HomeMy WebLinkAbout10196611 - Permitel
Proiect Address: 4122 W Wisteria Pl
Assessor's Parcel:'188-'102-02 Lot 20
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock NA Tract: 3656
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit#: lOl966ll
Pin #: 39858
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio:
Job Type: Reroof Consk Type: V B 2nd FL Area T.l.Area:
Nature of Work: Reroof Code: CBC 2016 other Areas: yards Req,d o@o
Existing Bldg. & use: sFD watt gar Flood zone: x-0602320256J Garage Area: vatuation: $8,490.00
Proposed Use: # of Stories: Total
Description of Work: Reroof house & attached garage - remove comp, replace any damaged sheathing, install 30 squares comp shingles. Handouts
given.
Planning Conditions: Replace sheathing, eaves and fascia boards as needed.
Owner.
Address
Phone:
Tenant
Francisco Martinez
4122 W Wisteria Place
Santa Ana, cA 92704
(7',t41204-5080
Owner-Builder
Engineer
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Phone:
License #l
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Guevara, Jerry
Amsden, Julie
Date: 06/04/2018
Dale:
Date: 06/04/2018
Subject to Field:
$308 52
$1 00
$21.25
$52 98
07776002 51601 Permit Fee
01775002 s7672 Bldg. Stds. Revolving
07776002 51600 ceneral Plan Update
07776002 51601 lssuance
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemil issued shall become nvalid unless the wo* on the site authoized by
such permit is comfienced within 180 days aftet its issuance ot if the wo* authorized
on the sile by such permit is suspended ot abandoned fot a period of180 days after
the time the wo* is commenced
lnspector t{itD# 2018-143715
01 I 16002 51600
01 1 16002 51601
01 116002 51612
$21 .2s
$361 .50
$1.00
Fee Total
Paid to Date
Balance Due:
$383.75
$0.00
$383.75
Historicr No
Contractor:
Address:Address:
l\.4isc. Receipt:
lvlisc. Receipt:
l\.4isc. Receipt:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE IDiSIG.COMMENTS oWNER BUTLDER DI]LCARATION
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Busnr$ 0nd Profc$nrn Codc) An, Ciry or C.unly shich rc{nirc\ ! Ilcrnir to con(tu.r, nlrci. nnlrovc. dcirblish.r rqxn !rt.
{rucr!!c. prtn ro ils i\suancc. nlsd ftqunNrhc 0tl,li.r r tur \u.h pciinirro lil. r siErEd ({lcmcnr lhar |.tr or \hc is li.ctr{d Pu*urtrr
lo tl[ provisions nlrhc Cont.n.lor\ Licensd hw ((:h,plcr 9. Conrnrrcnr! *irh scclk,n 7fix) or Divtion .r of rhc Busincs and
P!,lcsion\Codc)orrhurl.!.rshc i\crcnrfl lhdcrrormd rh.tusis ror rhc allcecd cxcnrplion. AnyviohiionofScctonT0ll.5byrtry
rynli.anr r{n a Nrnli( suhjeF rhc ,mlican o . .ivll pcm ht ol not nrrc r han lile hundEd doUrE is50o)
TOAfl'&i:TOMITNI'AIION
Ir[ct aSAuaN
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havc !r.l sillmainruin rCcnifi.ar.orCotrsc tu Sclr lisurc ror woikos conlpcns t,n.is pr.vidcd fttrhys.crn,n 1?o0orrhc
bhor Codc. for
'hc
pcriormne of rh. worh forwhEh rhc p..mil n h\rd
Ihnv.rndwillmdinrlinwork$rcomp.nsr ion insunrncc..{ rcquircd hySc.rion.l7ff}ofrh. tjhorCodc.lor th. Pcnnnurcc oI
rh. work ft, whi.h rhil p.nnir ir i$ucd MyBortcrr conrFnsarion in$rurc crrtr rnd poli., nnmb.r dc
Idi.y Nuar$.r
-lipircs
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ccnifyrh ir rhc pcrl'orrolce ofrhe wort ftn *hichrhi\ pcrmir i! i1\ucd,, shall not cnDloyanrPcr{,n i'rdnyndnftr
\o is ro hccoft rubjcct b (hc workss ompcNariotr la$s oiCrlilnnir. and Jrrcc rhd irl sh.uld h.tonr subi€l h ltc
wolkLJ\ .u'Vcneriun tmvisions of Scclion 17tx) oI thc tarnr Oic. I shnll hnhtrirh comlly wilh lhos nmrhi.ns.
WARNINC: Fnibrc lo $cue workcr' .onrpc.sdir c.v.ragd is xnlnwtul, trnd shall subicr an .mrlolr b alnm,l ,).ntltks and
civil firs up to one hundled rhon{id ddllaE ($l0o.0oll). in nddili.n ro thc cosr oI com!.nsaln,i. duugc\ rt providcd ntr lhc
Sccrion -10?6ofrhc Latnr Cixlc, inrcrcardnd ariorftt s L.s.
Afirllonl:
uclilsEllcsNlBActgx
ITEII.A8AUA!
I hcrhyrtfirmuM.r,En,h,ofacrjuryrhar I n lienln undcr rovhion ot Chrprcr 9 (ofrmrrrg wirh scction Tuxl) of Oivnion :l
of rhc Businc*rnd Pmf.rsionl Codc.,rkl nrv lkcns h in rxllfoR. cllicr
Li.cnsc Cln$:-Lic.n\. Numb.rl
C9II,IIBUSII(III.IIIDIN!.f,CEN.CI
I hcrcby rlfirmundcr Fcnrlry olFrjury rhar thcrc n a.onsrru.tion lcndinB agenc, for rhc Frrormanc. ofrhc srk tor *hich rhh Jf,mn h
irsx.d (S.c 1097, Civ. C ).
LcnJcrs Nsmc
-AIILICANLIEIIA&SIA!
I h.r$y rllnn undcr p.tr,lly.l ncrjuryotrc orlhc loln)winE dcclarulnnN:
D.nrliri.n Pf.rir* Ash.{os Norifrdn'n FedcralRCBUlarions (lirlc40. P j6)
R.quircd titci of Nolification
-l
ccnily rh3r rhc tcd.El rcgrhibn\ agardin! r\b.sk,\ rcnbudldc mr aPplicablc b ihis Pojd.i
l.cniryrhd I hrvc rcd this ipplicdion lrt slardhar rhc ltrvc info.lEri.n l.on..r lasmro.onDly snh allCiryiid Coutrry
ordinln.csrndsr.r.h*rclalinstobuildinscotrnrudion.nnnercbycuil.iritur.F..c.rarivcsoathisCilynndCounr,kcnr.ruB,nrht
rh,vc mnri rd pmpen, for insFcrion pury.scs
ApDlicnnt or A,rol Sknnh'n
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Rool Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coal
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL 7ln)tq -flr22)
ICertificate of Occupancy
Notes, Remarks, Etc
-1.
!s owrc! of rhc pmtEdy. or my cnrploya\ sirh vasc\ as rhci, slc rodprtr*lnrn, sill do lhe pnk and lirc slran@ ir mr
inrcndcd oi ofrcrcd tor salc (S*.7(}1.,1, BusiNss and Pn,rcsions Gd.: Thc Conlradois Liccnsc Liw doer nor aptly
'o
ntr oRn.rof
rh. pn,Frlt *ho builds or mp6v.s thmr ud eho dmr $.h w,lk hi'nsclf or hcrcli or rhmlsh his or h.r ow. cmployccs.
proracd rhsr such iqmwmnrs m Nr inrendcd oroltercrl tbrsk li hrsers. rh. huildin8 or i nl,mwmnl is $U silhin onc F
oI oroklhn, lh. Owncr Buili+r sill hovc lhc blrden of p,ovins rlEl ,E or sh. did mr huild or irprow tne I'mFny lor rtE Puqrs or
l. as o$B of rhc I,opdy, m cxclucivcl, .onrra.rinS wirh li..ned .o racro^ ro d,nsrrucr rlE l,roi*r (s.. 704.4. au\ircs
lnd PDEssbn Co{c Th€ Contaclfi's Liccnsc Ij* docs nor rpply r. ,n o*nf or rrop.riy who builds or impmvcs rhcreon.
nnd sh..onrddshrsuchprojchwithaOontru.rois)li.cn{dtununrrorhcConrturoriLiccnsljs).
_l rd.xcnl)l uM.r scction ,4.&P.C iorrhhElson
Dot.: Ovn..
t4trJ.. .
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I
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box '1988 (M-19)
Santa Ana, C492702
(7r,1) 647-5800
www.Santa-ana,orq
Smoke & CO
Alarm Affidavit
rNSP-02 2013 CRC
4/ZZ u./ l,tr</et b //
Permit Number:fratz6r7u.o ly'o--lrze z /O/9zda
Property Owner:Ftut?ct<ro /l/al*zez-
Contractor License #:
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 R314.3.3 define
the requ ired locations.
Aaoth boxes below must be checked:
6Carbon 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.
E Smoke 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 lwill retest the alarms per the
manufacturer's instructions.
lcheck onel Licensed Contractor tr Property Owner
NOTE: Ihis sef-certiftcdtion is only used for projects thot alled the ErTERIaR oI the structure. This
process is applicoble ONLY to projeds where access to the interiot of the dwelling by a Santd And
lnspector is not required,
Signoture:,44 Dote:7 -/7"zat3
Have this completed form and the job-card readily available on final inspection!
*,,SANTA
NA,'IffiI
This document mdy be found ot... http://w1,$ . sa nta-ana.oro/pbai
(Please use a black or blue ink ball-point pen)
Project Address:
tr