HomeMy WebLinkAbout10198262 - PermitE
ProjectAddress: 1814W Harvard St
Assessoas Parcel 408-352-15 Lot: 47
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA f tacl: 4402 Historic: No
city of santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
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 2016 other Areas: yards Req,d:
Existing Bldg. & use: sFD wcarage Flood zone: x-0602320257J carage Area: valuation: $7,0oo.oo
Proposed Use: # of stories: ,rr,] Sif ll;ir._YJ.l ill;I3i,Y, , ,r' , , I
oescription of work: Reroof. Tear off existing roof matorial and install new comp shingle roof material. xrnfiffl{ihnnrr,o - rrrlilr]i* li'j,i" :'
Trongoct ion Totol
Sierro Roof Inc
t39S .1.:
Planning Conditions: Repair sheathing as needed
Owner:
Address
Phone:
Tenant:
XIONGPAO & KAYING VUE
1814 W HARVARD ST
Santa Ana, CA 927044729
Conlractor: Sierra Roof lnc
Address: 710 E Wilhelmina Street
Anaheim, CA 92805
Phone: (714) 635-5071
State Lic #: 957971
Lic Type: C-39
Bus. Lic #: 340753
Workers' Compensation lnsurance:
Carrier: State Comp
Policy #: 9018656
Expires: 0711912019
GenePsl Plan Llpdote Fee
01116002- 51600000-
Buildine
01116002- 51601000-
Elds Stds RevoLv ins
01116002- 31612000-
ICL Check 0000001725
Engineer
Address:
Archilecl /
Desiqner:
Address:
Phone;
License #:
P hone:
License #.
Planning Approval By:
Plan Checked Byl
Permat lssued Byl
NPOES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Date: I l/05/2018
Date:
<> (.. Date: 11/05/2018
' Subject to Field:
07776002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
01776002 51601 lssuance
Flores, lvan
Chavez. Dave
lvlisc. Receipt
[4isc. Receipt
NIisc. Receipt
$320.50
$1 .00
$22.O8
$55.04
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
ffi Account#Total
01 1 16002 51600
01 1 16002 51601
01116002 51612
$22.08
$375.54
$1.00Evary permit issued shall become invalid unless the wo* on the site authoized by
such permit is conmenced wilhin 180 days after ils issuance,or if the wo* authorizod
on the site by such permit is suspended ot abandoned for a peiod of 180 days after
the time lhe work is commenced
lnspector MtD#. 2018-147451
Fee Total:
Paid to Date;
Balance Due:
$398.62
$0.00
$398.62
Permit #: 1lJ158.2li.2
Pin #: 58098
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG,COMMENTS OWNER BUILDI'R DEITA&ATION
I h.reb, amrm ondd !.nalty oa psjury thar I m €rcmpl fron th. co.tractotr L,ic.nF Lsw tor tht lolrowinS r.Mn (Se 7Ol I 5
Ituin6s and Profesion Codc)r Any Cil, or Cou.ly $hich tequts a pqnit lo codlrucr. ahd. imProve dmolish or EIun My
slfucrue. prjtr ro irs iqsuec.. also requir6 rhe appli.flnr for such rsmi ro nb a sign.d slaldn€nl lh.l h€ or shc is lic6.n p6rmt
ro rhe prcvisions ollhc Coorador s Lic.ns.d Law (Chaptd 9, Co,nm€ncias wilh Serion 7000 olDivision I ofth. Busins Md
Prulsions Cod.) or rhar lr or shc is cr.,nB rhdcfrom md rhc bsis lor lhe all.s.d creoFion. Any violalion o I Sel ion 70:l I t b, any
applicdl aor 6 pdnit soblds thc applicanllo.civilpcnahyolnolooe$Mfivehuhdtcddouss($500)
l. 6 oMd oflhc prorEny. or ny mploy6 with wa86 d thcn sk comlEMlio.. will do rh. woir md thc nrud@ b nor
imo\icd orolIdert aor sl. (Se.704.4. BGin6 a,d Prefsions Codd Th. Conl.aclois l,i.dc LiN do6 nor tpplylo orndor
th€ propqly who boilds or nipmv6 lh@.. dd Nho do6 such wo.k him.llorh6ellor rhrough hL 6r ha own cmplov6.
prolid.d rhd soch imI,o\@ols @ nol htodcd or ofddl lor el€. lf, nowoq, lhe tlildi.E or Lnprovemot is $ld wihin o.. )@
ofc.r'pLfion, rh.ol,n6 Builds *illluE ln hrd6 ofFlrins lha h.or shc drd d build o, imProv€ lh€ plopsly aor thc puFs ol
-1,
6 otrnd oath. piordty, en€xclusivelyconr,aclins s'ilh licos.d .on! adou to cocrrucr lh. pold lse. 7044.ltdns
.nd ftoftssir Codc:'l hc contdols Lic.ns. L.N do6 not apply lo a.o*nd ol prop"ny slD builds or inprovd $nmn.
and eho .onrhds for sch pmj€<ls wilh a ColtEclo{s) lice,*d pu6! t to lh. Comrlcttr\ l,i.ft. Ltw)
_l anexenrpl undr Ssti.tr_, B & P.C. aorthis r6on.
!a8xE8!:CArd[EX$IlQN
DECI.AEAIIAB
I hrcby amrm undd pmatyofpEjuryonc oflh€ lollowins d6learioB
-l
hnv.ddwill mdinrain a C.nincalr orcoMr to sclfiBur.lor workeR coto!.nlarion, as .1olid.d for by S€clioo 1700 olfie
kbor Codq for rhe pqfollmc. oalt. wo,k lor which lh. p6mi n isu.d.
,l havcand{ill.r,imainwori€( co'npcnsalion iNurancc. 6 eqot.n hy Sdiofl l?00 ol lh€ Labor Cod., lor d. pqfotlM€c ol
io. imur c€ cMi6 dd policy nunbo e.:$hnh rht pmrir is isue.l M! *orle ' comp,_rEal
S+r.-L-+"..^J
'rf sf e7fo\l(rS
I cditlhar in lhc p.rfomdc€ of lbc voik for whichrhispd,nn is isu€d.l shau.or mploy r*.""L,.-""
s s ro bc.orc !!bjd rc rh. qort6' omp€ns.lion laNs otcalifomia, dd a8r lhal ii I should bdotoc subjcr lo thc
vorl6.onp3Mrio!poviioNols6rronl?00ollhclrborCodqIslDll.fonhvithconplywilntho*pblisioN.
WAn]\tNC: l'ailure ro su€ worla' comp.tration covmgc i3 uahstul. @d shall subjet m mplols lo djdi.al pdslris ed
.ivil fin€s up ro one hundred rhoBdd dollm ($100.0cu). in sddition lo t n ofcomp€nstiotr. don.g6 a providol for th.
Sdion 1076 ofrhelrhrrCod., inrdd md anomev s fG.C qo-r*!^t ga,",", , tt/s/tVt1
I h@bt amnn udd p.fl.lly o f pdjlry lhal I an licdHl u.d$ prolisiotr o ( I (co,n M.i.8 Nith Sdion ?000) of Divisiob 3
of thc BBins ed PmfsioB code, md mylicms isi! rull [ote dd cdacr
.Ib 141 I .L.ZA
I h.ft5! amrm ondr p€oahy of pcrjuy rhar lhd. 6 a.ondruclion Lndins asocy for fi. pdfom ccollhcrvo for stich rhis pamn ir
i$ucd {s( 1097, civ. c.)
APPI ICANT DECLARATION
I hdlby atrmr undd p.nslty of p.rjury on. of lh. a.llosi.8 dccld,tions:
D.holilion Pcmn.-AsbalG Notilicalion F.dsal Rcsuldions {Tirlc 40. Pan6)
Rcqutcd L€ltd ol Nolificalion
infomarion iscotred I arreleco,npl,wnhaI Cily dCouoly
auooliz€ r€rr6cnlaxv6 o I rhis Cn, dd aounly lo old upo. $e
^!,Drta,
rr
^sur
sirn trre ).
P"s*a C-rrvut
*,"-tt/r /rr
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing x.w-11)ftD^ lEpr
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I'
FINAL tl nlq lr ,qs/aa,t.l "1)t)tCertificate of Occupancy
Notes, Remarks, Etc.t e
I
IN C.rr.""ro.,X (--
-l
cdiiay that rh. lcddol rcgulatioN resddins sbdlos rcmoval d. .or atplic.blc lo lhis proj*l
I
rNsP-02 20r3 cRC
This document moy be lound at... htto://www.santa-ana.oro/oba/
(P/ease use a black or blue ink ball-point pen)
Project Address:LU ttl w |\6lrvc.rp\ 31 3c.r,,.tr" f+"-ct
Permit Number:to \q Lb?
Property Owner:XloNGPao a,-\ kr.yir'13 VL;.
Contractor:Sre*o. R oof \r.,c License #: c1 G1n7l
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residentlal
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 required locations.
fl *an oor"s below must be checked:
$LCarbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with Bas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
F.Srnot " alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
loom, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above pro.iect. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manufacture/s i ructions.
(check onel sed Contractor tr Prope 0wner
NOTE: Ihis serr-certificotion is only used lor projects th.,a dtled the EXTERIOR ol the strudure. This
process is opplicable ONLY to projects where dccess to the inte ot of the dwelling by o Sdntd Ano
lnspedot is nat required.
t!
K,,Yave this completed form and the job-card readily available on final inspection
Signdture:Date ttlG,t tV.
*,,$ANTA
ANNqffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
cn 4) 647-5800
wvw.santa€na.orq
Smoke & CO
Alarm Affidavit
>
calrFoRNta aLL-PURPOSE ACKNOWLEDGMENT CtVtL CODE S 1189
A notary public or other officer completing this certilicate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not lhe truthfulness, accuracy, or validity of that document.
State of California
County of lfr;^^,A-g
A N]on 5--K- l I before me,.,u\) -
Here lnseft Name and titte of the Officer
.\r)hn J )trrz,r o
e(s) of Signe4s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her^heir authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALry OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and officiai seal
SignatureComm. E)(Pires Jul 2' ?021
gnature of Notary Public
Place Notary Seal Above
Though this sectlo, ls optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached D
Title or Type of Document:
ocument
i..+i-- 81.,.,- ?q*'^-ljocument ljate: n -\-rls
Number of Pages: Signe(s) Other Than Named Above
Capacity(ies) Claimed by Signer(s)
Signer's Name:3.'r-Signer's Name
Corporate Officer - Title(s)Corporate Officer - Title(s)
Partner - Limited General
lndividual Altorney in Fact
Trustee Guardian or Conservator
Other:
Partner - - Limited General?lndividual Attorney in FactTrustee Guardian or Conservator
Other:
Signer ls Representing Signer ls Representing
02014 National Notary Association . www.NationalNotary.org . 1-800-US NOTARY (1 -800-876-6827) ltem #5907
)
)
Date
personally appeared
SEBGIO ALE]ANDRO DIAZ
NotarYPublk Califo'nia
OrangeCountY
Comrnislio. { 22C0108
OPTIONAL