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10198770 - Permit
ryProiect Address: 1230 E Borchard Ave Assessor's Parcel: 014-251-19 Lot: l9 Bldg: Address Range Suite Range: Zoning: M'lTract: 3533 Hisloric: No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA!27O2 Building Permit Counter: (7'14) 647-5800 Inspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Building Use: Multi-Family (5 or more units) Occupancy: R-1 1st FL Area Job Type: Reroof Constr Type: V B 2nd FL Area Nature of Work: Reroof Code: CBC 20.16 Other Areas: Existing Bldg. & Use: Apt Bldg Wlaundry room Flood Zone: X-O6O232O276J carage Area: Proposed Usei # of Stories:Totat p:. Description of Work: Reroof w/t.o.-Remove cap sheet and apply BUR/replace sheathing as req'd/handout givift{ Planning Conditions: Patio: T.l.Area: Yards Req'd Valuation:$10.00 l.i ?615 Owner: Address Phone: Tenant DavidH&PamelaFlesner 30576 Mirandela Ln Laguna Niguel, CA 926772346 Contraclor: FairweatherRoofinglnc Address: 1212 E Ash Avenue Fullerton, CA 92831 Phone: (714) 997-9449 Slate Lic #: 770565 Lic Type: C-39 Bus. Lic #: 189507 Workers' Compensation lnsurance: Carrier: Zurich American lnsurance Comp; Policy #: WC018971700 Expires: 06/01/20'19 Address Updote Fer 6r:r00r:r0- Architect / Desiqner; Address: Phone: License # 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'd \(t Escamilla, Manny Hernandez, Kathy Date: 0l/02/2019 Date: Dale: 0110212019 Subject to Field: $320.50 $1.00 $22.08 $s5.04 07776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07776002 57600 General Plan Update 07776002 51601 lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No Every pennit issued shall become invalid unless lhe work on the sile aulhoized by such permit is commenced within 180 days after its issuance,or if the work authotized on the site by such pemit is suspended ot abandoned fot a petiod ofl80 days aflet the tifie the wo* is commenced. lnspector MID#: 2019-148480 01 1 16002 51600 01116002 51601 01 1 16002 51612 $22.08 $375.54 $1.00 Fee Total Paid to Date: Balance Due $398.62 $0.00 $398.62 Permit #: 1O19A77O Pin #: 7{998 U nit: Block: NA Engineer: Generql F tlt 116002- Bu i ld ine 01116002- Blde Stds 01 116002- I (:L Ch acl,r Fn i.Heothpr Roof ing Inr 5r 601000- Revolv ins 5161?000- 010523 Misc. Receipt: Misc. Receipt; Misc. Receipl: BUILDING- INSPECTOR RECORD DATE COMMENTS OWNERBUILDER DEI,(]AiATrcN I h.rchy lllirm trn,i.r F_naky ol Frjury rhd I am c\cmpr {tr,h rh. Cnnkr.l.r' l,'..nr lf,w lot rlE bllo*in3 rtrqrn (S.c 7011 5 Bu$n.\\ r l Polc*r)n C,ic): Any Ciry or Cou.ry whrh rcqutrcr . pemir t' cdn{rucr. !lrs. inpruvc. Jrnxnsh ot q'!tr anv srucrurc, prnlo s issurh-'c. r\o rcqufts rhc dtrl*anl nlr su.h Fmrir b lrk , I rSncd (alcmnr rhrr h. ot sh. ir lrccns.d PuruMr t, rhe pmln$ns .t rhc Cnnrrucntr \ l-i.n\c'i hw lchanh 9, C.mmcNin3 w h S.ernn 70(Xl oI Drvi\on I .t lh. Bnrincs mJ Pnncs{on( 6,lc) or rhlr h.orsh. L(.rcmlr thcrclrom and lhclu\is i'rrh. rlLrd excarpron Any vrhronotS.ari,'70ll5bvanv apnh.or l'or r p:rm srbjccNrhc amneatrr t, , c,vrl Fnalry ot ft nk.ihlnlrvchtrnJtJJouus(J500) l. as owE_! ol rhc lrorcny. or hy cnDhy.cs w[h w!Sc! !\ rhcir $lc (nfrt'.tr !l!)n, *iU &) rh. *ork &a] rtE (Er@ tr n inrcRlcJ oro,lcmd ntr \dk l5&.?044. Buim* an'l Pm,cilon\ Cuic Thc al,nl.r.ttr'r L'(n\. 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I ircnrc Irw ) I im.r.md ud.r t.rn'n .B &PC l,{ihn'.,tun lVORI<En.S' COMPI'NSATION DECIABAIION I hctohy dllrn trtulcr Fcndryol ncriuryom o, rhc n,ln)wo3 delarar!)nr -lhdlddr wlllminrain a Ccnitlri. .f Ci)n{nl b S.lllnurc ntr workc6' co.rr.nsron, ar Pn,!:dcdntrbvScunonl7(x)ofrhc trrtr C(xL. tur rh. p.rfol'Mo ol tlE work tur wh(h rh. P.m[ 6 isued rhc work l{n *hth rhs p.mil Ls issu.!. My Portc6' comlEnrd ion nsuran.c fficr ail Fli.y numb.r ac: I r.nrfyrhdr lhc pcrlnrmn(.lrN work ltr rhrchrhi\ p.rmir ,r n{r.d.l drlln i cnPl,,yrny F_!!'n inrnvnrncr n, rs h h.rom ruhirr ro th. *orkcs romocn$rn,n hw\rl Cahnmn. anJ agnc rh.r lfl should bcoB \rnFd k] lh. vor(cr .omfoixrx,n ln visions ol Sc.rirn .17(X) ol rhr l,rtr* Gll.. I slull. n'dhwih .ontly w h rhrr !tuvnNnr WARNIN(; r hrc n, scurc w (.r (o rtxis rn ..v.rr!c .,vil lLn.\ trf L) onc hn lcJ rhou\rnJ d.llh lSlln|.Uxr). ln Sc.ri,D l0?(r ol rl!. hhtrGrtc. mr.r! rBl onty \ t'c\ tr trn[\hLl. r l nr.r]l n hj!'.r x', .n,Pl'iyu k, dDtrrJ P.trrh.\ rtui rn. Jrmdpes a\ pnvidcd ,r rh. I hcEhy ailtm Dndcr p.nalry ol Frjury rh{i l ,m lien{J und.r pn)v6nr ol Chadcr 9 ( commncl.! w h S&rIn ?Urc) 01 l)ivtrn'n :l .l rhc ausm$ ! Prncsons C.ric. md my ltcn* i\ in tull l,,(r rxl ctlcrt. COIIII!]SIIONI,ENDING}EDNIT I hcrchy.fltm utrder pcnaliy.I !.rjtry lhar lhcrc n acondtucri,n kndo. .scnuy,nrrhe 0.rlotnm4 ol thc*o fot *hichlhis Pcmir i\ r\!.d (Scc.109?, Civ. C.) AIILTCAILDLCIASAUAN I ln$y,iim und.r Fnalty ol p.ljury o* ofrh. tulbBmP dcul{ldion\ DcBnrrio. P.rn v^\b.(Ds N.r rcik'n Fr.J.rrl R.8ul!ron! (Tnlc 4l). Pd6) R.!urc!i I-. $.1N"t i( n I ucnrlyrhJ rhc ltdcral r.Suhtr).\ rcSd'ling rrtrno\ r.Rtvrllrc n.r {pli.r6['n) rh( PmJc -l r.n'tyrhd I hlve rc!'lrh'\appli(aton dri sialc lh lhc {h,l.'9r.. h(,nlt'ly wrrh rllC yrr (in y rr'vcs ntrh'\ (iry rtr,l county r) cnr.r trF, r1rordrrn.c(aBl Srarc ltrw\ r.Lrnr !' htr'ld s.on( rh,vc i.nrnr,.d ',l]cnr I'tr tr' Arpliunl o.,\A.nl SiAnnlur( Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation I Roof Sheathing t/tr'llr e'M.) Shear Wall Framinq lnsulation/Enerqy Drywall Brown Coal Ivlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report il FINAL z////E 1r-811 4//7-v Notes, Remarks, Etc SITE-WOBK ID/SIG. ,",,, /-Z' /7 L.n.lcr'\ Nrm - knJ.,r AJ.ir"* ^ ,/-Z-ll Ext./lnt. Lath Flood Zone Certil.