HomeMy WebLinkAbout10108124 - Permit5BIIILDING
PERMIT
ACCOUNT NO. 011-O1-5911 -- PERMIT VAUDATTON
- INSPECTOR COPY _
g9/78/fr S:lPl.l -5911 t10?.m
TI
cs-605
SUITE T: 22 SUITE
RANGE:JoB wPE: RES /RP
ADDRESS
RANGE:61 1-663 *EUILDING I:REROOFNATURE
OF WORK:
1 Block: NALEGAL
D€SCBIPTION: Lot:( 1 )12-UNIT CONDO W/CRnprNO. OF EXISTING
EUILDINGS & USE:
10861Tiact:VNTYPE OF
CONSTRUCTION R'lOCCUPANCY
GBOUP:
405-08 1-23ASSESSOR'S
PARCEL
':
TENANT IMPROVEMENT
AND / OR BEMOOEL AREA:x-oFLOOO
ZONE:
I hd.by rttirm th.t I am .x.mpl lrm tha contractor'a li6rc bw tor thc
tollmi.tg rsEon:
_ S.clim 7044l., l, E owr ot tha propcrty, or my amdoyB whh wrgct! lh.lr toL compoBrtion, will do tha work, ri thc .tructurc ir not intcndcd ot
oltc.cd tq rd..
_ Srstion 70448, l, 6 ffiE ot th. prop.rly. .m rxc[ivcly cmlrrctino
wlth lioBtd cont rcldt to cor.trGt tha pioicct.
h..-_ nE-r
:ownERi
, vIILAGEWAY NEW / ADOL.
lrt FLR. SO. FT.:
NEW / ADOL.
OTHER SO. FT.:
AooREss: 1 CORPORATE PARK *2O0 NEW / ADDL.
GARAGE SO. FT.:
NEW / ADOL.
2rd FLR. SO. FT.:
IRVINE, CA 92714 zoNrNG: C- 5/SP- 1 ,(E[uarolr, 1 200.00I h.rcby .fiirm thtt I m li€[cd rnd., /oyirioil of Ch.ptcr 0,3 ol th.
ItBuirc md Prof6ri@ Codc, r.d
PHoNE: 714/553-197e PLANNING LDYAPPROVAT BY:
CoNTBAcToBT WILLIAM H. LAVEY & ASSOC
ADDBESS: 1240 s. WRTGHT STRFFT [T[[,,, ilvnu DATE:no loa loE.
SANTA ANA. CA 92705 N
IMPBOVEMENTS
REOUIRED:N
LANDSCAPING
R€OUIRED:
2222 MEYERS AV,EI i'C0fii 7't4/s7s-623s
409233 TYPE:c39
o15s 182 bDSAT{TA ANA
SUSINESS LICENSE
':
E'{GINEEB/ARCHITECT:
I h.,3by .ltiim th.t I h.v..orliric.tr of corent lo rclt-iBw.. or a C.,tificrta o,
Wo.kcr'r Cmpcrtti@ lru.n6. Crnitisd copy it lilcd with th. City Buildinc
lrpaction Dlparlmmt.
I ccnily th.l in thc pcrlorm.nc. ol ttE wo,k ror wtich thit pcrmit ir irt6d, I .h.ll
nol cmploy any pcrton in rny mamr ro x to bcomc aubioct to ttE Work..'t
CompcB.tion lmr ot C.lilorni..
NOTICE TO APPLICANT: ll, .firr m.king thir Ccrtilic.t. ol Exrmptim. you
thodd brcomc rubrcct to thc Wdkq'r CompcB.tion provitioB of thc L.bor
Coda, .you m€t lqrhwirh cmdf with reh provirim or thir p.rmit rh.ll b.
dmGd rrvokrd,
?e*Dttr ol
Sign.tuG ol
Ott.
hqtrca
ADORESS:
PHONE:
LICENSE
'
REROOF W /T .O. -REMOVEB.U.R. AND APPLY NEWFLAT PORTION ONLY
sMo[E PErEcToRs
REQUIRED - '-
CITY OF SANTA ANA
BI,JILDING SAFE,TY DIV. M.I9
P.O. BOX 1988
SANTAANA, CA. 92701
JOB DESCRIPTION
HANDOUTS GIVEN
TIN.TEXISB.U.R
I harGby .ttirm that thcrc i! a coEtrwtion lcnding .Ocrcy lor th. pqrrorm.ncc ot
th. wqk tor wtich rhh pcrmit ir irwd lscc. 3O97. Civ- Codc).
DGmolitlm P.imitt-A!bG.t6 Notiric.tion F.dcr.l BGgul.tioil (Titl. 40, P.rt 8)
_Bcquircd lcnGr of notificrtion.
_l orlity thrt tha F.dc[l Blorl.tior rco.rding Bbol6 rcmov.l .rG not
rpplic.bl. to thit proicct.
/ anilv thtt I h.vr rc.d tlir rpplic.lion rrd.t.t. thrt .ll thc tboyc
inlo,mation lt col.csl. I rgila lo cmply with all th. city o.dinanc.t, rt.t. rnd
tcda.l lawa r.latirE to building cortrEtio rrd tE..by arnhorir. rGprocnt.tivG.
of tlit city to Gntcr upon thG abovlmanliomd
Lc.tdcr't
-7f
tor lmpcction purpola.
Signrtu. ot
Applicml ot
AMOUNT QTY
FEE TOTALPAID TO DATEBALANCE DUE
1
1
1
00
00
00
FEES:
PERMIT FEEPRE-INSP FEE
ISSUANCE
41.0051.0017.00
109.0.109.
FEE41.0051.0017.00
OWNER.BUILDER OECLARATION
LICENSED CONTRACTOR'S DECTARATION
WORKER'S COMPENSATION DECLARATION
CONSTRUCTION LENDER
APPTICANT'S DECLARATION
Mailins Address:Public Counler:
lN3 permit thcll crtire by limll.don .nd become null cnd yold ll the wotk
lulhorired b, ttit pcrmil lr mt cmm€nced within t8O dsy! frm rha d6te of lhat
pemit. o, i, th€ work rulhoiired by lhis permit is suspended or obandoned lor
180 dr?r, !t any time ofter work wos commenced. ln such ca3e o new pemll
shall liBt b€ obtdined betore such worl cen be recommemEd.
Dn v u> t, /usrrr<cc rT 4)14
619 N. BRISTOL ST
DArE: Og / 28 / 95
BLOG. SAFETY
PLAN CHECR BY:DATE:
STATE
LICENSE ':
206 W.4TII. STREET
2nd FLOOR
P}IONENUMDER
(714) 647-rtOO
ffi#ry+
BUILDING .-. INSPECTION RECORI)
Notes, Remarks, etc.:
16-ro
6-(t-
t \aa t
vJ
at
Site Work Signature I.D.
Sctbecks
Formr/Stccl /Holdowne
UFER Ground
Shb Ffoor
Stecl
Pool Fence
Masonry
\u
BuildirE
Undcr Plnnlng (lloor lolell
/lFoundatlon Vcntllallon x'.J*^_fmt-9<4?,Rool Shcrth rlnrulrtlon, En.rgy
Dry Wall
Exterlor Lath
Brown Coat
T€ar
Handicap Requlrernents
FRAMING
FINAL (Shell only)IE4*o*Sgrrre l< sqL +Q>FINAL (Tenant lmprovernentl
Remarks Date
eaaress: ttl N. B\Slilr- unit/Suile:-
I.D.Date Sigrrrture
1