HomeMy WebLinkAbout10196923 - Permitq
Assessor's Parcel: 003-104-05 Lot: 44
Unit:Bldg. Address Range:Suite Range:
Zoningi RlBlock: NA Tract: 1562 Historic. No
city 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 #: 10196923
Pin #: 86724
Building Use: Single Family Dwelling Occupancy: R-3, U 'l st FL Area Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area T.l.Area:
Nature of Work: Reroof Code: CBC 2016 Other Areas: yards Req,d
Existing Bldg. & Use: SFD W det garage Flood Zone: X-0602320163J
Garage Area Valuation: 910,000.00
Proposed Use; # of Stories:
Totat
Description of Work: T/O existing comp to SFO with detached garage and install new comp shingles. Replace sheathing as needed. Hand out given.
Planning Conditions:
Engineer:
Address
0lf ice: (:l YH Trllrr1i+: 3tl lof?
Owner:
Address:
Phone.
Tenant
Fern Rodarte
'1015 E Santa Clara Ave
Santa Ana, CA 92705
Contractor: LookoutRoofing
Address: 7421 Bell Avenue
Los Angeles, CA 90001
Phone: 1323).7074773
State Lic #; 71'1368
Lic Typer C-39
Bus. Lic #: 338404
Workers' Compensation lnsurance:
Carrier State Fund
Policy #: 9227160
Expires: O3lO2l2O19
Ac{U+: Relt; lr:rlli6923
Rclt 6 ! (t2318t103 - i, /I./lr:r1S 1r:r:li Al1Trooso,:t ion Totol *:;li,).62
Lookout Roof ins
Genenal Plnn updnte F ",,0l1f 6tlQ2- 516 r-rrlr:rr:rr -
Bu i ld ine
r:rl I16nrl2- Fl d0I rlr_tU-
tll de Stds Re,,,o I v ine
t]1 I I 6[t:r2- i1 6 I ?Llrjtr-
ICL (;heck ur:r?r-r:{9
Phone:
License #
Architect /
Desiqner:
Address:
$?:. trg
$37t.54
i1,0i
$557. 6!
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
Arabe, Jill
Zuniga, Alli .."<
Misc. Receipt
Misc. Receipt
l\4isc. Receipt
Oale: O7lO2l2O18
Date:
Date: 07/03/2018
Subject to Field:
07775002 51501 Permit Fee
07776002 57672 Bldq. Stds. Revolving
07776002 51600 General Plan Updale
07776002 5160I lssuance
$320.50
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd:
Police Insp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permit issued shall becorne invalid unless the work on the site authodzed by
such permit is cofifienced within 180 days after its issuance,or if the wo* aulhotized
on the site by such permit is suspended ot abandoned fot a petiod ofl80 days aftet
the time tho wo* iscommenced.
lnspector MID#: 2018-144418
011 16002 51600
011 16002 51601
01116002 51612
$22.08
$375.54
$1.00
Fee Total
Paid to Date:
Balance Due:
$398.62
$0.00
$398.62
Proiect Address: 1015 E Santa Clara Ave
Phone:
License #:
BU LDING- INSPECTOR BECORD
SITE-WORK ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq 7At6tx TNLA$ra
Shear Wall
Framing
lnsu latio n/E ne rg y
Drywall
Ext./lnt. Lath
Brown Coal
lVlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL *zlc /lb aJ</
Certif icate ot Occu cyan
Notes, Remarks, Etc.
OWNER BUILDDR DELCARATION
I hcrcby aflnnr !.dcr Ftrilly of pcrjury thd I d cxcmu rbm thc ctnbacroF LiccNc Law ror rlr rollowirB r.rhn (Scc.703l 5
Busincss aid Prcfcsion Cod.): Any Ciry or Co!trry shich rcqutcs ( pc.mir io c.n\rdcr. alrcr, inl)n)vc, d.dni\h 'tr rcFn In,
srructurc. nrir ro its ksuanc.. rko requt s lh. atDlic, nr such frr.ir lo lilc r siBmd slalcmnt Ih,' h.or snc k liccnsd purunnl
ro rhc ptuvisbns orlh. Conr!.rois Liccn\ed ljw (('hqrrer 9. GnmcncinE wnh Scdn,n 7{Xx) or Di{kion I olrlc ausin.ss a.d
Pmfcsions Codc) or rhd hcorshc G cxcmpr rh.r.ftum rid rhc bd\is forrhr rlLtcn.xcmpri.n. An, violrrionolScclbn?031.5 byrny
applicinl{or!F.nnrsubrcchlh.0lpli.oDllo.civilpcnaxyotnornDrclhrtrfirchuMrcddolla6(SsUJ).
L ns owtrcrofrh.!m!.ny.or rycnrthrrtcswnh{rgr\,\rh.irqrcdnnpctr\nnnr.*illdorh(wor[rdr)f{turucnior
inrcnd.t or olttrcd rbr eic {Sa 7044. Busircs and Profc$nns C()dc: Thc co.rr0crois Liccnsc Llw docs nol amly ro atr o$rcr ol
rhc pnf'.ny *ho bnild\ or iqmvcs rh.c,n. and who dcs such work hid\elior hcrelior rh!'!gh nt or hcr otn dmpk,t.cs.
rovidcd lhrr su.h intmrvcmic M inrcrxLi or ofierud {ir \ah ll. lx,eB. rhc 6uildin! or inipmvcdnr is v)ld wirhin .ic ycr
ofcoDDkrnn. rlr Owncr Buildd *illhnv. rhc hu'dcn ollovilg rhor hc ii. lhc i]iJ rn tuikl or i,npror rhc pn)pcny ior ric purp{of
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mrcxcnrfl undcr S$l
ORncr:
lo.BKE&tloutlNsara!
llt ct AB^ua!
I hcrcb, ntnrB hd.r pcnrlry ot ri.rjury on. oithe follosir8 d(laraliona
I hvc,rxlwill roiol3ir ! Ccnificarc of Conscnr to Sclllnsurc for wo slconlncnsltion.6 providcd tu by Sdion :17(x) ol rhc
Ijtir Codc,lorthe pcriornuNc ollhc rc.t lor which lhc pcnn ni\sucd
rhc trork lrtr trlrichrhi\ pcnnir i\ i\\ucd Myso c^ conrp.NrrnD nxurimccrmcr rDJ lx,li.ynun,h..rc
c,"i..i 3G(2.- FwtJ9
?-? 16a *..a'z/tf
I ccnilyrhor in lhc l).rlonluncc ollnc wort jor whicn rhG pcnlir h hsucd. I shrllnor cnploy rny rr6on in any mrnncr
sr isro bc.orm sublc.r ro rhc sorkcN conr|ftreliun lrwsofcnlifoii , nnd lBlcc rh rf, should hcconE subirl lorlE
sorkca.onEtrs.rionpDvnionsolScclionl7(x)oflh.htsrCodc,Isholl.Ionhwithcomplywilhrhorprovnions.
WARNINC Frilure r. su. workcr(.onDcnsd!.n.urraec i\ utrlnwtul. Md shall subjccl ,,r cnDloycr ro lriDinal Fn(lrics lnd
.ivrl lrr\ ut ki ok hundic rh.u\1trd d.llrs 11100.{ltn), ii rddir b rhc.. or.omFNa'ion. d!,M8.s as [ovidcd rbr thc
scdtr u)76of r][l-rttrti ..nncr.nx rr!tr (r'\
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ITECI.dAAIIQN
I hcrchylmrm undc, p.nshrotFcrjury thlr I om liccn*{ unds prnvhion.fCh{rcr 9(.onaEncing wirh scchn ruD) ofDivision I
oa rh. Ausincss and Profesions Codc, ud my li.ensc is in full lorc nl calccr '
fitzod /,,,*.*ii 11r
coNsrSr]g&NrlllracltiENcr
I hcEby ffi.rn undcr Fniky oi !.rjury rh.t lhcrc is a mnnrudirn hndirB o8cncy for lhc pcdorronce ollhc *ork tu which rhis F.dir is
is\ncd (Scc.1097, Civ C ).
ATTUCANLIECIdM.IPN
I hcrcby dnnn undcr pcMxt orpfjuryonc ol rhc roln,win! dcclrartns:
D.nrlirron P.rmn+Asb.sos Norifi..rnn F.d.rrl R.guhions lTirl..10, Prd6)
-Rcqutcd
hllcr ol Norifi carion
I ccnifyrhrrrh.lrd.nlr.guhrnnN rdCxdiDg r\hc{o\ r.trn,vrl rre mr xpplieabl. k, rh'\ ,K!c.r
orditun.cs ard Srdic Ltrws tuLrirc building.un(ru.rn,.. rrl hcrc$y,udorizc rcpc*n'alivcs olrhis Cilyand Counry lo cnrcr DE,nrhc
xl,old nrdk, ulf'o|r.d) ntr
,lt)0liLnnl or,\tMlSiEDit t1_
,)(5 ?4!{
I
DATE
L asosncr.frhc pml].nr.,nrcrclu\ivclrconrracrins wirh liccn{n conrEcn'F rn con(tud rh. p(,jr.r (s( 70{4, Busiri.\\
r Lnnls\ir Codc: Thc Coft..r.fr Li.on\c L.* doc\ ioi rpply t, rnowncr olprcp.nl $l.i buildr or inpbvcs rhcrcor.
rnd who s,nimcrsnn \uch pmrccrs wirh rCo nclo(tlic.n\cd pur\urtrr lotheConrrncktr s l-iccns Lla)
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INSP,O2 2013 CRC
This document moy be lound ot...http://www. santa-ana.orq/pba/
(Please use a black or blue ink ball-point pen)
Project Address:lors t . e^^\o- Clcxr^n O.rre ,Sqn{u ffr.(c
Permit Number:\
\Dr qLq}}
Property Owner:Fo-n t Prx.\crrle
Contractor:
Qaro6
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 dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the requ ired locations.
f| eoth boxes below must be checked:
{carbon monoxide alarms: Are installed outside of each sleeping 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.
.Ef,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. I further 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
manufacture/s instructions.
(check onel Licensed Contractor Property Owner
NOTE: Ihis sef-certilicdtion is only used lor projeas thot ollect the EXfERIOR of the strudure. This
process is applicoble ONLY to proieds wherc access to the inte or of the dwelling by o Sonto Ana
lnspector is not required.
Have this completed form and the job-card readily available on final inspection!
Signdture:\on* t\ ?oo\oHrr Dote:tg/,ol
.^-SANTA
NA
PI,NNC
&BUIJNG
IGt\CI
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.orq
Smoke & CO
Alarm Affidavit
License #: