HomeMy WebLinkAbout10197211 - PermitProiectAddress:2131 S Birch St
Assessor's Parcel 015-082-11 Lot: 20
Unit
Blockr C Tract: 597 Historic: No
City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg2Toz Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1()197211
Pin #: 185q2- |
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Reroof
Reroof
SFD Watt garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320278J
1
1 st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Description of Work: Tear-off & apply composition shingles. Handout given
planning Conditions: Replace any damaged wood members, fascia, eaves, rafters, etc. prior to final approval.
Phone:
Tenant
Michelle Barker
2131 S Birch St
Santa Ana, CA 92707
(7',t41475-9281
Contractor
Address:
Owner-Builder
Eng ineer
Address.
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Phone:
License #:
Architect /
Desiqner;
Address:
Phone:
License #:
Planning Approval By:
PIan Checked By
Permit lssued By
NPDES lnsp. R
PWA lnsp Req'd
Teri
Fare lnsp. Req'd:
Police lnsp. Req'd
Date: 08/0'l/20'18 Uisc. Receipt
Date: Misc. Receipt
Dater O8/Oj/2018 Misc. Receipt
Subject to Fieldi
No
No Account#
07776002 5160, Permit Fee
07176002 57672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
07776002 51601 lssuance
$320.50
$1.00
$22.08
$s5.04
No
No
No
TotalPlanning lnsp. Req'd:
Landscaping lnsp. Req'd
Every permit issued sha becgme invalid unless lhe work on the site euthorized by
such pennil is commenced wthin180 days aftet its issuance,ot if the wotu aulhoized
on the site by such permit is suspended or abandoned fot a period ofl80 days aftet
lhe time lhe work is cofimenced.
lnspector MID#: 2018-145076
01 1 16002 51601
01 1 16002 51612
$22.08
$375.s4
$1.00
Fee Total
Paid to Date;
Balance Due:
$398.62
$0.00
$398.62
Bldg: Address Range:Suite Range:
Zoning: Rl
Patio:
T.l.Area:
Yards Req'd
Valuation: $8,000.00
ii/ I /21:tl8
Trons+:,
.rtLhi
Owner:
Address:
lr"fln5(1,
lr rhel
ln I otol
l3r li ef
l,tt I ld tn9
r_r I I l6Dg2
6enerol
r:rl1l6110?
Bids Std
r-t I I 16t10?li gter.-:
CC+ :;*x
i l6111tl0tl-
on Llpdot e Fe€
516!u{tl8-
ievoiv ins
51612[[r:r -
rr}*63r-ri Aut
Flood Zone Cert. Req'd: No 01116002 51600
BUILDING- INSPECTOR RECORD
SITE.WORK ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
-ytttl-trtRoof Sheathinq gllhlt{,'fz)
Shear Wall r 9,J
Framino
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
l\4ason ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
FINAL
Notes, Remarks, Etc.
OWNDR BU!I-DER DEI,CARATION
I h$.by ,trtrm und6 lxfllhy of |rcrjury rhar I a cxcnll)l from rb. Co tacb^ l-iccnsc faw for rhc follo*iry Eaq,n (S] 70.11.5
3u.nrs ond Proltsion (odc) Any Ciry or Counry $hi.h rcquircs a ,)c nrit lo comlru.l. allq, imlrot. d.ndNh or EFrt rtry
sructurc. prioro irs h\uicc,,h !.qnn.s $. ippli.0nr ror such Fcrmii ro nt a sismd srar.rt.r rhar tror shc i\ licctrtd nurua
b th. Uovti.fs of lhc Co.lriclols Lic€nscd tiw (Charlcr s, Gnnm.n.ing with Sc.ri(r 70(n of Divhi(,n.1 orrhc Bu\in.ss,nd
Pmnssionr Codc) or lhar hcorshc hcrcnfl rheEtromsnd rhc basis ror rhcallc8cJcrcnDlion Anyvhl,rionorsdrionr0ll.5byrny
0pt'lic0nr i.r ep.mirruhjcch rhc dppli.ntrr ro r.ivilr.nalryorrcl nnrclh0n nve huftircd doll,r (S5m).
L N owncr ofrrB 0n)Fny. or mycmplo)ecs sith,u8cs ns rhcn v,h..mrcrs ior. willdo ltE *otk anrl rhc iluluR i\ nor
ir c d oroficrcd lor ek (S( 7044. Busin.s Md Prof.srn Ncodc Th. Conlr..loi \ l.kcn{ tlw drEs nor ipply ro !tr orn tof
rhc pnD.ny qhot ildsor i,i{'ows rtErcn, a.d *ho dms nrh *olk hinNlr or hcrsll or,hmughiis or hcr o*n dnDloyccs.
,i(,!id.d rhd su.h imtmvcmnh N nor inlcdcd or oitr& i, {lc. Il h.scv.r, tla tnnldi4 or i&mvernr i\ sB wirhin .nc ,cd
otconplcrion. rhc Owrcr AuiDcr *illh.rc lhc buftLn of Fmving lh, hc or shc dil tur t ild or nr\.m\t thc pmFny iitr rhc Pdqn$ or
-1.!sowncr.i,hcnmFny,r.r.lusiv.lycotrt.crirrEwilhli.cnscdconlracknshcoiirudrhel)loicl{Scc7(14'1
l]u\incn
,id Pn)LsshnCodc Thc aonnncntr s l-iccn{ 1,trs'doc\ nor applyru aiowmroiPr,),)cnywho buildlor nnfovcs rhcrcon.
rnd \ho conr.acr\ ttr \urh In!..r\sirlrn Co rr.1,trl\)l'.cn\cll0tr'{,.i i n, rl'. (n I'rLr,r'{ l-'.. r\c l.,Nl
-l
!mcrcmpr undrr s\-'r
., --,L4i
In.( r. \I rI l( )\
IlNchy rltunutrdcr I)c dlryulFrltrry .trhc IollowirB dcclararior\
-lhavcdrdwillmn
ain, Ccrlric.lc ofConscnl to Scltlns!ro lor sorkcr'.otrrpctrs.rioD- rs pmvidcd fff bys..tion l70oolrh.
ttrh{ Code. fq rhc p€rfonMftt orfic wor* for ehth lhc !.nnit is tsucd
Ihrv.n dwillnrinrr workcrl conD.nssrion irsur0r--c- 3r rcqtrncd hySNriotr:t7lx)oIlhc ltrb.rCod., r.r rh. lirf.nmn.cof
rh. w.rk forwhrhrhis Fflnil is hsucd. MyworkcF co'rpcnsrrn,n in\urk. .rricr orxl ,nlicy nunrbct m:
Poli.y Nun$cr:-
Icr ily lhar in rhc pcriornlnce.rrh. *oik rd shich rhi< r.rni n issucd.Ishnllmr c'nrn,y rny pcNon i..try
'nanncrsr a\ tu bcc..r srbrccr ro rhc workctr' comlcnsdion hws of Calilffnir. Md lgm rh ilIshouklbc.omsuh,cdnrrhc
q o*c* s'npcnsar ion rolkions ol Sstion :17(x I oi rhc llhn C{xI.. I sr, l. ronhq'ilh c.nuly sirh rhoqn,vhions
WARNINC Frilur. b wurc workcrs compcnsdion co$ruEe N u.lawful. and shnll subjttl nn copl.rt, t, oinitul Fnrhics ind
.ivil linc\ up k, oR hutrdrcd ofcomDcnsorion- damx.\ rr pr.vdcd lor rh.
sr.rirn:1076 0frhc lrh, cr c
I hcrlhy ilrrnrudcr pcMlry ol r)(co nncNltr+ wIh SNlion ?lxx))olI)ivisi{)n.]
or rhc Busircssrtrd Pn' icss ion\ Cixlc.i aJd nyliccn{ i\ in tull fnr.c dcllccr
L.cn.. ( ln\\-l-i..f\. Nlnrhcr:
caNuaIlquQNrEND c-aclNcr
t hcrby aflirn undd Fnrlry or p.rjury lhol lhsc taconsrrucrion hi ing dge .yr.rrhclsformlnceolrhc sort r(r rhi.hdi\pcrnit h
isucd (Scc.3097-Civ. C )
Aftulalll![cLA8arl0!
I llnby,lli n undcr rctrihyol'|t iuryotuoIrh.nnl,snrAd..l diontl
Dr nrliriM Pcrmils.Astcsios Noriiicariotr Fc,lcralRcgrhrnnrs frirb,10. Ptl6)
Rcquncd htr.r ol Noririclrion
lr.gubrions rcB.rdins.\bca.s rcnrvollrc not 3pplicnhl. t, rhtlrlcc!
vcrcodlhnopplic ion,nd datcrhd lhc rhok inffimrion isconc.r I r8re lo d,nrPlt wir h dl Cny ond Counry
cbsr rchtnB tobuildirsconslrucrion. dhcrchy,urhoriTr..frc\crl,lircsoflhhCnrrndCoufrytuctrrsulmnrrt
9WFA.cLfiAa ^,",$[fth
,,EI/T,NaDEZ
DATE
UFER Ground
Subf loor/VenVlnsulalion
Flood Zone Certif .
Certilicate of Occupancv
-)*-.-
tJtrd.r's Ntrrm:
-
L.d., . Addr.q
-
*,SANTA
NA,tffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 19BB (Ml9)
Santa Ana, CA 92702
(714) M7.5800
w,r/w santa-ana crq
Smoke & CO
Alarm Affidavit
lNSP-02 2013 CRC
fhis document moy be found ot..h ttp:/,\r'lr'/,/,/. santa -a na.or-q/pbai
(P/ease use a black or blue ink ball-point pen)
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ings.
California Resadential 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 required locations.
A aoth boxes below must be checked:
E Carbon monoxide alarms: Are installed outside of each sleepang 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 ali 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 governrng
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
manufacturer's instructions.
(check one)Licensed Contractor Prope ner
NOTE: Ihrs sef-c ertificdtion is only used for projects thot dffect the EXTERIOR of the structure. This
process is opplicable ONLY to projects where occess to the interior ol the dwelling by o Santa Ana
lnspector is not required.
Project Address:?t t r,,l)0,f+
Permit Number:1o/7 7>/ L
Property Owner:t(hL
Contractor:ilaw)-L'b ZLicense #:o
Signoture:-//4th.U Date:{t to
Have this completed form and the job-card readily available on final inspection!
tr