HomeMy WebLinkAbout10197682 - Permitq
Proiect Address: 3922 S Timber St
Assessor's Parcel 410-034-07 Lot: 31
Bldg: Address Range;Suite Range:
Zoning: R1Tract: 6376 Historac: No
@ city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 10197682
Pin #: 33205
Building Use: Single Family owelling Occupancyr R-3, U 1st FL Area Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area T.l.Area:
Natureof Work: Reroof/Remodel Code: CBC 2016 Other Areas yards Req,d
Existing Bldg. & use: sFD watt garage Flood zone: x'o6o232o27al Garage Area varuation: $6,500.00
Proposed Use: # of Stories:
Totat
Description of Work: Reroof wt.o.-Remove and apply comp shingles/replace sheathing/handout given contractor stated he is doing (2) unrelated
trades
!r: llrlli:; :j*;li;iL r' i,',,
Engineer: ,1 'lr l;:r:f +: i,ri .,r,Owner: Amanda Jones Contractor: Mc Kelvey Construction & F i.l !:lt::iri;r !, rt'l, 1:' . r-t 1"1
Address: 3922sTimber Address: 2109-C S. Wright Street Address: 1r r.,lr!, i +n l.rlrl +' ,."'.
Santa Ana, CA 92707 Santa Ana, CA 92705
Phone: (714) 396-9937 Phone: (949) 413-3790 Phone: - 1' liJ::lrf ir t ri; : i:irr'
Tenant State Lic#: 488698 License#: ,-:-: ::l -,- rlf,,i:ii.:, 1.,:,,
LicType: B,A,C-8,C-50 Architect / i,,:"1_
:) i'iiilriil
Bus. Lic #: 347537 Desiqner: ', -. r .,,.,; :: , i . ,, 1r.l
Workers' Compensation lnsurance: Address: -. . . n ,Carrier: State Compensation Fund :, , , ,,, t,t -l 1., 1 1,ir rr.r..
Policy #: 1957391 Phone: 1.,=.r
Expires: O4lO1l2O1g License #: i1'r ''*Fq'in+r,rl"' ft ii :rrr:"
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Escamilla, Ivlanny Dale: O911212018
Dale:
Dale 0911212018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 5160I Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 51601 lssuanceVt n"rnunour,
^u,n,
No
No
No
No
Fire lnsp. Req'dl
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No
Every permit issued sha become invalid unless lhe wotu on the site aulhoized by
such permit is comfienced vithin 180 days after its issuance or if the wo* authoized
on the site by such permit is suspended ot abandoned for a period of 180 days after
the time the wotk iscommenced
lnspector MID#: 2018-146054
$22.08
$375.54
$1 .00
Fee Total
Paid to Date:
Balance Due
$398.62
$0.00
s398.62
Unit:
Block: NA
$320.50
$1.00
$22.08
$55.04
Total
01116002 51600
01'1 16002 5160'1
01'116002 51612
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNI]TI BUILDIIR DELCARATION
I hrrcby,mnn undcr pcnalty ol pcrjtry rhar I dn.rc.r!, titrn rhc ConrB.tn t.i.ctr* Liw hrlhc n,ih*ing rcn{ (Scc.,0ll1:i
Brsirc$ od Prolt$ion C(nle): Any Ciry or County vhich rcquncs ! pcnnir to .otrnrucl- llrcr nnpi{,vc dcnDlilh or rcPin MJ
ilru.lurc. priorh ic i\x r... .1$ rcaun$ thc apd n! l'or\trchp.n h ljlc a si3rcd darc'ft.r rh,r h.or sh. h li.ci*d N.sua
h rhe lovi\iotrs oi thc Conrmcttr s l-i..ntd tjw (Chrnlcr 9. Conrme.ci.C *irh Sc.lion ?(Xx) of DivNion 3 ofrhc Busin.ss and-
Prci.ssirr\ Cotlc) or rhd h.orshc ncxcnrrlllErcliorand rhc br\n rti lhc lcEL{cxctr1Prnni tryvir)]llion.lS.dn ,0rl5hv,nv
rnt,licrirfr, rFnnir subjcch rhc lppli.ahr h a.i!ilpcn.llrolnot mncrtui ljvc hundrcd dollan (S5l$J
l. * owncr or lhc prcFrly, or my c 1llort*s wirn *ngcs is thcn sb cotltis,riotr. will do lhc w.rk lnd rhc slMrurc is n,
i' .n1dl or oficrcd lbr slc r Sa. 7Ol4. Businc$ and holesrions Cod. Th. Co actoi\ Lic.n* Law docs not lnplv ro m oPmr of
rh.I,n)Fny wh. huilds or inlami$ lhcE)o. a.d who docs such so( himsclror ho*lror rhrcu8h hk or hcr own cmPloyces
nrolidcd rhar such inuroktuns m tur ii .Blci or ollcEal l',)r srlc lt hrwcvcr. rh. huildiDg or i,rPDhnEnr is sU wnhin x'r ,tr
ofonpbdm. dx Ownq Builicr will tu\t rhc bordctr ol foviry thJl lE or shc did mr ttrild or it{,mrt lnc lsFnv lor lhc l[qx,* of
-l-
as owrer of lhc pn,pcny. ,n cxclusivcly conl&crirrs *irh lice.sdl .offidoF to con{tu.r rh. pmi\r (S(. TOrt Baik(
rnd Pnf*rion Codc: Thc Conilackn s Lic.nsc L.w docs nol.nnly b 0n osncr olpropcrty sho h!ilds ur inprovcs lncrcon.
ond who o.!crsfor\u.hpmjca:rs*ith!Coor,a.lo(s)li.tn*iPuruarllorhcConhcr.rsLiia$LI*)
lrNc\ctrrpruxl.rsccriinr
-.ll&l'Cturrhi\rcrnrDlt€ orrer
lV( lRKrRv C()l!I PFNSA TION
U:CLANAIIO!
t h.lchy rlfinn tndcr l..,lry of Pcrjury onc otrhe follo{ios dc.lerrio.s:
I havc xnd will roinrsin , C.nirhiic of Conscnr h Scltr lnslt tur wor*cF compcnsarion. a\ Povilcd for bv S*.-rion 17m ol Ih.
lrln cMc. for lhc rErr'orrone of rhc wo.* for rhich thc ncinlil n i$!cd.
I hav. and will nrinrair worksr conrr. \rr io. Nu.rrEc. !r icqutcd h' S*r nr l7U) ol thc fnbor Codc. for lhc pc 6@nc. of
rhc work r which rhis Frmil is is\ucn M, *.iklal onPlnsrt ion iNut,n.c .iri$ 8,ld lolicy numb.r n:
I.edifyrhar inlhc pcraorMi..orrhc qolk iot whichrhi\Pclnin is nsucd. r shall nol cnflt,y rtry rcnotr inanvman,rr
$ a\ t, r{.onr subrr lo lhc worteE .on!*n\arior hws orcrlilbtnnr. m/ +rc. rhnl irI should hcconE tubjccl ro ttF
sork$J .omp.ns,rioo !rclisions of Scciidr l?0o ol rhc tjhtr Codc. t sh,ll. r('n hsith comfly $irh rh,{ povsn,n\.
WARNINC: Fdilurc ni scur. uorkcr' comp.n\arion c.\t.J8c is Dtrhwlul, od shull sublc.r r. coun )€r b dnrinll Fnalrics and
.iril [,rs uf r, r c hutrrlrd lhou\rnJ dol]rrt iil(X)
Sd.ri{", 1o76 ofrlr lnlrtr(i\!c. inr.r.{ JtrJ rr!n'ry \
7- rz ' >o,z
Ill!r=!]t!ua!
I hcrchyomfln!ndc!!.nahyolperlurylhar Iam liensd undcr rorisi.n of ChnPler I (comm in8 wilh Sccrio. T(xx)) ot Divhion ]
or thc Businc$ and Pofcssions Codc. urd nly lic.ne is itr tull t rce ard.ffucr
f - t2-- 2o rfu
()NStRL(',rl()N I ll\DlN(; A(;LlCl
I hcrcby lmm undcr FnNx, ol pcdury l,El rhce n a .ondn.rirn lcndins .scrcy rd rhc Frfornrmc of rhc w..k for $hict rhh Fmn ir
ksucd lsa. 1097, civ. c.)
AEIUC NLDECLAI{IION
I lrcEr,y ullro und.r p.n.hy oirc+ry orc or rhc rolk,wi.8 dNlaratioNl
Dcmhhn Pcrnir\ Asbc\r6s Norificltio. lcdcnl Rcsulsri,,nl (Tnh {0, P!n6)
-RcquiEd
Lf, n.rof Nolifi .alion
l.c nyrhrrrhclcdcralresuhri(,ns rc8 dirs$hcnosrcnrHltrrcnornPPIrfilck,rhi\Iroiccr
_l ccdifyrhar I hrrc rcnd rhisimlir ,ni,n, rn,lnar. rl'xrrlr rlxrc ifl.nnr(i{nr kcorc.r I aFe ro L_ompl, wirh nllciryand counrl
!rLliirr.N ftls1xrr l.r1virlxr ia ro htrr lrhk Cir] rnd Counry h ctrrtr uFrlhc
rhrc Nnriorcd pmpcny nn i',
,\prlirnnl o./\gonr Sirnrr
LtegKqt-{e
7- tz- bt 12
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation v a)
Roof Sheathinq 4 q K'l,u es^x?*{:'ry
Shear Wall
Framino
lnsulation/Energy
Drywall
Brown Coat
It/asonry
Pool Fence
T-Bar
Handicap Fleq
Deputy Final Report
Enoineer Final Report
Flood Zone Certil
FINAL a a/n+lb /o-
Certificate ot Occupancv r
Notes, Remarks, Etc
l.i.cn\c Clx\s:-l-i(cnsc Nun,tir
Ext./lnt. Lath
//,(
O"'SANIA
NATffi
Planning & Building Agency
20 Civrc Caata. Plaza Ross Annex
P.O. Box 1988 {M.19)
Santa Axa, CA 92702
(714) 547.5800
Smoke & CO
Alarm Affidavit
f his docuneat mo,J be lound ot...
(p/ease use a black or blue ink ball-paln! pen)
Pro;ect ACdress:3q,LL S.--[raBrra-
Permit Humber:\o)3?68L
Property Owner:&nruSO- Je-,,-\A
Licanse #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
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 R315.3 define
the requ ired locations.
{)a"',;boxes beiow musr be checked:
E.€arbon monoride alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are recommended in bedrooms with gasjired
apfances (i. e, hot water heater, cooktop, furnace) or a fireplace.
El Smot: a)arms: Are installed in each room used for sleeping, in each hallway outside of a sleeprng
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 (5FM). 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 be n tested to be functionai
lcheck onel tr Licensed tractor
ttiOTE: Ihis sef-cedificotion is only used lor projeds thot al|ect the EXTER|OR ol the sttuctute. This
p@cess is opplicable ONLY to projeds wherc dccess to the iateiot ol the dwelling by a Sontd Ano
ldspectot is not required.
Have this cornpleted form and the job-card read)ly available on final inspectionl
,|Signdtute:lo-/Br8
Contiacter:
Property Owner
Yfrn J Dale: