HomeMy WebLinkAbout10196925 - Permitq
Project Address: 4201 W Flioht Ave Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 3556 Historic: No
City of santa Ana 20 civic center Plaza (N4-19), santa Ana, cAg27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: f O{969}
Pin #:42oit5
Building Use: Single Family Owelling Occupancy: R-3, U 1st FL Area
Job Type: Reroof Constr Type: V B 2nd FL Area
Natureof Work: Reroof Codet CBC 2016 Other Areas
Existing Bldg. & Use: SFD Watt garage Flood Zone: x-0602320256J
Garage Area
Proposed Use: # of Stories:
Totat
Description of Work: Reroof w/t.o.-Remove and apply comp shingles/replace sheathing as req'd/handout given
Planning Conditions:
0
Owner
Address
Phone:
Tenant
Pedro Vazquez
4201 W Flight Ave
Santa Ana, CA 92704
(7141270-9015 GOPY
Contractorl
Address:
Owner-Builder
Engineer
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Phone:
License #:
Architect /
Desioner:
Addressr
Phone:
License #l
Planning Approval By: Guevara, Jerry
Plan Checked By:
Permit lssued By: Hernandez, Kathy
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Date 07/03/2018
Date:
Date: 07/03/2018
Subject to Field:
Misc. Receipl
Misc. Receipt
Misc. Receipt
07775002 51601 Permit Fee
07716002 51672 Bldg. Stds. Revolving
07176002 51600 Genetal Plan Update
07715002 51501 lssuance
$320.50
$1 .00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd: No
Every pemit issued shall become inva d unlessthe wo* on the sile aulhoized by
such permit is commenced wlhin 180 days afler its tssuance,or if the work authorized
on the site by such permit is suspended ot abandoned for a period of180 days aftet
lhe time the wotk is comfienced
lnspector MtD# 2018-144425
$398.62
$0.00
$398.62
01 '1 16002 51600
01 1 't6002 51601
01 1 16002 51612
$22.08
$375.54
$1.00
Assessor'sParcel: 188-102-15 Lot.33
Patio:
T.l.Area
Yards Req'd
Valuation: $5,660.00
Fee Total
Paid to Date:
Balance Oue:
BUILDING- INSPECTOR RECORD+ srrE-woBK DATE ID/SIG.COMMENTS OWNI'R AUILDER DELCARAIIoN
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ro (hc truv,sn,ns of rlk Conrr.kr\ Li.c.*d Law (Chrflcr 9, Conmc .in! virh Sccrion 70fi) of Divnion I oflhc Eurinc$ ird
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rrpliclnrlor!pcirnilsuhjcchrh.rpplicanrroacivilrcmllyofnormrcrhanfivchuJrtddollr\($50o)
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as o*ncr of r he pmpcn y. ,tr m, €mployccs *irh *i!cs !s lhcir sL conrpcnsri.'n- *ill do llE strk &l th. {tu1m i( nur
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rhcl)n)Fny *,hr huil&or inrpn)ks rhcB)n. ttr whodocs\u.hwrthimscltorh.r*llorrhtuuEhhilorhcrowncmpl.yccs.
nrovidcdrhat such i'lll)rovcnEnh m nol inicntn or olttEt for eL.li howcvcr.lhe huildine or in]Imvcrnr is v,u rnhin Dnc ltu
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titutr Codc- aor rhc Infortukc of (h. woA f(tr whkh rhc Frnrn is is\rcd
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-l.cnifylhar
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work.n .omtc sari{'n pbvi\ions orScdn,n 3700ofrhc LibrC.dc.l \hill. lonhsilh conrply Nirh lho* pn,visions
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.ivil fin.s rp kr otrc hlndrd rh.u\and d.llxr\ (5100.0(n). rddiii(,r h rhc co{ ol.omncnsrriotr. dormAcs as lrrovidcd ln rh.
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Applicotrl:
UCINIED-CONISACIOA
DEclrl.8dL&N
I hcrhy affirmund.r rcnalryofFrjury rhlr I !m liensrl u.dcr troyhion ofChaprcr 9 (codreftins wirh s(rk)n 7ux, olDilhio.3
of thc Busincs rnd Pbf.ssor$Codc.md nrylicc.sc is in full for.c dcilccr.
CONSIA!EIIQNIENDIIC.{EINCI
IhcrbyaffirnudcrlEnalryofp.rjurythalrhcrcn!consrrucrionlcndinar8cmyror'hcncrrorntr.c.llhj$orkfor*hichlhislirmirir
issucd (Sc.. 1097. Civ. C.)
A.ETUCAIIDECI.AAAUON
I hx{,y uijm u ndcr lEnallyolpcrjuryonc otrhc aollosin8 dchraliotrs:
D.rmliion Pc nir$Ashcsos Norifi.ation li(lcm, Rcgul.rioos flirlc40. Pln6r
-RequtcdGIIeroiNotific
ion
-l.drift
thd rhc iadcrr l rc8u lat ions rcB8rdiry {shcsos rcnovoroc.orlpplicrblc Io rhi\ tmrci
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0b.vc nrcntiotrcd pro|xnt ior irsncclionpurF)q
ADpliunl or As.nl Si,t rlrre
Si:t Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Sublloor/VenVl nsulation
Roof Sheathing 7 tble ,t/44/A,tl "DryF* all*atl.*1
Shear Wall -qeJA).,\*/-y'b rl
Framino /'/rb., b* *7'ttt
lnsulation/Enerqy \
Drywall t08
Ext./lnt. Lath \Fr.'
Brown Coat
^o...r,fiv\rP
o
Masonry \
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certil
-.-A I 2D,/
FINAL z -l 43rr-c)5
Certificate ol Occupancy
Notes, Remarks, Etc
UFER Ground
I-i.. \c Clas:-l-i.ci\c NUD$cr
D!!( (i'nlrr.l,,r
I
----+---
Planning & Building Agency Smoke & CO
Alarm Affidavit
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
ta-ana.orq
tNSP-02 2013 CRC
This document moy be lound at...htto://www. sa nta-ana. orq/pba/
(Please use a black or blue ink ball-point pen)
Project Address:.ltot W t\iogt Auc 9a"'|a hn^ ffi 1T
Permit Number:io PtgclL6 J
Property Owner:?t r0 \Jq t'{t
Contractor:License #:
c"l
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
buildings.
California Residential Code (CRC) Section R314.1and 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.
{) soa}r boxes below must be checked:
E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. AIarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
El Smot<e 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. lfurther 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 I will retest the alarms per the
ma n ufacturer's instructions.
tr Licen d Contractor P ro pe Owner
NOTE: Ihri sef-certificotion is only used lor projects thdt dlfect the ErTERIOR of the structure. This
process is applicoble ONLY to projects where access to the interior oI the dwelling by o Sontd Ano
lnspector is not required.
Signature:1/,-1 .r treZ'--YD
Dote:1/
Have this completed form and the job-card readily available on final inspection!
*-SNTA
NA,ffi
lcheck onel