HomeMy WebLinkAbout101103218 - Permitcity 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: (714) 647-5853
Permit #: I Ol { O32{ 8
Pin #: {563?.(
Project Address: 322 N Lisabeth Common
Assessor's Parcel 't98-342-59 Lot.48
Bldg
Tract: 12855
Address Range Suite Range:
Zoning: SO35Block NA Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U
Job Type: Reroof Constr Type: V B
Nature of Work: Reroof Coder CBc 2019
Existing Bldg. & Use: SFD w/att Garage Flood Zone: X-0602320256J
Proposed Use: # of Stories:
Description of Work: Tear off existing roof material and install new comp shingle roof material.
asphalt shingle roof matsrial. Handout given.
Planning conditions:
'l st FL Area: Patio:
2nd FL Area: T.l.Area:
Other Areas: Yards Req'd:
Garage Area: Valuation: $7,900.00
Total:
lnstallation of 1 layer of synthetic underlayment, 50 year
Dustin Le
322 N. Lisabeth Common
Santa Ana, CA 92703
(714) 902-8037
Contractor; ProtessionalRoofing
Addressr 17431 Teachers Avenue
lrvine, CA 92614
Phone: (949) 812-2209
State Lic #: 926316
Lic Type: C-39
Bus. Lic #; 327195
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9225765
Expires: 0210712021
Engineer:
Address
Phone:
License #
Archrteot /
Desiqner.
Address:
Phone:
License #.
F rofess iontil iioof ine
6r:rer'cr1 P10n Upd(i" e Fee
tIl 1 l6UtZ". f l6tlll:tr:r[t_
P'uild ine
r-r1 1 l6tr:r2- 516r:r1i(tt-
!,Ids St dE lievo]vi ll
r:r1116[r:r?* 51612 tru-llicrofi1 & oocu,nente
Planning Approval By:
Plan Checked By:
Permit lssued Byl
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
McCann, lvlelanie
Chavez, Dave
Date: 0212012020
Date:
Dale: 0212012020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
o t n a'l p/l o 1 g g 7 rp.Frplll{q& i! 1
07776002 57770 Microlilm Records
07776002 57672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 51601 lssuance
$333.06
$3.91
$1.00
$22.95
$s7.20
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every petmit issued shall become invalid unless the work o, th€ sito authotized by
such pormit is commenced within 360 days aftet ils issuance ot if tho wo* authoized
on lhe site by such permit is suspended or abandoned for a period of 360 daysafter
the time the work ts commenced
No
No
No
No
il: Account#Total
$418.12
$0.00
$4',t8.12
lnspector MtD#. 2020-157926
01116002 51600
01 1 16002 51601
01 116002 51612
01116002 57770
$22.9s
$390.26
$1.00
$3.91 Fee Total:
Paid to Date:
Balance Due:
Unrt:
Owner:
Address:
0f{ ice: CIYH Trqns+: 6tl 1 si'Acct+: Rel+: 1l:r1 1 t,l321i
RLp t + r Lr?g9g4r:r2 - 2/2(t/2tt2t) 11ttl4 irn
Trnnsu,:t ion Total S41ii. 1.1
- Phonel
Tenant:
BUILDING- INSPECTOR RECORD
I h.rby afrmr und.r p.naliy of p.rjury rha( I m ex.mpt from rtu Co mroR LtrM liw for rh. folldring E,sn {Sd.7011.5
Bdsi.css .nl P..Icshn Codc): A.y Cny.r C.unrv which rcqlircs . IE.mir ro c.nnDcl alrs. ifrprdve. .kmlirh or Npat my
in'.rur, ,rior ro ih isru! ... aLs Equr.s tlE anplicmr for $ch D.mi ro fih 3 rtEd srarcBni rhd tE or sh. i3 li!!r*d plrsdr
ro rhc povxinni ofrh. Conk&ror's l-tcnsd Ij* (Ch8Fer 9. CoBrutuing *irh S(rion TUXI of Divnion I ol rh€ Bsims lnd
Pml'.sioN CuL) or lhsr tE or llr h .renpr rhuronon and rhr b.ris for rhr all.B.d .r.mtrDn Anyviolrionofse.rionroll5 by any
lptlicrm for, p.mir subjeh rh. itplicrnr io. civilpcMhyofnor mr. rhan nv. hud.cd doll& {rJlX)).
_I. rs owtur ol'rhu lroFny, or 'ny.mtloy.cr wirh eig.s ar rhck s.lc co'no-nsirion, willdo ih. m* a'rl rh. (M@ is mr
inrc sl or ofi.rd ror $lc (Sa 7or,r, Busin.s and Pmf.ssions CoJe Th. conkcrois Li..n* Ii* docs nor rprlr ro.oowEr or
rhc pnp&, *FIl b.ild! or inpruks ihctu , xl who do6 snchMd( hinselfor hcNllorrhrculh ht or herow!empl{,yeds,
provid.'r fiar sucfi impowtutrK &. n.( inledcd d. nltBl lor sali ll hd*.vcr, rt* lnildin8 or nnprovcmnr i s.ld {irhin onc ra
ofconubrbn, E Owrcr Blil&r vill IuE rlE bud.n oI poving rhd lt or sh. did nor buill] .r inpNB rh. pmpd, nr lh. purDo$ of
L asowErofrh. pmp.ny, anr.iclurirclycoor.di,,g wiri li.lnEd.dntft.tnb.otr(rucr rL poFr ls{.7olil. Busin.s
![] Prnlla\ir Code Ttu C'odBcx, r Li..nrc b$ dc\ not rpply ro an own.r of pn,p€ny sho 6oilds o. ,n mves rh.rcotr.
atul wh. c.ntr{( for ntrhFoJc.N *irh a Con'6c'o(s) licoNd pu^utur h rh. o)ntNr.r'r Licctr\c t w).
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mcr.mpr utlder S{rbi-, B &PC for thi{ r.rvn,
EAB{E8S:CA!4&NIAIII}N
DECIABAIIQX
I hr.by rltnn und.. l.ndryof p.rury.n olrh. following d.cLr.rioN:
Ihov€atolwillmdrrainaCenni.0..ofcon* to Sclil.ruc,or wor(er'!-mp.E ion,a\ pdvid.d for byS.crion lU00 ofrh.
Lahor Cod..lor rh. p.rtormec olrhc wo lbr *hi.h rh. pddn is i*!cd
and willnrinra work.rs'uonl!.Nlrioninsu.lee.ar.eqtrir.dhyS.cinrl7mofrh.hhorCod.,forrh.l.rf.rnuNeof
rNulrnc.6n'.r nlFn'cy nunrhir rc:
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I.cnify rhar ,n rh. p.rfornrncc.frlF *ork for whichrha lErmir is $ucd,I shlu nm.mploy oy pc*on in ay lfuRr
s .s ro bcmnE slbjlrr ro rh4 s.Ic 'comr.nsion laws of Cllifomia, and agtod rhar if I rhould b.corE subl.cr ro tlr
tuders.orrp.hgrilnptuvieonsolS.crionlTmolrh.I-lh]rCod.,lshaltunhwnhconllrwir[rh.ep61irio .
WARNINC: Ftrildr. b $c!rr qo .B !$.,p.d on.ovcBAc a unla*tu|, and slrll subjcd an .nrlloyer ro oi0iml FMI'i6 ud
mtr. d.ms.s !s rovidcd r{j: rhcciv,L iD.\ up to on. hundr.d rhousrnd Jolhrs (Sl{xr,(xx)), in di(
Secrid 1076 of rlE hhr Code, inr.r.s and a omy\ f..\
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DE!!A!AI!O!
I hdfthy dlftr trnd.r ptnahyolpcrlurr rhar I rfr lionr.d und.r pmvirion otChmrs 9lcomEn.i.g wirh S.cti,n 7fil))ofDivirion 3
o, rhc Busincs nnd Piolcsioni Code, a. my licenre is in tirll nrE anJ.liicr
I lrEby iflim undd IEMlry of F.rjury rhar rh.r. t o conn@ion Lorins 'g.my lo! d. F.folre. of tlE rsk fo. *hi.h rhis pdnir is
iisucd (Sc 1(})?, Cir C.)
dEE!IE$qDE!LA!{I!1A
I rtr$y itrm und.r ,.n!hy oi p..jury om oarhe followirs r!.cld,arioh:
Demlnion Pernirs-Asbe(os Norification F.d..d R.Eulatiotrs (Tn1..10, Pd6)
R.qun.d lr(er ol Norilf,ario.
I fy thd th. f.d.rul Eglbriorls Eguding asbcnos rcmtal Tc ndr +plicrhlc b rhi! poj.3
arion rnJ $nr.ihdrh..6r\. i'rfombriotr ii coa..r I nBlero.-mply*ilhrll Cirland Coumt
oili'!tr[.s ]nd Srdc Lrs rcltritrE ro 6uildnu ofrhnCiryr Cou yro.nr., uponrlE
ntrnr R.nrion dIn)F..nv ntr m\E(hn
/\Dpli.lnl or ,lg.nl Skru
SITE-WORK DATE ID/SIG.CONi MENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Roof Sheathino 7/z</=a Zlztt
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
ftilaso n ry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL .lzv,/z;)/2it5 uzaas A)
Certilicate of Occupancy / t
Notes, Remarks, Etc.
->
Rev.0B'07-2015
n*,'Z.n- 2a- 2-,o
UFER Ground
Sublloor/VenVlnsulation
?zG < /L
IrnJ.''\ N.{c'
kn,lcr's Ad(hrs
-
Planning & Building Agency Smoke & CO
Alarm Affidavit
20 Civic Center Plaza Ross Annex
lflsP-02 2013 (:RC
This document may be Jound at,..hiio / .,.t ;;,,t sa nl-a- a n a.o rq t c o a.,
(P/ease use a black or blue ink ball-point pen)
Project Address:
Permit Nurnber:o
a tA e
Contractor:
State of California requires that smoke and carbon monoxide (Co) alarms are installed in residential
b u ildings.
California Residential 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 req u ired locations.
# tleoth boxes below must be checked:
E}4arbon 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
appliarrces (i.e. hot water heater, cooktop, furnace) or a fireplace.
E{moke 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 areperformed. 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 p roject. I further certify
that smoke alarms and carbon monoxide ararms have been insta[ed in com pliance with the govei-ning
Codes and have been tested to be functional. l, also e i-e by certify that lwill retest the alarms per the
man ufactu rer's instructions-
(check onel L tce ns Con c to r tr Property owner
NOTE: This self'certiJicotion is only used for projects thc/t dffect the EXfERtoR of the structure. Thisprocess is applicdble 0NLY to proiects where dccess to the interior ol the dwetling by o sdnta Ano
:nspector is not fequired.
License #:2-a ioxc<
/uL I Co o
Signoture:Date:-L-1s -Z-a
Have this completed form and the job-card readily available on final inspection!
P.O. Box 1988 (M-'19)
Santa Ana. CA 92702
(714) 647.s800
vt rl' 54at 1-aqa ol._t
Property Owner: