HomeMy WebLinkAbout10165474 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Building permit #: 1Oi65474
lnspector's Section: (7 1 4) 647 -5853
Project Address: 1995 S Standard Ave
Assessor's Parcel: 016-1 20-59 Lot: NA
Unit:
Block: D, POR C Tract: 696
Bldg:Address Range: 1801-1995
Historic: No
Suite Range:
Zoning: Ml
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Description of Work:
Planning Conditions:
lndustrial
Fire Sprinklers
Fire sprinklers
lndMIarehouse
Occupancy.
Constr Type:
Code:
Flood Zone:
# of Stories:
B, S.1
III B, SPK
cBc 2007
x-0602320276H
0
Patio. 0
T.l.Area: 0
Yards Req'd:
Valuation: $2.500.00
Owner:
Address:
Phone:
Tenant:
Behr Process
1240 E Glenwood Pl
Santa Ana, CA 927073000
17 141 545-7 101 ext. 2767
Behr Processing
Contractor: ServiceEngineeringGroup,
Address: 1220 N Knollwood Circle
Anaheim, CA 92801
Phone: (714) 503-6111
State Lic #: 464762
Lic Type: C-16
Bus. Lic#: 152782
Workers' Compensation lnsurance:
Carrier: Majestic lnsurance Company
Policy #: C20080466402
Expires: 0110'112010
Engineer:
Address:
Phone:
License #
Architect /
Designer:
Address:
Phone:
License #:
Entch* I
r'lf i' i ce:
Hl.-l."LT.
Hrpti, I lt'f r on Efl
'.:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Evans, Eric
Hernandez, Kathy
Date:
Date:02/10/2009
Dale. 021'1112009
077-07-5971 Permit Fee
077-07-5407
77-07-5472
077-07-5977
Ptc65%
Bldg. Stds. Revolving
lssuanceYjk
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
$80.25
$52.1 6
$1.00
$36.75
No
No
No
Fire lnsp. Req'd: Yes
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Every permit lssued shall become invalid unless the work on the site authoized by such permit is commenced
within 180 days after its lssuance, or if the wofu authoized on the site by such permit is suspended or abandoned
for a peiod of 180 days after the time the work is commenced.
Fee Total:
Paid to Date:
Balance Due
Account #: 011-01-5911 lnspector MID#: 2007-77913
$1 70.1 6
$0.00
$1 70.1 6
l st FL Area: 0
2nd FL Area: 0
Other Areas: 0
Garage Area: 0
Total: 0
I
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS Ow-Builda Dclantion
I tucby rflm unda pculty of psjury thet I u qcmpt fom thc Conrnco[' Lic4c bw for thc following rur (re?03 I . 5 BuilB
and hoferion Co&): Any City or County which rcquiro a pemit to coBtruct, rhq, improw, dcmlirh or rcPrL my ttrus'tuq prior to itr
itrune, rlro roquiro rhogpliont for ruh Dsmit !o fil! r li8Dcd ttrtffit thrt hc o, the ir liccrocd putunt to tho provirior of thc
Contncror'! Liercd hw (Chrptq 9, Commaming with S$tior 7000 of Divirion 3 of thc Buitrs ttrd Profaioro Code) or thrt hc or
rhc is mmpt thee&om rrd thc b.tir for thc rllcgcd qcmption .Aay vblrtion of Scction 7031.5 by uy tPpliant fot r PcrBit subjdtt thc
rppliont to r civil pouhy of not morc tlun fivc hundrcd dolbr ($500)
I. I ow of thc propcrry, or my mploys with uga u thcir rclc ompcmtioq will do tha mrk rnd thc rtructua ir not intodcd
ii-offqod for slc ( Se.zog, SuitB md Profssionr Cods Thc Coilr.clor's Li*Nc hw dod not rPply ro u ow of tho propety
who hrildr or improvo ths@L .nd who do6 ruch work himclf or h@lf or tkouih hit or hcr ou cmploye, provilcd tlnt rucl
improvomats rri rct intsndcd or offcrcd for ralc. It howvu, rhc building or improvcmcnt i5 soH withitr orc ya of omplotion, the
Oms-Buildq will hrvc thc burdm of provitrS thar hr or lh6 rct build or improvo for thc purporc of ub).
_I, a oMq of rho propsty, rm ficlurivaly @ntncting with li@rcd @otrrctott to @uttud ths projrc ( Scc. 7(X4, Bqinqr rnd
F6-fwion Codo: Ttro Contnctor'r Liccroo Irw dG rct rpply to u omq of propqty who builds or improu th6@n , ud who
coilrrd! for tuch projcdr witfi r Contncto(r) limcd pwuat !o tbo Coorlctor't Liccue lrw.).
-I
u dcmpt utrdq Sotion
-B.
& P.C for thi raotr
Date:
WORKEBS COMPENSATION DECLANATION
I hqcby rflum undc pemlty of pcrjury orc of tho following dclantiom:
tbrcrndwillmintrirrCrrrfiqt6ofcoMttosclf-I[ucforwrtm'mmpcurbqu providodforbyScrion3T00ofthe
Irbor Codc, for thc psforrone of tlt rcrt for which tho pcmil i! iscd'
I hvo rnd will roirtlin worka' @mpmtion iNnffc. u rcquircd by Setion 3700 of thc lrbor Codc, for tlrc paformae of tho
-rcrk for which this pamit ir irrucd. My wrlm' @mPcution iurme mic md policy numba uc:
Policy
Cfhi5 rcction ned mt bc omplaed if thc pmit ir
I cdiry thrt ir tlE pcrfom* of thc work for
bcerc rubjoc to thc wrLo ' ompcNrtion LB
Onc hundrcd dollur {tl00) or lw)
which thir pamit ir irucd, I rhrll not mploy my pmon in rny runq s r to
of Crlifomir, and rg16 thrt if I rhouH b€orc subj€l to thr wotlo'
@mpcnsttion ofScaion 3700 ofrhc lrbor Codo, I 6mply with thoto provisios..
WARNING:to tccutc rcrk6' ompcultioa @vsrgc md lhall tubjet m mploy{ to siniml p6Blti6 rnd civil
fins up to one hudrcd thourud dollur (8t00,000),in tddition
thc hbor Codc, intq6! rtrd .ttomoy't f€.
ost of compeostio4 daroges u providod for thc S*tion 3076 of
LICENSED CONTRACTORS DECLARATION
I hacby rffirm undcr pcntty of prjury that I em lieucd uodor prcvirion of ChlptGr 9 (@mmctrcitrB with Sstion 7000) of Divirion 3 of
thc Burins rod Profainu Codq md my lieuc ir in full fore rnd ofrca
Li@Ec
Drtc:
I heely efim undr pmlty of pajury that thcc ir r rgcocy pcrformnc of thc work for which thir pamit ir
Civ. C.).
I4nd6'r Addr6;
APPLICANT'S DECLARATION
Dcmlition Pmitr-fubqtot Notifiartion Fodml Rrcuhtiou (Titl6 ,{0, Psrt 6)
_ Rcqsircd L.n6 of Notifiotion
I Etify tlLt tnr fcdml rcgulrtbil rcgrding ubotor rmnl rc rct rPplirbb b rhit P.ojcct
this with ell City rnd Couty
rbovc mcntiomi propsty for
Appliont or Eg6t
Pqmitte [mc (print):
to
purpol4.
ul6 upon tho
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SubfloorA/enUlnsul.
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt.Lath
Brown
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/1
+4 ,t './ / .r' /
FINAL 7.-lgl o7 -r v""tA/ \tlrzY
Gertificate of OccupancY /
Notes, Remarks, Etc.