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10197252 - Permit
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 10197252 Pin #: 21994 Proiect Address: 1915 N Flower St Suite Range: Zoning: R'l EUnilBldg: Address Range Assessor's Parcel 002-093-10 Lot: 38 & POR 37 Block: NA Tract: 748 Historic: No Occupancy: Constr Type Code: Flood Zone: # of Stories: 1 st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: Patio: 338 T.l.Area: Yards Req'd: Valuation: $3,800.00 0 Description of Work: New solid roof patio cover Planning Conditions: eot,:ht:45?33 Ulf ice: aiYH I / l1/2ttl9 Irons+; {tl ID: JGLl Engineer:Jiwanjit Fala.tra- Jiwaniit Pdlsha i 9/14l21r19 1 : Iir:r *33?. IOwner: Address Bob Pelligrino 1915 N Flower St Santa Ana, CA 92706 (e49) 289-3863 Contractor: SiemonsmaConstruction Address: 1048 lrvino Avenue Suite 43i Newport Beach, CA 92660 Phone: (949) 422-0628 State Lic #: 536498 Lic Type: B Bus. Lic #: 370195 Workers' Compensalion lnsurance: Carrier; Policy #: Expires: Address 20529 E Rancho San Jose Dr covina, cA 9'l7z+ I li' I r(itr (626) s24-X331 . .r,,,. C49533 1r.,. L i,1r1i .r, illlltl ,I ' i,li'lI , I i rr1.ll1r.ltr- Phone: Tenant: Phonel Lacense # Architect / Desrqner: Address: Phone: License #fi tha;trli Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: Gomez, Pedro Ahangian, Kathy Chavez. Dave<72-' No Date: 07/30/2018 Dale: 0911212018 Date: 09/14/2018 Subjecl to Field: Misc. Receipt Misc. Receipt Misc. Receipt 't 1322 07776002 0 777600 2 0 717600 2 08907001 07716002 07776002 07776002 57607 53600 57770 24000 51672 57600 57607 Permit Fee Plan Check Fee Microfilm Records SNIIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance $150.00 $131 .82 $3.76 $0 50 $0.00 $22.08 $55 04 PWA lnsp. Req'd: No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd U Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every pemit is'ued shall becomo invalid unless the wo* on the site authotized by such pemit is cofimenced within 180 days aftet its issuance,or if the wo* authorized on the site by such permit is suspended ot abandoned lot a peiod of 180 daysafter the limo the work is commenced $363.20 $131 .82 $231.38 MtD#. 2018-145007 01't16002 51600 01 1 '16002 51601 01'116002 57770 0890'1001 24000 $22.08 $205.04 $3.76 $0.s0 Fee Tolalr Paid to Date Balance Due: Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family owelling Patio Cover Patio Cover Sfd w/det garage R-3, U VB cBc 2016 x-0602320144J :. . r_l lnspector BUILDING- INSPECTOH RECOHD SITE-WORK DATE ID/SIG.COMMENTS OWNT'R BUII.DER DEI-CARATION I hcrehy arfifln undq rEnalry of p.rjury rhd I an crc'np! rnnn rh. Cont.cron Lkcnrc Law for lht lollowins ruN,n (sLt.7orl.s Busincs! and Prulc\sn,n Cdc) ny Cily or Gunry which rc'ruic( ! rcrnil ro cotrnrucr. xlrcr. inDovc. dcmolrh nr rcnrir uny srrudurc. prior ro ils ksulncc. !l\o rcquncs rhc applicrnr lbrsuch pcmrir b lilc d silDcd natnr thd hcot \hc i\ licdi{d l)u6urnr nr lhc provisiotrs orrrr Conklcrois Liccn$d Llw (Chaplcr 9. Connncncirs *irh s..rn ?(xD of Division I ofrhc Bu\inc\\ rid Prolcssions Corlc)orthir hcorshc iscr.mpr rhcrcrronrnd rhcbrsir r,, rhcalL8cdcxcnr ion. Anyviol ionotsern,nr0:115 by dtry {rlicinr tuapcrnrir suhjccr\ rhc rppli.mr h rcirilF.xrryornor nxnurh,tr fivc hundEddollanlS5uO) l l. a\ owncr oi rhc Droltnr, or Dy cnr,,loyes wirh {!scs !s rhcn wE cootciernrn, will do lh. work jnd lhc slMlw is ior irlco.lsl or oficrcd lor sslc (Ss.?Or4. Busim$ lnd t'roacsi.ns Cod. Thc a,nr,.kr's Li.cnsc kw docs nol llrply t, dn owin of rhcpn,Fny wklt ilds or inpn)B drdrn. dd who d€s skh solk hinNc{f or hcrclf or rhmugh hh .r hcr own.mPloyes. prarilcd rhor \uch inUmkrEnrs e mr inrendcd ontrc{l ti,r $h ll ho{c\rr. rhc h{ildi'rE or nnlmv.mnr is sld *irhin one }tr olonrhli)l lh.Owncr Buildcr willhavc lhc burden oI povirs rt r hcu shc did frn hoiu or nlll)turc rhc Popdy aor rhc Ptrqnsol -l.a\o*nc!ofrh.prop.ny.rmcrclu\ivcllcontrri',gwirhli.cnscd.o.lrrclo^l{,LrnrslnrtlhcFn,rlr(S..7(!4.BusmsMd Ph,t6sbn Cod. Ih.Contnttr'sLiccnscL.wdoc{tror.fplyroxnorn.rolIn)nc ywhohulldsnriNfrovcsrh.rcon- rtrd eho contBca rbr such ptr+cr\ sirh r (i,nrrnn(, licci*d nu^uanr t' rlrc C.ntraclois r,iccn\c I trs) I arcxcnrfl uDdcr Scdi Ox ner lIlatrD&s:clJllfENsaloN DI.CIANAIION I h.r.by rlTtnrnndcr |xnrlryofp.rjurtotu orrhc nrlk,{mg d.rlrrurrntr -l harc and will Nintdin ! Ccnii.ar. or Contuir t, sclt l n\urc rrtr workc( c..rFnsal io!, rs pmridd nr b, sc.rion 1700 oi dc tih.r Codc.lorrhc pcrfonnncc olrhc work,ffwhichrhepcnnil ir issucd _l havcond *ill nrainrrin *orkc6' .o'np.nsarior insurarc,,s rcquncd hySccrionl?00o1'rhc ljborGdc. forlhc!t btnnnccol thc s.'I nlr which rhn I[yworkcrs ..np..surion i$ururcc clric! ud lxrlicy ntr'nbcr e. I ccnili rhnl inrh. Filnrnrrccoflhc *.rk lq whichrhi\ Fnnir i\ i\sucd.l sh,ll..r cnrlloyanyrcrsn ir rnym,ircr $ !\ ro bc.om \uhjNr ro thc wod(dr conrp.nsarion h*! or Calirornr,. n n8rcclhr ill slnult h.totu subjc.r ro lhc workcr conpcnsnn,n lrcvkio.\ ofSc.rion ll00.frhc Lrhtr Gxlc,I slmll. ionh$irhcomply wirh rls{ pn,vfiotrs. WARNIN(;: FailLrc k, *.urc workcs conlPcnsarbn corcrua. is unh*liil- md d l \ubrlcr in cmpkDtr lo oiminal pcmlri.\ rtul civil finc\ !p k, onc hutuled rhoui.fld dollds (Sl(x).o(xjl. in iddilintr lo lhc..sr ol co D.nsarion. drnrScs as P.ovidcd f(tr rh.'::4;ifia : I beEhy arfirmxnd.r rcMxy or p.rjurt rhai I anr liccns.d undd pmvniotr olchaprcr 9 (conftn.i6g eirh Sccliotr ?(-l()0) ofDivhnrn:l of thc Ausiresr and Pmtc$ionr Codc. rM m, li.ctrs. is in full lorc and cficct. *-,.9 SONEItrUEUONI.!!D,INIjTG!N1;] lhcrcbyrffinnuDdcrpcnilryofpciuryrhlrrhcrcnuconnrucri,nlcndinE4.tr.yrorthcl)crr'onrunccofrhcworkrorwhthrhis[lcmilis i\\md (S.. lo9l, Cir. C.l. AEELLCANLDECITIAIIa! I hrty arnm hder ncnalr, orFcrjury onc oathc rollosirS d..lnr!ri!ns Dcndilion Pcrn rlA\lEnosNoriltarn,n F.d.ful R.guLrnn\(Tirlc40. Pad6) R.ouftrl Ir cr of Nor 'licarion - _l mn'l' rh rh. r.dnal re8ulrtonr rcg.rdm8 !\bc.tosrcmvslm norsfilli, rble !o rhL tmj.d %3rtt tn, tn* *,a,rri apnlrsrmn.rd s0rc rhir dc rhvc informri.'n h coftcr.I asm ro omply sirh all cirrlnd coun(y onlinrn..\ JtrJ srrrc ll$\rchriu n' huiuiirr r.n{n'.r hcrchyrurho'i/.r.frc\. rrrnc\ol rlrl\ CiryitrdC.unr,k, circr utr,trhc rtx,vc nrctrrtnrd pn,pd, for i' ADpli.nnl or Alcnl Sign!turc Set Backs Forms/Steel/Holdowns I Erection Pads Wr) UFER Ground SLAB Floor Subf loor/VenVlnsulation -t Roof Sheathinq toll 6 .u-aA/1 Shear Wall Framing loll tVz U.ccQ 1 ),) lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat [/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report FINAL 1\(t Certif icate ol Occupancy Notes, Remarks, Etc { 4./tty ,4.- Flood Zone Certif . P{'li.yNx ih.r:-Erpncs: glvkt --------r------ ---------t- II