HomeMy WebLinkAbout10193954 - Permit (2),City of Santa Ana 20 civic center Plaza (M-19), Santa rr'., ci gztoz ' Building
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-273t) 'n?pLcto, Section: (714) 647-5853
Permit #: {O{93954
Pin #: 67215
Proiect Address: 2022N Bush St
AssessofsParcel 003-113-06 Lot. 14
Bldg: Address Range: 2022-2021
Tracl: MAIN STREET Historic: No
Suile Range:
Zoning: PBlock: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Addition
Addition
SFD w,att Garage
Description of Work: New addition to existing residence
Occupancy: R-3 'lst FL Area: 299
Constr Type: V B 2nd FL Area:
code: cBc 2016 other Areas:
Flood zone: x-0602320163J Garage Area:
# of stories: Totar: 299
Extension of existing bedroom, new bathroom, now laundry room.
Patio:
T.l.Area:
Yards Req'd;
Valuation: $35,000.00
Planning Conditions:
Owner:
Address
Phone;
Tenant:
Richard Boatright
2022 N. Bush St.
Santa Ana, CA 927062818
Contractor: Pyxis Water Systems, lnc.
Address: 9121 Atlanta Ave.
Huntington Beach, CA 9264
Phone: (7141374-5132
State Lic #: 896753
Lic Type: B
Bus. Lic #: 368350
Workers' Compensation lnsurance:
Carrier: Security National lnsurance Comp
Policy #: SWC1148349
Expires: 0510412018
Brian Russell
Brian Russell
6201 St. Albion Way Apt. J2O2
MOUNTLAKE TERRACE, WA 98043
83562
Gemsburq Company
Thanik Nithiphanthawong
1 '100 N. Main Street
Los Angeles, CA 90012
Engineer
Address
Archilect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd: No
Planning lnsp. Req'd: Yes
Guevara, Jerry
Scotl Fazekas & Assoc
Chavez. Dave<zO.
No
Dale: OBl23l2O17
DaIe.0112412018
Daler 02/01/2018
Subject to Field:
0 7776002
0 7 776002
0 7776002
0 890100 7
o77 760 0 2
077760 0 2
077760 0 2
57607
5 3600
57770
2400 0
5 7672
57600
51601
Permit Fee
Plan Check Fee
Microlllm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc. Receipt
Misc. Receipt
lvlisc. Receipt
69981
Total
$310.96
$388.70
$50.68
$4.55
$2.00
$21 .25
$52.98
Fire lnsp Req'd:
Police lnsp. Req'd
No
No Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shall become tnvahd unless lhe work on lhe s e aulhorized by
such permtt is co menced wilhin 180 days after its issuance,or I the wo* aulhorized
on lhe stte by such permit is suspended ot abandoned fot a period of 180 daysaftat
lhe lime lhe wo* is commenced.
01'1 16002
01'1 16002
01'1 16002
01116002
08901001
$831 .12
$388.70
s442.42
lnspector MrD# 2017-134593
51600
51601
51612
57770
24000
s21.25
$363 94
$2.00
$50.68
$4.55
Fee Tolall
Paid to Date:
Balance Oue:
Unit
ILDING. INSPECTOR BECORD
SITE-WORK DATE ID/S c.
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Forms/Steel/Holdowns -7
Erection Pads 1-b 81vl
UFER Ground
SLAB Floor rl
Sublloor/VenVl nsulation l rtb JJ4'L
Roof Sheatlling
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FINAL (,0 *x
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