HomeMy WebLinkAbout10197239 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27A2 Building
Permit Counter: (714\ 647-5800 lnspection Requestsr (714\ 667-2738 lnspector Section: (714\ 647-5853
Permit #: 1lJ197239
Pin #: 3769{
EProiect Address: 5416 W Silver Dr Address Range: 5414-5416
Historic: No
Suite Range:
Zoning: R2Assessor's Parcel; 099-21346 Lot: POR 5 Block: B Tract 366
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Miscellaneous
lnsulation
SFD datt garage
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R.3, U
VB
cBc 2016
A-0602320252J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation: $2,700.00
Description of Work: lnstall insulation
g/3/2t:tl S
lrRns+r 26
R€l+ I- g/3/2i1lv
Planning Conditions:No Exterior Modifications
ti
I
Engineer:gv I rrSS (:!, ilba
Owner:
Address
Rany Angot
5416 W Silver Dr
Santa Ana, CA 92703
(657) 247-9999
Contractori Free Energy Savings Co. db
Address: 4751 Arrow Hwy
Montclair, CA 91763
Phone: (909) 445-0450
State Lic #: 1034739
Lic Type; C-36, B, C-20, D-65
Bus. Lic #: 330814
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9216466
Expires: 0411412018
Address.tEnerql t
u1116r"10?-
Euild ins
u 1116(02.-
Elds Std:
rJ1116002-
ICL Che,:l
n Updqte Fee
16Lttt(tttt-
Phone
Tenant
6r-ll uuu-
vo 1v ing
61200u-
2S36Architect /
Desiqner:
Address;
Phone:
License #
Planning Approval By;
PIan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'dl
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
$ Hernanoez, xatrv
Date:
Date:
Date: 08/03/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07775002 51601 Permit Fee
07776002 57672 Bldg. Stds. Revolving
07776002 s7600 Genelal Plan Update
07776002 51601 lssuance
$160.25
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd; No
Flood Zone Cert. Req'd: No
Account#Total
Every petmit issued shall become invalid unless the wo* on the site aulhorized by
such permit is commenced within 180 days aftet its issuance,or if the work authotized
on the site by such pemit is suspended or abandoned tor a period o1180 days after
the time the wotk is commenced .
$238.37
$0.00
$238.37
lnspector
01116002 51600
01116002 51601
01116002 51612
$22.08
$215.29
$1.00
Fee Total
Paid to Date:
Balance Due:
Unit:Bldg:
tii.i1.
Phone:
License #:
MID#: 2018-145136
BUILDING- INSPECTOR RECORD
SITE.WORK DATE IDiSIG.COMMENTS OWNER DUII,DER DT,LCARAToN
I h.rcby rl6rn undcr n nally oi pcrjury rhd I lnr cxcq)l fmnr lhc (tNacnnc Liccnsc tiw hr lhc rbllowin8.cu$n lscc703r.5
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strucrurc. nriorlo,is isuarcc. !|rc rcqutcsrhc arpli.rnr n, su.hltnnirro nlc r si8ftd sldcnEnr thrr h.or shr k li.cnsd nusurtrl
ro lhc phvhioi\ ofttr Conrr.ror's l-ic.i\cd lj* lch3lrcr 9. Cohmncina wirh Sc.rn,. 70fi) of Dilhi.n I of rhc ausinc\s ond
PnLssions Codc) o. lhrr hcorshc iscxcnpr rrf,r.rr.'n dnd rhc l,aris ror rhc allclcd cronp'ion. Any viol i.tr olsction?03l5 hr rny
lprrlicaNnnapci'nitsu$jNkrhc.mlicanlroa.ivilpcMktorflornucrhannvchutrdrcddoll.r(Sslx)).
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pioFdy. or nry .n1l)luyrcr wirn slscs rs rhcn sh .o'nPtn$rn,n. *ill do $. wor* dnd rh. (Mm ir n.r
i' cxlcd orolTcB, for qlc (Sa 7(,,1-t. Busim$und Prcfcstuns Crtc The Cotulcroi s Liccnsc lrwdocsn.r amlyt',no*mror
rhc nmtrny wh, huilds or i'np'!v.s drh[ md wlx, d@\ $ch w)rl hi'n\clf or hc^c li or rhlongh hh or h.r own c pbrccs.
pmvidcd rh3r u.h impnrcmnts aE mt inrcndd n offcrcil for $k ll. how.rtr. rhc huildirt or iqmvcnbnr h sld wirhin .m Jer
oionlphtion. tlf Osncr Buildd will hrrc rtE burdcn ofptulin! rlllr h. or sh. dii fr, hoi}l or ingftw rhj ftuIdt ft" rhc ,rr|bs of
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nsowtrcr oflhc pmpcny. amcrclusilclycont,.rir18 sirh I iccn*d .o I ri.lon to d,.(rucllhc lnjcd (Sa 7ur4. Buiirc$
iM lhlf*sbn Codc: 'l hc Contrctx ! Li.cnsc l:N doc\ nol npl,ly ro !n o*ncr olpropcny *h(,l'uilds or inptuvcs rh.r.oi.
aod who.onhcrsro,su.hpojecrrwnh!ConrEchnrli.cnscJpurunr'orhcC.nrd.lsl-iccn*ljs)
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mcicmpt undcr SElion-. B &PC forlhhrc0son
Dater Ownerl
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ull;!,ltBAlra!
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hrv. uxl will mrinr0ir r Ccniic.rcoiConscnr b scltlNurc lnl works{ $mpctrs.lion. ns pnrvi.lcd r'o, byScclion lTlrO olrhc
btxrCodc, nrrhc Fr|rmin.. of rlr wort for whi.hrhcpdhir h is\u.d
jdf *o *'u.".ot.**cn comrcnsrrion insurancc. rs rcqnrcd h, sccrion.rTtx) orrhc l.lhor codc- nr rh. l).rr(trmte or
t\.tr'IfnNhhhlti.I]emir'\trq.{Vy*n.loilnrnnctrqt\rn}urrrcc,nrrDrdF,lr)numtrrc
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I..nity rhr fi rhc Frfor@n.c ofrhc wort for which rhis p€nnir is h\rcd. I shullnor cq)n,y any r.rson in 0ny nunNt
n) $ k, bco,nc {rb]cct b thc workas onDcnsdion hws.rcrli,nmir. dnd agrcc thtrt ifl (lEuld b.ronf, sunjd kr rlr
sorkd^' conlansoli,,n pDrhions of Sr.-r ion 3'70() ol thc li&, Gxlc, I $rll. Ion h*irh dnnply wirh rtx'{ pmri\i,nr
IYARNIN(; F,iiur. ro {.xrc work rJ.onDcnsarihn.ov.rdsc ir Dtrhwlirl. a d slfill {rhici atr cmth}tr lo dimMl pcdrics ond
cNil finc\ Ul) ro om hundrcd lhuusand doll.s (Sl(x).lXX)i d.lnnnr ro rhc .os ol cotrrt'.nerion, danm8cs os trovidcd hr rhc
of rhc bh, cdlc. inrcrcsr aM r onf,r\d4_
DICI.ABAUQN
I hercby6mrmund.r pnalry oa r.rjuly ttut I lnr liens.d und.r pmvhio, orChqrn 9(comnf,rcin8 wilh Sdiotr 7()()l, olDivnion.l
ol rlr Busnr* d Ptufcsions Cod.. aid my li..ns. h in tuu for.. dJil.lf..l.
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SJNIIAUSIQN"LENIIINJ;.AIiINCI
I hcrcl,y aifirmundcr pcnrlry oi pcrjury th.r lherc is a cotrsrucrhn Lndins a8crc) lorlnc nr.lnmncc orrhe *o'k ror whi.h rhi\ Fmrir Lr
isncJ (Scc 1097, Civ C.).
AIILICANLPECI.Af,AUA!
I H,y o]Im under p.ntrhy ol pcrjuy onc oiltu lohwing d.clmrions:
Ixmlii,on Pcrmih Ash.(os Norilicdion Fed$al Reguldlions (Tirlc 40, P{d6)
Rcqun.d hrlcr of No.ifmlion
/-l rcn rry rhar rh. fcdsol rcFU bri.n. rcelrdhg .\treo\ fr rvJl xr rn' drplr$lc r. rhn pmlcd
-l
ccnilirhot I hi$ rc{drht opplic nrn ntrd (rrclhd rhc{tnvc inlnrn ioiscoEccr lo8rLrloonrplyrirhallCirylndCoriry
ordininccs and Sklc tiwsrchin8 r)irs con(nErion. iM hcrcbyournorize reprcsenl.lir\ oirhis Ciry and Counryb.nrcr ulx)nrhc
itl]rc trEtrti(rrd lbpcny d
iDpli$nl o. la€trt siaDrlore antu
()I ^,"*-3'tt'
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Shealhinq
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
!'lasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
En gineer Final Report
Flood Zone Certif .
-\
FINAL ?20 t9 ,ffdz',
Certif icate of Occu pancy
Notes Remarks tc//lzo
'z-
Sublloor/Vent/l nsulation
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