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10197601 - Permit
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 #: lOt9760{ Pin #: 76741 EProject Address: 4610 W Melric Dr Assessor's Parcel 108-114-58 Lot: 23, POR 24 Block: NA Unit Bldg: Address Range Suite Range: Zoning: RtTract. '1550 Historic: No Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Reroof Reroof SFD w/att garage R.3, U VB cBc 2016 A-0602320256J 1st FL Area: Patio: 2nd FL Area T.l.Area: Other Areas: Yards Req'd Garage Area: Valuation: - 8qt,'h+:4i759 - ?/:j/?rll8lolal: Offi.er (TYti Trflns+r 4i fl I' kfi ,u+, u:fl ", u qry rF FIitEr n$l{(.if li' $10,080.00 ID: Ci::lr[, !.1-AFr I C.i' I $398 .6? Description of Work: Tear off existing roof material and install new comp shingle roof material. lnstallation sheathing. Fascia board replacement as needed. 24 squares. Handout given. Planning Conditions: TroflEoct i on Totql Neiehborhood Roof ins Owner: Address Phone; Tenant: Engineer Address: E??. (9 t375.54 91 . t:rtr t40l:r- rlt:l (t1.39) Juan Mejia Negrete 4610 W Melric Dr Santa Ana, cA 927041146 Contractor: NeighborhoodRoofing Address: '10900 COLIMA RD Whittier, CA 90504 Phone: (323) 365-1046 State Lic #: 1031546 Lic Type: C-39 Bus. Lic #: 367440 Workers' Compensation lnsurance: Carrier State Fund Policy #: 9139992 Expires: 08/18/2019 Generol PIon Updnte Fee 01116002- 11600000- Bt'ild ing 011t6002- 51601000-tlldr Stds Revol v ins rl11t6lr0?- 51612000- (:osh ChoteeArchitect / Designer: Address: Phone: License # Planning Approval By: Gomez, Pedro PIan Checked By: Permrt lssued By Chavez. Dave / NPDES lnsp. Req'd No 47'" Date: 09/05/20'18 Date: Date: 09/05/2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt $320.50 $1.00 $22.O8 $s5.04 07776002 51501 Permit Fee 07776002 51672 Bldg. Stds. Revolving 07776002 51600 Genel€l Plan Update 07776002 51601 lssuance PWA lnsp. Req'd: No Planning lnsp Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd H Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every pefinit issued shall become invalid unless the wo* on the site aulhoized by such permit is commenced within 180 days after its issuance ot if the wo* authorized on the site by such pemit is suspended or abandoned for a pedod of 180 days aftet the time lhe wo* is commenced $398 62 $0.00 $398.62 lnspector MID#: 2018-145880 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 $22.08 $375.54 $1.00 Fee Total: Paid to Date: Balance Due: Occupancyl Constr Type: Coder Flood Zone: # of Stories: Phonel License #: BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS 0WNElr AUII-DF:R DCLCARATION I hcrcby rllirnr u dd |f,nrlry .i !.rjurt ihrt I !n ctnu ln n rtu Conrrt,^ l-ic.ns. l-tw lor rhc roln,sinS r Bu$ncs aM Prolc$ion Codc): AiyC y r Cotrnry Ehi.h rcquirc\ r n nnir lo cotr(ru.r. drcr. imProvc. dcnnrlhh o' tp n rny snrcrurc. lior ro irs hsuatu.. nl$ rcquircs rhc 4rI'licanr lor \uch lLrmn l. filc! \isncd {rr.'ftnl lhd htor \h. is li.ctr\cd Pusurtrr k, ihl p'ovisnr$ of rh. 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B!rnc\\ xl PtuL$irtr Codc Thc Conr!.nn r Li.cn$ L!r' iocs ,rdr onply h M owmr ol Dropcny who bu ildt or inrPrctcs rh.rc.r. and who cont..rsLr such nrcJcck wirh !Conhct,ns) Ii.cn\cd Pur{'a rolh.An rn tols l-iccn{ l:*) I rn.rc rt, trrrlcr S.di{nr .ll .\ l'( lnr r[r rtrn D.lc O*no: woRxria L(tNtm'Ns^TIoN DIII.AXAIIQN I hcruh,afir uidcr tr.nrllyolI]l juryonc orrhc tulk,qing dccl{riiionY -lhavca will'to,i ainrCcnificarcolCon\rnrbS.lfl'rsurclnrworkcrrconrljtnsdion.rs rrovidcdforhyScction:lToOolrhc tib{tr Gxlc. lor rh.,rrromr,f,. o, thc wo* lo! which ihc ptmir h is\ucd I hNc rnd willtr$inriin workcri cotrtfnslrn r insur{n.c, {\ 'cquncdhyScclior.lT({,oilhcL$orG)dc.lorrhcFil'nnxkcoris\Nd My workcr' .onrpcn\ ion nrtrrd .c.iflicr trfrlpoli.y in rh.r irc djiltz,-r,,".,n*1off92y' t''" t t -1 t'* l.c'nlyrh^r if rlr Nnni,r cr ofrhc w.ik n)r trlrrh rhirtf,r' v, r\ k, hc.om s,hjcd n) rh. tr.rk$s'.onrl{nsxri{,,lxw\ ol(rl'la $orkr'' coi,Nn\rrtr Dr,,!rsi,,n\ ot S(rnr l?rx).trhtLrlrr (.( rr \l.NINC l:'lu'.1,".n- \,rld\.1{nfr\,rnrt r{:,8 r ,ir t i\nul, I sh!ll nol .mploy rny pcri.tr nr Bny nDnncr ario. rtrd agtu rh{ irI nrud hcmm nrbjcr '.tltlc. I shdl. fodhwn[coflply wiihrho{ P'tvi(ions unh$ful. !ft1 sh3ll suhiat .n cmplorr ro rimiml {tcMllics rni .ivil ljNs up t, otrc hx dr.d thousrnd doll!!\ (nl(n),lxnr. i"6+i;;::."Sc.liotr .1076.1rh. trhtr C*,.o?/o I hrfth!rlrn tr dcr trn v.l Jxriurlrhrr I xnr lrcNc(l ,,n)vi\ on.l Chrpl.. O(.onnncncn,g wnh Sc.ridr 7(xXrr of l) \r\i(rr I p' t-r'""r*l( *nr(lrS.. rorT ( i! ( r APPI ICANTDlr(II AIIATIoN I h.d,,am uidcr F.rlly ol!.riury onc orrhc r.lrosins d.c,o,alions DcB,liri,n Pcnnnr Ash.stos Norificalion Fcdcral Rcgulrri.ns (lirlc,llr. Pln6) _R.qut d hn$of Notificdion l.cnilylhrrrhc l.d.rJlrcgulrrionsrcgmll,g r\lr(os r. o\rlnrc trorrPnli.rblc ro ihi{ fhjccl i\..nt.r. I rgrce n'.omrly wnh rll Cilynnd (i,unry ruflc$nrdivc\ ol rhis Ciry and Counl, r].nicr utx)n rh. ( q/@s Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/Vent/lnsulation Rool Sheathinq 7,r,rY,,r'-/*1 Shear Wall Framinq lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Ceftif FINAL 4 lThN\'to"nlte-l 'e->) Certificate ot Occu anc Notes, Remarks, Etc. I .r rlr llu\i',c$rtrd l\of.si,rl\ ( q1.. rrln,y hlr \cn rirlll,r..xftldlf.rr I 'J, ". A,U'... -- rlrr I hrvc rc rhir rfnli.rrn)n Jxl nJrIhnr llr rlr,vr lnlnflnrii(r //rD/* v