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10197691 - Permit
Permit #: lO{97691 Pin #: 63700 q Proiect Address: 4718W Bruce Ave Assessor's Parceli 100-455-10 Lot: 11 Unit:Bldg: Address Range:Suite Range: Zoningr RlBlock: NA Tract: 2465 Historic No Single Family Dwelling Reroof Reroof SFD watt Garage R.3, U VB cBc 2016 A-0602320143J 1 1st FL Area: 2nd FL Area: Other Areas: Garage Area Totall Patio: T.l.Area: Yards Req'd: Valuation: $4,000.00 Description of Work: Tear-off & apply composition shingles. Handout given Planning conditions: got rih i I / l3/2ttlt1 IronE+! 3] P6f:: IO: E lrili Engineer Address: 9/ |3/?ttLg t')14 t3?s.Owner: Address: Phone: Tenant Miguel A Millan 4718 Bruce Ave. Santa Ana, CA 92703 (714) 839-6061 Contractor: Sudduth Construction dba ( Address: 1010 N Batavia St #F Orange, CA 92867 Phone: (7141720-796a Stale Lic #: A47279 Lic Type: B, C-39 Bus. Lic #: 318989 Workers' Compensation lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 9077388 Expires: 0310112019 lrans(lrt r Dn l,)t(tI udduth ,.on5tr'ucL iBn dbo tiu0td Phone: License # Architect / Desiqner: Address: Phone: License # !uil0rn9 Lrllr6r-1Ir!- 6ener(1 I Lll l l6U!l - glds Stdr Lrlll6Lt(r:' {CL (:he,-l r16trluu(r- nn [JpdqLe Fee r I6r-rtrtr(r0- Ftevolving r 1 6120r:rn - t725194 Planning Approval By Plan Checked By: Permit lssued By; NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd ro Dale: 09/'13/2018 Date: Date: 09/13/2018 Subject to Field: $320.50 $1.00 $22.08 $s5.04 07776002 51601 Permit Fee 07776002 s7672 Bldg. Stds. Revolving 07776002 57600 Genetal Plan Update 07776002 51501 lssuance No o o Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Account#Total N N $22.O8 $375.54 $1.00Every permit issued shall become invalid unlessthe wo* on the site authorized by such pefinit is commenced within 180 days after tts issuance,ot if lhe wo* aulhoized on the site by such pennit is suspended or abandoned for a peiod o1180 days after the lime the work is conmenced. $398.62 $0.00 $398.62 lnspector MtD# 2018-146072 01 1 16002 51600 01 116002 51601 01 1 16002 51612 city of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, CA127O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714\ 647-5853 Buildang Use: Job Type: Nature of Workl Existing Bldg. & Use: Proposed Use: Occupancy: Constr Type: Code: Flood Zone: # of Stories: Misc. Receipt: Misc. Receipt: Misc. Receipt: Fee Total: Paid to Date: Balance Due: BUILDING- INSPECTOR RECORD ID/SIG.COMMENTSSITE.WORK DATE Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor ))Sublloor/Vent/l nsulation Roof Sheathinq /D.l,z-fr C?,'?-l 7/ Shear Wall Framinq lnsu lation/Eneroy Drywall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report /U/z/td t) Certif icate of Occupancy - / (./ Notes, Remarks, Etc. t IJ o I tL OWNDR IIU!LDDII DELCARATION I ricrchy trlrir undd Fnolry ol periury rhar I 4 cxcmrr rio (hc cotrrldo'r l-i.tns. u* r.r rhc lnllosins rca-- 's""orr 5 Busnr$ r Prolc$ion adc) Any Cny or Cotrnr, w|i.h rcqlne\ r Irmir tu .on(n'd. ahcr' iqi.v.. dcnnlish or rcpan anv nrucl[c, friorro irs i\suan.c,dlsor.quircslhcuDDlicitrlri"{uchFnntoiilc,\i3.cdslltcnEtrrrh,th.orshcisllccn*dPo^utri' t' rhc pmvnnnN of lhc Conlr{.lo s l-icc0\cd l-aw (Chrprcr 9. c-onnncncing *irh sc.rnJn 70u} ol Dirnion 3 of rh. ancin.s( ,nd l'iolissiotrsCodc) rlhrrl{or.hcncxcu rhcrclinn0 lhc hosk Ltrrht dlcgcd . rc n{'l ion Anyvdsri( olScclionT0.ll5hvany apDlicxnr for rtcfln suhjeN lhc uptlicatrrro acivilpcmlryolk, ni)rcrh ivcl ndrod dollrrs ($5(x)) l. rs oqncr o{ rhc nmrcny, or my cnployccs *nh wrscs ns lhci q,lc oml).nsar ion. will do lhe sok $d Ih. $udE ir rn inrcndcd or oilcrcd for qlc (s(.7(x4, susirE$ otrd Polcssions C,rlc Th. G,nlroclois l-iccnk tf,w dN\ nol .t'Plv lo a. owftr or rhc pml.ny qho tDilds or ir{,mki rhcmr. dd who d€\ {u.h *!rt hi'nsclfor h*selfor rhnruSh hh or h.r own cmPlo}tcl pmlid.d rhri such impmvcunt m mr idcnd.{ d oftdti tor $L lt ho*cw, rhc hiklirg or it!)row'Enr is vrld wirhin .m ]c- of co.Dhrion. rh. own r Builds uill h(rc lh. l'arnc. oI F,ving rh,r rf, or shc did mr huild or inpovc 0E ,,Dpcny r.r rhc t qn$ ol -1. us owoer ot rhc prolrdy, am crclusiN ly .ontrrr ins wirh lidnsd conr,i.ro6 (' constu.r rh. ,$iN (Ss 704t 8 (i".* rkl Pbfcsim Codc TncCo d.ttr s Li.cnsc Lrrdocs norrpPlyro nnosn.rorlmncrlysho toild{ornnfrorcs rhercon rnd who.onlrmclorsuchproj(kwnb,conh.r)dnli.ctr*dt]usumrhrhccont,.tn\t.i.entljw) I n.r.nhr utr.l.r Sccrio Drr.: O*rer rronxrns' cotnt ws,rrrox DIgI.AIAIAN I hcrby rrfirfln.dc. pcnally ot pcrjlry un. ur'lt rolkrsinS dccln.lions: -l hrvc ul will roinrain r Ccd,ficorc of Conscd n, Scla ln\rrc ror wortcr' ompcnsarion. as provid.{ fo. bv Sedin .r70o or rhc hborCodc. nxlncpc.,o!@nft of ihcwork lor shichtne ncrnri i\ nru.d. Ihattrndwill.ri'nxinwo.kcFconrNn\ari{ntinun'mc.a\rcqur.dbyScclionl7(()olrhttjhotCodc.lorrhcpdfonru.ccof rhc sork lor *hich lhtpcrmir il i\\uL{. Myworkcis conrp(trsrri{nt su6ncc canicr et rri.y nu'nrrr dc: (!ri.r I.cni,y thrr ir rhc rcri.nDncc olrhc solk tu which lhis Pcn.ir i\ i\sucd. I shtll nor cnrloy rny p.r{r irr rtrv nxmrcr e !sio tEo'E subrccr b rhc soikcN comPcn\nrnnr hvs ofCnlibrrir. rnd !3rcc rhrr if, shruld bcc.m subicd r. rhc *rrkcli comlltisrrn,n pn)vnions ol S.ct i.n :17(X) ol rhc Lhtr Gtlc. I shill. lirdhsirh .oNPl, wirh th)e Poli\nff. WARNING: Frilurc x' {.trc workcn .onrE,\.riotr covcsgc i\ unllwrul, Md rhlll suhjecl m.dlloitr ro siminal0ctuhi\ and r) rN huRlrrd rhou\itrd (loll.trs {tl(xr.lxxr). i', rJdirIn ki rh. co{ o, .onrcn\nridr. drtrug.s trs Pn,!idod lur rhc sc.ri(rr.1076.1 rhu l.rhtr(itrl.. iN.rc\l dtr(l ntr DECLAX{IIOX undoprovisi( rofCh prcr9(.o'nntrcinsqirhSc.ri(,n71tr0)olDivnion:lI turcl,yrrlnrutr .rl[ rlr,o1 ]rcrjuryr oi rhc llD!irrs rnd l'fl,rcsnrrN C.dc. nid nry li..D{ i\ Et cg 9// 72 7s "",", 9-/z-,/8 I hcrchy linirn ud.r !.nrxy oi t'c,jury I har I hsrcd (Scc :10e7- Civ C) i( lcndir!n8cn.y larrhclcrlnrnun.c olihc {ork forwhich rhi\pcrn,i! i\ knJcrr Na'rc: - -lccnilrrharrhcf.dcralrcgublionsrcSudinBs\bcdo\rc x,vnltc tror uPplicsblc r, rlls Pm.,ccr Ilkrrion alxl natc lhlt Ihc olFrc infomrion is..r(t. llsG lo.onElywirh trll Cirylnd Counry buildine .onnruclion- 0{, hcrcby !orhr,. rcrcsnhrivcs otrhis Cny.nd Coury t' cnr$ uBJn rh. *,"215-12 C4zTezz Flood Zone Certif . FINAL f 4{/1 .$ I "",". 2- l7-R APPLICANT NF(:I ARATION I ho$y lmm under penahy orp.rjury orc ollhc fullo*ins declaturiotrs: D..dirio6 Pcrmih'Asbcslos Norin art'n FcdcrnlRcgulnrions (Tirlc 40, P,n6) Rcquned Lcttcr orNoriti.drbn I I