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o' n n Permit#: {O{1OO482
Pin #: 22292
Project Address: 921 W Corrioan Ave
Assessor'sParcel: 002-3ll-13 Lol 35
Unit Bldg Address Range:Suite Range:
Zoning: RlBlock NA Tract 6892 Historic No
Building Usei
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use.
Singls Family Dwelling
Revision
Revision
Sfd wratt garago
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:'
R-3, U
VB
cBc 2016
x-0602320144J
1st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:
Ooscription of Work: Revision to '10'l 100042rut rafter tails
Owner:
Address
Phone:
Tenant
Miguel A& Esperanza Parada
921 Corrigan Ave
Santa Ana, CA 927061101
(7'.t41 417 -2906
Contraclor: LJHausnerConstruction
Address: 1571 Parkway Loop, #C
Tustin, CA 92780
Phone: (714) 5/r/r"3100
State Lic #: 326317
Lic Type: B
8us. Lic #: 345'152
Workers' Compensation lnsurance:
Carrier Everest Nat'l
Policy #: 7500013335101
Expires: 06/2312019
Engineer:
Address
Phone:
Lrcense #
Architect /
Oesiqner.
Address:
Phone;
License #
Ahangian, Kathy
Hernandez, Kathy
Date:
Dale: 06/'18/2019
Oate: 05/18/2019
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002 53500 Revision
07776002 57600 cenelal Plan Update
$'1 11.0€
$0 00
Fire lnsp. Req'd.
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No N/A - No Batance
Every pemit issued sha becofie invelid unless the wo* on the stle authonzed by
such pe\nit is commenced within 360 days after ls issuance oa t tho wo* authonzad
on the sito by such pefinit is suspended ot absndoned for a period of360 days aftet
lho time the wo is commenced.
$11 1 0€
$11 1.0€
$0.00
lnspector MID#: 2019-'151361
Fee Total
Paid lo Date:
Balance Due
\ Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
NPDES lnsp Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Total
BUILDING. INSPECTOR RECORD
SITE-WORK DATE lD/fG:.COMMENTS OWNET BUII,DFI I'EII' RATION
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Set Backs dU.J
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
ln s u lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL T'Ld'(Z.4/L / /U/?
Certificate of Occupancy
Note Re arks Et
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Forms/Steel/Holdowns
Flood Zone Certif.