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10197853 - Permit (2)
EProject Address: Assessor's Parcel:410-341-02 Unit Bldg Address Range: 3001-3121 Historic: No Suite Range: Zoning: R'lLot: 1,2 Block: NA Tract 7584 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O197853 Pin #: 5E917 U VB cBc 2016 x-0602320278J 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l Area: Yards Req'd: Valuation: 0@0 $9,000.00 Description of Work: Tear-off & apply 18 sqs of built-up roofing to garages only. Handout given. Planning Conditions: Ectch+!46138 - 9 /2?/2nLg off i re: CTYH Tnons+: 46Acct+: Refi: IO: GARC IA 3 c,i I 10197s53 Owner: Address Phonei Tenant Bradlord Place Santa Ana HOA 15661 Red Hill Avenue Tustin, CA 92780 (714t285-2626 Contractor: Jordan Roof Co. Address. 11542 Annabel Avenue Garden Grove, CA 92843 Phone: l7'l4l744-6577 State Lic #: 406783 Lic Type: C-2, C-39 Bus. Lic #: 158693 Workers' Compensation lnsurance: Carrier: American Zurich Policy #: WC593400101 Expares: 121311201A Engineer Addressl Tronsa,:t ion TotoI Jordon Roof Co. 12t7911.34 Phone: License # Architect / Designerl Address: Phone: License #: Gmerol Plon Updote Fee 01116002- 51600000- Bui ld i ns01 6002- 51601000- Blds Stds R€volv ine 0111600?- 51612000- ICL Check 03{530 _ $2?. r:r8 _ r37:.54 _ $1.ntr '2r79t:t-34 Planning Approval By Plan Checked By Permit lssued By: NPDES lnsp. R PWA lnsp. Req'd i, Teri Fire lnsp. Req'd; Police lnsp Req'd e Oale 0912712018 Misc. Receipt Date: Misc. Receipt Date: Ogt27t2}18 Misc. ReceiPt Subject to Field: No No Account# 07776002 5160I Permil Fee 07776002 57672 Bld}. Stds. Revolving 07776002 51600 General Plan Update 07776002 51601 lssuance $320.50 $'l.00 $22.08 $55.04B No TotalPlanning lnsp. Req'd: No Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 1tj002 51tj0o Every permit issued shall become invalid unless the wo* on lhe site authorized by such pemit is commenced within 180 days after its issuance or I the wofu authotized on the site by such pemit is suspended or abandoned for a peiod of180 days aftet the lime the wo* is commenced. lnspector t\IlD#: 20'18-'146466 0 1 1 '1 6002 5'1 60'1 01 116002 51612 $22.08 $375.54 $1.00 Fee Total: Paid to Date: Balance Oue: $398.62 $0 00 $398.62 Building Use: Condominium Occupancy: Job Type: Reroof Constr Type: Nature of Work: Reroof Garages Code: Existing Bldg. & Use: 4-UNIT TOWNHOUSE w/det garage Flood Zone: Proposed Use: # of Stories: BUILDING- INSPECTOR RECORD SITE-WORK ID/SIG,COMMENTS OWNEN BUN-DliR DEL('ARATION I hcrcby.flirm undcr pcnalry of pcijury lhrt lmr cxcnUn liorn rlr Contdri Li.cnsc lrw for rhc firlowir8 rersn (Scc?0.115 tsusincs aM l'rnt$i{,n Codc) Atry Ciry or Courly *hich rcqunc\ I Pcrnrir lo c.n{dcr. rlrcr. inrroE- dctri,lth nr rclrir .'nv (rucrurc. prt, t, irs isxM.c.also rcqutcilhc aPpli.rni tur quchlf,flnn ro filc I \isncd ddc.rnt lhal heor \hc n hccn$d llrumr t, rhc pi.visions oi rhc C.nlrackn r l-i..n\cd l-,w (Cholcr 9. Conntun.inS silh Scction 7(xro or Div,sion I or rh' Btr'ih'* xM Proltssions C.d.)orrhnr h. orshc iscicnrpr lhcrciom!nd rhc h,\is rorrhc{1lu8cd crcnrrion atryvioIrionorsc.rionT0]l.5hvrnv anrrlicanrrrn d Frnrir \ubjc.lsrh. aptlicanr !o aci!illlnrlryolnor rm,clhu ri!c l[mlrcd dolhn($51x,) I. ff ostrcr of thc pr.Fny. or nry cnDloyccs trnh wuscs N lheir {rc o rFnsalion. wiU do rL Nolk Md rlF (drm ir n'r inl.ndcn or.rcEd nn sk lse.7o14. Busircss ond Prcrcr\ions Codc:]]lc Conrract, r Li.cnsc tjs docs oor alllv ro 0n o$ncrot rh.pn,Fny *lh burlds or in{'mrcs rhcEnr. dwhodosruchworlhimlcliorbcrsclforthtoushhhorhcrown.mphvccs. prornh,l rhlr su.h inrrolcnrds m nor inlcnncd n ofl!rcd tu sJlc I L howcvtr. rhc b{il itrr or iqn,lcmnr h sold wirtin oN Fd ofcoaDlcriotr- rhc Owncr Auil]d will hrt rh bun]cn ofrorir8 rhsr h. d sh. dil,Fl ltrikl or i'ryr)vc rt prufnv ror rlE PUIF'*of -l- a\ owr of rhc tioFfly. In cxclusivcly .onrracr inE snh li.cD*d rontrrr(rs i{r cotrdfl.t ttr Pmral I Scc 70U. Btrims rnd P$lcssk,nCoJc:rhcContactnsLiccnscL0RdocsnoroPplybrnosnnolDrol.ny*hohnild\orinrrorc\rtureon aml qho.r,nrm.Btrtrsuchntuirls$irnaCodEcb(nli.cn\cdDtrr{utrnlttrhcG,ntacrorsLiccnscL,aw) -l dniDrr rtn undn S(l D{le o*n.r: WoRXFRS' CONIPENCATX}N DECIAXAIIAN I hcrcby lffi rnund.r r.nrhyof !,crjuryom ollh. folk,wing dNldnlhns -l hrvc J *illtuinr r.Ccniimlcoic.nrcnr t, Scllltrsurc tu 8orkc6 c.n,pcn\arion. rs lolidcd lor hyS.tri( r1700ofrhc Lahor C.dc. lor rhc FrfornD.e oI rh. $o l'or ehich rh. pcnnir is issuql (it ins,ork.n.oilpctrsrliotrinruraNc.ns rcqlired hys.ctionlTO(,oflnc llbor G'dc. r'ot thc Ilcrnn@ cof co'nFns.rii,n in\rr.n.c .dt! aftl P.licy numh(r dca L .n(-0 -lcunilyrhrr hrhc p.rfoi,runccollhcwork tbr {hich rhn tttirnir i\ isucd.I shallnor cmlJlov rny Pc^on inrn!rr ncr (, * b hconr subl.cr lo rhc sorkcn compdnsJr im hws or c.lilnrnia- dqcrhd ilIsk)uldhc(, {b}-dtolhc qorkcm compcns.rion pmvhioniof sdrion l70oof rh. L.hor WARNINC, Failur. t' NUic worlcn !.mp€n$ri{x, .ordrDlc an ctrDl.ycr t, di'niml Pcnrkis lnd civil ftrc\ ur k,.nc huid'cn lhouund tlo riDr.srlion- d{nBE.s ,s I'rov,f ..1 .. I h.rch, rfln tr d,riilry.lpcrjuryrhJr I r t utulcr provision otChafler 9 (.onnncn ing wirh S..rk 7otro) ol Divisn,n.l \a l. r' n,v ll..n{ i\ ii lirllnnr nlclli.l A2L-) ? I hcEby rllirn und Fnixyofpcrjuryr nsucd (Sc. lo97-Civ C.) {ru.rionhndingalc.cylotrhctrrli)irrinccofrltwork(rwhichrhhrcrmii is ATELICANLIECLAf,AITON I hortyafimlndcr p.n,hy of pcrjury onc olrhc louowing d..lu,rnnu D.nBlitiotr Pcrnrih-Asbcsrds Norin alion Fcder.lRcauhtions l'Iirlc 40, PM6) Rcquncd Lcrrer of Norificarion di"g r\lrno\ '. itr rLM. n.r xptl.rbl. r, ihN pr"l..r nnr( i\c.rccr lrsrlrt).o rtnysirhsl ciryx d(\ y uthoflzc rcprcsctrrrrilcs ofrhis Ciry ind Cornry k, cnrs ulrmtlrc "*v"' 4 ."t ,r Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathinq l/tt /t ('24//M-/tZ-- Shear Wall Framing lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat Masonry T-Bar Handicap Req. Deputy Final Report Engineer Final Report FINAL t0/trl/t 6ztm 7fY Certificate of Occupancy Notes, Remarks, Etc. DATE Pool Fence Flood Zone Certif . 4eqr3 2 IfI