HomeMy WebLinkAbout10197122 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 10197122
Pin #: 54359
EProjectAddress: 2038 N Ross St
Assessor's Parcel 002-'t12-22 Lot: 25
Bldg: Address Range Suite Range:
Zoning: RtBlock: NA Tract: 788
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Revision
Revision
SFD Wdet Garage
Occupancy:
Constr Type
Codel
Flood Zone:
# of Stories:
R-3
VB
cBc 2016
x-0602320163J
1st FL Area: 0
2nd FL Area: 0
Other Areasr 0
Garage Area:
Total: 0
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Description of Work: Revision to permit # '10'189122. Omitted awindow in bathroom.
Planning Conditions:
Ownerl
Address
Phone:
Tenant:
Contractor
Address:
Engineer
Addressi
Kelly B. Pea rt
2038 N. Ross
Santa Ana, CA 927062506
(3101422-3158 Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Botch9:4500{ - 7/21/2ttt8 I0; 1-p6961g,offic8: CTYH Tponsa: I 1 ot 1AccLi: Ret+: ttit97t2)Rcpti:0233133{ - 7/14t2uti. 1:+.-t pn
Tronsoct ion Totol *1t1.r:tg
Xetly B. Peant
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #:
P/C Bu i ]d ins
01t16002- 53600000-
lloster Card
CC+: *rrrlrl****r4 7l 9
$ 111 .0.qAuthirEl{?12
$111 . frg
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
Gomez, Pedro
Ahangian, Kathy
Chauez, Oave gra-
Oalet 0712412018
Dale. 0712412018
Oale:0712412018
Subject to Field:
l\4isc. Receipt
l,4isc. Receipt
l\4isc. Receipt
$1 1 1.08
$0.00
$0.00
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 01116002 53600
Every permit issued shall become invalid unless the wo* on the site aulhorized by
such pemit is commenced within 180 days after its issuance,ot if the work authotized
on the site by such permit is suspended or abandoned fot a period ol 180 daysafter
lhe time the wotu iscommenced
$1 1't.08
$0.00
$1 I 1.08
MtD#. 2016-128477
$1 11 08
Fee Tolal:
Paid to Date:
Balance Du6:
Unit:
Historic: No
Owner-Builder
01776002 53600 Revision
07776002 57600 General Plan Update
07776002 51601 lssuance
lnspector
BUILDING- INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BU!LDER DELC R"4TION
Ih.rcbyaflirf,und.'F.dlryofp.rjuryrh l m crcn,/ lrom rhc C{,nr,.bn t-icc.* Irw for ih. folk,wirB n.on(Sc.70ll5
Busincs and qolc$ion Codc): Any City or Counry which r.qurcs r ncorir ro conslnrct. ilrcr. imnrovc. dcmlih nr rcr'n rny
qtu.rufu, t'i, t, iri is\lance. aLso Eqrncsrhe amlicanr ior suchpcnnirro filc a skncd natetunr rhar h.or\h. i{ li..nscd pxrsuMr
io rhc prevni.n\ ol rh. Co.tr.ct.is Licctrscd tav (Chrrr$ 9. Com'rencnr8 wnh Sc.rn,n 7ftx| of Oiltnrn I oi rhe Blsincs and
PnrlcsioNCodc)orrhrlh.or\hc is cxcnrfl rhcrlrom and thc b.sh lor rhcalkScdcxcmplion AnyviolelimotSc.rionT0.ll5hy,n,
,mli.arrorar.nni,suhjerrh.amli.rnrbacivilpcnrlryolnotnuclhrntivchuidrcdrtolk(\(S5u))
-1.aso{nc!oilhepmpcny.(trnrychployeswirhwrycsrsrhcnshcomncnrorion.Nilldorhcw.rkm
lncnodurcho,
i cnLd oroficrd for !rl. (S( 704,t. Brsift$and Ptrrtsio.\ Codo'fh. Conrrcrol\ Li...s. L,s docs nor apply r. nn o\ ftr .f
rhcrarrny who hrildl or inwows rhcNn. !n! wh) d,rs slch \)lk lrinNclfo. hcaclf.r rlmugh hr\ or hcr owncnrrl,Drcs.
prov cd ltur such inuroErrcnrs e nor irncNLd n orcErl for srl. lI h.scv.r. rlr ${i[]iu or inDft,v.nBnr h \old {irhh .trc yqr
ol conphton. th. O$Nr Buikl$ will hrvc r,r burd.n uf rrovinB rhd hc or sh. did nor build or imfiold rhc pnrdy for rtE pulb* .f
L rs owncr ol rhc l,l)pcny. ruc(clusivclyconrmcrirg wirh li.ctr$rl .onrrrorl ro conrrDd rhc t)mjcd (Scc 7O&. Bu\irc\\
lnl IbLssir Codc Th. cotrra.rf's Lic.nsc ljw d,rs tr.r lpply r, an .u n.r of fi.p. y wh. hoild\ or rnll)rovc\ rhclcon.
r.d who conrEck l'or cuch pnrccrs wnh a G)nrrldon, lieflscd pur{rnrr' rhc Conrrocrois l-iccnsc lj+r
I anrcrcnrpr udcr Sccrir)
t,t" - -1 24 v f
I hc'rhyxlTi'n'und[ rc xlrrol r)r4triyoDcol r[. n'lL,trrinE (lc.Irnrtnx
-lhlvc
ud sillmainlair aCcnificolcofConscnt roSclf-lnsurc for workcr' ompcn$lior. as nmvicd nn hy Ssri{,n l7(x)or'hc
Llbnr Cdc- torrhcpc onmrcc ollhcwork f.r whichrh. ldnrit h ssu.
I l'r!c rn,t *illmi'rrrin {ork.( comp.n\di{,n iniurrncc. rs rcquircd bySccrhn.lTlX)oIrhc I rhorCodr. aorrhr fr onun(of
rhc qork f.rwhlch rhn r^--irnir i{ ir\ud. Myqorkcrs ro'npctr\rf.n insurrncccrricr [nicy fu ,hcrr.:
Poli.yNutrrtjr Expncs
lccnili ihri in rhc pcrf.rnumc(n rhc work lbr *hich rhi\ n flnil i\ i\\u.d.l shrllnoi cnrployrn) p.^.n inrn, trwrtrcr
s rlr,hccoDr suhjccl bihc wnrkcr cotrrfctrsdn lrwsolcrlifir ir. Md d!rcc rlrd ifl\['uI] tN.rnc qrbjcd ronr
sorkcr\ conrNn\arion l)n,vhioos oiSccrio lTu).lrhc rjtsr Gxlc.l shrll liJnh*nh.oDlrly $ith rhor Drornion\
\YARNING: F.ihrc k, *rtrr. wo.kcr(.ontP.n\rri,,n cove gr i\ rtrh*ful, rnd \hall ruhJc.r r'r. rtno)tr h ninnnrl |).n^lrcs ind
sc.rn l)160lrhc lrlrtr (i c. n.rc{ rtrrl o
*
I h.Ehy sffirnrundcr pcnnllyoipcrjury rh(l I rn llcctrs.d utritcr ptr,vki( orCh(flq9lco,nrmncirEsnhScdion70(x)rolDivisnrn:l
ol lhc Busir*$rnd Pn,fcssion\ Codc. iM hyli.ctrs is h rullfomddclncr
Conlroctor:
c!) sta!']qIIoN.LEBDINCilil:lCr
n\ucd (Scc log7. Civ ( )
IPILIEANLD}:CI.A8A.1IQN
I ltNr,y0ninnu cr pcnrlry ofl].rjry onc ollhc f.lbwin8 dL\hrittff:
Dcnmlirion Pc nir!Ash.sos Norifi.rri.n F.dcralRc3trlaridr\ ( rirb 40. Pf6)
-Rcquhn
l!ncrol Norifca'ion
I ccniftrh rh. Ld.alrclllnrions ns&ling aihc{os rc br"ldr. noranpli.$l.r. rhis pml.cr
><l ced ily rhar I havc rc l rhh amlEariotr aM shrc rhar rhc .brc inlirirn^l,on is conccr I r8re ro comply wir h ! ll cir y rnd cotrnry
dJinx r..\.trrrs1xt t,r\ ! r.h1 I hcrcbyrtrrhori-..rrcscnlrlivcs oflhis Cily and Counr, k) ctrrcr tr|r.n rh:
aMvc ff,nri{nrd |n.ncnv l]""1rr-P'
*o-/1-P.*(*-^"(pn.r), D( Le\l'1 B ^,", ;1 Z.l4
Set Backs
Formsi Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
l\,4 aso n ry
Pool Fence
T-Bar
Handicap Req
Qeputy Final Report
Engineer Final Report
FINAL 4,L1 - lt J/rJD\l'1Y
Occupancy
Notes Remarks Etc
,.|
SITE.WORK
Flood Zone Certif .
Certif icate ot
I
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