HomeMy WebLinkAbout10197745 - PermitE
Proiect Address: 4018 W Lehnhardt Ave
Assessor's Parcel: 108-722-25 Lot 25
U nit Bldg: Address Range
Block NA Tract: 8924 Historic: No
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 #: 1()197745
Pin #: 526,42
Building Use:
Job Typel
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Addition
Reroof
SFD w/att garage
R.3, U
VB
cBc 2016
x-0602320256J
1
1st FL Area: 0
2nd FL Area: 0
Other Areas: 0
Garage Area:
Total: 0
Patao:
T.l.Area:
Yards Req'd:
Valuation: $10,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: Reroof. 22 squares. Handout given
Planning Conditions:Eotch+:460[5 - 9/lq!.,|1p. rr,. I [,n,:i.:r I
Owner:
Address:
Mimosa Diep & Tien Nguyen
4018 W Lehnhardt Ave
Santa Ana, CA 927042219
(714) 785-8301
Contraclor:
Address:
Owner-Builder
Engineer
Address.
Ol'fi .-ei tTYfTrflnE* t 4Lr
Acct+ I Rpf+ |
R.pti:02387192 - 9.t 19 /21:.tl
Tronsoct ion Totol
1ni
9774i;
:T7 Pfl
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #:
lliroso Diep & Tien llgu:,:n
'r
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
No
No Account#
01 1 16002 51600
01116002 5160'l
01 't 16002 51612
07776002 51601 Permit Fee
07776002 51672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
07775002 51501 lssuance
$320.50
$1.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every peftnit issued shall become invalid unless the wo* on lhe site authorized by
such peftnit is commenced within 180 days after its issuance,ot il the work authorized
on the sita by such pemit ts suspended ot abandoned fot a peiod of 180 daysafter
the time the wotu is commenced.
lnspector MtD#. 2018-143123
No
No
No
No $22.O8
$375.54
$1.00
Fee Total:
Paid to Date:
Balance Due:
$398.62
$0.00
$398.62
Suite Range:
Zoning: Rl
P hone:
Tenant:
Phone:
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Fregoso, Vince Date: 09/19/2018 Misc. Receipt:
Date: Misc. Receipt:
chavez. Dave _ Date. o9/t9/2018 Misc. Recerpt:\>?
Subiect to Field:
Total
BUILDING. INSPECTOR RECORD
SITE-WORK DATE IDiSIG.COMMENTS OWNER BUILDER DEI,CARATX)N
I hcBby ,filrm uDdcr p.n.lly ol pcrury lhrr I d crctntr Ioni rh. Cohrdd.rs Lictnr hw for rh. ftnl.wira rc.sor (Sa 7oll 5-
BusnEss 0ft1 Prolc$ion Codc) Any Cny or Counry *hi.h rcqunc\ o pcinn k, conrr .r. ah.r. inllorc, dcrtulish or mr.L any
srrucru.e, pri{,ro ns tcui'N, als rcquncs thc splli.ant lnr sucl pcrn b fitua ri8tr.\l sl cnE lnalncorlhc i\ Iiccnen ,unumr
lo lhe provhions olllE Conrracrr\ Liccn$d tiw (ChrFrcr 9, ConnncncinE wirh S.crnr TqXl of Divhion :l olrhc Bu\inrs rnd
Pmlcsi.nr Codc)orrhar h(orshc scrcDrpl rhceiron.nd lhchasis ntr rhc allcfcd cxcnwion. Anyviollrt,norsccrh.70ll5 byany
rptli.n.r rdr rucnnn suhjcct lhc 0pplicanl i{, !civilpcnrlrrornor nkmrhtn livc hundrcd dollqs ( St{n)
-1.
as ownq oilhc nmp.ny, or
'nycnrtloyccs
wilh wo-lcs os rhct qrc co rp.trldn r. will do lhc wor[ lnd rtf, nturm n ml
n{c'iLd or.ffcrcd for $lc (SN 7014. Br\inc* lod Pm{c\sioN Cldc Thc Conrrctr's l.ircn\c tiw dB nor nmly ro ,n o$ ncr of
rh. Inpcny *ln, tuild\ or i'n ohs rhcrcn. uri sho de( \uch v)rl hnn\clf or h.^c lt or rhmuBh hh .r ho own cntlloyccs.
lr,viiicdrlur \uch nnpmvcnf,nhdrFr irncrlcd n otld c,l lnrsolc ll ho*elci rhc Stildi'rg or inDtuwrrc h $ld wirhi" "N Jtrr
ofcon[lcri.n,lhc Osrcr luildc. willhavu rhc hurdn urlmvine tMl lE or shc dil nor hih or i"Provc rhc nmIEly tr rh. PurF,*.f
l. rs oqrcr ol r hc |no|rrry. aD crclnsivtly roftacrirl8 w hli.cfscdco rrcir h condtu.r rhc In$].cr (Scc 7(]11.3u\i,t..r
ad l\.ls\i cldr: lhc Contrctn s Liccnrc I i* do.\ nor applyb rnosrcroiProrcnysho huildsor nnplorc\ lhcrcoD.
md who mrrmch lor \uch F!.ris wirh r Cunrm.to( si li.cntd Pursurnr t, rhc A,nh.tt's Li.cn\c ljw )
I umc\cnrnl und.r s.crion-
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DECLANAIIQN
I h.rcby.flirr undcr pcnalt, olFrjury oN or rhc rolbsirS dcclnrntiuF
I havc rd willturinr rnCc liicrlcoicotr\crrbSclaltr\urcritrqo'kc6'c. D.nsrion.r pn,vidcd for hySccli." r'dr"i'h'
lihr Codr. nn ihc Fnnrnrn.c ofrlF $ork nx ehich rhc F.nnir i\ i\stcJ
lhdlcaftl qilt mrinllir lorlcrr co rFnsrri,,n insunn.c, is rcquncd hyScrrn,n 1700 ol rhc kborCodc. f{n rh.pshtnurnccoi
rhc sork r'orwhichlhispermir is ist d. My*orkc6 .oDtrnsario. insuratr.{ .,ricr dnl Flicy nunrbcr m:
-lccnilyrhar
inrhc p.rforroncc olrhc*or[ lor which rhi\ prnnir i\ isu.d. t \holl nor.n{t'yany Fs.n in anyn,rnncr
v) N ro hcdnm srbjd h lhe worlidh .ompctrsdion l,ws ol Calilornit und +tc rhd il I \hould heconrc snl,irr kr rlt
qorkcB conDctrsrlion DDvisionrors(rnr lTmof rhc tntu Codc.lshrll, rdrhwnh conrrly sili rho* Provi\nn$
WARNIN(:: Frilurc t) r.urc sorkc'\ .onlPctrs n .okrr!.r( trrlntrhrl. Ntl shrll.uhJccr d.q)lrlcr lo rin,iml F rlril and
.trrl fi .\ trt ni m htr r.tl rl tr.xnJ Jolfuh l\](x).lix)r, tr nlr .os ot.onlFnsri.n. d!rusc\ rs lrovidcd Lt rhc
sccrin 1076 oirhc Llh, Cod.. idcrc( and anoary s ltcs
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I lrrrhy rlli'n trndcr Nr lryol |trjry rhx! I rnr licctr{d unJ.r p'ovi\i( tl C
ol rhc Bu\incssand Pfl,f.\sions Codc. atu my liccnE ir ir tull la'cc il cilt.r
Li.cns Clas:-Li.ctrsc Nunrt cr
D.r€r Corldclori
qaNErSIlcn()[UillrlNc-acENl]
IhcrcbyollirnrundcrpcNli,orFrjuryrhdrh.rcisacon(rcriontndinEa!.ncylotlhcF'onM.ceoflhcworkrorshichrhi{I)c,nilh
ii\x.d (scc.1097. Civ C.).
AffllrlNfluig.,AaAlloN
I rEEby mim undc, pcnalry of p..jury.nc ol rhc followir8 dcchrurions:
Dcnbliln Pcirnik-Asbc(osNorificrrion Fcd.r0l R.!ulIn,NIritt40,Pan6)
Rcqu,Ed t rrcr oi NoliaErri,)n
1..'rilvrhnrrhc hJcrrlr.EUhri.f\ rcgrrdiDE rsh.(o\ rrnmral irt for rJrtlcxhlc n)1hi\ I[ic.r
I ccdilyrhil lhavc reld rhnappnc.riondxl nrrc rhnr rhc ahovc int' uiion is .orccr I rBrs to $nely uirh rll City lnd Counl,
rcprcsctrl.tivcs orrhis Cirynnd Coutrryto cnlcr upon rhc.rdtrrrtrcs nt sllrc I r*a 'chtt{t)btr'ltlrcrHrr nrnrtrtd ti'.|crry r,, irrl).rr,
"",Ztr./<t\prlirinl or nqr l Siutr.l0rt x
,',.-u*.,-," ,r.'r,, (tl AlCa{Ea)
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Sublloor/Vent/l nsulation
Roof Sheathino f:Otl<tt/E.,{>9)
Shear Wall L/J
Framinq
ln su latio n/E ne rgy
Drywall
Ext./lnt. Lath
Brown Coat
It4asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certil.
I
FINAL I et8 t lffi , J{\ ,to,^l r*z)
I UCertilicate ol Occupancy
Notes, Remarks, Etc.
-)
Formsi Steel/Holdowns
L r.h,'\ N,n.,c _
I .r 1.1'. \.i,1'r'.
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