HomeMy WebLinkAbout10196883 - PermitCity of Santa Ana 20 Civic center Plaza (M-'19), Santa Ana, CA 92ic2 Building
Permil Counter: (7141647-5800 lnspection Requests: (714tPjdf -;rc8 Inspector Section: (714\ 647-5853
Permit #: {O{96EE3
Pin #: 4643E
EProject Address: 607 E Russell Ave
Assessor's Parcel: 014-231-06 Lot 64
Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract 2483 Historic: No
Building Use: Single Family Owelling Occupancy: R-3, U 1st FL Area:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Natureof Work: Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: SFD Watt garage Flood Zone: X-0602320276J Garage Area:
Proposed Use: # of Stories:
Totat:
Description of Work: Reroof w/t.o.-Remove and replace comp shingles/replace sheathing/handout given
Patio:
T.l.Area:
Yards Req'd:
Valuation: $5,660.00
Planning Conditions:
Engineer:
Address
Phone:
Tenant
Cindy Rafter
607 E Russell Ave
Santa Ana, CA 927071411
(7141 4044424
Owner-Builder
Phone:
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Contractor
Address:
r,1. + I r:r?3047qq -
,:rlr scr,:t ioo lottt.1
Architect /
Desioner:
/\ddress:
Phone:
License #
Phonel
License #
(:inds Rrlfter
+: *xI*rirrI*if! 1
Genennl P]0n Llpdflt Fr
r:rl 1 1 6r:l-12- 51 6r-ir:[-lr]r:r-
tiu i ld ine
r-r1l16r:[:r7- 51 6I,r 1t:r,. ,r-
Plds Sitds Re,.,olvin_.
rrl l l dn0:'' 5I ,11 ,rr-'t0r-1-
Planning Approval By:
Plan Checked Byi
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
McCann, Melanie
Hernandez, Kathy
OaIe:0612712018
Date:
DaIe:0612712018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
$308.52
$1.00
$21 .2s
$52 98
07776002 51601 Permit Fee
07176002 51672 Bldg. Stds. Revolving
07176002 57600 Genetal Plan Update
07716002 5160I lssuance\rh'No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert Req'd: No 01 .t.ttio02 51600
Every pefinil issued shall become invalid unless the wo* on the sile aulhoized by
such permil is commenced within180 days aftet its issuance ot if the wo* authoflzed
on the site by such permit is suspended or abandoned fot a petiod ofl80 days aftet
the ttme the work is commenced.
$21.25
$361.50
$1.00
$383 75
$0 00
$383.75
lnspector MID#: 20'18-144339
01 1 16002 5'160'1
01 '1 16002 5'1612
Fee Total:
Paid to Date
Balance Due:
Unit
6r'.I /. lr i F:USA| F
Owner:
Address:
BUILDING- INSPECTOR RECORD
SITE.WORK OATE ID/SIG.COMMENTS OWNI]R BUII,DER DEI,CA&AT!ON
I hcrcby afirm undc. pcnllry ()f Frjxry rh,r I a cxc rl)l In'n
'hc
Coffictrs Licc.sc Law lor rh.lollo$ing icasn (s..70ll s
BusnBs ! l Prclcsion Codc): Any City ur Coumy whi.h rcquncs ! IErmir lo con\ltucr. !lre,. inrovc. &nDlish.r rc,n' ony
srrucrurc, fuor ro ns isladc, lho rcquircs rhc appli..nr ior such lcmrir to lilc a \ismd srarcmnr rh2ltr or she is liccn*d p.runir
k, rh. pr.visi.ns orfic Co.lr.cttrs Liccnscd tiw (Chaprcr 9. Commn.ine wnh Scdion 7txl0 of Division 3 of rb. Burinc$ lnd
Ptr,fc$ions Code) or lhor hcor\he is e&npr rhcrcfrom rnd rhc h is t)rrlt rl h8cd crc nror io, Anyviolariono{sc.rion70.ll.5byany
stplicafl lnr r !c.dn \rbjers rhe mplicMr b , civil l,tn,lry or nor mrc thdfl fivc hundrcd dolla^ ($500)
L as owncr or rh. pbp.ny. or.rycnDlorccs eirh srEcr $ rh.ir q,h.onFnerion. will do d* wo dn rlt srBrm is ml
nne n or .llccd for sle (SE 7O{, Au\irc$ lnd Pmfcrsions Codc: Thc Co.rraclois Liccn{ llw dds n.r ,frly ro !" o*ncr nl
rhc tmpcdy *lD i,uilds o, iqmkrrL@n. a l sho dcs skh w.rt him\clf.r hcr{lf or rhmugh his or her oun cnphyL!\.
F.vidcd rhnt such i,npmvcmnls m Dol inbncd or orc.crl for sh. l( lnNca. lhc buildiog or irqrorcmni h v,B wnhi'r .'E )tJr
.rconptrtnr thc Owncr Builder willhaw rhe burdcn ol pnvir8 rhtrr tE or sic did mr huiH Di iilro\t rhc pmFny for thc l)ur[nso,
-1.
!sownc. ol'rhc propcny. ancrclusivcltcorradins u'ir[ ]iccn\cd conrxcd\ t,.o.sru.r rhc pmjccr (Ss. 7044- Bunncs
rM tbrssbtr Codc: Thc Conaidor's l-i.ctrsc Law d.cs tro! rffly b r. owmr oiDtr,pclry who builds or inprclcs rh$con.
rnd who comack iu snch tmicrs sirh r conrrcro( t li.cn\cd puNnN h thc (rn ra.rol s Liccnr uw)
I mr.xcnl/ undcr Sc.rion ,B &PC.larrhisr.lsotr.
D.,. Ua1:* ,".".r C,R,\'=.
' ilbRl.FRl' aull li'Ns^'r!oN
lrFcl aRArloN
I hcrcby !lllrm!ndcr pcnllty ol p€rJ!.y onc ofrhe nnl,wn'r dcclardrt,ni:
I hrlc affl will tuiorain a Cedificdc of Con\.nr b Sclf-lnixn fn wor*ers comNtrsaln,n- as Eovidcd fd by S(l bD 37(x) ol lh.
tlhorCodc. lorlhc periomnccof Ue wo.l f{, whichrhc lcntri n n\u.d.
Ih!v.lndsillmainrrinworkrJcomp.nsllioninsurukc.rsrcquircdhySari.n:1700ofrhctjhntrCod..forrhcncrlormnccnf
thc Rork lor vhi.h rhir p.rmii is is$.d. Myworkm comFnsition insurancc cMicr a.d tnicy oumbcr {c:
l.cn1l-vrhdr ir rhc Erli,nMocc.l rhcNo.k lol which rhn pcnnir i! i\ru.J I \hrlltror cmfloy.nyncran in u, 'nrnrurv, a{ft, h(oE ubFd iorhc Norkc^ c.trfcn\ ri,nr hw\ol Crlilnnrin. rtul llliNrl ii I siould hcconE {hJcd brlt
*orkcrr.on,Fn\rrn,nF)ei\io.r.fScrrn :lT0O of r lt t]htr C,rlc. l \hrll. 6dh+'irh condy wir h rk){ r(,vi\t i5
WARNINC I'liluc ro ccurc *orkcr conrpctrldnn, covcrrgr i\ unlntrful. rtrd drill subjccr in errllol..r b cri'ni'ul P.mlri.\ r d
civil fn.suIroonchu rcd rhousrnd dolla^ l$l(x).{$l)), i rddniotr n) rhc..s olcnnrpctrsari{,n. d!'nr8c\ r( frovnlcd,rr rhc
S..rior 107( oIrM Lat r Cqlc. inlcrcn rfttittrtrry s ri.\
Drl.! l!^.tu!
ol Ih.llNinc\\rftl l}ol.sn,nl Codc.,kl ry li.o sc i\ in lllltur.c Mdcfi.cr
ca!flf,l]cuqNIlluNcacENll
I hcEhy aifiirn undcr lr..lry of lclury lhd rhcrc h a con{tuction leoding rScmy for rhc p.rforn]mc of lhe lork fDr which rhis Fnln n
t{cd {Sr.'. :1097. Civ C ).
ASX.IIANI.DDILAAAIDT
I tfrby ufinD undcr pcnahy olpcrjrr, o d orrhc r{rlowinS d..lmr nrs
Ocnninnr PcirnilsAshcslos Notificorion Fcdcrul RcgllarnnN (Tirlc 40, PM6)
-Rcquircd
Lclrcr oi Nolil'clrion
l.c ifylhdrthc Ldcrslrcgul!tions rcsdirs islicnos rcnolnl rrc Dorqrfl'.rblc ro rhisfrojd
,1|,pliul or Aa€nt SiSnuluR
lc J le -J1-tl
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Shealhing '1.|b-t6^)eL*a
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL e/s//*
Certificate of Occu n
Notes, Remarks, Etc
Policy Ntrnrbcr
-Exlncs
Liccnse Cla$:-Li.cnrc Nunb.fl
-
I.q'lr''\ ,U'.-.
xrvc nrnrioncd Inolr€dy ntr in\p..ri.n
Set Backs
Subf loor/VenVlnsulation
Brown Coat
1
W,,,
Planning & Building Agency
20 Civic Center Plaza Rcs; An.e)(
P.O. Box 1 3dd (i!l-19)
Santa Ana. CA 92702
(711) 6,17-s300
,ri.,,/.,r1 sl-.t.t: f.1
Smoke & CO
Alarm Affidavit
NisP,02 21111CRa
hii: /',r',,;,1 s.l: ia -a r e c::'cba
(P/aase use a black or blue ink ball.point pen)
Project Address o c L VU
0,^&,tl.,,l
Contractor:License #:
State of California requires that smoke and carbon monoxlde (CO) alarms are installed in residential
buildings.
California Resldential Code (CRC) Section R314.1and R315.2 strtes 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.
fr aotr, boxes below must be checked
fi CrrUon monoxjde alarms: Are installed outside of each sleeping area in the immediat: vicinity of
bedroorns anC also on each level cf the C,rvellrng. Ala:rns a:e reqrired in bedrcoms \//ith gas-flreC
appiiances (i.e. hot \,vater heater, cooktop, furnace) or a fireplace.
fi Srnot" alarms: Are instelled 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 buiidings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire ltzlarshall (SFfit). 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 ha,re been installed in compliance with the gc,rernrng
Codes and have been tested to be functional. l, also, hereby certjfy that lwill retest the alarms per the
ma n ufacturer's instructions.
Signdtur e:Dat 2:
(check one)License C n!'acior P roperty Owner
NOTE: fhls self-certificotion is only used for projects that affect the ErTERIOR of the structure. This
process is applicable ONLY to project wher? dcce$ to the interiot ol the dwelling by a Sdnta Ano
lnspector is not required.
Have this completed form and the.iob-card readily available on final inspectionl
This document rnay be lound ot...
Permit N umber:
Prope rty Owner: