HomeMy WebLinkAbout10292001 - Permit (2)S. EA-IL .dbJ e*F
cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAT27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O292OO1
Pin #: 35669
Project Address: 2119 S Cyoress Ave
Assessor's Parcel 403-152-07 LoI POR 3
Unit Bldg: Address Range Suite Range.
Zoning: R2Block F Tract: 284
Planning conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation:sl .00
Owner.
Address
Phone:
Tenant:
Rafael Pulido
21'19 S Cypress
Santa Ana, CA 927073243
(7141791-2763
Contractor
Address:
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policf #:
Expires:
Architect /
Designerl
Address:
Phone.
License #
Phone:
License #
Planning Approval By
Plan Checked By:
Permit lssued 8y:
Pezeshkpour, Ali
Hernandez, Kathyvx
Date: 0l/31/2017 Misc Receipt
Date: Misc. Receipt
Date: ot/31/2017 Misc. Receipl
Subject to Field:
No
No Account#
07776002 51601 Permit Fee
01776002 57672 81d9. Stds. Revolving
07776002 51600 General Plan Update
07776002 51501 lssuance
$447 .7 5
$1.00
$20.56
$s1.26
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pennil issued shall bocome invahd unless the wo on the site aulhonzed by
such pemit ts comfienc,d wilhin 180 days after its issuanc'.or if the wo* aulhoized
on lhe sito by such penn is suspended or abandonod for a poiod of 1E0 days after
tho tifie the wo* iscommenced
lnspector
011 't6002 51600
011 16002 51601
01'1 16002 51612
$20 56
$499.01
$1 00
Fee Total:
Paid to Date:
Balance Due
$520.57
$0.00
$520.57
\re
Historic: No
Building User Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: RerooI Constr Type: V B 2nd FL Area:
Nature of Work: Roroof/Window Changeout Code: CBC 20tG other Areas:
Existing Bldg. & Use: SFD Wdot garage Flood Zone: x-0602320276J
Garage Area
Proposed User # of Storiesr
Total:
Dsscription of Work: Legalize reroof and window chang60uUPen. & lnvest. fee waivod per Sergio Verino
MtD#. 2017-134178
BUILDING- INSPECTOR RECORD
SITE.WORK COMMENTS trl,_NER BlJll.DEe DEI,(-ARAtltrN
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srrut1ur4 pihr b irs isu.nc.. rl$ Gun6 rh. lnplicd for such rEmit ro fi!. ! tisncd n!,d6l rhar h.or 3h. i! li.ded pBuMr
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apphca.r tor.pmir suhiErrlh. itpltinrto rcivilp.nah,oInor mor.rh fir. hundrd dollffi (ttm )
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th. Fq6y wh. boil(h o! inFors thoEn. sd who do6rkh *on hnnrlf or h-Eltor lhu{h hi! or hF o(n orplord,
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ofconpldior rlE O*G Euiltn *ill hh! rlE hrdor ofFor(s rrri lE or lrE di d hild o. nqor. lh. FoFy hr llE r{qE ot
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WARNING r_.rlur. ro k. r. Norldl co'np63.rion .o\(itr. is trnld$ful. ind L {inr.rr in dnl,L('r{ n, or ml tinilrs and
cnil fin6 Ul !o on. hunJr.n rhousntl dolld itl00.0u)). in addnn'n lo lh.ofcornrErerion. d.m!6 .r Fo\ ild for !b.
knr (irt . inrdd Md d
I hehy amm undr p.nrlry oa Fjur r_ rhll I nn li.dEdl tnd. prnvnn'n ofCnrnrd 0lqnnmtrins rnh s(lirtr 7(xrol or lrririon l
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ca! f,ucraN!Eluucjqllcr
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afllt(AdfllEclJsara!
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t.qu4d ltlrs orNd,frdnn
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odin.n.6 ud sr.r. lr*. elllins ro burldin! c.rqi(fr!.ln6 of
'his
( n) lnd (
2,')"/ 1., /) 4D
,Z,h
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathinq
Shear Wall
Framing
ln s u latio n/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handica p Req.
uty Final Report
Engineer Final Report
Flood Zone Certif
FINAL 1-17-t7 x tqib-7 vCertificate of Occu pancy
Notes, Remarks, Etc
DATE I ID/SIG. I
I ic.ns. Ntrnrhd: _
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