HomeMy WebLinkAbout101102287 - PermitProject Address: 1234 S Evergreen St
Assessor's Parcel: 014-223-18 Lot '121
Unit Bldg: Address Range Suite Range:
Zoning: RiBlock NA Tract 2626
City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, c492702
Permit Counler: (7'14) 647-5800 lnspection Requesls: (7'l'4\ 667-2738 lnspector Section (714) 647-5853
Build ing Permit #: 1l)11o2247
Pin #: 54917
Building Use:
Job Typel
Nature of Work:
Existing Bldg. & Use
Proposed Use
Singls Family Dwelling
Miscellanoous
Windows
Sfd w/att garage
R-3, U
VB
cBc 2016
x-0602320276J
1st FL Areal
2nd FL Area:
Other Areas:
Garage Area
Total.
Patio:
T.lArea:
Yards Req'd:
Valuation: $6,500.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories
Oescription of Work: Window & door replacemsnt
Planning Conditions:nff i.a! rTYH Tr.h<ar /(l 1d{
Owner:
Address
Phone:
Tenant:
Andriy Chupryna
1234 S Evergreen St
Santa Ana, cA 92707
(e49) 633-3083
Contractori Renewal by AndeBen Oran(
Address. 22982 Alcalde Drive, Unit 10
Laguna Hills, CA 92653
Phone: (714) 259-5120
State Lic #r 990,f16
Lic Type A, O-21, C-17, O-2'l
Bus. Lic f: 349936
Workers' Compensalion lnsurance:
Carrier Old Republic
Policy #r MWC31415819
Expires: 1010112020
Acct+: Ref+: 1011[r?2S
Rc!t+:02810736 - 1L/2o/2o19 L2zn1 P
Tronsoct ion ToLol t251 .59
Engineer
Renevql bv Andersen 0rnnge (:o
Architect /
Desiqner:
Address:
Phone:
License #
Phone.
License #
Generol Plsn Updote Fee
01116002- 51600000-
Buildins
(r1116002- 5160100(r-
BIds 9tds Revolv ing
01116002- 515120|:10-
hicrol ih & Docurent s
ttl116002- 5777000(r-
: r**rII*Ilrxr U
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Guevara, Jerry
Amsden, Julie
Date: 1ll20r2019
Date:
Date: 11/20/2019
Subject to Field:
Misc Receipl
Misc. Receipt
Misc Receipt
0 77 76002
077 7 600 2
077 76002
o77 7600 2
077 760 0 2
$166.53
$3.91
$1.00
$22.95
$57.20
57607
57 770
57672
57500
5760 7
Fire lnsp. Req'd
Police lnsp. Req'd ffi Account#Total
Flood Zone Cert Req'd: No
Every perml Bsuecl shall become invahd unless the wo* on lhe s e authonzecl by
such peml is commanced wtthin360 days attet its issuanco ot il lho work authorized
on lhe slo by such pemit is suspendod ot abandohed fot a period of360days aftel
the me the wo ts commencod
lnspector MID#: 2019-155998
01 1 16002 s1600
01116002 s1601
0'1 116002 51612
0'1 116002 57770
$22.95
$223.73
$1.00
$3.91 Fee Total:
Paid to Oate:
Balance Due
$251 .59
$0.00
$251.59
Historic No
Botcha:53106 - ll/20/2019 ID: flGARCIA
Address
'l
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
BUILDING- INSPECTOR RECOBD
rD/sr(I ,L COMMENTSSITE.WORK DATE
Set Backs J
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
n
Notes Remarks Etc
FINAL
Certilicate ol Occu
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