HomeMy WebLinkAbout10198258 - PermitCity of Santa Ana 20 civic center Plaza (l'/-19), Santa Ana, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspecror Seclion: (714) 647-5853
E
Assessor's Parcel 405-074-14 Lol: 29 Blockr NA Tract: 552 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Description of Work: Tear-off & apply 32 sqs of composition shingles. Handout given.
l3ql.:h+:4i767 11/5/2019 llir ,r,. ..
0[f r'-?r ,-TYH lronB+: 1tr3
planning Conditions: Replacemsnt of sheathing & fascia boards as needed. Ar.jit+ir.
r ___ , _ lt,,Rel+:B
]rJi.1.l'
Engineer [ronio :t , on Totol $J711. , :
Owner: John Fox Contractor: E & E ROOFING INC
Address: 111 HEKILI ST A{64 Address: 18912 E CENTER AVE Address: E ( a ,::i0FIl'16 IN(
Kailua, Hl 967342800 Orange, CA 92869
Phone: (714) 715-7858 Phone: (7r4) so6-236s Phone [1ii'ut'hf:tT,ulfoo'r?rto'-
t*
Tenant: State Lic #: 1O22O71 License #: L,u I ln i n e
Lic Type: c-39 Architect / :rl,t] 6 -:-':-- :'160101111-
Bus Lic#: 3653es o"tio'iili t|1i"ri;1i";i1'r"rijt"_
Workers' Compensation lnsurance: Address: V r :oCarrier: STATE FUND ( ai i l rr, ) **rrrlll207 l\uLh+ i -
Policy #: 9200284 Phone:
Expires: 121151201A License #:
Multi-Family (5 or more units) Occupancy:
Reroof Constr Type
Reroof Code:
8-UN|T ApT BLDG WGARAGES Ul Flood Zone:
# of Stories:
U, R.2
VB
cBc 2016
x-06023201r14J
3
Patio:
T.l.Area:
Yards Req'd:
Valuation:
0@0
$8,000.00
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
i, Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
Gomez,ro Date: 11/05/2018 Misc. Receipt
Date: l\4isc. Receipt
Date: 1,t/OS/2018 Nlisc. Receipt
Subject to Field:
No
No Account#
07776002 5160] Permit Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
07775002 5160] lssuance
$320.50
$1 .00
$22.08
$55.04
o
No
No
No
Total
$398.62
$0.00
$398.62
lnspector MID#. 2018-147448
01116002 51601
01116002 51612
Fee Total:
Paid to Date:
Balance Due:
Permit #: {Ot98258
Pin #: 326'o4
Project Address: 1320 W Civic Center Dr Unitl Bldg: Address Range:Suite Range:
Zoning: P
Flood Zone Cert. Req'd: No 01116002 51600
Every pemil issued sha becofie invalid unless the wo* on the site authorized by
such pemit is commenced within 180 days aftor its issuance,ot if the wo* aulhoized
on tho site by such pemit is suspended or abandoned for a peiod of180 days aftet
the time the wo* is commenced
$22.08
$375.54
$1.00
SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER DELC RAI]ON
I hd.by ,mfln und6 pfirlty of p.riury lhal I m cx.mpt frlo lhc conlnctoR l,ic.nse Lls for th. tolloNing ia$! (se.70l 1.5
lrusin6s d Prolsion Cod.): tuy Cny or coonry whicfi rcquirB a Psflil lo oBitud. all6. improve doolEh or r€pan i
srrucrE Fior to its i3!udc., al& r.quiB thc rpplicdt lor such pqnil to 6le a sign.d slaidnat lhal h. or shc is licos.d p@d
to th. Fo\isio6 olth. Contrclo.3 Licens.d law (Ch6prd 9. Comn.ncin-! Nilh Sdioo 7000 olDivision I ollh. Busincs ed
Profesions Codc)orrhal hcorshc is exdfl rtld.fro &d lh. tasis tur the allcs.d cxnprion AryviolalionofsaltunT0ll.tbyony
applicam for a t mn srbjslsrh. applicsfllloacivilpcnaltyotnoldorerh&fivchu.dreddolles(S500)
l. s ownq oflh. pdpoly. or oy mplor4 *nh va86 s li€t sol€ orrpoerion, $ill do thc mrk ud lh€ sl,uctuc 6 nor
inrdd€d or ollq.d for elc (sd 7044, Bosins ed Prc lsioN Codq Thc Controclois t,icorc La\e do6 nol apply lo m o*nd of
rhe rroFry r'ho hil& o. nnFovs l}l@n. ed s h. dod such *trt limsclf or h.elfor rhmulb his or hd oM cnploy6,
,iorid.d rhar such i,nprovmls e rcl nldd.d oroEotd [Jt s.l. l( hondc. lh. toildu:g r idprovmr 6 sld wnhin onc )s
otconpktiod rlE Omd Brildd will h!\€ ltE hrdor oarrovin€ lha h. or sh. did ml trild or ihFore lh. propaly aor rh. plrpos€ or
-1.
NoMaol$. pmp€ny. m.rclsivcly conrt.lins $irh licmd .oniraclos lo conslrud rh. l'ojer (Se 704'{, BEinG
{d hDftsion Coder Th. Cd.lr.crols t-ic.M Las doe nol apDlylo d o{no oaprop(tly Rho builds or inprovd rhd@o.
and uho cod6 s lor erch projccls wilh a ConlEclo(, licdd punmr ro lhcConrtdors Lice6c L0w).
-l
e.roF @d6 Sction- B. & P.c. lor lhk t!e..
Dtt.: Orno:
lla85[Sf..CaucElsarox
DECIAB{IIQX
I hs.by amrm und€r p€nally of pdjury onc oafi. fol,owi.8 d(ld.iions:
-l
h.vc md will ,nainr0in a Cenificarc of CoIMt ro srll lN@ for worksi .o rpenerion. & pmvid.d aor by Sction 1700 of rhe
Llbor Codc, for thc Faonroc. of thc *ort for whi.h lhc pcrir 6 s!.d.
l have and will flrainrain wdrk.rs conpcsdion insuinn.e. s r.luted by Sel in. lT00 ol the bbot Code. for rh. pdfomdc. ol
the work ro, rvhich rhis pmn is Gsucd. My work.rs coflpasarion iNur&.. ffid tnd policy numbE sc:
PolicyNumbdr-Elpt6:
-I
c.ni& lhat in rh. p.rfom cc oflh€ work for which rhis pemit ir issu.d. I shall nol @plq oy pdsn in any mann.r
I2I(L\AII!)]
I he.by amnn und.r pdahy of p€rjury thal I ndo lr.sision ofchaplE 9 (co'ndcncing u nh Sdlion 7Cr00)olDivision -r
oa lhe Busin6s d P$raio6code. md,ny licdsc is
I hdlby amnn und6 p.nalt
nsusd (sLr 1097. cn (-).
is , .o.srtuctio, kdins asmcy for lh. IBlommc oflh€ $!rk tDr {hich this p6mn is
AITLICANLDICIAEAITO!
I hdrty arnn und.r pd.hyotpqjury onc oflh.lollori.s d(learions:
Danolnion Pmns-Asb6ros Notificatio. r.ddal R.!ul.rio.s (Tnk 40. Per6)
Roton d L.rt6of Norincdbn
I c.nitu rlrd rlr lcdc'al rrrtrlaltDs
flysiihalLC,rlrnd coui(y
ity d Colnryk, md W.ntho
,..t.o lvv lA
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathing '//t"//.1' ,"4/47?r+//D,--'
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL ///1//k fra|nt/)/{2-
Certificate of Occupancy 'I I LI
Notes, Remarks, Etc
BUILDING- INSPECTOR RECORD
Set Backs
l..nder cAdds
-
uc nor .mli.able ro rhis l,mj€ct.
(
tt
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box '1988 (M.19)
Santa Ana, CA 92702
(714) 647.s800
www.santa-ana.orq
Smoke & CO
Alarm Affidavit
rNSP-02 2013 CRC
(Please use a black or blue ink ball-point pen)
Project Address:\)zo w c!., (n*kr rlr
Permit Number:Itt
Property Owner:la\n O
Contractor:f {{h cc I \..1
^(
License #t [0 )t-O7 |
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC) Section R3L4.1and 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 req u ired locations.
Aso,n boxes below must be checked:
E 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.
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.
(check onel cense d Contractor Property O er h^l
NOTE: Ihrs sef- certificdtion is only used for projects thot aflect the EXTERIOR of the structure. This
process is applicoble ONLY to projects where occess to the interior oI the dwelling by o Sonto Ano
lnspector is not required.
ISigndture Ddte
Have this completed form and th.n final inspection!
*-SNTA
NA-"ffiI
This document may be found ot,.. http://wvwv. sa nta-a na. orq/p ba/