HomeMy WebLinkAbout10197710 - Permitciff 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 #: 1lJ19771(J
Pin #: 97565
EProject Address: 5210 W Flight Ave
Assessor's Parcel: 108-586-19 Lot; 31
Unil:Bldg: Address Range Suite Range;
Zoning: RlBlock: NA f racl 4262 Historic. No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio:
Job Type: Reroof Constr Typer V B 2nd FL Area: T.l.Area:
Nature of Work: Reroof Code: CBC 2016 other Areas: yards Req,d:
Existing Bldg. & User 55p w1311 6613gs Flood Zone: A-0602320252J
proposed use: # or stories: c""s" ffi!:ii'fr4rs ffiil{!$tf }qi'6fUtri*
Total: Acct+: Ref+: 1019771tt
Description or work: Tear off oxistins roor materiat and instatt new comp shinste roor. 2E squares. Repare $Ahi!3i311*%; ',11i'.'.tllo'olH#
fl tt S & P IHC obo Rovol Roof C
Planning conditions: Shsating and fascia board replacement as needed. garErll Flli Ur{!|! flr tll#Engineer: 01116002- 5[6000(S-Owner: HOKEA Contractor: RWS &PINC Dba Royal R( Building $375.54
Address: 5210 w FLIGHT AVE Address: 683'l Suva Street Address: 01116002- 51601000-
Santa Ana, CA 927041812 Bell, CA 9O2Ol Blds Stds Revolvine ,1.110
Phone: Phone: (562) 928-1200 Phr'^^ 0l t1600?- 5161?000-
Tenant: state Lic #: 432352 r-i""nlt *' ICL check 025031 t39s'62
Lic Type; c-39 Architect /
Bus. Lic #: 314547 Desiqner:
Workers' Compensation lnsurance: Address:Carrier: Zurich
Policy #: SCV9O3OOTOOI Phone:
Expires: OGlO1l2O19 License #:
Planning Approval By: Gomez, Pedro
Plan Checked By:
Permit lssued By: Chavez, Dave
NPDES lnsp. Req'd: No V3'
PWA lnsp. Req'd: No Fire lnsp. Req'd:
Planning lnsp. Req'd: No Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemil issued shall become invalid unless th6 work on lhe site authorized by
such pemit is commenced within 180 days after its issuance.ot il the work authorized
on the site by such pemit is suspended ot abandoned fot a peiod of 180 days aftet
the tifie the wofu is commenced
Date: 09/14/2018
Date:
Date: 09/14/2018
Subject to Field:
Misc. Receipt
Misc Receipt
Misc. Receipt
$320.s0
$1.00
$22.08
$55.04
07776002 51601 Permit Fee
07776002 s7572 Bldg. Stds. Revolving
07776002 51600 General Plan Updale
07776002 51601 lssuance
U Account#Total
$398.62
$0.00
$398.62
lnspector
01 1 16002 51600
01116002 51601
01116002 51612
$22.08
$375.54
$1.00
Fee Total:
Paid to Date:
Balance Due:
MtD# 2018-146132
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OIVNER AUILDER DI]I,CAR TION
I hcrchy rtfinn uidcr pcnalry or Frjury thr I dn cxcn lf,r rhcCo rrd,'n l-iccn\c L{ tur rh.ldlowirg rcav'n 1scc.70ll5
Bu\inc*,ndPturcs\bnCo{c):ADyCir}orCounlyw[].hrcqunc\rt^-nnilk'.oniru.r.rhcr.nnPolc,dcmolisl.r(EnMy
!n.!urc, prior ro ils hsuincc,0ko rcquiEs lhc eplicnnl Ior $ch |fnnn b fibi ngncd srrctrtfi lhrr hcor shc i\ i.c \rd lusurnr
t, rhc p vntun\ of rhc Cotrta.lofs Liccnrd L.w lch$rcr 9, Con ncncing wirh S.crn,n 7UD of Divisi(r:l ollh.lldsincs rid
Proic$bns Codc)orrhlr hcorshe iscrenrpr rhcrerio'natulrhc hrsi\ Lrthr lllctcd cxcnDrion AnyvioLrnnrorsc.ri(rr70:ll5hyrny
rpplicanr f{n rl.mir lubjc.rsihc +llicrnr Io a.ivilpc.rhyolnor nnrclhln iivc htrndrdJ dolln^($5m)
I. as oqn$ or thc l,otcdy. or my cnployces rilh ulscs !s rhcir $k .$rp..urion, *ill do lnc wolt md lhc smnm is nor
irtc cn oroficred lor sk (Sa.7014. Busincsand Pofcssion\ Gdc: Thc Cont0doir Liccns L€* docs nor atply h ,n owN ol'
rhcF)r.ny who bxilds or inpmvcs thcNn- od *h. des such sork him*ll or hc*clf or rhtuuAh his ! h.r .8n cmpk,yc.\.
providcd riar su.h Lnpokftnh m nor int.frkxl or off.ral i(/ snL lt: k'wcrr. rhc hoildiig or inWoRnE is $ld wirhin ,,nc )t.tr
ofco.{lction. thc Owncr Buiuq willhrre rhc budcn or pmvin8 rh, rr or \hc dil mt h'ild oi inri,,ovc t pDFi, n, dE N4!s of
-1.!sosncrolthepopcnt-onrcx.lu\ivcly.ontrcririgwirhlicctrgdconractosrocondrucrrtrFic.r(Sc.7(s.r.Burncsa'rd Asfsssn Codcr Th.Conlrflols Liccnsetjwdoe\ nor lptlrro anown.r of[opcnrwho huikls orimprovcs rhcr.on.
and who conrEcls for such ttujdrs wilh r co.rn.rorls) li..n$J puruanl h rhc coik&tr's L{ctrs tjw).
-l
mcrcnpr undcr sdrio. .a &PC forlhnrclv,n
D . own..
w()RxnRs c()ilP[Ns TloN
DECIAIA]ION
I hcrchy rffi rm undcr p.nrlryof pdluryoR olrhc followin8 dcclamri.ns
-lharcud$illroinraiorC€dinrreofclnr*nrbs.lf-lnsurcforeorkcr'co{.n\rrn,n.a\rn,vidcdtubySccrionlToOolrhcLnhr Codc, for rhc lcrlorrome oi rhc sork fr shich rhc J)cmir ir issucd
_l hau and will tui.raio sortcie .onpctrsdion iNnramc. as rcquiri hy S(rn,n .l7m or rhc Labor Codc. nx rhc ltmnfuRc ol
rh. $.* f.r which rhh p.mir is issd. My workcn con{rcnsor ion in\!nn( cffihr dd Jblicy nu mbcr ec
2- t.,r i c [,r,
\Q c\C) jOO 1 oCJ t ,.r tttt-](tt
I ccdiry rhar in rhe p.rfornEne olthc work i.r which rhi\ ri.onir is issucd. I sh.ll nor cmlLy any !.con in rny matrm!
e asro trconE sbjcd ro rh. $o&ds .onpcn$rion lrwsotcalifornii. and !3rcc rhd irI rhouki b.com subjd lo ltr
eorkc's'.o.rFnsarionfiovkionsofScclionl?0OoflhchtorCodc,tsiall,tnnhwirh.lmplywirhlhnspolhn'ns
WARNINC: leilurc to scuc sorkc^ compeosarion cover.sc 's un)rnrur. rnd lholl suhFct an cn'tl,,ytr ro diminrl lcMlris and
civil fincs up lo orc hudrcd rhousand dolh^ (slm.mor
'n iJd tr{r I' rhc con .l (ornncnrnnNrtug6 s frovidcd lor rhc
'""""'.,Td;Ifl:?' ^,,;fi;ffinuuN
DECIdEAIIOJ
I h.(by rrfirm und$ p.Mlly of pcrjury th.l I am lccnsd undcr pmvision orChirrd 9 (comnEncing uirh ssrion 701)0) orDivhtu 3
ol rhc 8usircs,nd Poa.srion\ Codc. )d mylic.nsc k in tul1fore lnd cilccr
r"-* "** C- 3Q a-t\
N64/14l tS< co nc,o. (?o., a-\ Tto.rt, ^'.^ /nu\t)
coNlirru(:uoNLErDlx$-dtiltill
I hcrhy rrfiri lndcr p.n,lry.rpcrjuryrhal thcrc n ! o.slructbn lcndira trg.icy rrtr rhc Pd ronrDRT oirh. wolk lar $hr.h rhit F mn n
i$ued (Scc. l(E7. Civ C )
dtPUTTINLDIILA.BAUaI
llrfthy dJIr undcr p.trrlry orpcrjuy onc.irhc iollo*ins dc.hrarn,ns:
Dc'!olirnrn Pcrnrir\ Ash.sos Norifmriotr frdcral RcAulrtri rs (lillc40. Pa ())
R.qunrJ Lc(.rorNohll.{n r
l.dlililhol lhc lcdcrul 'cSUhri(,n\
rgtmlin! r\ll{osrctrbvrlnrc mrrPflict6lc n, rhi\ |n)rocr
_l (nitr rhar I hdvc.ed rhh applic*ion turd salc llml lhc ab.vc in[i otr n.drc.r lr&Lrh.ondy trilh rll( iry 0 ((ndy
ordimn.c\ "trd
Srrrc ljws tolding ro building consrfl.tion..frlhcrchylur Tc rctro{ rnrivcsolthL! Cirynr,l(i'Ltrr!rrcnrc' trfo lh.
rhovc nrc nnrcd ptupcnylor in
AlDliconl or Agcnl Signnluml It, !v\Oa-/!:LtV
"*.n**-"rrn*r, x- L'l tL[], W\,! rs4.
Set Backs
Forms/Steel/Holdowns
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation I
Roof Sheathinq ,/)try tt]|r/
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
lr/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL 412.,$7,i,ln*xL fi-D)
Cerlilicate ol Occu n
Notes, Remarks, Etc.
_.,
Erection Pads
Shear Wall