HomeMy WebLinkAbout10193471 - PermitLot: 79
unil Bldg: Address Range Suite Range:
Zoning: Rl
\r
Block: NA Tract: 1939 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 #: 10193471
Pin #: 4980{
Building Usel
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Miscellaneous
lnsulation
SFD w/att garage
R-3, U
VB
cBc 2016
x-0602320144J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: S1,300.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Oescription of Work: lnstall insulation in attic
Planning Conditions:No Exterior Modifications
Owner:
Address
Phone:
Tenant:
Sarah Te.okowski
1002 W Fairbrook
Santa Ana, CA 92706
(e09) 231-s886
Conlraclor: QualityConservationServic
Address: 4751 Arrow Hrryy
Montclair, CA 9'1763
Phone: (909),145-0450
State Lic #: 757471
Lic Type: C-36, B, C-20, D-65
Bus. Lic #: 330814
Workers' Compensation lnsurance:
Carrier: Redvyood Fire & Casualty lnsuranc
Policy #: QUWC700525
Expires: OAl14l2O17
Engineer
Address
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
rI
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPOES lnsp. Req'd.
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Oate:
Date:
Oale: O7l'1012O17
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 51601. Permit Fee
07776002 576L2 gld}. Stds- Revolving
07776002 51600 General Plan Update
07716002 51601 lssuance
$154.26
$1.00
$21 .25
$s2.98\dr".n"n0"., x"tty
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the wo* on lhe sile authoized by
such permit is cofinenced wlthin 180 days aftot its issuanco.ot if lhe wo* aulhotizod
on lhe site by such poinit 6 suspendec! ot abandoned fot a ponod o1160 days aftet
tho lime lhe wo* is cofimenced
lnspector MID#: 20'17-137308
$21.2s
$207.24
$1.00
Fee Total:
Paid to Dater
Balance Due
$229.49
$0.00
s229.49
Proiect Address: 1002 W Fairbrook Ln
Assessods Parcel: 002-213-07
01116002 51600
01116002 51601
01116002 51612
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNEf, BTIIIII]R DEII'ARATION
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thc wo,t Iff*hichrhBpdn't ! i$ucd My$ork6 .omparltioi i.surM...mi. ,x! policy numb6 6c
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DECIAAAIjq!
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AITUSITLDIig.AAAIA!
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- .Rqun.d lnr6 of N<iifrclrnn
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I(mrnd n.n.(prinr):1pw /t-u/(5 ,,nJ -// -t )
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing
ln s ulation/E nerg y 7lt7 lt7 ,a4E(/))
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL -il 17 l/7 .{4ln v)
Certificate of Occupancy s-'
Notes, Remarks, Etc.
/zt/.
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