HomeMy WebLinkAbout10196968 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1Ot96968
Pin #: 14219
ry
Proiect Address: 2111 S Fairview St
Assessor's Parcel: 408-222-10 Lotr 185, POR 185 Block: NA
Unit Bldg: Address Range:Suite Range:
Zoning: R3Tract: 2260 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Fourplex
Alteration
Window c/o
4 Unit Apt Bldg
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
R-1
VB
cBc 2016
x-0602320258J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Description of Work: Change out windows-same size, same stylerhandout given
Planning Conditions:
Patiol
T.l.Areal
Yards Req'd
Valuation: $3,500.00
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
i2?. (rg
t215.2?
t1,(t0
t617.00
0f{ i€e: CTYH Tronst: l(r0AccLt3 Ref+: I t:119
Rcpti:02322343 - 7 /lt/zrutg 3132
Tronioct ioo Totol 1646.
Heh ia Von V ictoP
GenBrol Plon Updote Fee
01116002- 516000r]0-
Bu ild ing
0u16002- 51601000-
Bldg Stds Revolv i ns
01116002- 51612000-
Cash
3of
6968
Pt1
74
3
Owner: Sheeny Ly Contractor; Nghia Van Victor
Address: 10438 Klamath River Circle Address: 10391 Bonnie Dr
Fountain Valley, CA 927086834 Garden Grove, CA 92843
Phone:
Tenant
Phone: (7141724-3681
State Lic #: 562136
Lic Type: B
Bus. Lic #: 351263
Workers' Compensation lnsurance:
Carrier; Norguard lnsurance Co
Policy #: VIWC 978006
Expires: 03f30/2019
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
.,rv
Gomez, Pedro
Hernandez, Kathy
Date: 07/10/2018
Date:
Dale:07/1012018
Subject to Field:
Misc. Receipt
NIisc. Receipt
lVisc. Receipt
07776002 51601 Permit Fee
07776002 57612 Bldq. Stds. Revolving
01776002 57600 Genetal Plan Update
07776002 51601 lssuance
$160.25
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd; No 01116002 5t600
Every pemil issued shall bacome invalid uhless the u/ork or) the slte authoi2ed by
such permit is comfienced within180 days after its issuanca,or if lhe work authorizad
on the site by such pemit is suspended ot abandoned for a piriod of180 days after
the time the wo* is commenced.
$238.37
$0.00
$238.37
lnspector
01116002 51601
0't't16002 516'12
$22.08
$215.29
$1.00
Fee Totat
Paid to Date;
Balance Due
Landscaping lnsp. Req'd:
MID#: 2018-144543
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER OELCARATION
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and l\lrfssion Cod.: Thc Conrrlcror's Liccnsc Law docs mr lprly ro sr o$..r ofDn,pcny who huilds or inpmlcs lhc..on.
lnd eho .o.rnds fttr such tmjcds wirh n Conta.k,(s) li...scd 0uNa b lhc (nnradols Liansc Law)
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I hcrcby rlii n utrdcr lEnrlly of Frjury onc ol lhc nnh*fu dccfuiol ions:
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Ihrrc,ni]willmainrsinu.rkracompcns.rhninsxran.c,rsrcquir.dbySsrion17(x)olrhcLrhorCodc,forrh.pcrto(tukcof
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WARNINC: ljailurc ro scurc workcr'.oqrcnsbn oven$ is unla$tu|. snd \hall \rbi{ m cnrt)lo}ry ro aiminalFnrlri\ rnd
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ITES,AAA.IION
I hercb) 0ifimundcr pcnollyo{lcrjury lhar I rm licctrsd undcr pmvhion olcharrcr 9(con,ftncins qirh scclion r00o) ofOivkion.l
of thc Buircs md Pmf.$ions Codc. md nry licctr* is i. tu|l lorcc url clitct.
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hslcd iscc.3097. Civ. C.).
t trdci' t'Jntr
ATILIIANLOECI.ABAIPN
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raou nEntnnrctl nn|Enylnr iNncc
/\rpliro or,\lulSilnrlurc 7.rl1A
1.,1 C z'.2- r.&\-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulation
Rool Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lr/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL s-7t-ly v:&")il
Certilicate of Occu U \:/pancy
Notes Remarks, Etc.
I
I
=
=
*-SNTA
NA,ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) M7.5800
w.r/,rv santa-ana orX
Smoke & CO
Alarm Affidavit
tNSP-02 20r3 CRC
This document moy be lound at..h ttp:/i,M,vw. santa-a na.orq/pba,'
(P/ease use a black or blue ink ball-point pen)
Project Address:)lll f 2tl5 J. E+rtzvt\u ,@ f)'
Permit Number lonete( ( utzfia1
Jilf;CpY LY
Co ntractor:N 6H/A V*N Vtclvtl License #:5621s6
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
bu ild ings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the requ ired locations.
f\ eo,h boxes below must be checked:
(C"rbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i. e. hot water heater, cooktop, furnace) or a fireplace.
6S-ok" alarms: Are installed in each room used for sleeping, in each hallway outsjde of a sleeprng
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
ma n ufactu rer's instruc NS
(check onel ense d Co ractor tr Property Owner
NOTE: Ihis sef-c ertificotion is only used fot projects thdt dffect the EXTERIOR ol the structure. This
process is applicable ONLY to proiects where dccess to the interior of the dwelling by a Sontd And
lnspector is not required.
Dote:{-zt- I {
Have this completed form and the job-card readily available on final inspection!
Property Owner:
Signature: