HomeMy WebLinkAbout10197811 - Permit (2)City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 (4 Bu ild ing
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 1lJ197A11
Pin #: {5465
Project Address: 4450 Westminster Ave
Assessor's Parcel 198-301-02 Lot Tract. NA Historic: No
Suite Range
Zoning
Unit
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Miscellaneous
Light Standards
Commercial
Light Standards
U
VB
cBc 2016
A-0602320143J
I
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuationr $37,950.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: lnstall new light standards throughout.
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
Thumbs Up Management, lnc./will
18752 E 17th St.
Santa Ana, CA 92705
(714) 801-1sl5
Two Thumbs Up Express Car Was
Contractor: Strong,lnc
Address: 10373 Los Alamitos Blvd
Los Alamitos, CA 90720
Phone: (562) 936-1454
State Lic #: 746901
Lic Type: B, A, HAZ, C-10
Bus. Lic #: 366195
Workers' Compensation lnsurance:
Carrier: StarNet lns. Co.
Policy #r BNUWCo143650
Expires: 0410112019
Address
Langston & Associates
Jim L Langston
1810 E 16rh Sr
Santa Ana, CA 92701
(7 t4) 836-86s5
c29373
Phone:
License #
Phone:
License #
Planning Approval By Fregoso, Vince
Plan Checked By
Permit lssued By
entury Structural Engi
owski, Teri
Fire lnsp. Req'd
07716002
08907001
07716002
0 7776002
07776002
57607
240 00
57672
57600
s7601
$160.25
$10.63
$2.00
$22.08
$'146.80
Date: 08/07/2018
neoate: 10/18/2018
Dale:1111412018
Subject to Field:
Misc Receipt:
[,4isc. Receipti
[,4isc. Receipti
Permit Fee
SMIP - Category 2
Bldg. Slds. Revolving
General Plan Update
lssuance/New StructuNPDES lnsp. R
PWA lnsp. Req'd
o
No Noyes Account#TotalPlanning lnsp. Req'd: Yes Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the wo* on the site authorized by
such pemil is commenced within 180 days aftet its issuance.or if lhe wotu authoized
on the sile by such pemit is suspended or abahdoned for a peiod of180 days aftet
the lime the work is cofimenced
$341.76
$0.00
$341.76atn.p],
$22.08
$307.05
$2.00
$10.63 Fee Total:
Paid to Date:
Balance Due:
o
Block: NA
Bldg: Address Range:
Engineer:
llPdot E
( l.l n fr r'tir --
l llf
Architect /
Designer:
Address:
James Gartner & Associates
James R Gartner
2036 N Broadway
Santa Ana, CA 92705
(7'14) 560-9210 ext. '102
c17450
01 1'16002 51600
01 1 16002 51601
01 1 16002 51612
08901001 24000
MID#. 2017-138372
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
Handicap Req.
Deputy Final Report
Engineer Final Report
iv-xturrFINAL4t4IA 'A}L,)
Certificate of Occupancy I,U\
Notes, Remarks, Etc.
OWNNR BUII,DER DET,CARATION
I hd.b amd nndd pdarlt of p.rjrr rhd I m.r.npr n 6 the Conlractorr' L'c€ns. l,r'for lh. follorvins rc@n (sN 70115
Bsiflcs and P,ofssion Cod€): Any C(y or Counly which r.!ut6 a pnit ro codtucl. ,hd. ihprove donolisi or relBt my
sio.tu., pri.rto ns is,recc.,lso r.quir6 rhe applic t fo! such Fnnn to fil€ a sisocd st0t€mdr thal h! or she is lic6scd ,uBU6r
to rhc trcvisions orth. Contrlors Lic.nscd La{ (Chafld 9. Co,nm.n.ing \ilh S4rion 70dr ot Division I ofth. Busi.ds dd
Proa.sion. Cod.) or thal h. or sh. is.r.npt $ecftof, dd rh. bdris aor theallqcd ermplion A.y violalio.ofSelionT0ll.5 by any
appli.an( for a pmit srbjs's ln€ applicanl to acivilp€n.ltyolnol morelha five hun&dl dollds (1500)
l. d owitr o ilhe pop.ny, or my .,nploy6 wilh N.U6 a lhcn sk comr€.sal ion, \ill do lh. *ork &d rhc tudE n nol
ioroded or otrded lor sl€ (Sa.7044. B$ins d ftoldsiore Co& Th. conkrdoi s Lic.M LaR doB not .pply lo u orvnd of
rhep,lpdy who hr ds or nnprorBfidotr and who doesn.hw hims.lf or h6elI or r hroush his or h.r o*n .nrploye.
provid.d rh.t such np' orandis m ndr intmd.d or dlIaql tu elc Il howM, rh. buildins or improvmEr is eE wnhin on. )w
olconplclion. th€ O*rr Buildd wjll hlvc rhc turdq ollr.iins lh, h. or sh. dil nor bnild o. npmve ln. Flpdiy ao, tnc llqnsof
_1. d own€r olrh. proteny, d .xclusiv.ly conka.ri4 trnh lic.B.d.onrad.6 ro coNrruct rh€ projal (Se.704,1, BBms
md Plof6io. Code: Thc (ontracloir Liccns. Law do6 nor oppl, to ano\vn6 oaprcF.ly{ho builds ot imptovB
'hdmn.and \rho onlmcrs for ch lrojeds \irh a Conrtuto(s) lic*.! puBudl
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rh. Co.traclols LicG Law)
I anexcmpr undq Sdion-. B. & P.C. for rhis r.M.
lrrte: Onnd:
woRxf, Rs, conrPEt{sanoN
Dl:ctat6llo!
I hd.by amm uidd po'dy of pdjury orc oath. aollosinA ddeatio$:
I hav. md will nainrain r C.diarcatc of ConHl to SclfiNurc for wo,kda .on,p.nernrn, 6 Fovid.d fo. by Sdion 1700 of th.
tihor Codc. lor lhc pdfdmd.. olfie solt fo! which lhe pcnn n i$Nd.
I hav€ and will mainlain *oR€rt coarp.dation i.smrcc, s r€quned ur\ s(r Dn I700 oirh€ tnbor Cod€. lor lhc p6lom&ce ol
rhc sorl for whict rlis p6nir n B,uqt My eork.rs' .ofrpds.Iion iauro.. .mi6 ad policy numbs uc:
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in rhc pdlo.inec. oarhc worl for Nhichnrispdmii is issu.d.l shallnol €oplordrp6on ina.y,n rner
$ 6 lo b€com€ subjat Io lhc NorI6 conF$llion la*s or Califomid, Md tsR that il I should b..ome subjed lo lhc
*ort6 comp€nsrionDrcvisioNolscdion lT00 olrhe Lalni codc,l shall. aonhNith comply \rirh tlNs tlovisons
WARNING: Fnilurc ro seu. worlm compmsrion covdage is unlo$ful. d shall subj{cl & dpLyd ro oinrinal Poalti6.nd
cnil fin€s up io on. hundrcd rh.usard dollds ($100,018). in .ddnio to th. cost ol comp.!$ion, d@g6 a provid.d for lhc
sdrtu. !076 ol rh. tih)r Codc, inr.r6r d
OECI,ASATq!
irnds Frvirion ot Chapro 9 lcormn inB w n S..tion ?000) of Division lI haeb! afitn undc. p.nally ol p.io,y lhal I m
7{47o/
I hmby arm undd F..ahy of pdjury lnd
$ued {sd.1097, civ. c.)
is a coNrdclion kndinr a-lscy tor lhe pqaomanc. olrhc $ork ior \hich this pslnil is
at8llcaNr.llcrlEarlo!
I hr*yrin nundd pdal y oa pdjury oncoalh. aollowinB ddim.lioN:
Dcnohion Psnirs-Aslxsros Norincarion Feddal R.rularions lTn[ 40, Pd6)
R.quired tdr* of Noriti.dion
I celiaylhar the acddalrcsularions Errdins sb6k6 Fnoval c nor amli.ahle ro rhis arojd
slrlcrhd rltalxJreinlonnarnnriscotrd lalreroon,plyNirhallCirtandCotrnry
aurhori* r.pr6drativ6 otrhis City dd Cou.ryro olq lp.n th.
^.. //-t/-/8
a.d77- P:22444""*'*{y'o
T-Bar
Flood Zone Certif.
of rhc lr$i,rs md Polaio6 Codr. d ny lic.B. is in aoll forcc od €ffst.
L!n,le,'! Addrs.
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