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10597120 - Permit (2)
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-273A lnspector Section: (714) 647-5853 Permit #: 1059712IJ Pin #: 19154 q Proiect Address: 941 W Camile St Assessor's Parcel:008-24243 Lot: 37 Unit Suite Range: Zoningr R2Block: A Tract: 253 Historic No Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Miscellaneous Water Damage Repair SFD datt garage Occupancy: Constr Type: Code: Flood Zone: # of Storiesl R.3, U VB cBc 2016 x-0602320257J 1st FL Area 2nd FL Area Other Areas: Garage Area: Total Patio: T.l.Area: Yards Req'd Valuation: $2,500.00 Description of Work: Repair drywall, replace insulation due to water damage Planning Conditions: Engineer: tlt"1"i.or (i\ll rr(lns+: l/? it,Owner: Jose & Martha Lopez Contractor: Fire Repair Specialists lnc d A,,-{;j; iipf+i lrlir;,/l::, Address: g4lwcamilest Address: 3430w. Maywood Avenue Address: ftirt+:ir')'irl L,,'i / /?4.")ltlll |1:"t'''t i SantaAna,CA 927033901 Santa Ana, CA 92706 Trr1r1id,:r.ilrl] totfll .ii?|.,i:,l, Phone: Phone: (7f4) 308-0694 l.hone: .. I r-r, Firr,(rr. rpp. i,,.li:,ts In,; dl, State Lic #: 939434 Lrcense r: Tenant Lic Type: B Archirect / 6en'+r,tl f:'lqn tjpdqte F,re r.il i -., ; - r ,:-.' p-ar Bus Lic #: 333250 -''"':''""" r-ll 1lirrl?- ' t6Lrur-rrltr- !t .r workers' compensation rnsurance: ffi[::l iil ;]:1I-,,;- . r6u1l,rr"r- - 6f '"i Carrier: Everest National p.lrjr iii,rl:: lii:vr,l !,, ine" .'.';.:zss EiXill Il:,T13i3'," illli;- rjiiil::,:::,,;ill::::;,._ .,,, ,,;,..,i . 0 777600 2 o 17750 02 0 77760 0 2 07776002 0 77760 0 2 57607 57607 5760 7 57672 5760 0 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req' McCann, Melanie Hernandez, Kathy Dale:0712412018 Date: Dalet 0712412018 Subject to Field: Misc. Receipt: Misc. Receipl: Misc. Receipt: Permit Fee lnvestigalion Penalty Bldg. Stds. Revolving General Plan Update $160.25 $86.78 $243.16 $1.00 $22.08 $55.04 \q" No No d: No 07776002 51501 lssuanceFire lnsp. Req'd: Police lnsp. Req'd U Account# Flood Zone Cert. Req'd: No O1 1j6002 51600 Every pormit issued shall become invalid unless the work on the site autho zed by such pefinit is commenced within180 days aftet its issuance.ot il lhe wotu authorized on the site by such pemit is suspended or abandoned for a pedod of180 days after the time lhe work is cofifienced. $22.08 $545.23 $1.00 $568.31 $0.00 $568.31 lnspector MID#: 2018-144865 01 1 '16002 51601 0'1 1 16002 5'1612 Fee Total Paid to Date: Balance Due Bldg: Address Range: Total BUILDING. INSPECTOR RECOHD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Rool Sheathinq Shear Wall Framin s lnsulation/Energy Drywall Y/rz/rt'\>W L-1,1 4. Ext./lnt. Lath Brown Coat rYIvlason Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif . n FINAL Q//o//l ,4H.L/, Certilicate o, Occu pancy 1 7 =r -v/ Notes, Remarks , Etc OWNER BUILDER I}ELCAR TION I heEby nfltn undcr lcntrlly ol pcrjury th l trflr crcnrtr ironr lnc Cotrtr.dor' Li(ne L!* r'or thc iollosinr tcasn (Scc 70lllr5 Bu\incs lrn Profc$i.tr Codcr Any Cit, or Courty which rcquircs n Fnnil lo sr{rud- alrcr inrpDvc. &nxrth 'r rcn5t rn, nru.rurc, tiF roik i\suatre. sho r.qxiftsrhc lPdi.anr tor \!chFrnir ro lil.a\t'rd iarcnf,nr rhnr hcorrh. is hccnscd NrsuMr r) rht nmvkn,ns ofltr CoorEcnr s l-icen\cd ljr lChiprcr 9. Commcncins rjrh Secrn,n ?o0O or Divi\ion.l or rhc Busind$ rtrd Pofcsrions Codc) or thrr hcorshc kcxc rflthcr.lio dndrh.b{sisforrhcrllcecdcxcnpridr AtryvnnllionoiScclinrT03l.5hyrny +rlica tua pcrmir suhjccrslhc applicanl roncivilrcnakyolnol nDrclhrn rivc hundrcd dollar(ts(xl) I.isoqtrcrofrhcroFny.ornryenrDlorr.(wnharscs,srh.irslc.onp.trs.rion.willdorhcwo itrdrh.srMrchml i cftlol orofieredlors0lclSc.7O44.Busim$afldPmfc$ionsCodc:lhcConlEcloisl-iccn*Ir*doc(n.r!pnl,brnowncror ihc pmlEnl, wtk) builds or iqrovcs rh.M[ nnd wh) drrs sxch kd( himr.lfor hcrslfor rhrough hi\.r h.r o+'n cmployc$. ,iovidcd rhrr ru.h ihpohtunrs e *n incid.rl or oflcftrl lir ek ll ho$c\tr. rh. t{ildinB oi nrymvcnEnr h $ld wirhin otrc ,ur oicotrplcrion. rne Owmr Buildc! will haE rhc hudcn oi rmviry rhlr hc or +c dil nol l,uih or nllprcn rh. pmlleny ror tr. purtby or Lato* crofrhclln)n.ny. rcrclurivclrc.ntkringtrirhli.cn\cdcotrrxctmn,conntudrh.pn)jd(S..7(}]-1.8uinct\ aRl Pnli\\i.n G)dc: Thc C.nrd.rtr \ t-i.ctr\c I-r* doc\ nor rrply b rtr otr tur nl rn,l]tn y sh. tuild \ or impnEs r lkrcon. id who 6itaci\f(tr\uchpmjcrr\qirhrCotrtrckn(rlic.tr\cdnur\urrk,ihcCont&ttr1Li.ci{.lrta) I r crcnrpt und$ Skr o I ,{ l't' lnrr[n .r!ri Drre orner: woxxr rc' col*r rli,r'irol D[!:!IAArI0! I hEb, arimhdcr pcnrlryofFrjuryone olrhc lollowin8 dcclorrrions: thrrcanJwill'nsi'nrinrCcnifiurcolConsrnri'Scltlnsurcnn*orkcK.ompttr\rri'nr,r\pnrnhdturbySc.rion.lrrx)olrhc Lhtr('{xlc.i(trrhcp.rronru ccolrtuwor\lar*hichrhcpcnni isi$ued _lh.icnod willmoi.lain workcB .on[.n. i.n insurdncc..s rcquircd hySNlio.]7(x)oflhe tjhnr Codc- for rhc pcrtortuncc.f the sork lor wnich rhis t'cmir is i$ucd. Mysorkd( snp.nsdion insuntrmqdicr 0fl1B'licy nunrbcr lrc Icrnlyrhrrinrhctcrfonmmfolrhc*orkf(tr*hichrhi\|xrnirisi\\kd.I\hllnor.n[k)tanvr^--*o i']nfynr nE $ r\lo hcconr \rhlc.lro lhc uorkcrs compcn{trnr h$sof('rlifi nr. rtrd rtr.c rhdr ill slDuld 6(con. {,njcd hrlr workcr ..nDcnsiriontmrisiotrsolSccrionlT(x)olrhcLfitr(-onc,lshtrll I conDly wirh rhE pornioDs WARNINC failurc n' trurc s(trkcs comr.nsrinD covcrasc is utrl,r rnd shxll n'hllcr rtr cn+k)kr r. cnnn il l{mlrir\ nid (illl linrs ur b o ! htrnd'cd {housrn{l dolli.\ rll(x).lXx)). i', x,ltlir rd ol conrpcn\drnn,, da rrgcs .( l)n)ridcd hr rhc scc!on ro?a orhc 1xhtr(ndr. i, .rf{ rnlxiinn.y \ rccr I hcrcbylnnNundcrlcmlrroipcrjuryrhat I rD liccn$!u crpmvhionoiChmrcr9(conlcncin8sirhse.ii,n7(xr0)olDivi\b..1 ol ihc Bnqnc$and PmfcsiorsCodc. aM nylicctr{ is in fullf .c d cliccr IjA!$BIICUANIEIDINIiAGEM;I I hcrcby 0flirf,und.r Fh,hyorp.rjury lhal th.rc i\ r.onsrfl.lirn hndine qcncy for $c pcrlrirNncc olth. work fin *hichrhh pcrmir n issu.d (Sc. 1097, Civ C ) AITIIIAITLDECIAXAUA! I hc.ct y uninn undcr lrnrhy olpcrjury o"c oirhc Lllowins dcchnlions D.mlirion Pcrmils.Ashc(os Norificrrion ljcderalltc8ulariotrs llirlc40- PlrrO -Rcquncd Lellcr of Norifi c.rhn I (.,rilyrlrrrlrc lrnchlrcguhri{,tr! rcguiir! r\l).i.:run$rldc ! nt,t)lniUc t) rhlr l).tc.r I..nilrrtu( I hrvc rcadrhi\ rpplic!i o nrncc\ r Srrrc lr'(sr.ldi',9 k, $tr' rbok nrnri,nEl piopcnl lnr in\rh-(ion inin'ruri(r i\.omcr I JgG b.rmply *irh all hcrcby arrhtrizc rcrcscrr,rivc( olrhii Citt !nd Anpli(nnl or AEut SiInnl(rc I I t-+-