HomeMy WebLinkAbout101103236 - Permitcity nf santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: {Ol103236
Pin #: 83738
Project Address: 3538 W Washinoton Ave
Assessor's Parcel 198-102-03 Lot. POR 21
Unit Bldg AddressRange: 3530-3538
Hisloric: No
Suile Range
Zoning: R2Blo.k NA I.acl. 1022 \\
Building Use: Single Family Dwelling Occupancy: R-3, U 'l st FL Area Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: Reroof Codet CBC 2019 other Areas: yards Req,d
Existing Bldg. & User SFO w/ att garage Flood Zone: X-0602320143J Garage Area Valuation: $4,600.00
Proposed Use: # of Stories;
Total
Description of Work: T/O existing comp and install new comp like for like to SFD with attached garage. Replace sheathing/plywood as needed. Hand out
given.
Ptannins conditions: lii;lll: ':r:l] ,l;;il:,1,'r;' , tr': ir''rr:.'
Owner.
Address
Contractor: centuryRoofingcompany
Address: 8662 Dolphin D.
Huntington Beach, CA 9264
Phone: (714) 968-3233
State Lic #: 6740'19
Lic Type: C-39
Bus. Lic #r 0006270
Workers' Compensation lnsurance:
Carrier: State Compesation lnsurance Funr
Policy #: 1462890
Expires: 1OlO1l2O20
k(.rl l + :t29flt-t4 1 1 -
TrensqcL ion Totol
{:Eot irY FliJs,
Phone:
License #
Architect /
Desiqner
Addressl
Phone:
License #
6enercl Flan ljpdote Fe
rr1116rr(r?- i 16ur. :t[ -
Buildins
Lr11 16tr02- 116(r1tl(l{t"
Eldg $t.ds Re'/ol,/ ins
ir1 1 lC,ntr?- 5161!r:ll:ll:r-I'1i(rot'il & Dodufiente
ir1 1 1 6U02- l-i777uu(fl:t-
llaster Csrd
Planning Approval Byl
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Dale 0212412020
Dale:
Dale: 0212412020
Subject to Field:
lvlisc. Receipt
lvlisc. Receipt
N,4isc. Receipt
07775002 51501 Permit Fee
01L16002 57770 lvlicrolilm Records
01776002 57672 Bldg. Slds. Revolving
07776002 57600 Genetal Plan Update
07776002 51601 lssuanceNo
No
No
No
Fire lnsp. Req'd.
Police lnsp Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the wo on the site authotized by
such permit is commencdd within360 days after its issuance,ot if the wo* authoized
on the site by such pemil is suspended ot abandoned fot a peiod of360 days aftor
the time the wotk iscommenced
$418.12
$0.00
$418.12
lnspector MtD#. 2020-157962
01116002 51600
01116002 5160'1
01116002 51612
01116002 57770
$390.26
$1.00
$3.91 Fee Totat
Paid to Date:
Balance Due:
Dave Stevie
1731 Orchard
Newport Beach, CA 92660
(9491278-1174Phone:
Tenant
Engineer
Address
r1
2/24,t2i"t?.tt I tttg
$7? t _
Graham, JefferyJZuniga Alliss\
$333.06
$3.91
$1.00
$22.95
$57.20
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BtTILDI,R DDLCARA'IION
I h.rcby llnrnr utul.r penalry of Frjury rhat I am.x.mI fiDm rh. croltB..ro$ I-ic.B. ta* for lh. folloeinS ra$n (s4.7031.5
BNincs d Profcsion Codc): Any Ciry.r Cnu y *hrh rcquires a lErmir r. connDcr, thq. i'npr.vc. dcmlish or tup.n ..y
snrour.. nrior ro irs nsulnE. lth r.qut6 rh. ap!'li6ni fo! sucn p.mi ro 6E a sign.d ,ar.dnr rlBr lr or sh. is lic.Ds! pur$.d
ro rh. pmvisions of rtu C.nk&roas l,iccn$d lr, (ChaA..9. C.mmrci.f $nh Ssrion 7(XXr ol Divnion l olrh. Busi(s and
Ptuf.ssrns Codc) orrhor h. or she is ex.nDr rher.non and rh. hasis lor rh.llleged exery)(nn AnydnrrionorSecrion?0ll.5byiny
0oplicMr fo. r p.anir bj{rs rh. .pplicior ro r cr il O.Mhy of rct m.c rhsn nv. hwdr.d dollM (t5m).
l. a\ oener olrhc pnrEny, o. mycmployccs $nh wa8cs 6 rhct sh mmp(n\dion. willd. iE krl di rL iM@ ir mr
ini.nd.rl or olT.r.d for sL (S*.7O1-4. Busin s hnJ PrcLsions CoJ€, Th. Conrodor's Lic.ns lf,* do6 nor aroly ro dn owncr ol
rhe pnEny wh. huildr o, !r!oE rhemG !!rl w& d8 x$h *Dd hiB.li or hcGell or itmush his or h.r own.mploles.
providcd rhal such improrcrdr e. nor inreded nr o ind r., sl€ l[ howcw. 'lr buibinS ofuneosm n sou *irhin oE ]r{
o, conubior fi. OwE Buill.r will hdw tlE bu,&n ol pmvinr lhal lE or sh. dil sr build or i,+tut rtE pnpd, for rtl pu.Dos of
_1. $owkrofth. pmp.dy, mrxclusiv.lyco toc(i$ *ith lic.nsal cont*ur ro.untuo rlE pmrrl (S4.7044. Busim$
a l Pbf.sin Codcr Th. Codn ro. s Lic€n.. bw dds nor rpply ro m orNr of nii'p.dy wt() builrh or iopnv.e rh.Eor.
and who .o.k .6 ror such pmi.cls wi'h a C.nrEdo(O liccr*n puFur o (he Co.udols Ltes. tr*).
l!9af,E8E.CA!4!!iNEAIXIN
DLCIASAIIOE
I hercby atltm lndcr pcnalq of pcrjury orc of rhe followi.g dccla.ar ions:
_l hav. aftl will roidin a Ccnincar. ofco'Lqnr ro S.lllnsua for ,o*.8' smpldariD", .r pmvid.d fDr hy S..rion 1700 oirh.
L.br Codc. lbr thc ,e.formrc of rhc wol* lnr *hrh rhc ,smn b ssu
-.,{*,andwillminrainvork.6coflp.nsriioninlurstr..,,\RqtrirnhySdiionlT00ofih.LlYtrCod.,fo h.ErfomE,f,.of
lorqhrurhi!Fmi BNucd M!Bortqr'mmrDrrn,n\u, ...rm1 dalIUli, nlhhc, !.5*a.t c f.w.al
I 'tLLt ol o I o,1\"z{,
_l rdilyrld in rhc l.rfo'I:rG. of th3 eort tu w6ich rhir FrnJr is ircu.d,I rlull nor.nDloyany t rsr in My m E
$ a\ ro b.$m s$i.cr ro rhc wo.ldJ comp.nrliion Lws ofc.lilo.n.. lnd agec rhd ii I slnuld tEcoE subrd ti rh.
sork.is.on\tnsriirnpovirDnsofS.crionl?0Oufth.bb.rOod.,Ishlll.tonhwnnrcmplywirhrhoepovGios.
WARNItG: Failurc ro scuc wo.keB eqEtudion cov.n8c ir ula*tuI, d shall suhj.c! .nlplotr! io dnind Fdhi6 rrd
civil Iin s up to oE hundr.d rho!$nd doll.s ($lfii,Ut)). in addnio. ro rhc co{ ol conrt ns.tion, damg.s a phv]dcd for llE
Secrion 10?6 of rlF IilrtrGkl., inr.r.s,.,"21*a 2o
!.tr-:Lr-8n]1.!^
I ndnby altkn undd p.Mliyofp.rjury rhlr I i6lienr.d rnd.. rmvisi.nolChllier 9 (comEEioA wiihScc.i,n ?000) oaOivishn l
oI rhc Burinc$ und Prolc$ionr Ccylc, ard my lic.nsc n in tull nne d .ffcct.
,t,,t"z +Lv
(oN$Btl1I!]NInNpllclcE
I h.rty alTm uinld p.nalry of F.rjury rhd rh6 i! a coBrndbn L lir8 rg.my fo. th. Ffol]rlm. of rlE *o* tot ehtt lllis pdnn ir
($cd(Sec 109?, Civ. C).
rhh.ppli.riio. 'Jrl {!r. rhar rh..bo!. infomrion h c6ar I aB@ro@mplywnh allCnylDd Counry
ri{n\ rxl h.Ehyauthtrir rpr.rnrarivcs ofrtus Cnyold C.utrryro.dq ul'onrhe
pDliclrt or 3or Skn'tu
Set Backs
Forms/Steeli Holdowns
Erection Pads
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathino z/zq/z.o ,&yr /
Shear Wall
Framing
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
[/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL /zilz)lccz
Certiticate ot Occu an
Notes, Remarks, Etc-
Rev. 08-07-2015
UFER Ground
trndclr AJ:lrs
-
AI8IICSLDESLAB{IION
I lEtby lflm uid.r p6.hy ofp.rjuryon. ofrh. followirBdeldroriols:
Dcmlirion P.rmic'Asbenos Ndrificarion F.d.!al RcBUldions (Titl..l0, P3n6)
Rcqut.d trn.r oi Nouf&:rion
t d.ral r.gxhtnm E8qlin3 rstE(os EnEral @ rct rpplicabl. ro rhis pml..t.
*,,1:iL4--@
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P,O. Box '1988 (Ml9)
Santa Ana, CA92702
(714) 647.5800
v/.//,//. s a n ta- a n a. o rcl
]NSP.O2 2013 CRC
This document moy be found at..
Smoke & CO
Alarm Affidavit
h tto:/,',r,,r1. sant a-ane.or o'oba'
(Please use a black or blue ink ball-point pen)
h \
Property Owner:
Contractor:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild in gs.
California Residential Code (CRC) Section R314.1 and R 315.2 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 location s.
fr eo,r, boxes below must be checked:
I 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.
!y' 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 lwitl retest the alarms per the
m a n ufactur r's instructions.
(check onel X Licensed Contracto r Property Owner
NOTE: This self-certificotion is only used for prcjects thot aflect the EXTERIOR ol the structure. This
process is opplicoble ONLY to projects where occess to the interior of the dwelting by a Sonta Ana
lnspector is not required.
fProject Address:
Permit Number:
C<C'License #, Ll .fO
rr
Signoture:Dote:L- L* -z -o
Have this completed form and the job-card readily available on final inspection!