HomeMy WebLinkAbout101106711 - Permitlaza (M-19), Santa Ana, CA
Requests (714) 667-2738 t
Unit
Block NA
Occupancy:
Constr Type
Code:
Flood Zone.
# of Stories:
R-3
VB
cBc 2019
x-0602320
of comp roofing
nta Ana, CA 92704
14) 381-1870
007845
-39
rch-American
't4-06-317-00
1t2021
2077
salion lnsurance
@ CitY of Santa Ana 2o Civtc cen
Permit Counter: (714) 647-5800 lns
Assessor's Parcel.408-453-11 Lot 42
Building Use.
Job Type:
Nature of Work
Existing Bldg. & Use
Proposed Use:
Single Family Dwolling
Reroof
Reroof
Description of Work: Tear off existing, install 24 squa
Planning Conditions:
Owner.
Address
Robert Forsberg
2214 S Forest Ave
Santa Ana, CA 92704
|.7141 42s-6458
Contractor
Addressl
Phone:
Tenant
Phone:
Slate Lic #:
Lac Type:
Bus Lic #:
Workers'Co
Carrier:
Policy #:
Expires:
Planning Approval By:
Plan Checked Byl
Permit lssued By.
NPOES lnsp Req'd.
PWA lnsp Req'd:
Planning lnsp. Req'd.
Landscaping lnsp. Req'd
S
Fire lnsp. Req'd.
Police lnsp Req'd:
Flood Zone Cert. R
Every pemit issued shall become nvalid unlossthe work on lhe stte au
such perm is commencod wtlhn 360 days after tts tssuance ot if the n/ork
on the sile by such petml 6 suspended or abandoned tot a peiod o1360
the Ume the wo* ts commencecl
lnspector
Misc. Recei
Misc. Recei
OSl1gt2O21 Misc. Recei
N/A - No Balance
N/A - No Balance
N/A - No Balance
to Field
No
No
No
by
702
ector Section: (714) 647-5853
Bldg. Address Range
Permit #: I Ol { 0671 I
Pin #: 43543
Bu ild ing
Hastoric No
59J
1st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Surle Range
Zoningr Rl
Patiol
T.l.Area:
Yards Req'd
Valuation: $6,792.00
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Engrneer:
Address
Total
077 760 0 2
077 760 0 2
07776002
07716002
0 777600 2
57607
57770
576 72
51600
57607
$345.28
$4 05
$1 00
$23 79
$59.30
Permit Fee
Microfilm Records
Bldg Stds Revolving
General Plan Update
lssuance
s433 42
$433 42
s0.00
Fee Total
Paid to Date.
Balance Due:
Project Address: 2214 S Fcrest Ave
Itacl 4572
Roofing, lnc.
S. Mohawk Dr.
web_user
No
No
No
No
Account#
MID#: 2021-166236
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUlnsulation tt rl
Roof Sheathing ,t t'trtxt wafia /d3
Shear Wall I
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
I\ra son ry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
It l/
FINAL oru3/Uh//nL VE
Certificate of Occupancy I I
Notes, Remarks, Etc
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*,HI
{)\\\r R Bl r r)llr,)l Lr \lr \ lto\
u.!h Frny oaFrury thr I m (.nF filE dE Corrr*o. l-.de trs tur thc li)tlowlB lEn (Sc mll ,
r6rEn Co&) Ant C[y or Cou,ry *hi.h Equic . Fd ro odrud. tn6, i4.o]t d@lilt or EF 6y
iB t u4e.lo rcqlic tlE.pdtel for sh Fnn b ilr tii.d lriatd thrlEor$. alkoE d F!t!r
of rtr CodGrd\ Li.dsd L.* lorp(d 9, Comdos *ith lcrsn 7000 ol Diltio. I of th. lt8rB Dd
or fi.r h d sh. i! ampr rhslfron sld rlr b6i for ih. ilLa.d adFbn Any viohion ofs..rion 701 I .5 b' 6y
$bj.rr!th. .roli.&t ro.civilFslryof Nr mEtbs liv. hurxlrcddollE($500)
ath. FoFny. or hy cmplq@ wilh wds6 s llEr el. comFuion, sll d. rlE wnt ad tlE srElw it dn
for salc (56.7044, Aui.d ed PrclsioG Cod. Tt€ Conhcloir l.t@ Llw do6 .ol eply to o os6 of
hril.b or irlpreB lhosn, lxl wh) dod tuh Ed( hin!.la ot h@lf or rlmush hir or hq ow oploy6,
ih,ro\q1d3 ft ml htdd.d or.fisd for sL. ll ho{dq. th. hrllrins Dr mr**.l1d n $ld sihin o* ]@
olms BoiBd *{l h!v. rlt b.dn of Fo$ns thd h. d sh. did mt hild tr i"rmE th. p.DFty tu ll. F4o* of
trlE DrDpdy, e scl$rv.ly.orrrtline *nh licaB d.otu&6 to odM llE Flj.rr (Se 7044. Brrl!6
od.: Tnc Coflrsror'. Lic.G t w d.'d Nr .rply to D orE ot!.oFly who bo'ld! or impmv6 th6on.
aor *t FDFI! rith . Cotido(r) lxoE d Fltld b E coffid 3 Licc L.s)
ulda Seiii-
woRr(IrRs' cotrtPFr\sA rloN
DECI dtauo!
.d6 paahy of pslury orc ofrnc i)lhpiu dclgarions
ill roi.rair ! C€1ifrd. oaconst to Sdf-lNw for uorl6 @nF $aion. s FovirLd for by SElion I700 oallE
lh. FIoll'E. onh. $d for "hi.h rh. Fnn t is.d.
I ruulti, *'0116 .ooFnr.rioi r,sc.. B r.qural by Sd.n ]u(D of lh. L.bor Cod.. ao. rt Flolr'jlE of
thir Fmt i s.d M, wo.I6 .ompd.iotr ierBc ffir !,'d rllty n@bo e:
in th. Ffolmm€ otllE worl lor which lha pdf,n B iru.d. I nrll nn mpL, &y F$n in e' nd6
iubj.n to rh. *o d'coip<Baioi b*! oicrlifobi,. ud+Bthn ifI rhould baom. subrd tollE
rn povisionr .l s<i on .1700 oi'h. ldor Codc I r'Dll. lonh*rn co'nply wilh lhos ,rovnio6
lur. ro su. mdd' co$Fsniotr cov.Esc ir unbwtul. i.d ihlll luhjd E aploF Io cihin l Frli3 u!
on. hun<lr.d rhoustrd doll6 {1100.000), h lddnFn lo rh..on or (mp.tudion. .hma86 a Fovid.d for th.
rhc kbor Cod., irr6.3 d rlonEyt fc
Ap9!orl:_
ucE!$a-co&rBAgqa
DTCLAX ION
Fshy of Flry rnd I D bcq!.d urd6 Flrirbn of cll4ta 9 (offiins ynh Sdlioo r0O0) of Diubo I
!d PrcfdioE Cod.. dn ny licog it m tull roc 8d.fid
Licd.Numtq:
collrBllcuanlENDrlcacEA(I
und6 FEly of Fjury lhn thac n. oNruclbr lqdj,s lsdy for lhc Ffolrl@. of th. wort for whi.h tha Fnl i
Civ C.)
ASIUIAILDECIJ8AIIO!
p€alty ol Fjury oc of rhc folb*ii8 &chdioB:
Arbelos Nori6.dio, r'.d6!l R.Sulrtioa (TnL 40. Pan6)
rn f.ddal r.guldioN Errdins sSdtos rdovll dc .or .ppli.rbl. ro lhB ta)jd
I h&. rad thi. rpt li.dioi trl nr. $r d!. rbor. irfomrnfl 6 (otrdl l.xxdlo @nply hth.I Cny.,rl Coury
.ku.Er iie lo b'(!s.orFto.tiotr lrd bdrty dhoriz rcF6ditr6 of lha Cny ad Coudyro and !po. E
tmlEly tor 6I<Dn IlrF6
BUILDING. INSPECTOR R ORD
Flood Zone Certif.
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