HomeMy WebLinkAbout10197280 - PermitE
Project Address: 1220 W Hemlock Way
Assessor's Parcel:41041'l-21 Lot NA Block: NA
unit: 107 Blds
Tract: NA
Suite Range. 103
Zoning: C2Hrslonc No
citv of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (7'!.4], 667-2738 lnspector Section: (714) 647-5853
Permit #: lOl97280
Pin #: 477OG
Building Use:
Job Type:
Nature of Work:
Existing BIdg. & Use
Proposed Use.
Commercial
Alteration
TI
Commerical
B
VB
cBc 2016
x-0602320259J
Occupancy:
constr Type:
Code:
[:lood Zone:
# of Stories:
'1 st FL Area
2nd FL Area
Other Areas:
Garage Area
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:
2398
0@0
s71,940.00
Description ot Work: Tl to existing medical office including new partition walls, lighting and finishes
Planning Conditions:
Owner:
Address
Phone:
Tenant WIC
Karim Markarbhichi, Koystone Buil Contractor
4212 E La Palma AYe Addressl
Anaheim, CA 92807
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Engineer
Address
Architect /
Desiqner:
Address:
Phone:
License #
Phone
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'dr No
Planning lnsp. Req'd: No
Escamilla, Manny
So, Anson
Hernandez, Kathy
No
Dale: l0130/2018
Date: l0/29/2018
Date: 10/31/2018
Subject to Field.
Misc. Receipt
NIisc. Receipt
tvlisc. Receipt
71335
Total
$s99 s0
$839.30
$3.76
$3 00
$22.08
$55.04
Permit Fee
Plan Check Fee
lvlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceFire lnsp. Req'd:
Police lnsp. Req'd ffi Account#
Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd: No
Every peinit issuod shall bocome invalid unless tho work o, lhe s/te authoized by
such pemit is commenced within 180 days aftet ils issuance,ot il lhe work aulhoized
on the ste by such pemit ts suspendsd ot abendoned lor a peiod of180 days aker
lhe tirne the wo* is commenced
lnspector
01 116002 51600
01 1 16002 5160'l
01 116002 51612
01116002 57770
$22.O8
$69.54
$3.00
$3.76 Fee Tolal
Paid lo Date:
Balance Due
$1,522.68
$839 30
$683.38
Address Range:
!l tI
07776002 57607
o7175002 53500
07776002 57770
07176002 57672
o7716002 57500
07776002 57607
MtD#. 2018-145222
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNEN BUII-DER DETTAN T|ON
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CIIISIBICIIONIEIDINqJ;EUCT
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A'IUQTXLD}jCIJEAITO!
I h!*, .rm lndd po.hy of Fjury on. of $. followinS dclrarions:
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-R.qukd
L.ltd of tloiifdin
-l
cdr rt rhd $c Ld6d rcBlhlioB rE8ldll3 ab6l6 r@r tl e. mr tptltrlbL lo $a pror<r
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ordiMnc6 ud surc lr\3 rcldin8 ro hoildin8 $'Errudiol\ en slan6of rhB cny sd Counly lo ord upon rlr
!bo!. lmrbn d p.op<ny n,
Appli..nl or ,l8fl I 5itnI0r.t:/ z,l1g
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathing
Shear Wall /
Framinq rz-t7-t*
lnsulation/Energy \JDrywall pM7-Lo.
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar I -tr*]1
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL /-Zo-/i -ldtla
Certificate of Occupancy
Notes Remarks, Etc
lz.J7+w a't fi05 4
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Numbd
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Subf loorNenVl nsulation
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Jy'eS/-
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