HomeMy WebLinkAbout10198697 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 1Ot98697
Pin #: 94949
Lot: I Block: NA
unt: 42 Bldg
Tracl: 4235
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Description of Work: '1100 sq. ft. of r38 blown-in insulation.
Planning Conditions
Condominium
Miscellaneous
lnsulation
Condominium
R-2
VB
cBc 2016
X{60232016/U
Occupancy:
Constr Type
Codel
Flood Zone:
# of Stories:
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.lArea:
Yards Req'd:
valVatiq!r $5,000.00
Ownerl
Address
Phone.
Tenant
Larry Chamberlain
1919 N. Sherry Lane
Santa Ana, CA 92705
(714) 542-3r 09
Conlraclor: ServiceChampions
Address: 3150 E Birch Street
Brea, CA 9282'l
Phone: 17111777-7777
Stale Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #. 196430
Workers' Compensation lnsurance:
Carrier: Pacific Compensation lnsurance C
Policy #: WA00060703
Expires: 0312212019
Engineer
Address
Phone:
License #:
Architecl /
Desiqner:
Address:
Phone:
License #
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
Chavez. Dave
Date:
Dale:
Oale 1U1712018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
$160.25
s1.00
$22.08
$55.04
07776002 57607 Pe(mil Fee
07776002 57672 Bldg. Stds. Revolving
01776002 57600 Gene.al Plan Update
07776002 51501 lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every pemit issued shall bectme invalid unless the work on lhe site authonzed by
such Nmit $ cornmenced within 1@ days aftor its issuance.ot if the wod< authodzed
on tho site by such pemit 6 suspended ot abandoned for a penod ol 1 80 days aftet
lhe lmo the wo* is cammenced
No
No
No
No
No
No Account#Total
$238.37
$0.00
$238.37
lnspector
01116002 51600
01116002 51601
011'16002 51612
Fee Total
Paid to Date.
Balance Oue
er
Project Address: 1919 N Sherrv Ln
Assessor's Parcel: 396-351-02
Address Range: 1919-1921
Historic: No
Suite Range:
Zoning: R4
onF+:61
Refa:
t2 / 17 /1(tr
1lJ1?
:i l0i
t35v.tld I
rdote Fee
l-I_tul-r -
I rjr.,r-r -
!v
'n9lr.[)t,r-
,ug(29
0lil
P,ui!0lil
I'lde
$22.08
$215.29
$1.00
MID#: 2018-148323
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNEA BUILDER DEI.CAXANON
I hqcby lrm u'dq FrX, ol Frury thr I 6 cr@e( 600 tlE Corrrdd Lic.e L& foi llr lblb*i.8 l6D lsc ?0l l J
Bsi.6 dd Profi!.n! Co&) An, Ciy or Cou,ry *tih r.qlia r Fni lo @.utu i .Iq, i!Dp..ve dsblih or lF.n !y
nru.rB., Fd ro il! isllsq.Lo E+ri6llt +?ltTl tor sh FEn lo fiL i ltt d !.arE rhr lt or {E it lico!.d FrEd
to rlE FovirbB of 0E Co.E*di LEnt d t * ((LFq 9, Coffiin8 iih Salion 7l)00 of Oilirion I of E B6it6 &d
Proh$io6 co&) o. rh.r IE dJE i adlpl tha.6!6 rd tlE b.sa tor rh..lb.d.raqb. Ary vbLrbn of sdbn'70rI5 bt Ey
.rpltd 6r ! FDn $qd rlE C9li(rr lo. ovil parlry of @r @E r,E lir. hu'xH {trurt {t5@)
-1,6.eEol
E FoFly. tr ny 6r9k )c *nh *rs6 s $cn nh o6Fdh( *ill rh tlE wi rd rlE lbdw b ml
irr6!d.d m otrdsl for slc (Sd 7O1t. BuilB od PrDfdioB Cod.: TIE Coini*rd't t,a.e lt* &d d .PPly lo & 0*6 ot
ln. FnFiy wh. nln&or drqDr6 EEn. rd *ho d(E sr sa hi@llor hd*lf or rhmugh hi! tr 16 oM dlloyc
Fovidcd lhd such inFlEEu Gmt hrarLddofisEd tu 5E.Il lEw@, tli buildhs M 6p.Dt€En ir eld vitl,in oft r@
of.otrpLlion, dE O.rd Boilld will hlE lh. h!&i ofFov,lg Ul, lE or d!. dil ml hild or i.lhE th. FlFry tu rh. FrFs of
-1.
ro\rEof rh.Fopdy, mBclurv.lyc.dEdins wnh [cd.d co reloE lo onntud tlt F.i..l (S(. 704.4, I\Bn6
]n ftD*sin Cod.: ft. (ontrrlor', l"k.N trw dos mr apply lo e o{€ olproFly qho buildt or inprova lh6or
md who NrG!.l' tor sh Flixu *nh. Codr*rons) ltaE d FlEosr lo rlE codndd't l-].d tlBJ
-l
m .rotrpl urda 56l{
tlla[.fBl-.(artl)-s.llrQ.}
l2tgd!8 Ira)
I hady .md uodd F[Iy ot F)ury oE of[E fouowbe drLrdi.B
I l'It. an will minEh . Cdifrd. olc6n6 ro s.lf.lM an w.t(r @mr.n oon, 6 Fovit d for b, Salb. 3700 ollh.
trbor Cod., for th. pqfoffi ofllE @fi fot *nEh th. FEn t i$u.d.
Kru'c od wilr mainrau mrkdJ comp.Ellion iroue.. s r.qun.d by s€lirn .1700 of lh.l$or cod., tur tl! FfotlMcc of
fii! Fnn ii i$u.d. My woiidt conrp.ru€lion i6urd.. cnio Md plicy.umhs ,c:
-l
cd'ry rh.r in rh. Ft{)llls. of rlE "ort for qtit rht Fnn n ie.d I lrull mr aplo, ar lE{n i! dyIll,]F
$ sro b<oft ltitl b ttE $.lt6'comFlrion h*! of cdilonit &i ,3r fir if I tlDlld taoc ettlt b tn
*.rt6' onip@abn FDvirioE ofsa1i)n 1700 otlL trhq Cod.. I shdl nrnent oopl] ]iln lhos Fo\ir6BllaR lNCr Fdhe b sw rortd onp@rb. 6td+. ir mL{'tuL .Dd rh.ll ,bj.tl m dnplotd lo ainintl F.lE .nd
cril fbB up lo oN hun<lrcd rhoed doll4s (tlm,C{xr). n -F1 of ..f,Fdion, d.n S6 B Foradcd 16r rh.
i.rdd .nd.&ry'! f6
L 7 /9
u(IxrtD!j)!]&rtla8ll.Uzl&Url]!
I h@by lmm undd podry o I p.rjury rhlr I m lic.tr!.d u.ds prDvisior ol Chafls I {.ommmin8 $ iln S.dion 7000} ol Divition I
of rhc AusinN md PmfsioN Codc, ald dy li..@ i! ir tull aor.. dd .ffdl
CZ GZ ('.77?/7a
/7
COlsIIllcIIOIl.EdIllc.AGIBl}
I ba!b,.frm uldq FEI, of Fju.ylhi $n !. ollntu<rbn ladiie BC, 6r lh. Ff(']il.N of E srt 6r*l*tlhi!F6..
irscd (sc. 1097. cit. c ).
AITUCAILDIiCLAAAIIO!
I hdrbydir,f,und- pcnal'y ofFjury orc ofln louowins d*lralions:
D.nolilion Pmils-Alb6ro! Norili.dion I.dn.l Rqul ioB (Titl. 40. Pan6)
-R.{uEd
Ldls ol Nolift.rirn
I .diry rh, rh. fctdsl EsuLrirB rsrnlts 6b6r6 r@\.1 a. mr q,plt3bl. b lha lxlFd
-l
cdiry $i I her 6d rhB nplirbn -d 1L lhr
''E
.!ov. ilfonribtr i c6dr I .8E
6dio.s6 &d Sld. t,6 Gri.a to hiildilr .odndir'! id hddy .r!ho@ E .a.din€ o
ltow nBlEn d FoF , fd dr+crir Frlggt-z--
^pprslr
or
^tor
stdli l .-
ro NnpD snh rll Cnt .,td comiy
"^u-*,,o*u, /44/ 74ozzt?
n, iz-.?
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing
lns u lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL tfil //t ,D{',tr
Certificate of Occupancy
Notes, Remarks, Etc.
Flood Zone Certif.
,"-^2b12
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