HomeMy WebLinkAbout10148405 - Permitq
Assessor's Parcel 010.052.10 Lot: 29
Suite Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tract: 2323 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738
Building Permit #: lOl48405
lnspector's Section: (714) 647-5853
Building Use: Single Family Dwelling - Detached Occupancy: R3 & Ul 1St FL Area: 0
Type of Work: Reroof Constr Type: VN 2nd FL Area: O
Nature of Work: Reroof Code: CBC 2001 OtherAreas: O
Existing Bldg. & Use: SFD w/det garage Flood Zone: X-060Z3Z0Z57H
Proposed use: Garage Area: o
Total: 0
Description of Work: T/O existing & apply comp, 23 sqrs, both garage & house, handout given. Auth letter on file.
Planning Conditions:
Patio: 0
T.l.Area: 0
Yards Req'd: 0@0
Valuataon: $5.290.00
Owner:
Address
Phone:
Tenant
Graciela Rodriguez
533 S Rait
Santa Ana, CA 91324
(714) 836-1043
Not Specified
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Owner-Builder
Engineer:
Address:
Phone:
License #
Architect:
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Rodriguez, Cados
Ahangian, Kathy
No
No
No
Date: 03/11/2005
Date:
Date: 03/11/2005
077-07-5977
017-07-5977
077-07-5977
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Pre-lnspection
lssuance
$111.75
$64.25
$31.00
$207.00
$0.00
$207.00
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
This permit shall expie by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, ot if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account#: 01 1-01-591 1 lnspector
Fee Total:
Paid to Date:
Balance Due:
Project Address: 533 S Raitt St
Contractor:
Address:
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG,COMMENTS Om6-Buitd.. D€lnd6
I h.r.!, .ml'I uda parlt, ofFjury 0l( I e acrnF tm $. C.ltt dar' Liccrit. Lrr fci $6 fouowin8 lllo {!8.70! l.J Butindl
ed Prefdid Cod.): Any Cit o. Co!.9 ,hi.I FquiE . !{mir to c@d!c! .ha, Inprov., dholilh o' Ep.ir .ny r!r*hr., Fid ro l,irMc., .Lo Eqlid dr. .p?liot fd ,!d Fnft io fil. . drr.d rfiannr 0!d h. d rlr. ir lie d pullet ro tt. FDvlriont of rh. -
Cdr..rdl Llcat d l,li (Chrylt' 9, CcrlMcini ith S6rid 7000 of Dlnrion , ordlc Bu.in.!, ud Prcfaio. CodO or fi.t h. (
rtu n .rnjii rhdiim &d rh. buL lc tu dl.S.d dqip{6 ,/rn, vlot.d6 of S.crl6 70, ! J by sy .ppllcEr fd . p.frn rubj.cu rh..prligrt . clvil Fdry of nd tle 6- fiE lsa(H doll6 (5t00).
l,r m6of tltc F!?cry, dmy anployec,,id rq6 u thar Db@npartid! ellldo U. eort lnd rh. rudwc ir noi inradcd
6 o0dld ra dc ( Sc.7O{r, Bui6 nd ?tlf.nloi, Co.lc Th. Cdrstor! UcqE Lr* do6 nd .pply ro e o,nd of t. proFty
wto blildr d imFlE lnd6, rd vho &c .BI idt titu.ll d hal.lf a n@th hi. o h6 om 6nployd, Fovt&d $.! ruchlnFoveia!... nor i qxLd d oltGrd f6 r]q If, he.G, th. llilditrs q in rvdnqn b bld airhin 6G ycr of cmpl.doc rh.
Omi-Buildi will hlw dE htrdd oa FdinS rhlr h. 6 rh. nor tlil.l d lhFls fd $. pqrpd. ol Dl.).
_1, s om.r of {t. p.op.ny, 6 d.luiv.ly @rdiia will! li6r.d daadt ro dtrrucr rh. Fojd ( Sft. ?0.a, BBina Md
Prcfaim Cod.: n'c ContiEr,r! UcaE L3 dd no. eply to e om.r of FrFty,to lsilC& d imFov6 $qloll t.nd rho
coin cE f{ rucn prcjetr rith . C6t-6(t) licaucd psEwt ro th. Cdrfurd'r Lico& L|,.)
_l e fl.0pr u.d< S.cti6 .8. & P.q la $n
"",,Y3*zt a{
Ih6.by.filmu .rp.nrltyof Fjuryo'lr $. rolloein8 d*l@ddt:
_l hlw rd -ill Dirr.itr . C6rillqi! of Cd6r ro S.lf-I @ ldrdk6r,c@F.t{io., s Fovid.d 16by S.crid 37oootfi.
L.bc Cdc, for d!. pcrfdrmc. of $. rort for phid O. p.nit L i!$d
_thrEudwilldi .in 1616' .@p.i{rioo i lfuc., B 'tqliEd by SEdoi 3700 of lhc L.bm cod., aG rh. pqfmsn.! of rhc
*dk fd vhid, lnit Fnit ir ir!u.<L My aqid' .mp6t ti ir,ru ct csia &d policy nunbd irc:
Pollry Nmba _8xDi6
(ThL rrrion ndd nor b. @Dpla.d 6. pmit ir lorOn. hundrEd &lls I!|oo) nla)
ZI..nif, rhr in 4. p6fffi. ol$. *dk fd wh,ch Uh pcrnit i, isu.d. I rh.ll Dor mploy 6, p6on in sy n nd$ s tob.rw rubj*' lo t. wdl.n 'cffip.n do t.E ol cl tmi., od .Ioc 6r if I rioutd bccm. obj.d to drc wdt.o,
c6p6r.rid Foviri6, ofse$on 3100 oa$. L$d Cod.,I thdl, roinwit
*ARNING, F.ilu{ ro r.cuE wo*.u' @mF.r.lio t unhwful, udrhrll rlbj.cl e.dploy.r lo dinhd p.i.lri., and.ivil
find up ro 6. lM<Ld dtoued <&r (tl0o,00o),ii .ddid6 ro rh. cd of cmF.rri6. rhm.ir s Fovid.d fd rh. S.di6 1076 of
Ih. t$d Cod., hrRrl rd llim.r'r f€
LICINSEN'ONrIACTORS I)ECLARATION
I hdby !flifr undd pa.lty ofpdj!.,lh.t I h lic.N.d untt.previd@ ofch.pG 9 Gomh."dn8 wnh S.c o. Tooo) ofDivkim I of
$e Buin6 ud Poloi@ Codc, 6d ny li6r. it in flll forc. ud crf6r
: U6!. Nuhb.r
CONSTRUCTION LrnlNnlc AGENCY
I horcby .fiim u.Lr p..ity of p!rju., $.! rh* i! . coirtructid ladinS .8ocy fo lhc pofmM. of $. *dt fc which ftt p6it i!
i$u.d (S.c. 3097, Civ. C.).
AP?LICANf 'S Di]CLAII TTON
Dtulhio. PmiE.Arbcrlo Noritic.tid Pcdd.l R.8ul.iio.r (Iltl. a0, Prn 6)
_ R.{!n d Lcn6 ol Nodlicdid
_l c.rr&{t 0'. fd.nl rc3ul.rr6t E8sdini sb€rc. mo{l rE no[ppli..bl. ro 0rr prcj.d.
-Za cdliry dr.r I his rc.d d r.pplolid ed rrr rh.l $..bov. itrfm.$on ir coEcr t .sc ro cmply w h
Bdine6&dSr.t.L.w!El.rintrobuildintcdrhclio,udhcE .!$disr.Fs6l{iv6orlhit Cn,sdtov. Mrio..d Dro!.rty fd in p.crjon
-rtZ'a{
{
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB F|oor
Subfl oorA/enUlnsulation
Roof Sheathing
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Requirements
Deputy Final Report
Engineer Final Report
Flood Zone Certificate
FINAL
Certiflcate of Occupancy
'E>.piP+-1 v
Shear Wall
Notes, Remarks, Etc.
* NH..NA,M
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1 988 (tu|-19)
Santa Ana, CA 92702
(714) 647.5800
,,rfr./r/, s a n t3-aa.l, or al
Smoke & CO
Alarm Affidavit
rNSP-C: 2Cr I CRC
This document may be lound at... h i1c://,,,,.,r.,,i. san t3 -a na. oa:1c ba.,
(Please use a black or blue ink ball-point pen)
Co ntractor:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
bu ildings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dvrellingsbe
"retrofitted with smoke alarms and carbon monoxide alarms, CRC Section R314.3 and R314.3.3 define
the req u ired locations.
/} eo,l, boxes below must be checked:
{C^rAonmonoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedroonrs and also on each level of the Cwe ling. Alarms are required in bedrcorns with gas-fireci
appli ces (i. e. hot water heater, cooktop, furnace) or a fireplace
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 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 certlfy
that smoke alarms and carbon monoxide alarms ha're been installed in compliance with the governinq
Codes and have been tested to be functional. l, also, hereby certjfy that lwill retest the alarms per the
manufacturer's instruction
(check one)L .<tcens Con tractor P pe Owner
NOTE: fhis sef-c ettification is only used lor projects thdt dffect the ExTERtoR of the structure. This
process is opplicable ONLY to projects where occess to the interior ol the dwelling by o Sdnta Ano
lnspector is not required.
rhis cor availabr
>j n
d.-0*+
Permit Number:q
l.-1 '3aLicense #:
l
I Project Address:
]
Property Owner:
I
Signature:t
MAYOR
MiBUel A. Pulido
MAYOR PRO TEM
Brell E. Franklin
COIJNCIT MEMBERS
Claudia C. Alvarez
Lisa Bist
Alberla D. Chrisry
Mike Carcia
Jose Solorio
CITY MANACER
David N. Ream
CITY AITORNEY
,oseph W. Fletcher
CLERK OF THE COUNCIL
lanice C. Cuy
CITY OF SANTA ANA
PTANNING & BUII,DING AGENCY
20 Civic Cenler Plaza (M-19)
P.O. BOX 1988 ' Sanla Ana, California 92702
t ax 1714) 647-5878
www.sanla-ana.org
owNER-BUTLDER VERTFTCATTON (HSC 19831)
Attention Property Owner:
An "owner-builded building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in
processing and issuing your building permit. No building permit will be issued until this verification is received
(Read information on Page 2 prior to completion of this form.)
y1. I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no)
t 2. I (have/have not)
proposed work.
signed an application for a building permit for the
3. r I have contracted with the following person (flrm) to provide the proposed construction
Name Q Sc-?E-
Address
Phone ?.6
City
\Contractor's License NorA-
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise
and provide the major work:
Name
Address
Phone
City
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work
indicated:
NAME ADDRESS PHONE TYPE OF WORK
Signed
Property 5'4t t .tq a looffzdutz-wner (print)
Date: \*za. o {
Contractor's License No.
yLtu,/o fr*./;**'
PropertyAddress: rZ3 <- .2.a"-- 7-7-.y'.
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