propdly * ho builds or inprcrcs t6@n-
and \rno conl,icts for such p,oj.crs w h . conradoil9 licreJ pursudt lc th. Conhctois Ltme kwl.
t en€r.rpt under Sdtun ,a & Pc. ao.rhisr.aon
D.le:_ __ OPrci__._
rloiB[E8s:roMrgNsAnlo!
DECI,AEAIIq!Ihn byafli6 uidd pd'altyotFjuryon ot$c followi.s {tccldrrio6:
- i havc {d u ill mainkin a C6riarc,l. olcoNdl b S.lr-lcor. for wortqs' conpoerion, 6 prclid€d aor by Salion 1700 oftb.
L3bo! Code for lhc pdfomecc oalh. wort for which thc p@il i! islucd.
rul h.v. .nd x r ll ma rlam n 0116 cornp.Nauon i6urtuc., s ratuircd by Sd ion 3700 oflh. L.bor Cod€, lor lh. psfonmc. oljlh. tro' k for { hi.h lhis p€mn is iso.{ My vorlss compe.snnon iNuE*S--X"f,:tfu T.ns
\,1_-\-zO
I .enri, rh.t in rh. lEformancc of rh. woik lor ehich tht pci,nn is asu.d. I shall nor dDloy any !.&n in any mmn6
$ 5 lo b..omc subjd to lh. *0lt6' ompcnsarion l,vs oacalilomia ud asre llul it I should b..onc subjat lo th.
*o (qt co'np€calion prcvisDre oas6lion l?00 oa the Ubor Codo I s\all, fodi,silh mmp,y wnh lho* prcvaioN.
WARNINC: hrlu!. ro suc work6' compaeio. cov6ra. is unlawful. md sh.ll subjel e dploya
'o
aiminal FEhi.s dd
civil fin.s up lo one hun&cd lhouend doll6 {1100.000), in oddilion Io th. cor olcomp.Nrio.. dmagcs s provid.d for rh.
s6lion 3076 ofrhcljho!code inr.r6l ed aromcy s fc f',t *f ,n c,ol(Ce(+t --)
l-t( ltNs}]D coNr'&{('r'oR
ulct4-BAr]gr
I tmby amrm unds pa.ky of pdjuy lhal I u lica*l @d( Folision of ChlPtr 9 (.o,m6cing wilh Sdbn ?040) of
of rhc Buin6 bd Pmf3siom Cod., and my lic.@ ie i. iull 16r. ad crer
c-jq Li.cN. Numb.r
q56gq 3t -q-1 o ?
coNsT(u(:t loN t,tiNl)tNc A(:til( \'
I hq.5, amm u.d6 Fraty ol p.rlu.y $ar rn@ n a oNlruclioD knding a8ocy lor tt lqtomtuc€ ollh. wod( for whkh lnis Fnil b
isu.d (sm.1097. ci!. c.)
dl8llcl LDICLr$AIIO!
I '(q+ afm undo p€.ally oi p.rluD onc olrh. followin* deleations
Dcmolition PGnrlh-Asbalos Nol ifical ion F.dn lRc8ulati.ns (Tillc 40. Pan6)
Rcquired L.ll6 ol Norifi calion
. _ I .ar'6 rl 4 rtc lalo d r.sulauoN Esddrnr bberus r movdl e e nor .pplr dbl€ h lhE proJ.dal/
I Lal .di6 rhd I ha!. dd rhi! alpli.arion and srar h, $. rbovc inlomalion iscor..r.I lsc lo.o,nply sirh all Cirydd Counry
oftiinec.s md Starc Lawr r.laling ro bnilding coGttuclion, ed h6.by a horizc r.pr.slariv6 ollhis Cil, md Cou.ry ro ols upon $.r L-5-9-oV-o
Flood Zone Certif.
Notes, Remarks, Etc.
tndd s Ad.lr6s:
*-SANTA
NA-"ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92202
(714\ 647-5800
www.santa-ana.orq
Smoke & CO
Alarm Affidavit
Project Address:-10 - Lo$t S}
Permit Number:oll o€7
Property Owner:Je t \Aetf
Contractor:g M License #: {S6
California Residential code (cRC) section R3l.4.L and R315.2 states in part that existing dwellings be"retrofitted with smoke alarms and carbon monoxide alarms. cRC section R31.4.3 and R314.3.3 definethe required locations.
{)*'
plarbon
This document may be found ot...http
tNSP-02 2013 CRC
nta-ana.oro lpbal
(Please use a black or btue ink ba ll-point pen)
State of Ca lifo rnia requires that smoke and carbon monoxide (co) ararms are instaled in residentiarbuildings,
h boxes below must be checked:
monoxi de alarms: Are installed outside of each sleeping area in the immediate vicini ty ofbedrooms and a lso on each level of the dwelling. Alarms are required i n bedrooms with gas-firedappliani.e. hot water heater, cooktop, furnace) or a fireplace.
moke alarms: Are instal ed in each room used for sleeping, in each hallway outside of a slee pingroom, and on each level of th e dwelling
(check onel tr ense ontract P rop o ner
Retrofitted detectors may be battery-operated for buildings where no interior alterations areperformed combination smoke/co alarms must comply riith all applicable rt.na.railni be approvedbV 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 certifythat smoke alarms and carbon monoxide alarms have been installed in compliance with the governingCodes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per them a n ufacturer's instru ctions.
c
NorE: rhls sef- certificdtion is only used lor projects thdt dffect the ExrERtoR ol the structure, Thisprocess is applicoble oNLy to projects where dicess to the'interior of the dwe ing by a santo Anolnspector is not required.
Signotu Ddte:diD
HaVe this cnmnlefod f^rrn anrt tha iah_aa-.t ,^-.rir,, ^.,-:r^r-