HomeMy WebLinkAbout101100887 - PermitCity nf Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Bu3lding
Permit Counter (714],647-5800 lnspection Requests (7141667-2738 lnspector Seclron: (714) 647-5853
Permit #: rorrBasT
Pin #: 95543
Project Address: 251 1 W Camden Pl
Assessor's Parcel.408-094-14 Lot 17 Block NA ftacl 4022 Hrstoflc No
Suile Range:
Zoning: Rl
Unrt Bldg Address Range
Building Use:
Job Type:
Nature of Work
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Miscellaneous
lnsulation
SFD w/garage
Occupancy
Constr Type
Code
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320257J
1
1 st FL Area.
2nd FL Area:
Other Areas
Garage Area
Total:
Patio
T I Area
Yards Req'd
Valuation:
0@0
$3,000.00
Description of Work: Change out to R-38 insulation
Planning Conditions:
TYH
Owner:
Address
Phone
Tenant
OmerJ&PatriciaCote
2511 W Camden Pl
Santa Ana, CA 92704
(7141673-2719
Engineer
Address.
Phone:
License #
Architect /
Desiqnerl
Address
Phone:
License #:
51601000
lon Updot
5160(r000
Revol v i n
I I l,! r.l
Planning Approval By
Permit lssued By
NPDES lnsp R
PWA lnsp Req'd
ts Tefl
Fire lnsp Req'd:
Police lnsp Req'd
Date.
Date:
Dale. O712512019
Subject to Field
No
lvlisc. Recerpt
Mrsc. Recerpt
Mrsc. Recerpt
07776002 5160I Permit Fee
07776002 57612 Bldg. Stds. Revolving
07776002 57600 Geneal Plan Update
O7776002 51601 lssuance
o
No
No Account#Plannrng lnsp Req'd No
Landscaping lnsp Req'd No Flood Zone Cert Req'd No
Every permit 6suad shall become nvalld unless lhe wo* on tha sle authotized by
such permills commencod wlhtn360 clays aftet its tssuance.or i the wo* aulhonzed
on lho ste by such peaml $ suspendod or abandoned for a ponod o],360 days ahet
the ltme the work $ comrnenced
$241 68
$0 00
$247.68
lnspector MID#: 2019-153209
01 1 16002 51600
01 1 '16002 51601
01 't 16002 51612
$22 95
$223.73
$1 00
Fee Total:
Paid to Date
Balance Oue
Contractor ServiceChampions
Address 3150 E Birch Street
Brea, CA 92821
Phone: (714t 777-7777
State Lic #: 799170
Lic Type C-36, B, C-2, C-20
Bus Lic # 196430
Workers' Compensalron lnsurance
CarrEr Pacitic Compensation lnsurance C
Policy # WA00060705
Exprresr 0312212020
Iice t i 3 0270,1569 7/21/2tl
Tronsoct iofl Totol
ofi ice:lt(ln5 : ltl
het i
I ee
$ervice (.hotp rons
Plan Checked
$166 s3
$1 00
$22.95
$57.20
Total
BUILDING. INSPECTOR RECORD
SITE-WORK OATE tD/stG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy 8/u/t q H.$t
Drywall
Ext./lnt. Lath
Brown Coat
Ivlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL tL/,q bl/ot
Certificate of Occupancy
Notes, Rqmarks, Etc
OI}NER BUII,l)ER DETI'ARATION
I hd!t, .lrm uidd FonJ ol Fjury rhr I m -.npl fmm rh. aodrxoB li@ l,\ ror lh. !t'lh{i,E ld!. (S< 7011 5
86ilB dn P!.tu hf, Cod.): Anr Cn! or (ounr $ttfi ..quc r Fma lo 6dM. .h3. iisoq .ldFlish or lP.r xt
rrudqe Fn. to 'rt iM. .ho rqi6 rh. ql9lr&n lor kh Fmi ro 6k ! rts .d i.dEn rt lr - ii i li(ar.d F!.d
ro rh. F.!i.i.s of F Co.i.rld r LiEE d uf, (Or4ra 9. Coffiins sih S<iir. 7m) ol Dirirbn 1 of llE 6BiB ad
Pm&sioN (_od.l or rhr lE d slE ir croF rhd.6om .!d rlE h-! flr rlE.lLgql n@plhi ArrriohhnofsErbrT0ll.t lD &y
Tplicd tor . Fnt sut'J.cl' rh. rpr,lrdt ro . duil poh! df mi mE rhr 6r. hun&.d &'116 (i5001
l. s o" nd oilh. ForEnt. tr
'ry
dplols \urh $.86I rhci' Fl. com!.cdi... s ill & lh. \'dI a lh.rBle6ml
idRGl o. o rs.d for $lc lsa 70.1.{. Bulin6r and l\of.sir6 ( od. Th. Conimclor! l.icdc L,* d'6 Rn dr,tly r. m o$nd of
rhc IFtEy *ho tlil&.r ifllroE fi6on. sd trlb d,r6 nf,h trlrl himrllor fi6dtor rhtutrlh hi. or hd o*n.mploy6.
pnr id.d rh.r rrh ihlmrffirs m nor inra at n olf6.d fin sL lf, hos6q. rtE laildine or iryn\lFr i! r,}l rnhin on. )6
of compLlion, rhc (n\ n6 BuiU6 sill tsE rh. trrd.! ot Fn\ inr rhd hc or s1'. dil d hitl or iryr.\. lh. pmFly fot lh. FtrF*.f
l. ! osF of rhc FoFtt. m n.hBiv.l! .odr&ling \ irh lt..N.n c.dtuoR ro orEruci rlE FrJ.( (st rol,{. B8G
rn
'robsis
(-od. ft. Co ftrois Lktr 1..* &E ml eDl! lo o o\to of lrnFry $ ho boildr o. inpo6lhdRn.
md trho sliEl3 tu *h Foitr3 y nt . codn<rn(rl lafl.d psisd b rlE Co rxrdtItt*lrs)
I dr c\opt unda s(lhn
l).r. ().nd
mrRr(rlls a)iiirxaa rroN
DIig.AAAIIA!
I hcrcbr amim unds poahyotFju,r- oi! dlrhc n l[\r'n! d(lnraii..s
I hae. Md $ ill m.intain i Ccnifi.ar€ or( otud! ro sclf'lNur. ror rv.' [6' mmp.rsl ion, tt Fovidcd for by S6lion .r 700 ol rh.
lihlr (oJ., fd !h. FfomMc. oalhc $ ork for $hi.h lh.Fnrir i\ nru.d
I h.L c lnd q rll ma'nhin \rorld co.{f,nr.r iin im6tu., 6 r.!un.d by Sdior r 7(x) ot I h. I ltrr ( od.. lor !h. Ffomffi. .f
rn. $uk fr trhtfi lhB Fn ie sd M' $ort* .omFNli.n iBurmc carE ad Fl(t nurha e
.,(_
yq?tc
l,/J\DOObDlo{/,.f ,,
l.di[ rhd i. rh. p.rlomx. of lh.sorl fq shich lhs Fdn s i€u.d.I ih.ll d othy uy Frn in rN ne6
$ d'o hqrft qbi.n b rhc\ond comFMion L*r.f ( rlitohh. ud a[r lld ilI.lbuld t rorc sut d to llE
s.rlm .onrpd$rnn tn\6n,nsof s(hon \7lrr olrh. I
W RNIN(; lail . k, Gur. \rork(s' comno$ri , ..
I nEll. h.lh$nh (onplv s irh rh.klr.rircB
nlaNlul. and sh0ll strhi( u cmlors lo riniul pqah6 Md
.nrl fin.r un h on. |trnJr.J lhousnd dolliF (k)n t) rhr !o{ ol (. rlktrs tr)n. (lnmag6 !s lrrnld i,tr rh.
J I
I h<cl,\ rflnm ud.r Fn,h) .fpaiur)r orchaFd 9 r @@ins $nh sdim 7000) of Dn isnr lr
ol rh. $Brc,!d PNtdioE Co<!. td n, lr.e u n full fok! &:d.lfd
^-. - /r".,,., ^ L .-./,/,
'
t?
"""tfzs f t1
't11 tt o
I hd.lrv.ntm undfi Fnilrtolpajurylllnl I rsn y for rh.dfom!rc. olllE so,[ r.r rhich thG pd,ni !
nsud lsc (r'r7.(\v c)
Affu(AtrtllllJ8Arlo!
I hrdt .trm und6 F.tl_ of FJU') oE oI llE f.llo* 13 d..lrdi,n3
Dntul io6 PonrlArbdd t{orifkarhn t.d.r.l R.ruldioN (T kr0, P!n6)
Ralun..l I.116 of r*rifi.rio.
nr &rh6r* r.nx\.l dc or.DDlicahl. t, lhE nn.r6r
lrn. 'nn,nndn,n ii.ondl la$clorompll $ilh rll( iryatu]C.unr,
I(.hy durkirn. r.Fctrdir6 of I
x1 od^-*--:":";I;[;--
Subf loor/VenUlnsulation
L