HomeMy WebLinkAbout40232057 - PermitProject Address: 2234 N Poolar St
Assessor'sParcel: 001-275-18 Lot: 45
Unit:
Block: NA
Etdg:
Tract: 2061
Address Range:
Historic; No
Suite Range:
Zoning: R1
q@City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 4023.2057
Pin #: 88593
Owner;
Address
Phone:
Tenant Name:
Contractor
Address:
Ben Suh
24141 Rue de Cezanne
Laguna Niguel, cA 92677
(949) 337-5741
Owner-Builder
Fee Type
01116002 5'1604 Bathroom Fan
01116002 51600 General Plan Update
011'16002 51604 lssuance
Amount
29.38
21.25
52.98
Fee
$29.38
$21.25
$s2.98
Qty
1.00
1.00
1.00
P hone
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Botchit{3563 '5/l/2o18 I0: }lGA
office: CTYH Trong+: 20 4Acct+: Refir 402320
Rcati:0225,t663 - 5/1/2018 10!54 A
Tronsoct ion Totol llr4ll.
Ben Suh
rRCIAof4
57I
5n
Generol Plon update Fee
01116002- 51600000-
nechon icol
01116002- 51604000-
ICL Check 02tr06r
it?l
R.3, U
VB
cMc 2016
11r411.5t1!Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Reroof/windows/remodel
Occupancy:
Constr Type
Code:
Notes
Planning Conditions: All materials to match existing. Exterior water heater to be enclosed in a
wood enclosure with stucco to match lhe main house. All windows to
Planning Approval By: Date: Misc. Receipt:
Legalize reroof of house & detatched garage - remove
existing, install new sheathing & 25 squares comp
shingles. At garage remove addition, remove all
partition rvalls, sink & drywall from ceiling & return to
original intended use. At house remove laundry room,
legalize water heater. Legalize all windows replaced
$103.61
$0.00
$103.61
Plan Checked By
Permit lssued By
Subject to Field:
sden, Julie
Buildins Permit #: 1029631 0
Every permit issued shall become invalid unless the work o, the sifa
authoized by such pennit is commenced within 1 80 days aftet its
issuance, ot it the wotu authoized on the site by such pemit is suspanded
ot abandoned for a peiod of 180 days after lhe time the wo* is
commerDed.
Date: Misc. Receipt.
Date: 05/01/2018 Misc. Receipt:
Account# Total
01 't 16002 51600 $21 .25
01 1 16002 51604 $82.36
Fee Total.
Paid to Date:
Balance Due:
$82. 3C
lnspector MID#: 2018-143087
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Orns-Blilda DG.lulio.
I h...by.lfirn undd p.nllty oaprjlry rh.t I.m qcmF fo.o fi. Co.lndoa L@8.t w lor fi! follo*iry,6son (36 701L5 B6in6t
ird Pmf$ion Codc): Ary Cny or Coury which Equird a p.mir to oBmcl. rtr, implov.. d.nolkh o, r.p.ir &, lrruduc. prior 1o n3
issunc.. aleo Equn6 rh. .ppliclnl for 3uch p.ftn ro fiL . iSn d ilrd rhd h. or !h. ir licd.d pur'udr ro rh. povniotu ofrh.
_
Conno.tolt LieGGd trw (Ch.pr.r 9. Com.GioS *nh S*rio. 7000 ofDivBi..3 ofrn. BBin6! lid Prol6rioG Cod.) o, rh.r ll! ot
ih. i! .xcnB rhcfror ud lhc brtir for th. rlb8.d q.mflion .Any violllion of Scclior 701l 5 by .f,y .pplic.nt aor . p@i[ubjccrr tfi.
.prlic. ro!crvilp.tutyoano! tur.rh& Ev.huodrddoll.B(t500).>(-
) r Is ouncr or rm pmpay, or my mployq w h wryB 8 th.t sol. comp.Nlion. sill do tn. wotk and rh. slrucluc G not i .rd.d
or ofls.d for el. ( Se ?04,1. BBinB! .nd Prof.$iotu Cod.: Tnl Conlncloai Lie@ Lrv dc nor .pply ro u ow. of rh. ,op.ny
who blilds or inprotc lhd6r, .rd who .106 sGh wo titulf or h€R.lfor thoush hi! orhdown dptoyd- provid.d lh.l skh
inprev.n. ! .E nol i . .d or or6.d for nlc. I( now.v.r. lh. buildins or irprown.nl ir sld wilhin onc yar oaclnplction, ln
Owrr-Build.r will h.v. rh. hudcn of provi,s ihd h. or thc er build or ioproG lor lh. puQo* ofsL),
_,1. d oq.rofrh. pmp.ny. .m .xclusiv.ly .onlnclin3 sirh liccB.d coorhclou ro coctrucr th. proj.ct ( Sr. 704,1, B$ifl.s lnd
Prof.sion Cod. Th. Co.raclort Liccn!. L3v do6 nor lpply lo atr ou nd of propay sno buildr or inprevc th.r@n . rnd who
@nt6dt for Bu.h proj6E pirh. Conr..do(r) kcn€d puBunr ro lh. Contr.dols Lrc.nr. ll{ )
ol C..r'-
\98-[EB!-9U].[IS l.t9t_D-t!.rla !g!
Ity olp.rjuy otr. oath. lollowins d.clarario6
I hlvc Md qill haimait . Ccnifi.dc of CoBcnr lo S.lf-lNUr. for wr*6s .omp.nErio.. a p.ov'd.d lo, by S*r'onl70Oolrhe
L.bor Cod.. aor th. p.rlbmnc. ofln wort for which ln Frmil ir issu.d.
I tuv.and wrllminlsE workers @mp.Mrion insuEnc.. c ,.qurcd by S.ciio. J70o of lh. Lihor Code, lor lh. p.rforronc€ o,lh.
work for whrch lhi p.rDrl ri r$!€d My mrk.B @mp.nrlion hsuBn€ otrid and po licy numbd .,.:
Policy Numb.r:_Expn.s:
(Tnie serion nc.d not b. conpl.l.d ifrh. pcm i3forO fiu.drcddollc I$I001o.l*)2<>J.di a, rhir in rh. pcrhmn.. of 6. wort for *hrh this Fnnit i! isiu.d. t rh,ll ror .nploy a.y
'on
laws of(al'lorn'a. and
1700 ofthe lilFr Codc.lshso/
wo'keB comD€nsrton covenn. * unlawltrl. and shnllsu rn.mployd ro aifl rml p€n.lt6 .nd .rvn
dolls ($100,000),i. lddnio. lo rh..os olconvcnsalio provid.d lor rh. Sdion 1076 of
rh. kbor Cod€. rnt...n lnd atrom.yl fes
llcElt8D_e9NlaACr9aipEClASAuQr
I n.r.by iifird und.. Dcn.lt y o f ,.tury rh'l I m lic.ns.d und.r pov i!io. o I Chifl.r 9 ( conm.ncing w ilh S.dion 7000 ) of Dintio n 3oa
lh. Bulin.isdnd Prof6sions Cod...nd my lic.N. is in fullaorc. ed.f.cr.
LiccMclasr t,icc.* Nunbcr
IXl.: Co mdo.
CONSTRO(.TION LIiNDINO AGf, NCY
I ncrcby.mm und.r r.n.hy ofp..jury rhal rh.rc t i coBtrucrion l.ndi.s ascncy lor lh. p.rlomlncc of$. wort for *hich rhis pdmt i.
irsu.d (Se, 309?, Ci!. C,).
L.nd.''r Nrm. _
AE!ICAU!.p[C!A8AU9!
D.mlition P@il!.A.b.$o! Nodfcdio. F.&61 R.guhrioor (TirL 40. P.n 6)
Rcquind tda of Nolifiolion
,_l c.niayth.r th. f.d@lrcsulations rcs.rdinssbBrosr.mortrl.r.nor opplicablc lo rhir roj.ct
7#::r"*';io. ed sralc rhar rh.abovc I
'3r@
ro co'nply eilhrll
abov. nenrioncd propcny lor
/-)o/
Appliances
Metal Fire Place
Evap Cooler t
Furnace I
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
t,
Rough Mech.Tltoltt i/(,u4fr 7 I
Final Test
FINAL 7laofi?..(u.,( trfi/
M\dP5i\Permil-hspecUon Forhs\Mechancal-lnspector Record.doc 03 31.06
Meter Release
f------T------
tl
f------T------
NA
PTT\ING
& ButDt\G
,I(;TICY
Planning & Building Agency
Buildlng Salery Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa-ana.org
PATIO COVER FOR ONE AND
TWO FAM!LY DWELLINGS
srD-02 cac20r0
IMPOHTANT NOTE TO PERMIT APPLICANT:
Prio.lo expending lime, money or etlorl in plan preparalion, tho applicanl should contact lhe Planning Division al (714) 647-5804
regarding zoning, setbacks, landscape, aesthetics and olher requirements. A lully dimensloned SITE PLAN shall be required on a
separateSl/Z' x11'sheetofpape( Ask lor handout on Besrdenlial Srle Plan lnlormalion (patlo cover 18 not permltted wllhln
5 reel ol a propedy line).
SEE FIOOFING NOTE
SPECIFY BOOFING & SHEATHING OB OPEN LATIICE
BAFTEN SIZE & SPACING
SEE TABLE 'A'
DETAIL
12
.OVEBHANG
6"
MIN
6'
MIN
lll=r[=
25OOPSICONCAETE
END VIEW
SIDE VIEW
3/8' O X 5" LONG LAG SCFEWS
INTO STUDS AT 16'O C
FOOTINGS:
CBC APPENDIX I. A PAfIO COVER MAY BE SUPPORTEO ON A CONCRETE SLAA ON
GRAOE WITHOUT FOOTINGS, PROVIDED THE SLAB IS NO LESS THAN 3 1,2'THICKAND
FURTHER PROVIDED IHATIHE COLUMNS DO NOT SUPPORT LIVE ANO DEAD LOADS IN
AN EXCESS OF 750 POUNDS PER COLUMN.
2X CONTINUOUS LEDGER TAALE A
TABLE A USE:I OEIEBMINE NOOF SLOPE
2 SEIECT BAFTEB SPAN
3 SELECT RAFTEF CENTER
TO CENTEB SPACING
4 SELECI HAFIER SIZE
ROOF FAFTER SPAN
stzE
SPACING
C TOC
BOOF SLOPE
< 4.12
8r0'
7'-O'
AOOF SLOPE
> 1:12
8',-6'
6.6'
2X4
12"
16'
2X6
12',
16'
13:0'
11:6',
10-0"
1?-O'
10.4'
2X8
12'
16'
24'
17-0'
13.6',
r6!0'
14r0'
JOIST I]ANGEB OR SOLID ELOCKING
NAIL FAFTEF TO BLOCKING
DETAIL'A'
TAALE A
PATIO SIZE
POST SIZE
TABLE 9 t'SE:
1 SELECT SPAN OF RAFIEA
2 SETECT POST SPACING
3 SELECT HEAOEB SIZE
SPAN OF posr spaalN{'l / HFAoFR srTF
4x10
loi0__
't2 -0
5.0'8!0'1016'13',.0'
_lEq_
18,0'
7.6-to-o'
0'6"7-0 11 6'
POST SPACING
HEADER SIZE X
RAFTER SPAN
BAFTER SIZE
& SPACING
ROOF PITCH
SPAN OF POST SPACING / FOOTING SIZE
10.0'
816?20'so
11:6?21' sa 15 0'/24'lS.
14 4126' s{12rQ'5:6'/16'. sq 11 .O',122', s<)
14 -6'5 0716' sa 1016"/24" $13r0'126', s.
16,0'
1810',
716'21'sq.12\O',t27' sn
710'/21'sa.916'/26' sq 11 ,6'28'sq
ROOFING MATER AL
GRADE OF LU[IBEB:
CONTINUOUS LEDGEB
RAFTER SPAN
FOR HEADEN SIZE
SEE TABLE 'B'
SLOPE TO DFAIN >
DETAIL "C'
EXISTING
HOUSE
(
LONG SIDE MUST BE 65% OPEN
.l
I
z
2
5
I
l
,L- oETnrL
ll
lr
DETAIL'D'
OVEBALL LENGTH
FOOT]NG 12'
BELOW GAADE
SEE TAALE'c' FoB srzE
, . POST SPACING
\-o i
rcv:01/19/2011
tl o.r. ro.r! D.F No.2
TABLE C USE:
1 SELECI SPAN OF FAFTEB
2 SELECT POST SPACING
3. SELECI FOOIING SIZE
IAALE C
SNIACITT ()T
12
\ @ 'o.C.
I
lt il l
Page 1 ol2
GALVA!|ZEO ?ri2 r I?'x 7 GAGE TBICK
STEEL STRAP W4.5A'O LAGS
tI
3112'
POS 5-80 NAI LS.
EACH ENO
4 r BEAM
- 4'x4' KNEE
BBACE
2.14'g x s'LONG IAGS SCREWS
EACH ENO
(SEE DETA'L'E)
1'x6 KNEE
BBACE
DETAIL "B"DETAIL "8" ALTERNATE
12.
\
4 r AEAN
POSt
BASE
BOLT
i
8
.l
3 ta'
EMEED
ANCHOBS IN
CONCAETE
1
j z GALVANIZED
12'x12'x7 GAGE'l w6,5/8'o LAGS
.t
GAAOE
OETAIL "C"
DETAIL "D'
NOTES
1. ALL ITATERIALS: LUI\,IBER, HARDWARE, PLYWOOD, ROOFING, ETC. SHALL BE NEW
AND BEAN MANUFACTURER'S OR CEBTIFIED AGENCY'S GRADE MARK.
2. ALL CONSTRUCTION SHALL CONFORM TO THE CALIFORNIA BUILDING
CODE CURRENTLY IN EFFECT.3. CONCRETE SLAB TO BE MINII\4UM 3 1/2' THICK.4. POSTS SHALL BE MINIMUM 4'x4'.5, BOTTOM OF POSTS SHALL BE ONE INCH (1) ABOVE SLAB,6, BOOF SHEATING SHALL BE:
A. 1/2' PLYWOOD, CDX, 5 PLY EXTERIOR GLUE, WITH INDEX 3216, T & G
STRUCTUBAL I, WITH IO d AT 6' O/C AT SUPPORTED ENOS, AND12' O/C ALONG
INTERMEDIATE FRAMING MEMBERS, OR
b. 1' BOARD SPAN 32'; 2' SOLID T&G SPAN 8 -0"; 2'x2' SELF-SPACED SPAN 6'-0'.7. ROOFING SHALL BE MIN. CLASS 'C' FOOF COVERING (CBC TABLE 1505.1) OF:
a. WOOD SHAKES:,Ul2 PIICHb WOOD SHINGLES: 3/12 PITCH
c. BUrLT-UP ROOF SLOPE rO 0RArN (MTNtMUM 1l4',lFT.)
d. CLAY AND CONCRETE ROOF TILES INSIALLED IN ACCORDANCE WITH
MANUFACTUREN'S INSTRUCTIONS.8, MAXIMUM HEIGHT FOR A PATIO COVER IS TWELVE FEET.9, PATIO COVEB SHALL BE USED ONLY FOR RECREATIONAL OUTDOOB LIVING
PUFIPOSE AND NOT AS CARPORT. GARAGE. STORAGE ROOM OR HABITABLE ROOM.
10. ENCLOSURE WALLS MAY HAVE ANY CONFIGURATION, PROVIDED THE OPEN ABEA
OF THE LONGEB WALL AND ONE ADDITIONAL WALL IS EQUALTO AT LEAST SIXTY.
FIVE PERCENT OF THE AREA BELOW A I\4INIMUM OF 6'.8' OF EACH WALL.
MEASURED FROM THE FLOOR.
11. OPENINGS MAY BE ENCLOSED WITH INSECT SCBEENING OR PLASTIC THAT IS
BEADILY REMOVABLE, TRANSLUCENT, OR TRANSPARENT PLASTIC NOI MORE THAN
1/8 INCH IN THICKNESS,
12. EMERGENCY EGRESS OR RESCUE WINDOWS FBOM SLEEPING ROOMS MAY OPEN
INTO AN AREA OF AN UNENCLOSED PATIO COVER,
13, PATIO COVER MUST BE AT LEAST 5 FEET FROM PROPERTY LINES.
4'I4' KNEE BRACE
2-ll O r5' LONG LAG SCBEWS
DETAIL ''E'
PERSON BESPONSIALE FOB DESIGN AND CONSTRUCTION OF PATIO COVEB
DATE
reEr
tev:07/'t9/2011
PRINT NA[,4E SIGNATURE
Page 2 ar 2
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2234 N. Poplar St.03l29l2ot8 ARod 34
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Exhibit $ L6
Garage converted into living
area. Drywall at ceiling and
walls. Wall partitions. Plumbing
and electrical modifications
o bse rved.
Room built at the south side of
the garage and a full bathroom
was installed,
Exhibit f 17
Garage converted into living
area. Drywall at ceiling and
walls. Wall partitions. PlumbinB
and electrical modifications
observed.
Room built at the south side of
the gara8e and a full bathroom
was installed.
ADDRESS: 2234 N. Susan 5t DATE: 03/2912018 Officer: ARod 34
r
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Exhibit 113
Garage converted into living
area. Drywall at ceiling and
walls. Wall partitions. Plumbing
and electrical modifications
observed.
Exhibit S 14
Garage converted into living
area. orywall at ceiling and
walls. Wall partitions. Plumbing
and electrical modifications
observed.
Exhibit S 15
Garage converted into living
area. Drywall at ceiling and
walls. Wall partitions. Plumbing
and electrical modifications
observed.
Room built at the south side of
the garage and a full bathroom
was installed.
ADDRESS: 2234 N. Susan 5t.DATE: 03/2912018 Officer: ARod 34
T
7
Exhibit B 10
water heater replaced. No
vent installed.
Room built at the south side of
the garage and a full bathroom
was installed.
I
Exhibit f 11
Garage converted into living
area. Drywall at ceilinB and
walls. Wall partitions. Plumbing
and electrical modifi cations
observed.
Room built at the south side of
the garage and a full bathroom
was installed.
I
Exhibit # 12
Room built at the south side of
the garage and a full bathroom
was installed.
ADDRESS: 2234 N. Susan St DATE: 03/2912018
I
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Garage converted into living
area. Drywall at ceiling and
walls. Wall partitions. Plumbing
and €lectrical modifications
observed.
Officer: ARod 34
Exhibit S 7
Garage door sealed shut at the
interior of the garage.
Gara8e converted into living
area.
..<r a}.,_Exhibit B 8
Garage converted into living
a rea
Windows installed
I
a
Exhibit # 9
Water heater replaced. No
vent installed.
Room built at the south side of
the garage and a full bathroom
was installed.
oArE: A3/29/2018 Officer: ARod 34
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ADDRESS: 2234 N. Susan 5t.
Exhibit s 4
Windows have been recently
replaced.
ltIt
I
I
Sliding windows recently
replaced. Possible frame
modifications.
I t
oArE 03129/20t8 Officer: ARod 34
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Exhibit S 5
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Exhibit # 5
Water heater replaced and
possibly relocated. No vent
installed.
ADDRESS: 2234 N. Susan St.
Exhibit f 1
Front elevation
Side elevation with garage
Exhibit s 2
:i--:-
Exhibit f 3
Windows have been recently
replaced.
ADDRESS: 2234 N. Susan 5t,)ATE: 031291201.8 Officer: ARod 34
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City of Santa Ana
PLnning & Building Agency
Community P reservation Division
il":]ff?$H?''' ADMrNrsrR{Tr\/E crrATroN
ADDENDUN{
;\ddress/Location: 2234 N. Poplar St. , Santr Anr, CA, Zip
An inspection of the above premises revealed the following code violations:
#AC 067712 a
Page 2ot2
92706
As of 0312912018 at lj!.o_ pm, you are in violation of:
o The work conducted at the Main Dwelling consists of the following:
o Water heater replacernent (improper installation, no ventilation). window replacement, patio sliding door
replacement with possible framing modifications, Patio cover installed at the west side of the dwelling.
Building, electrical, plumbing and mechanical permits are required. Oryner to provide plans and
calculations as needed.
Obtain building, electrical, plumbing and mechanical permits to legalize, or to return to original
configuration.
I}IPOIi,TANT! CORRECTIONS MUST BE COMPLETED AS NOTED
You rvill be notified in writing with the Notice of Administmtive Fitre if you are rot in compliance. \'ou will then be liable for a fine in
ahe amount of$100, $200, $500 or S1,000 - SArltC 1-21, l-21.1 through l-21.9
[fiese fnes cuc subjec! to change pursuant to Caldomh Got ernntent Code Section 369( .]
tn addition to the fine(s), you may be cited each day that thc violation e:(ists beyond the conection date- Other enforcenent action and
penalties may also result ifcompliance is nol achieved by the correction date.
NSPECTOR: A.RODRIGI,'EZ CP# 34 PHoNE#: (714)667-2722 Monday through Friday
l-7-t.l ER
1. Work requiring permits have been conducted without the benefit ofpennits or inspections. CBC 105.1.
o The work conducted at the main dwelling and garage consist of the following:
. Both the main dwelling and garage have been re-roofed. Windows were replaced throughout main
dwelling and windows installed at garage. Electrical modifications throughout the dwelling and garage.
. The work conducted at the garage consists ofthe following:
r Garage has been converted into living area with drywall at ceiling and walls and wall partitions.
Additionally, a room was added and a full bathroom has been installed. A water heater has been installed
at the exterior of the garage (improper installation, no ventilation). Garage door has been sealed at the
interior ofthe garage but garage door was left in place. Electrical subpanel has been installed at the
exterior ofthe garage, and electric installation throughout.
City of Santa Ara
Code EuforcerD€nt DivisioIr
20 Civic Center Plaza
sanrsAna-cAe2?01,\l)trlINIST'ltA'l'lYI', CII''\'[ION
#AC 0121 1,2 a
OBS S
An inspectior of tle follo*ing premises revealed violations of the Sarta Ana Municipal Code;
AddresVlocation:
-
2234 N Poptar St Santa Ana, CA. Zip q?aat
Business Name
Responsible B&K Homes Limited LLC CDL-{Df :
Person (s):
Address:
City/Statefzi
Agent for Serv'ice: Kyoko Kobayashi
241 4 I Rue De Cezanne
Lasuna \isuei. CA. 9f667
Vehicle Yr Make Model:
V S
Lic#,^r''IN
LYAsof e3
ll.{Ri\?NG NOTICE
ne#
ar 2-'0O an &fi)vou are in violation of Santa Ana Municipal Code S€ction(s)
Date Waming Mailed 3 20 Date CompLied:CP#cP#
\ OTI C E O'? .{D.}//NISTR^I TI I'E F I N L
As of at
-
am / pm, you are in violation of Santa Ana Municipal Code Section(s)
Descriotion of Violation(s)
See A A
) lsr CITATIoN
) 2ND CITATION
) 3RD CITATION
) 4h CITATION
$
$
$
IS NOW DUE AND PAYABLE.
IS NOW DUE AND PAYABLE.
IS NOW DIJ'E AND PAYABLE.
IS NOW DIJE AND PAYABLE
Received by
( ) Refused to sign. Served via personal service.
( ) Served via Ceniied a-od Ftst Class mail Date
cP#_
Signaturc of Officer Print Nahe
Monday tlrough FridayPhone *: (714)
Case #cPttr- OtOq3 ID#3Ll
Customer #
-
zoNE- c,DBG# 7f,3.o2
*N* &l'27 C- tY
CORRECTIONS REOUIRED: ( ) Reler to "Violation Sheet" ( ) ReJer to attached "Continuation of Viohtions"
t',1", '\\.: Corrections must be complered withio 3 O norr.. @ Conptyay taero O{/?Of ZO tV
The inspector may conduct a drive-by compliance inspection. You will be notified in writing with the Notice ol Administrative Fine
il you are oot ia compliance (see section below). You witl ther be liable for a fine in the amount of $100, $200, $500 or $10{X).
[Thesefnes are subject to change pursuant to Califomia Go|edment Code Secioi 369A).]
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CP#?z/ Psom#: (714\ /-/ 7-2?2L Monday rhrousi Friday, r-a a
Received bv:
INSPECToR: U-
SAMC Code Section
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Pusuant to Sanra Ana Muuicipal Code Secdon l-21.8, you have t5 days from the date of this administrative fine to file an appeal.
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Print Name;
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Planning & Building Agency
Building Safety Dlvision
20 Civlc Center Plaza
P.O. Box 1988 (M-i9)
Santa Ana, CA 92702
(714) 647-5853
SPECIAL INSPECTION/COMPLAINT
INVESTIGATION FORM
SUBJECT ADDRESS SUITE:aC
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Requested by , ilo*nl,
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t=l Contractor tr Real Estate Agent tr Other
Name:
Address
Phone:
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ACTION TAKEN: ! None Required tr Correction Notice
INSTRUCTIONS: D OK Subject to Field D Plan Check Required
PERMITS REQUIRED: tl Building D Electrical E Plumbing tl Mechanjcal
PLANS REQUIRED: 3. Site Plan n Floor Plan tr Roof Plan u Elevations
tl Elect. Plan n Plumbing ll Mechanical
FEES: E Regular Fees ,l Penalty Fee L.l lnvestigalion Fee
NOTE: Building Permits for unpermitted room additions require a site plan, floor
plan, roof plan, framing plan, and elevations
Remarks:
lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 Pl,
Pemits may be oblained L4onday , ThuGday and Friday 8:00 - 4:0O; Wednesday 10100 - 4:00
Tracking #: ir-,
Office Use
Amount Paid: \ 5[-\Receipt #
Received by Date
Date
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Address tagged by
Distribution: White & Yellow - lnspector Pink - File Copy
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! Residentiat D Commercial/lnduslrial
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Date: -r__Time tn: /l/)
Time
Departed: , lnspector/lD:
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