HomeMy WebLinkAbout10196685 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit#:(o_{_1ry9
Pin #: 3948{
Unil Bldg: Address Range:Suile Range: '-fA'\Project Address: 3614 W Camille St
Assessor's Parcel 'lit4-303-11 Lot: 12 Block B Tract: '1082 Hisloric No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
R.3, U
VB
cBc 2015
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $1,000.00
Occupancy:
Constr Type
Coder
Flood Zone:
# of Stories:
Planning Conditions:
Owner:
Address
Tam Dan Nguyen
19616 Sheryl Avenue
Cerritos, CA 90703
(562) 468-0412
Contractor: Yes Bullding and Deslgn LL
Address 17608 Oak Stre€t
Fountain Valley, CA 92708
Phone: (2671471-2968
State Lic #: 1031470
Lic Typer B
Bus. Lic #: 371090
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #r 9210073
Expires: 1011812019
Engineer
Address
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Arabe. Jill
Plan Checked By
Permit lssued By: (
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd
Landscaping lnsp Req'd
Every pomil issued sha become invalid unless the wolk o, the slle authorized by
such pemil is commenced within 180 days aftor ils issudhce,or if the wo* authoized
on tho site by such pemil is suspended ot abandoned lor a petiod 01180 ddys after
the tifie lhe wo* ts commenced
Amsden Julie
Dale: 09125/20'18
Date:
Oale: I lr09/2018
Subject to Field:
Misc Receipt
Misc. Receipl
Misc. Receipt
07776002 51601 Permil Fee
07776002 s7672 Bldg. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 5160I lssuance
$ 160.25
$1 .00
$22.08
$ss.04
No
No
Yes
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
$238.37
$0 00
$238.37
lnspector MID#: 2017-139323
$22.08
$215.29
$1 .00
Fee Total:
Paid to Date:
Balance Due:
Zoningr R2
Single Family Owelling
Miscellaneous
Demo garage
SFD w/det garage
Description of Work: Oemo 2-car detatched garage
Phone.
Tenant:
Planning Approval By:
0'11 16002 51600
011 16002 5160r
01 1 16002 s1612
SITE-WORK DATE ID/SIG.COMMENTS OWNER BT]ILDER DEt,('AR TION
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Set Backs
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UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
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Deputy Final Report
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Flood Zone Certif
,1i1)
FINAL I tblWq/^u4eil
Certificate of Occupancy I ul
Notes, Remarks, Etc
BUILDING. INSPECTOR RECORD
Forms/Steel/Holdowns
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