HomeMy WebLinkAbout10198339 - PermitE
Project Address: 918 S Jackson St
Assessor's Parcel:144-36't-55 Lot: 65
Unit Bldg: Address Range
Block. NA Tracl 4227 Hisloric: No
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 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:
Job Type: Reroof Constr Type: V B 2nd FL Area:
Nature ofwork: Reroof Code: CBC 2016 Other Areas:
Existing Bldg. & Use: Sfd w/att garage Flood Zone: X-0602320256J
Garage Area:
Proposed Use: # of Storiesr ,
ao,",,
Description of work: Tear-off & apply composition shingles to pitched area & built-up roofing to flat areas. Handout given
Planning Conditions: Replace sheathing, eaves, and fascia boards where needed.
Patio:
T.l.Area:
Yards Req'd:
Valuation:$9,960.00
Botch+:46889 - 11/13/2018 ID: NGAi:ii {A
ru 5i; ol
Owner:
Address:
Phone:
Tenant:
Xom & Sirivanh Ratsombath
918 S Jackson St
Santa Ana, CA 927042318
(949) 7354018
Contractor: L B C Roofing dba Consum(
Address: 13632 Carroll Way
Tustin, CA 92780
Phone: (7141734-6917
State Lic #: 905154
Lic Type: C-39
Bus. Lic #: 322664
Workers' Compensalion lnsurance:
Carrier: CalifornialnsuranceCompany
Policy #: 468717670101
Expires: 05/01/2019
Acct+: Ref+: 1[ 19ijj
Rcpt+:r:12442561 - 11/ l3/2tr18 11rtt
Tnonso,:t ron Totol 1J9S,6iAddress:
P hone.
License #
Architect /
Desiqner:
Address:
Phone:
License #:
L I I Rool r s dbn Consufier5er'
6enerol Plan tlpdote Fee
01 1 1 6002- 5 1dlror'lr:I0-
Buildins
01 1 1 60LU- 516r:11 r-rlli-
Bldg Stds RevoLvins
011160[2- i161?r:r00-
ICL Che,:k LlD3l71
I r;.l.lr3
$J /5 .54
E1 " irl
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd
U VA Jerry
ki, Teri
Date: 11/13/2018 Nlisc. Receipt
Date: Nlisc. Receipt
Date: i1l,t3/2018 lvlisc. Receipt
Subject to Field:
No
No Account#
011 16002 5160'1
01 1 16002 51612
07776002 51601 Permat Fee
07776002 57672 Bldg. Slds. Revolving
07716002 57600 General Plan Update
07776002 51601 lssuance
$320.50
$1.00
$22.08
$55.04
No
No Total
No Flood Zone Cert. Req'd: No 0111600251600
Every permit issued shall become invalid unless the wotk on the site authorized by
such peftnit is commenced withih 180 days aftet its issuance,or if the wo* authodzed
on the site by such pemit is suspended ot ebandoned for a peiod of180 days after
the time the wotu is commenced.
lnspector MID#: 2018-147598
$22.08
$375.54
$1.00
Fee Total:
Paid to Date:
Balancs Due:
$398.62
$0.00
$398.62
Permit #: lO{98339
Pin #: 58620
Suite Range:
Zoning: R1
Engineer;
BUILDING- INSPECTOR RECORD
SITE.WORK DATE rD/srG.COMMENTS OWNER BUILDIiR DEI,CAR TION
I hocby amnn und6 poalty ol Ddju.y liar I an erdrpr iion rh. Co.traclos Lic.ns. Larv lor lhc tollowi.s rwn ($. 70:l l s
Ausin6s atrd Prol*io! Cod.) A., (ny or Counr, \rhi.h r.quic a lsmit Io codno( allo, iftprove dmolish or.Ep€n uy
sltucE , pdor ro irs irsu c., rlso r.qut6 the opplicml tor such p€!, lo filc a s'gn n sbhal that he or shc it lic.@d !fe&r
ro rhc p.ovisioG ofrh€ Co.tracrois Lic.n*d Law (chapr6 9, ConmEncinr {ith Sdlion 7000 ol Divirion I oflhc BusinN ud
ftofNions Codc) or rtat h. or sh€ Ls .xcmpl lhqcliom and thc baris for rh. alle-!.d .roupliotr. Any violalioo otsdrion 70115 by my
appli.am lor apedn su6jdbrh. rpplicantioa.ivilpc..llyofnotsorclh liv. hundr€d doll&s i$50o).
-1,
s oMcr of th. proFny. or my cmplorG wnh {aE6 s rhcn eb comp€n$tion, vill do rh. *orl dd lhc nnEt@ ir mr
i.rddql orolleed for 3.]. (Sa.7014. Busins and PloasioN Cod€r Tn Conractol s Licru tjs .106 nol ,pply |o e oMd ol
rhc pFpd, who hril& or impmv6lhsoG ad who do6 sucl $ort hiGclf or h@lf or lhDush his or hd own .op1dyc6.
provided that such irnprovmls e rer hloded or offord ror eE. I f. ho{6d, rh. ttuildif,s or imp.orocnl is $U wnhin on. td
ofomplclion, tnc GFs Inius sjU halc lh€ budo orl'ovins rhd h. or sh. did nor ttuild or iinrrov. rc prepqiy tn lh. purlDs or
l. soMcroflh€ prop61y. mcr.lusiv.l, co"lra.li.8 wnh licsed conlmckrs lo en$tud rh. Foj.d (S(. ?Oll. BBDds
ed PJtFs6. code Tn. Conlraclois l-ic.nse Las do6 nol apply to e owh.r o f rroBrrly Nho builds or improv€s rhd@n,
and *ho coolracts ror sucn ,'.jeB wnh a conimdo(s) li..Bcd pluu r ro thc ContMttr'3 Licdsc La*).
woRl(ERs coittPtiNsaTloN
!!ic!A-BArp!
I her.by amm ond6 p.nnlt, of pdjLrry onc oalh. loll$\ iry ddaal rc6:
-l
ceniryrhat inlh. Flomd..oafi. wort for vnich rhis pdmn is issued. I shallnol onploy a.y pmo. in any mMnd
$ e lo bq!,ne suqe.l to the work6' compsstior laws of Cslifom'!. snd age rhd if I snould bccomc subjel to $.
wor(6' comFMlion prolisioG of Sdion 1700 oilh. Labor C.d€, I shall. aonhwnh comtl, vith lhos provisio6
WARNINC: rrlo. ro su. woik6 smpmaiion covdagc G u.hwtul. tud ,ull suhjd e mploy6 ro siminal pEEltB tnd
civil lin6 up ro onc hundr.d rhoudd doUm ($100.000). in addnion lo the coe olcomr.Narion. drnt86 s pr{vad.d lor lhe
Scdk,n 1016.fr& I rhn ( tiJ.. n1c'6r
I hr..by allnn u,rdd paally o f p6jur, lhar I an licasl Foviso of Chaprd 9 (comnmcins wilh S€dio. ?0o0) ol Dilisio. l
ol th. a6ins dd PmlBionsCode. d mr licose k m lulllorcced€flkr
r"r /2 z, )lQ-7727
I hocby amnn utrdq p€nalryotp.rjurythat r
is$,.d (sR l0I)7. civ c.).
nrn hdints a8scy for lh. psfoma.cc ol thc $ ort for wl ch lnis p6nil is
ATII.ICANLDECI,AAAIIoA
I hd{5, arrn ud.r p.n.lty olpdjury on6oflh€ lolloNinr dtrleariods:
Dtfrolnion Pcmn3-Asbalos Notification f.drsl R.suhbns (TnL 40. Pan6)
-Rcqoired
t tt6of Nolincdion
r+ularioN rc8ddins sbstos rcmov.l d. nor appltablc ro rhis p6jd.
thisapplicalionedsrarerh{rheahrErronharioniscodEr lasretocomplyNilhdl(nrandCountv
rclnring nr buikl,n! consrr(nnr, od h€rcb, turhori,t r.0 6e ari!6otlhisC(r. dd ( ounr!ro $rd trlon lLc
,,",. ,r/t /t,
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathing V r.AIlrut 4^/Vt--41 t/
Shear Wall 't utvo
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
FINAL o/,,3//"2 '2 1
Certificate of Occupancy va:-
Notes, Remarks, Etc.
Subf loor/VenUl nsulation
_I dr.rorpl und6 sdtion . B. & P.C. for thn Edo.
I have ad will inaim.in a Cdificat. o I CoNdl lo S€ll-lNurc for Mrkdt comp.nelion. s pror iden aor by Sdtion 1700 of th.
Lrbor Cod., for rhc DsaonnMc. of lh. "olt for $tich lhc Dmil b (9u.d
I halc and will maintain worl.rt comp.tuation isuran... N requirol by Sct ion 3700 otlhe l$or Codc for lh. pslonn ccol
rh€ *o for *hich rhis p.mit is iscd My workEr .onp.nerion LBurmcc cdis dd policy lumba @:
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f-------T------
I
*-SNTA
NA-'ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex Smoke & CO
Alarm AffidavitP.O. Box 1988 (lvl-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa-ana orcl
]NSP.O2 2013 CRC
(P/ease use a black or blue ink ball-point pe n)
Project Address:(
ck c'
state of california requires that smoke and carbon monoxide (Co) alarms are installed in residentjal
b u 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 R3i"4.3 and R314,3.3 define
the requ ired loca tions.
fl eoth boxes below must be checked:
ScarOon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
dedrooms 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.
$ Smot<e alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelljng.
Retrofitted detectors may be battery-operated for buildings where no interior alteratjons 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 certjfy
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 lwill retest the alarms per the
ma n ufacturer's instructions.
Signdture:
lcheck onel Licensed ontractor Property Owner
NOTE: rh,s sef-c ertification is only used for projects thdt aflect the ErTERT2R of the structure. This
process is dpplicable )NLY to projects where dccess to the interior ol the dwe ing by a sontd Ana
lnspector is not required.
Property Owner:
Contractor:License #: QASI
Dote://,/za /tb
Have this completed form and the i6b-card readily available on final inspection!
fhis document moy be found at... http:/iu,ll v. san ta-a na.orq/pba/
Permit Number: