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10197963 - Permit
Y Project Address: 522 N Fairlawn St Assessor's Parcel 007-052-13 Lot: 7, POR I Block: NA Bldg: Address Range Tract: FAIRLAWN PARK Historic: No Suite Range: Zoning: R2 city 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 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Duplex Reroof Reroof Duplex Wdot garage Occupancy: Constr Type Code: Flood Zone: # of Stories: R.3, U VB cBc 20r 6 x-0602320257 J 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Totall Patio: T.l.Area: Yards Req'd Valuation: .tJ/ I I )-t-tl;1 Description of Work: Reroof duplex only - remove comp & bur, replace any damaged sheathing, install comp & bur to match existing. FcDti:(114u?g6l - l(tlg/2OLg TronEoct ion Totol Planning Conditions: $3,900.00 Owner: Address Phone: Tenant: Contractor Address: Engineer: Address Servando & Maria Lopez 522 N Fairlawn St Santa Ana, CA 927032812 (714) 631-5117 Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance: Carrier: Policy #: Expires: Generol Flan [Jpdote Fe€ ol 11600!- :160r.'1000- Buildine 0111600:- 5i66r00u- Blde Stds Revo lv i ns 01116002- 516120(10- Cosh (:hon9e Phone: License # Architect / Desiqner: Address: Phone: License # Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'dl Carvajal, Verny Date: 10/09/2018 Date: Date: 10/09/2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07716002 51501 Permit Fee 07776002 57672 Bldg. Slds. Revolving 07776002 57600 Gene.al Plan Update 07776002 51601 lssuance $320.50 $1.00 $22.08 $s5.04,)^o^,NO -No sden, Julie Fire lnsp. Req'd: Police lnsp. Req'd No No Account#TotalNo No Flood Zone Cert. Req'd: No Every peffnit issued shall become invalid unloss the wo* on the site authoized by such permit is commenced within 180 days after its issuance,or if the work authorized on the site by such p?rmit is suspended or abandoned fot a peiod ot180 days afler the time the wotu is commenced. lnspector MID#: 2018-146726 01 I 16002 51600 01 I '16002 5'1601 01 't 16002 5'1612 $22.08 $375.54 $1.00 Fee Total: Paid to Date: Balance Due: $398 62 $0.00 $398.62 Permit #: lO{97963 Pin #: 2{096 Unil: O\.vner-Builder BUILDING. INSPECTOR RECORD SITE.WORK DATE tD/slG.COMMENTS OWNER ITUILT'CI' DELCAR.ITION I l[rchy afnnn undcr ncixlry or |r.rjry rl l m crcmpr liom rhe ('onta&rr Liccnsc litr,{nrhc t)lk,win8 r.$otr (Sc.7o:ll5 tlusircss .nd Ptufc$n{ Codc): Ant Ciry or (iutrry sh'.h rcquncs a ltnnn t) .otriru.r, .lrcr. imp.ovc. dcmolnh o. rcnln any {tucrurc. prior k, ns i$uanc.. al\o rcqutcr rhc a,'plicrnl lor su.h potrrir h filc ! \i8ncd slarcrmnl rh hc or sh. is |i...\cd llrsd,nr t, rhc pDvhions oi thc Conhckn s Liccnsd tiw (ch{rcr 9, Co'nnEn.irg wirh Scdbn 7(xxj ol Divi\ion I ol rhc Busnrs and Pmicsbns C.d.) or rh tu orshc nexcmpl lhcrctronrlnd rhcb.sh lnr lhc rllcscd crcnprn,n Anyen,hri,nrorseli.nT0:ll5hyrny S:d'MK;i.;ffi ffi ;;;ffi ffi*il* n i",,,",, rhc DDp(ny *h) builds or inDtuvcs rh.dr..nd who dd\ \hh trt* hm\.lfor hcsclfor thmuth hi\ o. h.r osn.nDbyccs. poli{lcd ihrr \urh i'nprornr s d( mr inrcftlqt oolt!rcn ntr srlc lt how.v.r. rh. hnikti',g or improlcnr is y,kl wirhin o c rtrr oicon{,[li,n. lh, OwE. Buiklcr willlnvc rtE burdcnof!r,vi'r! rlDr lt.r dr dit rkn hoitl or iry.orc rh. pmpcny tor rhc puryn{ ol l. r\o\\mr olrhe n'o|r.ny. aflcrclusivclycontr.riDE wirh li..n\rd.otrrrrttr\ t, conndcr rfu t,flijccr (Sc.. 7(|l-r. Ru{trcs\ rn(l I'('li\\irCodc lhc Cotrtrctr'\ Li.ctrsc Lrwdoc\ tror nfrlyk) rtr tfcroltn'|Entshohuild\orirpnrlc\rhc'coi. ditl sho (n rJ.6 nlr such jn+.r\ qirh rCofkr.n)(\)1i..,,\.1fu.\lxtrr brhcCofixctr's l-ic.tr\c Lns) I rn.r.n,pr trnhr Srri,tr,-. tl & r'C lar rhnrcrnn,b?4(b tt7,"Y.- Se{?- / t\(,RlitR\'(O\lnrNs\lllr\ l,t< n u2 DI:CLA.B6.IIA! I h.rubyrlnrmundcr Nnalryolpcrjuryotrcolrhc fdl.wir! ddl rior\: !harranlwillnBnnri'rrCcnificrrcotCo\cirr.S.llh\ureft,tr.'krrr.ofi|tilrri,nr.r\providcdlorbySectioDll7fi)olrhc L'h, (](xlc- fitrrhc pcrli,rnrrcc olrlrc ror[ ror which rhc p.nnil n i\su.d lhrvcnnd will hidrnin w.rk$a .o'npcn\ i.n nRuBncc. r\ r.qtr'rdhtScri( 1700ofrh.I-aborC.dc.torlhcpcrlhnumcol thc s.rk lnr whirh rhi\ pdnit is i\acd. Myworkcn co'npcn\rrion insuricccrfti$ r*l B,li.y numbd {c P lii) Nrn,hr' _ I \ni'r./l zZ'.clili rhor rhc Brlorn'rncc ol rhc trorl lor $nr1 rhtr n.rm * h.us. I \holl Tra\ .. *-* -ry.ir, rt. sdc^ m'nFn{rion lJtr. nf (,tirfln,J. r lolmcrhar I cmrloy ao, pc6on in rny ranicr sh.xld h.om subj.rt t' ttE workc*.omtcnsarionprovisn,nsolSt.rioo]?OOolrhclitxnCodc.l+ll.foahwirh.onplywirhrho{povisiotrs. WARNIN(:: hilurc r, sclrc workc^'conp.nslrion covcrogc n utrbNlU. dd shall \ubFr an c'nplorrr b dininrl pcMlras Md civil linc\ u! ro oie huodrcd rhorslnd dollan (SlOo,lXX)). in addirirn io rh. cod of codpr iarn,n. dimgcs as providcd lhr rhc <';::",)d' V ;8 "'iir",,Z *rc thr /o h /-oL I LICF.I\SID IONIRA( I(IR Ihcrcbyalirnu cr p.narry or nca*v rr,"r r,, ri.""*r i,a", r,E6ffififchlnrc' e(comnu.ina *irn s&ri,n ?(xn) or Divisi,,n l or rnc Adnnc\\ r'd l\olcsr.r\Co,lc. itr,l ilvl'.cn\c h,Lll lo'.c rrdrrc.r..- IANEIA]J{:I&N"I,ENDINTi.AGENqI Ihcrcbynr'ti,rnundcr pc.altyoipcrjurythat lhcrc is aonslrucriflr lcndbsrrck_] lor lhc pslonMmc olrhc work r(rRhi.hrhn Frn n nsucd (s(. r(D7, civ. c ). i.etuc rfLDIilLALAIlO! lllrt'y illirnuodcr Fnrhy ol Nrjuyonc., rhc n'llosir)E dtulrfuri'rN: DLnx)lirnm Pcnnir Ashn.s N.rificrrn,n FcdcrxlR.!trhrion\ (Tirlc.l0. Pr 6) Rcqui'cd l-crrrof N.rli.nr r J,diryrh,l.,.li.J{dla.FLldri,rrrIrJ-,ri.h.rvcn1r,,l,cr,iJfrli.:'rlc.,rhnfl.Fr 9rk'ayrhrlhJ\rrcr'lrh^rrrltrr!,n J{rcrhrrhcrhrri'rr{r'turnnri\com.r.lr8rcchrcill)l!wirhlllcyrtrdL.unry ,,,rh"c mnrinmd pr.ncn) lhr inspccri, r nurlFes irppr.rnror&enrsismrum 544 Hrdl/- \P?m lmmncrp'lnl): 22$,*" /o lY Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground ) SLAB Floor Subf loor/VenVlnsu lation Bqof Sheathing /t /t,tlr//t( t '<lilrk '/^." Shear Wall Framin s lnsu lation/Energy Drywall Brown Coal Itrlason ry Pool Fence T-Bar Handic ap Req De puty Final Report Engineer Final Report FINAL r&a/fi 6tttlur* Certif icate of Occu pancy 7 Notgs, ftemarks, Etc" ot- | Ext./lnt. Lath Flood Zone Certif . 7rL|,rD frV/tzH-*t>--