HomeMy WebLinkAbout104101533 - Permit (2)e
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 1614 S Standard Avea
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Unit:Bldg: Address Range:
Assessor's Parcel: 014-241-26 Lot: NA Block: NA Tract: NA Historic: No
Suite Range:
Zoning: Cl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit #:1O41O{533
Pin #: 51816
Building Use: Commercial Occupancy: B 'lst FL Area: Patio:
Job Type: Tonant lmprovement Constr Type: V B 2nd FL Area: T.l.Area: 1355
Naturc ofwork: Tl/walkin coolerc code: cBc 2ot6 other Areas: yards Req,d: o@o
Existing Bldg. & Usq COMIUIILAUNoRYITIAT Flood zone: x-0602320276J
proposed use: be cr6am perror # of stories: Garage Area: valuation: $30'000 00
Total 0
Ooacription ofWork: New interior partitions to creato seetingrso.vice areas, p.ep areas, utilltiy a,ea, hallway,i& naw rgeoFin cool.B to creato an ice
cream shop. Upgrade (e) restroom. Ref: 1M99635 for P & I feesrint. demo. NOTE: GrcaEo.lnlsrcsptor not raq'd p€r.PW.
Planning Conditions:
()wner.
Address
Phone:
Tenant:
Nguyen & Pham
'lOO12E Garvey, #4
El Monte, CA 91731
(714)470-6068
Mathew Paleteria
Contractor: USA Builders & Constructio
Address: 791 W. Brookhurst Street
Anaheim, CA 92804
Phone: (714) 448-9633
State Lic #: 1043259
Lic Type: B
Bus. Lic #: 375069
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9236070
Expires: 08lO4l2O2O
AES Architectural & Engineering Solutir
Dave Gamboa
17303 Bixby Avenue
Bellflower, CA 90706
(714) 597-s560
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
I
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lrrsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01116002 51600
01116002 5't601
0'1116002 51612
01116002 57770
Kelaher, Selena
Heidari, Fred
Chavez, Dave
Date:09/23/2019
Dale. 1211612019
Dale: 0211012020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
07716002
07776002
07776002
07776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg Stds. Revolving
General Plan Update
lssuance9,u
73713
Total
57607
53600
57770
57672
57600
57607
$352.30
$487.80
$19.55
$2.00
$22.95
$57.20
Account#
Every permit issued shall become invalid unless fhe work on the site authorized by
such permit is commenced wnhin 360 days after its issuance,or if the work authorized
on the site by such permit is suspended o r abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2019-154524
$22.95
$409.50
$2.00
$19.s5 Fee Total:
Paid to Date:
Balance Due
$941.80
$487.80
$4s4.00
6.'1
BUILD:NG- INSPECTOR RECORD
SITE.WORK DATE ID/SIG COMMENTS OWNER BUILDER DEI,CAfo{TION
I hoeby ailirn undo penally of pojury that I an exempt holn thc ContiactoB' License Law for thc followrng reason (Sec.7o] 1.5
lJusinds dd Profmion Codc): Any Cily or County rvhich rcqurrs a pmrit to consttuct. alto. irnprove. dmolish or rcpair my
structure, prior b its isumce. also rcquiro the applicmt for such pmnit to filc a signcd statqnflt that he or sh€ is licosed pGuilt
lo the provisions ofthe Contraclor's Licensed kw (Chapler 9, Comrnencing with Sstion 7000 of Divisron 3 ofthe Busine$
Profc$ions Codc) or that he or she is exempt thqeliom md the b6is for the alleged cxmption. Any violatron of Setbn 703 I .5 by
applicantforapennitsubjetsthe applicantkiacivilpenaltyofnotnNrelhilfivehundreddollars($500).
and .o'il
I. s oM( of the profErty, or my cmployes with wags 6 their sole compensatiol. rvill do rhe work ild thc struclue is not
intodcd or offcrcd for vle (Se.7M4. Busines md Profssions Code: 'i he Coillraclor's l-icsse l-au' dos not apply to il o'nncr of
thepmpdy rvhobuiltisorimprovethson,ardwhodossuchrvo*himselforh6elforthrouShhisorhros'nemployec.
providedthatsuch improvmentsaenotintmdlalorolltredforsale. lf,howwclthebuildingorirnprovsnfltissoldwithrnonelu
ofcomplaicn. the Orvns Builds will have the budm ofproving tha he or she did not build or i,nprove the prcpqry for the purpo*of
$le).
l. 6 osnd oithe propsty, an exclusively contraclmg with licensed contracloB to construct the projcai (Se. 7C44. llwinss
od ProfcssionCode:TheContraclor'sl-icense[,awdosnotapplytodown6ofpropertywhobuildsorimprovesthqrcn,
and who conlracts for such prcjets with a Contracb(s) licensed pursuml to the ( onlraclor's Licmse Law)
_l m cxcmpt under ts. & P.C. for this reason.
D6le:()rvilcr:
WORKERS' COMPENSA'TION
DECLARATION
I hqehy alfrrur under pcralty ofpojury one ofthc follorving dcclaralic'ns'
--_l have md rvill mainlain a Ccrtificate of Consfit lo Sclf-lNure for rvorkm' compmatioc, 6 providEi for by Sation 3700 of the
Labor Codc, for the pqfomdce of thc eork for which thc pmnit is issued.
_l hdve and will mainlain workas compeNation iNurance. 6 required by Sction -3?00 of the tak)r Code. for the lvfomoce of
the work for which this pmit is issug5l.lrty workss' compensation insurilce cffiis dd policy numbr ae:
cmiq: r dLr(4
a
Pohcy Numbcr:--Erprres:
_l ceniry rhal in thc psfonnance of thc rvork fo. uhich this pcnnil is issued. I shall not qrploy any person rn any nlonq
so as to beconre subjel to lhe work6s' compensation laws of Califomia. md agre that if I should tsome subJ(l lo lhe
work6s' coilrpssation provisions ofSetion 3700 ofthe Labor Code, I shall. foilhwith compiy !vith those provisions.
WARNING: l:ailurc lo sue workers'compmstion cov64te is unlarvful. and shall subjet d qnployer lo oirninal pqraltie md
ciril frncs up lo onc hundred thousand dollas ($100.000).
Section .1076 ofthe Latxrr Code. intqest and atlorney s fces.
in addition to thc cost of compeNtion. damages o providcd for the'2
o rt", 2-:-=_!-.s-'Zz>-2.2,t Applimnt:LLICI]NSEDCONTRACTOR I
DECLARATION
I hoeby affrrn undu pflalty of perjury that I ar licensed undo provision ofChaptq 9 (commmcrng with Setion 7000) of Division 3
of thc Businru od Profsions Code. md my licme is in full force md effrr.
f,Licecse Class:License Number:
contrsctor: U(-
CONSTRUCTION LENDINC ACENCY
I hqeby affrm unds tEnahy of p6juD lhd th6e is a coNtruction loding agmcy for the perfommce of the work for which this permit is
issued (Ss 3097. Civ. C.).
Lends's Name:
Lcnds's Addrs:
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APPLICAN'T DECLARATION
I hueb-v affm unds pqralty of pcrjury one of the tollowing declilationsl
frcmolition Ptrmits-Asbcstos Notiftcation Fsderal Reguldtions (Title 40, Pa16)
Requrred t.dt6 of Notificalion
w(h all City and County
ard County to mts ufDn the
above mmtioned propeny for iNpectiorl purpos6.
Applictrnt or Agen(-Dele:.L I e, -2o L.,-,
---J-lu '),Pcrnrilce trrme (print):-.7, \
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu lation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy I
Drywall a 75 *.8"/
Ext./lnt. Lath lr
Brown Coat
ltlasonry
Pool Fence
T-Bar
Handicap Reo
Deputy Final Report
Engineer Final Report
Flood Zone Certif
I
FINAL t lo 7.0 ),Q./tf '-.#87
Certificate of Occupancy ll'
Notes, Remarks, Etc
,b I have rcad this appliciiliorl ed slate lhal lhc atxrvc infirrnrattrn is correcl
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