HomeMy WebLinkAbout10197673 - Permitq
Project Address:1219 S S awnee Dr
Assessor's Parcel 109-672-21 Lot: 55
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 3855 Historic No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAT27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 1O197673
Pin #: 11450
Building Use: Single Family Dwelling Occupancy: R-3, U 1st F L Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Nature of Work: Reroof Codet CBC 20i6 Other Areas:
Existing Bldg. & Use: SFD w/att garage Flood Zone: X-0602320256J Garage Area i
Proposed Use: # of Stories: Total ,.|l
oescription of work: Reroof w/t.o.-Remove and apply comp shingles/replace sheathing as req'd/handout girfhl,l ,
15$S7
CTYH
Patio:
T.l.Area:
Yards Req'd
Valuation:$7,9 24.00
tll19
:t ion I0to I
11114
$3?S.i
lo(' I'i ) L-l
Planning Conditions
Engineer:
Address
Owner:
Address:
Phone:
Tenant
Contraclor
Address:
Owner-BuilderLoc & Tracy Oo
1219 S Shawnee Dr
Santa Ana, CA 927042430
17141697-1784
,5 r:r I r.ru rt -
'Jol v ing
61?r.rlu-Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #
Architect /
Designer:
Addressl
+rr*r**3936 Auth +: r:l
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnso Req'd:
Planning lnsp. Req'd:
Orozco, lvan
Hernandez, Kalhy
Date: 09/1212018
Date;
Date: 09/12/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
$320.50
$1.00
$22.08
$55.04
01775002 51601 Permit Fee
07776002 s7612 Bldg. Stds. Revolving
07776002 51500 ceneral Plan Update
07776002 51501 lssuance\4"
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on the site authoized by
such pemit is commehced withih 180 days aflet its issuance or if the work authoized
on the sile by such petmit is suspended ot abandoned fot a peiod ot180 days atter
the time the wotu is commenced
MID#: 2018-146034
01116002 51600
01116002 51601
01116002 51612
$22.08
$375.54
$1.00
Fee Tolal
Paid to Date:
Balance Due:
01116111-12-
P.u i Id ins
rll116t r2-
tsids 5t ds
rl1116r:[-12-
V isa
CC+: *rr*
Phone:
License #:
$398 62
$0.00
$398.62
lnspector
BUILDING. INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNI]R ITUILDER DOI-CATATION
I hdcby rllirn u.d.r p.ndry ot Nrjry rhol I m cxcnrpl Uo l1[ Contr.t8- Liccns hw l.r lhc follo$ing turi"n lsc( 7O1lr
Bu\ircss JDd Pft,lc\sion Codc) Any Ciry .r C.umy whi.h rcqun$ n ncrn to orrrud. alrcr. inprcvc. dcnmlish or Rpxir rny
\lruchrc, ,trb ilr i\\uri.c. il\, rcqun.s rhc ipt'li.,trr ror such lcrmir lo fikr \igicd ndcftd nrl hcot $e is licc scd N^ultrr
b rh. phvisn N of rhc Conlacrois t-iccnscd bw (Charrcr 9. Comntn.nr! wir[ Scctn'n 7(D0 of Divi{iotr ] olrhc Busitc$ and
Prtsion!Codc)orrh3rheor\hc Ls crcnPt rhcrcli.n d thc brn\ Lrrhc illcgc! crnun)n Any vn,hrionolsecrionToll5 bylny
,rpli.! turdp$xrsuhjccrsrhc{lpLicsort'rciviltcnahyofortrktrcrhitrnv.hundrcddolhn(S50O)
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!s o*Nr of rhr pop.ny. o. m, cmplortcs wirh wiScs as lhcn et cofrP.nqrion, sill do lhc uork ad rtr {tu1uc n nor
,nrc .d or .ftcrcd fr srlc (Ss.704.1. Busircss and ProLsn,n\ Codc: Thc Cinftrclor'\ Liccnsc lis d{{1 nor {ply to on osn.r of
rhc pDpcrry *lD hilds or i'nptuvcs rfuN[ ut who d@s sNh aork him\c]for hctulf .r rhmugh hh or hc. owncmpl,,yccs.
providcd rhrr such i'npmwlmnlsemr irrc ql ffoliercd for sb lt ho*cki dt hiildir8 or iml,nncrEnl i\ q,ld wirhinutrr rtd
of conDbrion. rti Ostur Buikld will hrvc rhc hlrdcn of provinS rhar hc o, shc did nor boiil or iqn,vc rhc pmpcny nr rh. plrlr)* of
l.NowncrofrhcrniDcdy.amcxclu\ir.ly.ontrcrine*irhlicciscd.otuNnr\k,cotr{ndrhrtnojNr(Sc.7(,1-.1.ltus!.$
rd lhni:$hD Codc: Th.Cotrtnctr's Lrc \c Lrw docr tr.ldt) yt, rno*mrolf'.!c yLVh. huikl(or imtrovr\ rhcrcoi.
aM wlr .. flcl\Lr su.h pn+ci\wirhr An r rhin ldrs.d,rur\uinr rolhcO)ntr.kn \l-icci\c l-twJ
I n,rrc rpr 0trd.i Sr.rio
q 1l/212t48-"""..1
D1'CLA,IIAII!)!
I h.rcby afi n u .r Ntrrlryol t)crlui,otrcolrtu n,llo*ing dr.llrrri('n\:
IhataidtrillntrntrrrCcdiltrrcol'Coo\cnrbScllrtxurcfttrtrorkcra.orpcDs$ion.r\PmvidcJntrhySrtri( lr(x)olrhc
l-rtxtr Codc. forrhc p.rf.rnrnr!ofrhc sorr hr whichlhc runnlr n isuc.l
,l harca.d will nEn rin work.^ ..mr.nsrri( nrsutrtrcc..\ rcqutcd I'ySccrnn,:l7m.rrh. tihorCodc. ftrrhc Frrnan!rccof
rhc *ork lhr whict rfii! I)crmir is i\sucrl. My wodcr s' LnnD.trsol ion irluronc.caricr ttrkllolicynumt r ue:
IAISIBIJCUANIINIIIN!;rLQIIN(}
I hcrchy affinnukl.r |t rhy of F-^rjury lhtrr rhcrc i\ r consrtucri,i ktrdin8 rfcNy lm rhe PctlirrnBncc ofrlf, sork i{ \'hich rhi\ pcnnir is
issucd lSc..:109?. Civ. C )
ktrdcr's Nrrcr
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ccdilyrh, th. r.dcrul rcgulsrions rcs{dins ashcnos rcnn,vslr..or aPPlicabls to lhh proirt.
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.cnify rhar I hoE reld rhh atpliarbn and ntu lhal th. atDvc inhrrorn,n n c.dccr L8rB ro onrPly *ilh all Cny ,nd counrv
oldinBnces ond Sllrc Llus El,rin! robuilditrBconslDction. ard hqlchyJurhoriz!Rtrc{nr,!Nc!orrhnC ysnd Cuun(yrocnrquronrtE
rh.vc mnr..n.d pmFn) ld in\ncc,'n!pq,r\ t t
App,i.m,orAE€nrs,Erururc I\ \./LBL--- *,. '! \NE
Psmlle. ,trfre ( pnnl):
-
-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathino I *d/"/rvun*-tn/
Shear Wall (
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif .
FINAL //fllr z 'a//z*,/t-
Certificate of Occupancy
Notes, Remarks, Etc
DATE
l..niry rhar h rhc p.rfoflmncc olrtE wo,k ior whth rhi\ pcmir ir irsucd. I shrll nor cnfloy any rcNotr in any maoner
h as ro tf,sm sunj.sl l. lhe workds .on{4nsarion lnss ofcllifomia. and x8m hrr irI should bccom suhjecr io rF.
$ortcn conucnsrion pmvtn,ns.fs.dnm 3700 ofrhc tibo. Conc.l shal!.lddhsirh comFly wirhlho$ pmvi\ions.
WARNING: Frilurc ro surc workcis comr.n\arion coreagc ii utrhwtul. and $ell rubrccr nn cDlnoFr ro dini.al Fnhis and
civil fitrcs up lo onc hundred rhouMnd dolldi (Slm,om), In JJd Fn h rh. Ln{ ol carlrcn.Jrtrnr. dd'rugcs rr nR,vid.d for rb.
s.rrntr ru,6orthc titrr Cndc. 'n,c'.q rid r ntry'. h\\ - ----\ il,,,. r1 i,l 7 I >d18 *,13["rr.^k5!&L--l
I hcrcby lInrm !nd* p.nnhy o r Pcrjurr lhar I a'n lien{n undcr poltion orch,Prs 9 icoarnEncina wirh sccrkrn 700ri 'rl)lvi\nr l
oi rhc Busitssund PFrcs\n n.codc, on nry liccnsc h in lirll fora 3Jd clfd'.
Li.cnsc Cl.s:-Li.cnsc Numbcr:
-
Conlnrlor
AITUCANLDICI.dAAUON
I lrrctry ollim udcr pcnalry ot n dury oR of rhc lolhwin8 decl.rd ions
Dc.nlirrn P.nnih-Asbcsros NolificBlion Fc.leDl Rcguhrions (Tkl. 40, Pln6)
-R.quncd
kricr of Noritc2lion
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NA,ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647.s800
'M,&W. Santa-an a.orq
Smoke & CO
Alarm Affidavit
tNSP-02 20r3 CRa
This document may be found at.hltp.ii,,'1,',.,v Sania-ana.orq/Oba,/
(Please use a black or blue ink ball-point pen)
7(-/LProject Address:
Permit Number:t o t4-1(7 b
Property Owner:Loc f> o
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Resldential Code (CRC) Section R314.1 and 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 eo,h boxes below must be checked:
[t 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.
Q Smote 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.
Signoture:@/Date:tt -1- 20lk
(check onel Licensed Contracto r tr Property Owner
NoTE: fhrs sef-c ertificotion is only used for projects thot offect the ErTERI,R of the structure. This
process is opplicoble ONLY to projects where occess to the interior ol the dwelling by o Sonto Ano
lnspector is not required.
Have this completed form and the job-card readily available on final inspection!
1
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