HomeMy WebLinkAbout102106540 - PermitCitY of Santa Ana 20 civic Center
Permit Counter: (714) 647-5800 lnspection
za (M-'19), Santa Ana, cAs2lo2 Building
l
quests: (714) 667-2238 lnsf,ctor Sectron (714) 647-5853
Permit #: {02{06540
Pin #: 6617{
ProjectAddress: 1330 E Fourth St Unit: Pldg: Address Range:
I
tock: A Tract: BARTLETT,S ADD. Hisloric: NoLolr POR 3
Patro:
T.lArea
Yards Req'd
Valuation:$6,000.00
Duplex
Miscellaneous
N/V-Windows
Duplex
Oescription of Work: Legalize unpermitted window chang
1 st FL Area
onstr Type: v B I ,nd FL Area
ode: CBC 2019 II Other AreasloodZone: x-05o232o2ztJI Garage Area
of Stories: I
I Totat 0
outs to exisitng duplex building. Auth on file. : ot :-.:
ccupancy: R-3
Phonei
Tenant
Planning Conditions:
Healthy Communities, LLC
120'l N Magnolia Ave
Anaheim, CA 92801
(714) 920-0360
Conlractor
Address:
Phone: I
stele Lic # I
Lic Type:
I
Bus. Lic #: I
Worters' Comp*rCarrier; I
Policy #: IExpires: I
DatC
Date
DatC
Su
Fire lnsp. Req'd:
Police lnsp Req'd:
Flood Zone Cert Req'd
ner-Builder
ton lnsurance
Archilecl /
Desiqner:
Address:
Engineer
Address:
Total
Planning Approval By:
Plan Checked Byl
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
07776002
0 7776002
07776002
07776002
07776002
5760 7
57770
57672
5 7600
5760 7
Permil Fee
Microlilm Records
Bldg. Stds. Revolving
General Plan Updale
lssuance
$172.U
$4.05
$1.00
$23.79
$59.30No
No
No
No
8t202',1
t to Field:
No
No Account#
No 01116002 5i600
01116002 51601Every pemit issued shall bocome nvahd unless the wotl< on the s e authonzad
$23.79
$231.94
$1.00
$4.05
such pemil is commanced wthn 360 days aftel tts tssuance,or I the woi< au
on the site by such petm 6 suspended ot abandoned lor a pend of360 dayl
the hme lha wo^ ts cofifianceal I
lnspector MID#: 2021-165492
v d 01116002 51612
01116002 57770 Fee Total
Paid to Date:
Balance Due
$260 78
s0 00
$260.78
Assessor's Parcel 398-384-06
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Owner:
Address:
3t2021 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Suite Range:
Zoning: P
Phone:
License #.
Rcpti: (r3268993
Trons+:26
Ref+:
I / 23 ,, 2tt21 \t
? 1I:
Gomez, Pedro
Zuniga, Allissa
Heolthv (:oanun it ies' LL(
Phone:
License #:Authl: il6
Gener(ll F lon Updote Fee
011161102- 516llt-[,r!r"r-
Buildinr
(t11160tr2- 516(11tr,rrr-
Blds Stds Revol v I ns
01 1.16002- 516120(rrr-
ll icn0f i1r A DocurentE
01 1 16002- 5777r-r(l(rl-r-
ICL Chectl 10l9rl2
llosten (:srd
CC+ | ri*r*rrrrri rggTLr
t
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
U FER Ground
SLAB Floor
Subf loor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
ln su la tion/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
./r\
FINAL +-z\4
Certificate of Occu an
Notes , Remarks, Etc.
()\rtt:R Bt Ll)H{ t)t:t ( \R\t t0\
un<,.r Full of pcjuy lhi I e qdR lion tlt Co.rrl1oE Lf,* tr for $. loll,wils ,@n (Sc ?01t 5
Prof6irtr Co&) An, Cn, or C@dy rhhn r.qui6 r Fmr ro odrw!. .ns. ituForr. &mlirt d rq.r &y
to islec llo r.9l!6 tlE +plis for sh Fh, ro ik . r!8,rd aisErr rnn h d ir ir lic.s.d Fed
of dr Conr-6 r l-i!ru.d Lr* (C14lq 9. Coimcos sith Serion 7000 ol Drvilb. I ol tlE BdilB 6d
Codc) or thd lE or JE ir ampr thq.fiom md fi. hci for rh. dL8.d .roFion Any violrio! of Sclbn ,01I t !yMy
. Fmn subj.ds lh. lpplicet ro . ciril Fn lry of nol mrc fis liv. h!.&.d dollai (1100)
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such imFo\ErEa E tu hrdrl'.l or olIsld aor $l. lf, ho"(d, E tuil]ins or inp.lmr ir rla wi'hii oi. r;,! olrc &!tb *nl h.w tL hrla of Foins lh. lE or lE dd ml hiE or unFow th. FoFry ftr tlE Pl FE oa
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for tlE pqfo'r]ffi. of rh. N* lor stkh fi. Fni ir i$!.d
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En provi3io6 of Sdion l?L{ollfic bbor Code I ddl. aonhwilh comply pithlh.FpmvtioB.
FailuE b sw *0116 ontEBdioh .o!'qrg. b mL*tu|oplord 16 cintul Fu!i, dd
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coRoBUILDING. INSPECTOR
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