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10197687 - Permit
City of Santa Ana 20 civic center Plaza (M-19)' santa Ana, cAg27o2 Building Permit Counter: (714) 647 -5800 lnspection Requestsr (7141667-2738 lnspector Section: (714) 647-5853 Permit #: 10197647 Pin #: 91362 q Project Address: 918 E Virqinia Ave Assessor's Parcel:396-405-40 Lot: 8 Unit Bldgr Address Range Block. NA Tract: 3489 Building Use: Job Typer Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration Skylights Sfd Watt garage R-3, U VB cBc 2016 x-0602320163J ,| 1st FL Area 2nd FL Area Other Areas Garage Area: Total Patio: T.l.Area: Yards Req'd Valuation: S600.00 Description of Work: lnstall (2) new skylights (rafters will not be altered) ICC ESR-4108 Planning Conditions Owner: Address: Phone: Tenant Frederica Yarborough 918 E Virginia Avenue Santa Ana, CA 92706 (619) 517-0746 Contractor: HermanRoofing Address: 4050-1/2 Brotherton St Corona, CA 928791813 Phone: (951) 288.1328 State Lic #: 348265 Lic Type: C-39 Bus. Lic #: '18781'l Workers' Compensalion lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 9030938 Expires: 1110112018 Engineer Address: Phone: License #: Phone: License #: Botch9: +5909 - 9113/2018 ID: HGARCTAoffice: CIYII Tronif: 8 1 of 1Aocti: Refl: 10197687 RcDL33mtsIl06 - ?ll3/ml8 10:ll All TFonso€tion Totol 123S,37 lLrron Roof ine Archilect / Desiqner: Address: Geoerol Plon lhdote Fee 01116002- 5160@00- 8u i ld int 01116002- 5t@10m- Bldr Stds Revolv i nr 01116002- 5l{12000- Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd: No Orozco, lvan Zuniga, Allissa Date: 09/1312018 Date: Date: 09/13/2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt YltO tz5u.5 t071760@.ltrn *FrmtftB{7 Auth+:offGDps 07776002 57672 Bldg. Stds. Revolving $1.00 07776002 57600 General PIan Update $22.08 07776002 51601 lssuance $55.04 Fire lnsp. Req'd: Police lnsp. Req'd ffi Account#Total Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the work on lhe site authorized by such perfiit is commencgd within 180 days after tts issuance,ot il the work aulhoized on the sle by such pemit is suspended or abandoned for a peiod of180 days aftet the lime the work is cofifienced $238.37 $0.00 $238.37 lnspector 01116002 51600 01 1 16002 51601 0'1 1 16002 5'1612 $22.O8 $215.29 $1.00 Fee Totat Paid to Date Balance Due Suite Range: Zoning: A1Historic: No Occupancy: Constr Type: Code: Flood Zone: # of Stories: t22.08 ,2t1.2? 11.m lVlD#: 2018-14606s BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCAI{ATION I hcrct', lmfln undc! pcndry or l.+try rhd I 0n crc ryr rmrn rhc Conrlact E Liccn* b* ror rhc followins rca$n (Sc. 7{):l l 5 Bu\nk\r a.d Profc*ion Codc): Any Ci!, or Counly which rcqutcs a llnnn ro .otr{ruc1. ohcr. nnpr'rc. dcn6li\h .r r|EL rny {d.rurc, nrior b ils hsurNe, lho rcquncs rhc allli r f{r \kh Fmir r. file! siSncd sl cmnr rhrr h.or shc h licc.scd ,rnnu l b rhc pmusbns of rhc Cotrtrcrols Liccnrd Lrw (ChuDIcr 9- Conrnf,tuiig wirh Sc.rion 7(lD ol l)ivi\bn :l ofih. 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O*ne. w(lRxtiRs' (rlMPENsaTloN DECI.Af,AIION I hcrchyaflir undcr pcnahy ofFrjtryotu orrhc rolbqing du.l$'iuns: -lhrvcnBlwillnuinhinaCcnirl.ni.ofc.nsctrrtus.lilnsurcaorqoker'compcn\arn,n,rspn,vidcdlorbySc.rio.-17fi)ofrh.titxn Codc. f.r thc pcrformnce olthc aorl rn $hich rhc p.rntir n issucd. -l h0!c ond willmtrn rinworkcrq.o rtr.sdir insrrNc. rs rcquircd hy s.dn'n 1700 or rhc hhor ci)dc, &r rh. P.dohmn.c of rhc sork f{x{hichrhis pcnnil is issucd My workcr\' coflrNnsrn,n insurun.rcricr d O'licy nunrt}c.urcr Sfq+q- F;J -1b3o1JY -.*pr*, //'/^ /8' I ccnlfy rhar ir rhc |Erfornumc oflhc snk tur which rhi\ p.rnrir i: issucd. I \hnll nor cmnl,)y riy p.non i. any nranncr $ !\ ro bcco'm ubjrcr o ihc work$s ..nfcnsrrnnr hss olCalifornir- lnd asruc rhar if I dould tf,.oN $bJcd ro rh. $ortcn.onFn\arionprovisionsofS(ltun:lrIX)olriel-.horC&lc.l\hrll,fodhwthcondysirhrhokpRrvnion( WARNING: tnilDrc lo surc *orlcrs compcn$rion coturr!. i. unlaqtul. and rhnll subi.r ,n cnfl.)tt to (iDinal P.nnhi\ and .ivil hr\ xtr t) onc huNlrcd lhou\lnJ doll]rs I llr).(xrD, ,n rdd(i( b rhc ..sr ol co'npcn\rh. . da l.I!.\ rs t(nnlcd nJr rh. sr.rir)E 1076 orrri" rrEr Li{1c. idcrcn.trtrl.tr XIElrlIl Ua! I hcrcby lfitrr unds Fnahyorr.rjury rh.l I trD lienql und.r provision ofCh4rrc.9 (connmn.itr8 wilh Sccrion 7(xD) orDivhion l oi ihc Busincs ntu Prcfc$ionr Codc. dd ny liccns h in rull htrcmd criecr. /<:v",t,.5'1ff/ CONEII!!:Ul)Nl,INDIllilliTNrr I lf,nby nfli nundcrFDrllyofpcrjuryrharrh.rnn.on(dcri'.lcNlin8.8cncylbtrtf,P.nnnmn..orrhcsorkfortrhichrhisFmlirir i\ucd lS( 1097.Ci C.). IIILIgdNLDIIIAAAIIA! I tErchy!finnundcr pcnrlryorpcrjury otrc olth. Iolr.wirS dcclorulions: Dcnnnniotr Pcflnns-Asbcstos Norifi.drn)n Fcdcrdl RcsuldlidN ('I irlc 40. Pfi 6) Rcquncd Ldtcr oi Nolifi .dion I..n'fylhi[hc icdctul rc8ullrions r-grdin8 r\hcno\rcfr)vdtc trot (Pllicablc r) rhi\ pn+d -l ccnili rhd I h,vc rcad rhk.mli.dn,n,nd {rrc thll lhc ot{vc inn,nurion is.ormr. I.!rc to conllly wnh all Ciryand Counr, o'Ji'rn..\ xn(l Srrre I-r*\ rl-iinS I ildi.x con$rudn,r, ond h.rchy aultx,nzc rcrrcscntativcs ofrth Cily md Counr! ro cntcr upotr rhc rlrtrc nrdidrd pr.Fny i, t,?-/3-)tr7."..- ^(1 t.-*t ... , Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/Vent/l nsulation Roof Sheathing Shear Wall Framinq q\r.\tl I W(D lnsulation/Enerqy Drywall Ivlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . FINAL \\r\<$'hrn Certilicate of Occupancy , Notes, Remarks, Etc. 0 f, Ext./lnt. Lath Brown Coal i l'lo I ? ltt// w,",9'/3'/E' tt