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10197349 - Permit
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building Permit Counter: (714\ 647-5800 lnspection Reql€sis. i714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O{97349 Pin #: 56903 EProiect Address: 1151 W Seventeenth St Assessor's Parcel 399-072-19 Lot: POR 1 Unit:Address Range: 1 149-1151 Historic: No Suite Range: Zoning: clBlock: NA Euilding Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Commercial Alteration Change out windows Comm/Offices B VB cBc 2016 x-0602320144J 1 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: Patio: T.l.Area: Yards Req'd: Valuation: $9,000.00 Description of Work: Change out '18 windows in existing office building. Owner-Builder form on file. Planning Conditions: Repair and r6paint any damag€d trim, stucco, etc. a8 nesdsd. B(1,:hir45;i6i1 "" g/14/2tl1ll , ID3 NGAI'I,, Engineer: A,:,:t+ I Ref+! 1t1197.!4 Owner: Phong Nhu Nguyen & Phuong Ton Contractor: Owner-Builder Rrptirtl?354!:;4 - g/|1/lttlg' l?r:;tr l,j Address: ti51 W. tTth St Address: Address: Trons.l,--t iin fot(il $zJij..j,' Santa Ana, CA 927063544phone: o14l720-ggo1 Phone: Phone: Fhi'rrr fi1v i'leu-qen d Phuons li'tt- Tenant: State Lic#: License #: Genenol plon Updote Fee r "iri Lic rype: Architect / lll lflll !rorr]0r:r(r- Bus. Lic#: Desisner: .iiii;[iii_ :i16u1r.lr-r0_ Workers' Compensalion lnsurance: Address: gldg $trjs kr:volvins i,,rrrCarrier: tt11160r.r2-',1c,1?r,i0r:r- Policy #: Phone: V iso i ' i;l " i Expires: License #: (:(t+:*rxrr*xrrr*r4gig ArJth+Ll7.ii:r.,i, Planning Approval Byl Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd; Planning lnsp. Req'd: Landscaping lnsp. Req'd Pezeshkpour, Ali Chavez Dave ->a' Date: 08/14/2018 Date: Date: 08/ 14/2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt $160.25 $1.00 $22.O8 $55.04 07776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07716002 57600 Genetal Plan Update 07716002 51601 lssuance Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless lhe work on lhe site authonzed by such pemil is commenced within 180 days aftet its issuance,ot if the wo* authorized on the site by such pemil is suspended ot abandoned fot a peiod of 180 days aftet the lifie the wo* is commenced . No No No No No No Account#Total lnspector MID#: 2O1a-145374 01 1 16002 51600 01 116002 51601 01 1 16002 51612 $22.08 $215.29 $1.00 Fee Total: Paid to Date: Balance Due: $238.37 $0.00 $238.37 Bldg: Tractr BATES Occupancy: Constr Type: Code: Flood Zone: # of Stories: BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER Bt]II,DER DELCARATION I hcrchy xrfinn uMc! lr.nrlry r)i p.rjury th l on cxcmo lior llE ConrrrnF t-i..ns. b* lbt rhe roln,sing rcisn (Scc 70.ll 5 au{incs\ .' Pof.$i.i Codc) ny City or Counr, which rcqunc\ r pcrnrir b .otrnrud. alrcr. lnrPn,vc, dcnFlish or EIrn r, rrn'.rurc. rrioro irs n\uatrc. rlso rcquncslhc il)Pliclnr for su.h Ptnnn ro fik tr sisncd \ldcitnr rh hcot shc is li...\cd lursurtrr lt (hd provnions olir Conr8.trtr\ Li..nscd tjw (Chrprd 9. coarnLrrins *irh s.criotr 7uD oi Dilnbn I ofrh. Bu\ints 3nd Profc$ionsCodc)orrholhcor\h. it.rcm!r rlrcrclroih Md rhcbrsil lor rhcallcscd cx..yliotr Aryviolari,,nofsc.tior70ll 5htrnv applic! lnr tr permi! suhj.rc rh. apph.nn o .rvrl,[nlkyolnor Rtrcrhrn fit huidrcddollars(lsin). L a\ owncr ol rhc ln,p.ny. or 'ny c plo)cc. $irh qr8$ us (hct solc compcn\rrbn. will Jo rlk Bork dil rhc (erft i 'rri.rcndcd orollcrcd for elc (S( ?O14- Busincs rnd Profcst'nr Codcr Thc Cotrtr.nn r l,i.cnsc l:*docs or.PPlyIo3no*ncror rh. pDp.ny who huildsor irprorcs rh.Ryr. mislxl dm! such so* hnnsclforhc^cli nrrhrouph his or hcr o*n cn{loyc.\. tr.vidod rh.r su.h rpn,vcor.rs xrc nor inicftl.d or.ntd ktr eh ll h.qc\xi rhr buildiiE .r inllnn rNnr is sold wiihinom rt ol.o Dbrnr. r OwNr BuilJcr rill h$c thc hrdcn ol'pmvi,E rhr hcorsh.did trorbuiUor iDP(x! rlf pmFny for rh. PurF&of ff4[r. *"",-.i,r," p"1*ny. an crctu\ir]ylofirdi',s trirh r(cn\cir.oNacrr h con{ru.r rh. F!r..r rscc 7o.1.r. Rulno$ rnd Pn)fcssi(rrcodc: Thc conrxcror's l-iccn\r t-r* docs nor,pflyk, rn ostrrt of Dr)|Fdy sho hildsor inp tsrhcrcotr rnd whD contklsn s'ch rr+crs $irh a Con@.ttr(\, li.cns.d pu^r nrr)rhcCl r&ror'! Lirans. l-r* ) lrnrc\cnpl undcrSdbn- ,,,,. I itq(,tLurYi ,,",,",* I hcrohy alfirnr uNlr pcmlly oI lE,jury onc of rlE followin8 dslarart,ns I htrvc drdwill nrinrah 0 Ccn iaEal. ol Con*nr ro Sel{ lnsure l'or sorkdt ..nEnsrrion.as pmvidcd fu hyS..rion 37mof lhc hh.r Cod., ror rhc p.rrormRc oflhe work for wntt rhc Frmil n issocd -l hrvc rnd $ill.uinhin $o!hcr' .o'qFns,rbn nNxh..c. a( rcquitcd bySc.rion ST00 orrhc lrhitr Codu, forrhc t'c.t lnEncc ol rhc *ork for uhich rhh Frmir i\ isfl.rt. M, wu*ds .omp(nsrton insurlEe .oricr ard Flicy nrnhrr ml lLll-n,r,,r,, .,r'. '*4,-rdn!(.1rhc tr.lk n{ qhtrh lhis n fln I is i\\u.J- I \hrll or. rtkJy.nyNr$tr rnoDy'olnncrirr\rohoirE{'hrc.rtrirhcwitrlt^'ujml]c'Ni,tnL,L\rolcalituhir,rtrdrgNcrh.rillsh.lldhccomubjccrt,rhr $orkcri corDcnsarion pn,!i\n'n\.fSrcli.i.1700 ufrhc htxtr Cdlc.l \hrll. i,fh$ilh conrpl, wirh rlx'\8 pi.vnn \. WARNIN(; Frihrc b $nrc sorkc6'conDcnsrri(r.ovcrr8c i\ unuBhl nnd shrll suhjdr dr crDloycr lo oirninnl NDlric\ rnd civil ,inc\ u! ii orc hr {lrcd rh.us.nd dollrN (Sl(Xl.fiX)). r rddnion r. rhe cosl oi compcn\rri( , dmrgcs ls Provid.d br lhc Srcrn,n.1076 of rhc lf,titrCdd., i .rc\ a.d rtr.rmy'tli{l '!. i t\ ( 2t t{ ^r,p,iun,: K- I hcr.hyxlitor uDdcr p.nrlr) oiprrjury rhd I rn,lic(f{d rtrtls pnria ,rofChi cr 9(.onnrncinp $irh S&rbn 7([0) ol l)ilision ] uf rhc llrsircss d PnncsiorsColc,n nryliccD\c i! i'r lulll,n.rrndcic.r IONJ'IB!,&IIANI,ENDING.AGENJ:I IhcrchyalfinnundcrFn{ltyolFrju.ylhirrhqchacon(ruclionkninsnEc..trorrh.p(n.rnnnccofrhcsorlnnshi.hrhi\J{nii\ i*u.d (Scc 109?. Civ.C.). Artuc NfDlict a&trlJN I h.r'by fllnn uMs $nrlty ol |crjury onc olllrc lnllosnr8 nshrdbnr DcnxrirDn Pcnnirs Asbcnos Notincdionl'cdcral Rcsuh'bns('lnt.u)-Pd6) Rcqulrcd trxcr of Nolifi corion _l crniry rhd rhc Ldctul rcerh..ns rcSddnrg osh.nos rnrvnlnrc nol {ntli.Jblc n, lhis p^Iccr l[(ccrlilyrh.rI lu\c rclr rhislpplicarion0 l\rtrrcrhlrrhcah)vci',ronturnriscomrIi8,.rroconulywnhalr(ryIndcoutrry ordhnN.s0nd Shrc h*s El inarobuildinscon(rucrn,n-uxilrcr.hyruirktrizcr.pr.s.trrrlv.sorrhisCilymdCounryrocnrcru[x,nrhc trhov. r.rnnrd pn)Nny lar fis|cdiotr furtx){s oa -l h*m L I -'l (-- Appliunl {r Axcnl Sirn,luc ""-'r"" ,",,",rn",,,{ DaieTn -iVL-) Sel Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Subf loor/Vent/l nsulation Roof Sheathing Shear Wall Framing lnsulation/Ener gv Drywall Ext./lnt. Lath Brown Coal lVlasonry T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Cefiif . FINAL a 7/z;t /t/a,ar'rh /t7 Certilicate ol Occupancy 7 / ' Notes, Remarks, Etc. -+ Erection Pads Pool Fence