HomeMy WebLinkAbout10192934 - PermitCity 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 #: 1()192934
Pin #: 515{8
Assessor's Parcel 109-441 -06 Lot 4
Unit Bldg: Address Range Suite Range:
Zoning: Ri
,r
Block NA Tract: 3353 Historic No
Building Use: Singlo Family Owelling 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: SFD watt Garage code: cBc 2016 other Areas: yards Req,d:
Existing Bldg. & Use: Flood Zone: X-0602320257J Garage Area: Valuation: t6,000.00
Proposed Use: # of Stories:
Total:
Description of Work: Tear off existing roof material and install new comp shingle roof. Approx. 20 squares. Handout given. Owner-Builder form on file.
Planning Conditions: Replace any damaged wood members, fascia, eaves, etc. prior to final approval.
Owner:
Address
Phone:
Tenant;
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
Minh Chau Kieu
5651 Ocean Terrace Drive
Huntington Beach, CA 92648
(7'.t41716-6201
Contractor: Owner-Builder
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Poliry #;
Expires:
Planning Approval By: Orozco, lvan
Plan Checked By:
Permit lssued By: Chavez, Dave
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Date: 05/09/2017
Date:
Date: 05/09/2017
Subject to Field:
$298.50
$'t.00
$20.56
$51.26
07776002 51601 Permit Fee
07776002 57612 Bldg. Stds. Revolving
07776002 57600 General Plan Update
O7776002 51601 lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd ffi Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pennit issued shal become invalid unless the wo* od lhe sile aulhoized by
such peinit is commenced wihin 180 days aftet its issuence.or if the wo* authonzocl
on the sile by such ponnl is suspenclad ot abandoned lot a penod gf 180 daysaftat
the lime the wod< ts commenced
$371 32
$0 00
$371.32
lnspector MID#: 2017-136053
01 1 16002 51600
01 1 16002 51601
011 16002 51612
$20.s6
$349.76
$1 00
Fee Totall
Paid to Oate:
Balance Due:
Project Address: 21 10 W McFadden Ave
tvlisc. Receipt
Misc. Receipt
Misc. Receipt
BUILDING- INSPECTOR RECORD
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing ,i/3t//7 rllU//tr-9
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL 'dtz/r7 lttU/R|FY/Itlit//eoilt"L
Certificate of Occupan cy
Notes, Remarks, Etc.ai
I
I
I
Flood Zone Certif .
I
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