HomeMy WebLinkAbout10197715 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter (714) 647-5800 lnspection Requests: (714)'667-2738 lnspector Section: (714) 647-5853
Permit #: 10197715
Pin #: 38365
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Proiect Address: 2718W Pendleton Ave
Assessor's Parcel 408-225-04 Lot: '169
Unit Bldg: Address Range Suite Range.
Zoning: R1Block: NA frcd 2260 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
R.3, U
VB
cBc 20't 6
x-0602320258J
'I st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.lArea:
Yards Req'd
Valuation: $9,800.00
j/fi/2$tE
ir.on",*:47
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: Replace/repair drywall as req'd auth on file
Ii
Planning conditions:No Exterior Modifications
Engineer:
Address
ir (ill.i, I
l:'li(lt:-q i e (:enler
Owner
Address
Phone:
Tenant
Gruz Shen
2718 W Pendleton Ave
Santa Ana, CA 927044922
Contractor: SignatureDesignCenter
Address: 329 N State College
Anaheim, CA 92806
Phone: (714) 533-9595
State Lic #: 924506
Lic Type: B
Bus. Lic #: 348538
Workers' Compensation lnsurance:
Carrier: Falls Lake Fire & Casulty Co
Policy #: FLA00749200
Expires: 1'll12l201A
Architect /
Desioner:
Addressl
Phone:
License #
. .r lr 1 0t(-t -
:,rt-i1'r in:l
. r:}(ll-r(i.'
rJ;1r:rr:itJ
Planning Approval By:
Plan Checked By;
Permit lssued Byl
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Date:
Date:
Date: 09h7/2018
Subject to Field:
NIisc. Receipt
[Iisc. Receipt
lvlisc. Receipt
07776002 51601 Permit Fee
07776002 s7672 Bld9. Stds. Revolving
07776002 51600 General Plan Update
07776002 51601 lssuance
$160.25
$1.00
$22.08
$55.04\\ H",n"no".' x"tnv
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'dr No
Every pemil issued sha become invalid unless the work o,lhe site aulhoized by
such permit is conmenced within 180 days after its issuance,or if the work authoized
on lhe site by such permil is suspended ot abandoned for a period of180 days aftet
the time the wotk is commenced.
$238 37
$0 00
$238.37
lnspector
01116002 s1600
01116002 5't601
011't6002 516'12
$22.08
$215.29
$1.00
Fee Totat
Paid to Date
Balance Due:
Single Family Dwelling
Miscellaneous
Kitchen Remodel
SFD Watt garage
Phone:
License #:
26 . 9/L7/2tt1g ttlfot,oLtV7
:':rr lJpdoLe FeE
- i 6[r(rtiir[r-
MID#: 20'18-146145
BUILDING. INSPECTOR RECORD
OWNER B1]ILDER DTJLCARAT!ON
I hcrcby rfilr$ undci pmlty ol Frjury rhar I dD crcnu fo,n rhc C.nLract'n Liccns L!* for rhc f.ll.wine rc.sotr (Scc.roll.s
Busircss Md Prolt$ion Cod.): Any Cily or County *hich Eqlircs r pcrnir ro consru.r. alrd. i Prcvc, demolish o! rPIt lny
d crud, pri{trr. irs t\u,nr.,lq' rdluir.i rhc,ptltdnl,il \uch Frnit lo filcasiSncd sl0lcmnt lhlr hc or shc is liltn{rl ruruMr
h rhc !,.ovnions oi thc Conhctols Licenrd Liw (Chaplcr 9- Conrm.tin! wirh s.crbn 70fi) or Divisiotr I ol lh. Busincs and
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fpli.nnr rorap.mn sxbjersrhc rpplicanrro,civillindhyofnornbr.rhotrlivchundrcddollBr(5500)
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as owncrolthclropcny. ormycnrkrccs sirhwascsN rhcir soL Llip.n\urion. *ill do th. wdk lnd rhc srrrN n ft
inr.ndcd or ollcrcd fttr sh {Sd 7041. BusirEss ,M Pmr.ssions Codc: Thc Conhclois Licen* ljw docr nor aitly b owncr ol
Ihc pmpcny uho builds or ifllmvcs rhcm,- ad who dc ssh so hnnsclrorh.Mlrorrhmughhhothc.ownc,nl,kiyecs.
!rcvidL'd rh{ su.h inpnftmnts e nor i cndcrl or oruEn for sh. li h*cver. rlE huiiling or iartmrcmrr is v,ld wirhin .N }ttr
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L rso*n rofthc pn,lcny. i,n.x.hriv.lycontdnS wirh lrcoscdco racror lo con(rucl lhc pr+cr {Sc. ?M4. Bu$n$s
and lirlcsi,n G'de:'l hc Conkackx\ Lic.nsc Law docs nor apply b Mown$ ofDnrcny who huild{ o. impmvcs !itr..tr.
ond lho cotrirrcls ior such rrrccls wirh rConr cr{n(s) li(cn\cdpu urnrhrhcQ r..ttr s Li.cnsc l.o*)
I x cr.nrtr trrdcr Sdcii(l
l)al( l)ener:
W( IRK l-RS' (l()nIPI\SAI I( )^_
DI:CLI-BAIIO!
I hcr.nyxlllrruM.r p.nalry.f pcrjryonc.f rl[ folL()(n,! dcclnrxrn'n\:
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h.vc nlwillDunrrair0Ccnirtarcorco\cnrroscl Nddlbrworkcn.ompcnsion.0sB)vidcdlorl'ySecrn,i1700.rrhL
hhor Codc. for lhc p..aomncc of lhc sort for which thc psn ir tsucd
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*illnui nirworkc^conr.nsrrionin\urancc.!sr.qtrtdbys..riofl:1700olrhcl-$otCodc.nrthcFrron'un.cor
rhc wor[ li,rwhich rhis!.rmir is i\\dcd M,workcs conpcnsrrn,n inrurM.c.ricr ind P.li.ynun$cr!rc:
lccnilirh[ i'] rh. Nifonrtrrcc ofrhcwork lor which rhi\ p(flniri\ isuc.l.I \hrllnor cmpl,,triy rrry nrrnyrd,rNr
s !{ r. hcon* suhFcr lo rhc *orkcn.onpetr\Ditun hw!.fCrlilarnir. d 4rccth$ il I \lxiuld 6.(nnc shj.d hrhc
$orker comp.n\lin)nImvtionso{Sccri()n-lTmofrhcl,'hrC',nlc.Ifirll.ln hrvilh .on,tly { irh rhl{ lnn ili,rN
W RNINC I'{ilurc lo sccurc *or[c^ coDpctr\rrnn, cokng. is trnlrwlul. r n l suh]c.r rtr cnrploycr
S.clnr 10?6olllr ltrrhtr
o*"'3
I hcrby arfim uid$ r.o.lry of p.riury lhnl I onr limn*]d undcr rrcrnion ofChaprcr s (cotmting wirh sccrion TtroorofDivisiotr l
of Ihc 0usin€$ lnd Pmf€ssn,is Code. ail my licens. h in lill rdd .kl cffcc'
t.
CONSI&J.(:IIONIEIDINCACEN1;.I
I hcicby alfirnruMcr lEndryol,'erjury rhor rh.rc is a .ondrucrb. lendins rs.ky ror rh. p.rrornrftc ofrhc lork tn *hich rhi\ FYnrir a
i\\!cd (S.c. :1047, Civ. C )
aPfusitNr.Dt;1;trtBAnltN
I h61,y !fitm und$ p.trilly ofpcrjuryonc otrhe toln,wing dcclararn,ns:
D.dolnioi P.rmirr-Arh.sos Notifi.alion I'cdcr.l Resulalhns (Inb 40. P!n6)
R.qxn d btr.r of Norificdion
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ccnifyrhir Ihc fcdcnl rcsuhrn,nr rcgarJing aslEnos .ctrDval arc .r lPPlic$lc fu rhis l,orltl
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.cnily rhrr I hxvc r.dd ihnappli.arionNil sdcrhd rhcrh)vc innrnrtNn i\conccr lrgrabc.mplr*irhnllCiryrnd(i,unry
6'
b
ordi'rn.cs rnd Sr rc lrs\ rulJringl. huiLlnr!.otriru.rtr . dftllrrchyrurhorlzc r.|I.
rbovc mnlioncn Fopcny lor
Applicanl.. Atetrl SiBtruluF:
SITE-WORK DATE COMMENTS
Set Backs
Forms/Steel/Holdowns
UFER Ground
SLAB Floor
Subf loorivenVl nsulation
Rool Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lVasonry
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Ceftif
,A
FINAL il-"l-/A'x.tuttl
Certificate ol Occu nc
Notes, Remarks, Etc
Pcmrirec nln€ l|,nnt):bl-@.Grq
ID/SIG,
Erection Pads
Pool Fence
civil 6trcs up to onc hundrcd tho!{!nd doll&r ($100.000). i. addirion k, rhc.os ofcoryrcnsrtion.
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