HomeMy WebLinkAbout10197429 - Permitcity 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#: 10197429
Pin #: 30068
q
Proiect Address: 1401 N Bush St
Assessor's Parcel 398-133-08 Lot; 7
Unit Bldgt Address Range
Tract: GOODWIN'S ADD.Historic; NoBlock: F
Building Use: Duplex Occupancy: R-3 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Natureof Work: Reroof Code: CBC 2016 other Areas.
Existing Bldg. & Use: puplsy Flood Zone: X-0602320163J Garage Area
Proposed Use: # of Stories:
Totat
Description of Work: Reroof Wt.o--Remove and apply comp shingles/sheathing as req'd/replace flashing on (e) skylight
Patio:
T.l.Area:
Yards Req'd
Valuation: $13,669.00
8Fl*r'lf$;l - i/3lfl'!* 'o' 'fnlf'!'Engineer: Acct+: kef+: litlrl4?s
Owner: JohnMcoil Contractor: Petersen & Dean lnc dba Pe R,rpt+;02359050 - 8.1?u,/2r:r,t ?i4.{ Ffl
Address: 14Ol NBushSt Address: 39300 Civic Center Dr Address: Trqnsq,:t.ion Tot(l t.1i,"i,62
Santa Ana, CA 92701 Fremont, CA 94538
phone: (714) 566-5911 Phone: (714) 805-3903 Phone: Petersen & Deqn Inr dho t'ete' -
State Lic#: 468117 License #: General plan Uedote Fee l:1,1.1-tp,Tenant Licrype: c-16, c-10, c-20, c-3e Archlect/ Slllril?- s1600000-
$.t7r:r.ti4Bus. Lic #: 31ao74 Desiqner; 6iii;6iii- 51601006-workers' compensation lnsurance: Address: Btds stds Revolving gl.t. lCarrier: Dept of lndustrial Relations 0111600?- i16120(t0-
Policy #: sP4055778 Phone: ICL Chpch 00?819 t399.62
Expires: 04l3Ol2O1S License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Flores. lvan
\r Hernandez, Kathy
Date: 08/20/20'18
Date:
Dater 08/20/2018
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$320.50
$'1.00
$22.08
$55.04
No
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 wotk on the site aulhoized by
such permil is commenced wtthin180 days aftet its issuance,or if lhe work authorized
on the site by such permit is suspended or abandoned fot a period of180 days aftet
the time lhe wo* is commenced.
$22.08
$375 54
$1.00
$398.62
$0.00
$398.62
lnspector l\nlD#. 2018-145525
Fee Total
Paid to Date
Balance Due
Suite Range:
Zoning: SP3
07116002 51601 Permit Fee
07776002 s7572 Bldg. Stds. Revolving
07116002 51600 General Plan Update
07776002 51601 lssuance
01 1 't6002 51600
01 1 16002 51601
01 1 16002 51612
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Sublloor/Vent/l nsu lation
sRoof Sheathin tut\61 Gev.L 1*ts k"*,.-
Shear Wall
Framing
lnsulation/Eneroy
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req.
De puty Final Report
Engineer Final Report
I
I ,
FINAL 4/tr/ly I
Certificate ol Occu an
Notes, Remarks, Etc
OWNER BTIII,DER DELCAR IloN
I hft.byafir undcr r.nahy.f p.rjury rhdr I d crcmpr lio rhc C.nkr.ros l-iccisc tle fM rlr folk,w,ng rcason (Se70ll.5
Businc$ ind Prolcssiotr Codc) Ant Ciry or Orunr! shi.h roquncs a Fanir Io connrucl. rllcr. improvc. dcmohh or rcFn !try
srtucru.c. rior ro irs n\uancc- aho rcqutcs thc opplicmr lorsuctIrrmit ro [hu si8rcd shlcftnr rhlr heo, shc n I.cnr.al llsu,nr
ro rhc rnvkio,Ls orltE Conracrors Li.c.rd tjw lclqrrcr L ConDrncinS wirh Scclnrn 7sD ol Divnion 3 oI rhc Businc$ ond
Polt$ionsCodc)orfi.rhcorshc h cxcmpi lh.rctu)mand rn basis ior lhc allceed crcnrprion Any viol.tion ol Serbn 7Ol I 5 6, uy
anplicanr ln a pcrnit sut'Jcch rhc lprlicanr lo acivilDcnoltyofmr mlc thu fivc huNlrcd dolhs (S5{D)
-1.
!s owner of thc pmticny. o! my cmtbyccs wnh w0e.s m rhcir nnc conrlr.sarion- will do rhc work old lhc nrlr ir
inicnd.d or ofleEd lor slc (sec.7r,4t. Busincsr lml holc$iotrs Cdc: Thc Conrncrors Liccn\c liw docc nor aprly tu M own$ .r
rfu tmFny who builds or inDoB rhcmn. axl wtrr de\ such soik hnns.lfor h.trclior rhmu8h his or hcr owtr.mployccs.
pi(*idcd rhar \uch inDmrmih fr ior i, cnd8l or o,lcrcd n, sE lt lx,*cru, 11* huikling or imptuhnrir h sld r hh onc )qr
oicomnlcrion. rhc Owrcr suildcr willhqve thc tntrdc. ofproving rhnr hc or she dil mr huild or iq,mw lhc IntrPcny for rhc roqn{ or
Lrsos.erofrhcIn)prdy.rrq.lusiv.lyconka.ri'r!wirhli.c.scd.onta.k,^bconnrucrrh.ftulc.r(Sc..70,14.Ausir'c$
aRl Pn)fc$irn Codc: Thc Co.lrlclols Liccnsc trlw do.s not q,,rly ro.nowncr ninnpcny sho builds or impmvr rhcr..n.
,nd vho .dntach for ruch p6l.ch wirh rConr.r.t,h)li..n\cd pu^urtrr iorhcCoftn ror's l,iccnr tjw)
Ir rcrcmfl uIldd sNridr .B &Pc nrrhirrcr\otr
l)alc: O*nc.
rvotxtrtisi Lortnrrs,rrrttx
DICLAAAIION
I hc'rhyrflnhu d..p.nrlryof tf,rjurtoncofrhclolL,tr\trrgdccJ arnns
I hnvc rfilwill rmi.r.i,r rCcnlfi.atcofConsc bSclf-lnsuruforwDrks'compcn{rion.asImvidcdlorbySecrion]70Oofrh.
hlttr Codc. for rh. p&tormaN. of lhc uor* fttr *hich ihc p.rnrir is irsu.d.
-l
hivc ind will mninkir workcn comncnsarl.n nrur.tuc. as rcqutcdhySecri.n:lTu,olrhcljhorCodc.f$rhcrerronM'troI
ihc workt)r whichlhistcnnit is isucn My wor[crs conrFnsrlion in\unncc !_rdcr !i,l B,licytrun$cr dc:
o^", ob lz o /td
Ihcrciy rllnmundcr p.tr.lryollctury rh rhcrcis.conslflcrion hndine agcncy iorrhc pcrfrrarDcc ofrh.work frtr whi.hrhn Fnnn
r!\u.d (s( 1097. ci!. c.)
IITLICANLDEILANAIIOX
I hcNbyrlllnundcr l,ctralry or l].rjMy onc oithc n'lhwirS dc.linriotrs
l)c nniri,,tr Pdnnirs Ash.s.s Nollli.rrnr FcdcrilR.EUlnrloi\ (lirlc,l0. P.tr16)
Rcquircd t-cxcr of Nor[icdiotr
l.cdiryrhr rh.ltJ.rrlrc!xlxri,ias '.tflli'rg r\h((.\r.nxi!xl r. n.rrflr i.$1. n, rhn pnr(r
-l
ccnilirba' lhavcrcad rhh lppLicarnrnud illrcrhar rhcatnvc inlonto io t.oft..r LCra r. coryl, wnh all Cny ind County
orliranccs d Srorc Laws rcl,rins ro huildins connrucrnnl and hc,cbyaubonrc rcpE\cnrdilcs orrhis Ciry e counryto cnrc! upontlE
abrc trEtrrioncd flop.ny for in.|tclion puqrss
^ppu.m,
or As.n, skMrtrF A rydff-
P.mrre Mherprrnu:.-. -..._ '/ --
-,,o\l Z-ol )L
ru'_ir$l
Set Backs
UFER Ground
Flood Zone Certif .
I c.nifyrn ii rh.F foflEnc.orrhc work ror whichrht pcrnn is i\\ocd,I sh.U nor .nplUy ,ny Frsotr itr lnynranrcr
$ s lo hcom subjccr to thc wortsl cohpcnsdirn l.ws ol Glifor.i.. ond asr.c rhnl if I should bcconr rubJc.r io rrt
workcrs conrpcnsarion provhionsofSalion 3?mof lhc tibot Codc.l shall. Io,lhwirh omply wirh rbt pmvhidE.
WARNINC: FailDrc ro su* wortcs .omp.n\art,n FleEsc is unlnstul. a.d sh6ll suhj$r . ploycr ro aiminal ncrulis and
.ivil n.ci up b oE hundrcd lhouend dollm ($loo.(xlo), in rddin ro rh. .on or.omp.nsalion, d0nEBcs as lrovidcd lor rhc
S,\rtr'n.tr)?6urr\r bh C,dc, irrcm{ rnl r tumy'.fm\
,,",ublzo ltz eoor*,.L(1laa.fu
LreENiU, coNTRAc{4R
DEII8AIIO\
I hcrcby afirnrundcr pcnllry oi tcrjury rhlr I om liccna.d unds nm\i\Fn nr'Chrnrcr c (c,,n'mEn! * hsftinn 70(xr) olDivisionl
ol rhc Busirc$.nd ProfcsionsCodc. rnd lnylicctrr n in iull hr.c ardcrrccl
IriJcr\ Addr.{
---+---,l\G \16
---r------
Planning & Building Agency
20 Civic Center Plaza Rcss Annex
P.O. Box 1988 (tu|-19)
Santa Ana. CA 92702
(714) 647.5800
rrr'rv., sl_ r.1-1. I :r.'l
Smoke & CO
Alarm Affidavit
NSp-02 20rl cRC
This document mqy be lound at i-:1: ,,, !,,, sl-:a-t.? ar:l :rl
U SI-
t
(Please use a black or blue ink ball-point pen)
Project Address:,2
Permit N umber:
Property Owner:
D
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ildings.
California Residential Code (CRC) Section R314.L 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 eo,h boxes below must be checked:
E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedi'ooms and also on each level of the dwelling. Alarms are required in bedr'ooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
El Smoke alarms: Are instailed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofjtted detectors may be battery-operated for buildings where no interior alteratjons are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshail (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 func onal. l, also, hereby certify that I will retest the alarms per the
ma n ufacturer's in ctron
s
nelcheck o L rcense d Conti'acto r Property Owner
NOTE: Ihrs self-certification is only used lot projects thot dflect the EXTERIOR of the structure. This
process is dpplicdble ONLY to projects where occess to the interior of the dwelling by d Santo Ana
lnspectot is not required.
Ta-,
to
Contractor:License #:
Have this completed form and the iob-card readily available on final inspection!
*,,SANTIA
NAffi