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10198777 - Permit (2)
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspectorSection: (714)647-5853 SY Permit #:1lJ198777 Pin #: 6{9E3 Proiect Addressi 517 3/4 N Main St Unit:WCG01 Bldg: Address Range TTACT: TN OF SANTA ANAAssessor's Parcel:398-321 -01 Lot: 7,'10 & PORS 8,9 Block: 18 Historic. Yes Suite Range: Zoning: SD84 Building Use: Commsrcial Occupancy: lJ 1st FL Area: Patio: Job Type: Alteration Constr Type: N/A 2nd FL Area: T.l.Area: Nature ofwo*: coll Sit6 Code: cBc 2016 olherAreas: yarcts Reqd: o@o Existing Bldg & Use: Commercial Building Flood Zone: X-0802320276J proposed use: # of stories: Garage Area valuat'on: ll5'000 00 Total: Dosc.iption ofwo*: lYlodify an unoccupisd communication facility. Retrolit croasarms. Removerrcplace antennas, RRU8, & ray cap6. lnstall cable6, lay capa, bEcketa, Romovo cabineta, Relocate doghou6e. Planning Conditions Owner: Address: Phone: Tenant: Horton Building Partnership 22706 Aspen Street, #504 Lake Forest, CA 92630 (714) 951-soss Verizon Wireless Contractor: lnsite Telecom lnc Address: 521 W Briardale Orange, CA 92865 Phone: (7141 282-0663 State Lic #: 835985 Lic Type: B, C-'10 Bus. Lic #: 331872 Workers' Compensation lnsurance: Carrier: State Fund Policy #: 9080105 Expires: OBl01l2O19 Engineer Address: Phone: License #: Architect / Designer: Address: Phone: License #: All States Engineering & Survr Wissam Zalzali 23675 Bircher Drive Lake Forest, CA 92630 (949) 273-0996 71 655 Jeffrey Rome & Associates, lnc Jeffrey L Rome 61 Bellwind lrvine, CA 92603 (949) 760-3929 c020876 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd: No Escamilla, Manny So, Anson Verduzco, Date: 01/02/2019 Dale. O3l27l2O'19 Date: 06/04/2019 Subject to Field: , -.1 Violel.\ Misc. Receipt Misc. Receipt Misc. Receipt 07776002 07776002 07776002 08907007 07776002 07776002 o7776002 57607 s3600 57770 24000 57672 57600 57607 $641.00 $222.16 $45.12 $4.20 $1 00 $22.08 $55.04 Fire lnsp. Req'd: Police lnsp. Req'd: No No Account# 72003 Total Permit Fee Plan Check Fee Microfilm Records SMIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance Fee Tolal: Paid to Date: Balance Due: Flood Zone Cert Req'd: No Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance,or if the work authorized on the site by such permit ls suspended or abandoned for a period of360 days after the time the work is commenced. 01 1 16002 51600 0't1't6002 5't601 0'l 1 1 6002 516't 2 o't't16002 57770 08901001 24000 $22.08 $696.04 $1.00 $45.1 2 $4.20 $990.60 $222.16 $768.44 lnspector MID#: 2018-147559 BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OIVNER BI'II,I)ER I)EI,CARATIoN applicrnllilrtpcrmitsuhjcctsthc ilppliernlk)xcivilpcnrllyol'notnr)rcthanfivchun(lrc(ldolltrs($5(xl). l. x{ owner ol thc prol^-dv. or my cnrf l()yccs wilh wagcs n\ lhcir sr)l('((rrpcn\atiur. will(lo tlE work ilnd thc slruttrrc i\ f)r salc). rntl w,n) (ontrrct\ lltr slr(lt |r1,i.et\ rvilh r (i)rirretnls) lic(n\.(l pu,'\uait l() th. (i)nlrn(l(t"s l-i(ct\c I-rw). I .rm crcmnt undcr Sccli(,n . B. & P.C. lbr lhis rcason. ()$ t!oRKERS', ( ()l\IPUNSATI0N l)!x l.AILII loN I hr,cl)v allrrm uDdcr p.nxllv (), pc,jury rnrc ol lhc li)lk)wnr! (le(lilrilxnr\: l,dla{ Codc. li)r thc pcrlinrilncc r)f lhc work li)r which thc pcrntil is issucd. thc work li)r which this f^_rmit is r\sucll. My workerr' cr)nrlrn\rlt)D insutnnce eatricI nn(l F)licy nuntltrr ffc: ( irrr r.r:51rr t con( tN5u4/I{(t fo,rrr) 6F (A l'olicy" Nu loJ, ioi ec tg rpilcs:t/rl Zt r\ S.(tx)n .1076 ofthc I-xtx)r Cixh. irilcrc\l rnd rlk)rneY s lccs.U:,r^r". L '\ 'Z,l, '1 Appricanr:/z!4 - - lrt'r-r,lsrrr t'ortn.tcron DI:CLARAT'ION ol' thc lltsirrcss rnrl Pr)li'ssrons (i)dc. ind my liccnsc i\ itl lull lin(c and cfl'ecl. l,r( arr\c cn,, AC I o b -Lt .Zrt1 l-k.n\e Nurnh.r:33.r%r (hnlril(lor'4;/r. u - CONSTRI.ICTIoN I,I]NDING AGENCT' issuctl (Scc. -l{)97. Civ. ('.). lxndcr's Nrnrc: Letrlcr's ArLltr'ss: APPI,ICANT DT]Cl,ARATION I lrrthy rllinl undcr p-nalty 0l Fljurv onc ol lhe lbllowitU dce ltral ir[s: I)cnx)lition Pcrmits-A\lr\to\ Notiircal()n Fcderal RcSuhl!)n\ { l'il!c.10. Pxll6) Rcquircd lxtl('r ol Noliliralrtrr -l ccnily thal lhc lt'dcrrl rcSulxli()ns rcgrrdirle ashcslos rctnovrl tlc nol lfplicahlc lo this Pr(tc(1. rhr)\'c nrcnt()ncd proltiy litr i,lspc(l ,trrZZ X-Applicstrt or Agent Sign{lurci I'rilrilce nnDc (prinl truti LJttt: f- -f -Zt;1 I)nl€ v Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/Vent/l nsulation Roof Sheathinq Shear Wall Framinq lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat lVlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif I al n FINAL '/)f$n{),-nW4,) Certificate of Occu Notes, Remarks, Etc.I