HomeMy WebLinkAbout101102945 - Permit (2)ffi City of Santa Ana 20CivicCenterPlaza(M-19), SantaAna, CA s2702 BuildinS,
@ Permit counter: (714) 647-5800 lnspection Requests: (7i4) oo7-2238 tnspector Section: (714) G47-s853 \V
Permit #:1lJ1102945
Pin #: 8O97O
Proiect Address: 5 E Hutton Center Dra
-
Assessor's Parcel: 41 1-102-06 Lot: NA Block: NA
unit: 1000 Blds
Tract: NA
Address Range Suite Range:
Zoning: SD76Historic: No
Burlding Use:
Job Type:
Nature of Work
Existing Bldg. & Use:
Proposed Use:
Commercial
Tenant lmprovement
T.l./Demising Wall
Commercial/Offices
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
B
I A, SPK
cBc 2019
x-0602320278J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:
4063
$75,000.00
Descdption of Work: T.1. - lnl.rior domolition, new partitions, finishes and const.uction ofa demising wallto breatespecsuitefl010 (no wolk being
done in 10'10) (1,774 6q. ft.).
Planning Conditions:
Owner:
Address:
Phone.
Tenant:
c1cru+El
Equity Office Property /Attn: Mark I Contractor:
3100 Bristol, Suite 200 Address:
Costa Mesa, CA 92626
(3101 446-2232 Phone:
car Aflantic State Lic #:
Lic Type:
-? tI-Isl -261)
Esplanade Builders lnc
23820 Hawthorne Blvd #'100.
Torrance, CA 90505
(310) 783-7664
831964
B, C-2, C-9, C-33, C-23, C-17
Bus. Lic #: 352893
Workers' Compensation lnsurance:
Carrier: Zurich American lnsurance Compa
Policy #: WC380467000
Expires: 0110112021
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Ware Malcomb
llyes Nouizi
10 Edelman
lrvine, CA 92618
(949) 660-9128
c-32135
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
Graham, Jeffery
CSG Consultants
Chavez, Oavuor,
Fire lnsp. Req'd:
Police lnsp. Req'd
Dale: 031121202O Misc. Receipt: 74060
Dale: 0310412020 Misc. ReceiPt:
Date. 03112t2020 Misc. Receipt:
Subject to Field
No w,\JN ttD'
TotalYesAccount#
07776002
07776002
07776002
07776002
07776002
071L6002
57607
53600
57770
57672
57600
57607
$1,049.45
$1,458.90
$3.91
$3.00
$22.95
$s7.20
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Flood Zone Cert. Req'd: No Ol 116002 5,l600
Every permit issued shall become invalid unless fhe 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 o r abandoned for a period of 360 days after
the time the work is commenced.
01116002 51601
0'l'116002 51612
01116002 57770
$22.95
$1,106.65
$3.00
$3.91 Fee Total:
Paid to Date:
Balance Due:
$2,595.41
$1,458.90
$1,136.51
lnspector MID#: 2020-157355
owNt:R lrutLt)t)r l)ut.cARA'iloN
I herehy tllirnr under penxhy of pcrllrry thal I anr e\enrpt fron thc ( ()nlrrclon l-iccnse l;rw for the followrrg rea$n (Sec.7031.5
IJusincss ^nd l,rcl'cssion Codc): Any Cily or County which rcquircs a frrmil lo conslrucl. allcr. improvc. demolish or rcpair rny
stnlclurc.prir)rk)its issuarce.rls{,requrre\thcapnlicrntti)rsuchpernilk)lileasi8nedsliltcmenl lhatheorsheLsliceD*d pilrsuailt
h thc pmvisionr ol lhc Conlracor's l.iccnscd Iaw (Chrptcr 9. Comrnencing with Scclion 7(X)(l ol l)ivision J ol lhe llusiness and
P,1ilisst)nsCodc)orthuthc()rshcisc\enrptthcrrtionlaDdthebrsisfutlrallegedexenrpti(nr. Atyvi()htiulofScoiionT03l.5byriy
rpplicrnt for x p.ntril subjccts the applicuDr ro r civil pcnilly ol'nol Ntre lhilil livc hundred dollflrs ($500).
_1. as owncr ol lh+ prclEnv. or rny c,nplovces wilh wagcs as thcir solc aornpcnsilion, will do thc work and thc' sxuctrrc is not
irilcdql or olTered for $le (Se.71I4.1, Business nnd Prrfessir[s (bdc: Thc Cr)ntrilct)r's Liccnse l-ru' does nol rpply k) ai owner oI
tlrpN)Er1y wlf,,l{ild\orinrpR)vcstherdn!mdwlx)doessuchwor(hinlself(trlrcrselfrrrtlrrouglhirorherownempkryees,
providcdlhnlsu(h irnprovclBnlsiuctrolintcndcdori)llirrcdli)rsnlc.ll,howcvcr,lhcbuildingorilnprovermntissoklwilhinonclur
ofconl)letitr), llt Oulrer Builtlcr will hlve the burden of pn)vi,r8 lhal he or she (lid not truikl or inprovc the pnluy firr tlc purpr* of
_1. as rrwner of the p()per1y, am cxclusiveh,conlrncting with Iicensed coDlr&k)r\ kr c()tr\lrucl lhe pft,je(l (Scc. 7(N4. Bu\iness
rnd l\)tlssi(nlCode:TheContrrctor'sl,icen\cLawdoe\trolapplyttranowrcrofpr)perlywh{)build\orinrproveslhcreoil.
rnd $,ho c(,nrrn(ls lirr \nch pr(,iccls with a C()nlrackn{r) liccnsc(l pur\uanl lo lhc Conlrrclor's Liccnsc Law).
WoRK}:RS' ('oI\IPENSA'I'IoN
l)ECl-i\RATION
I hcrchy allirmunllcr pcnilrvl,l pcrjury(,nc ol tlrc li,lhrwhg tlcclurations:
_l have iuxl will nuinlain a ('enificrte of Coosent to Selt.lnsure fi)r workcrr' conrpensalion, as pruvided for hy Section 3700 of the
t-itx)r Co(lc, lirr lhe pcrlhrmancc ol lhc work lbr which lhc pcrmil ir issucd
_lhaveandwillnHt(rillworkers conlpensatiotrinrurutrce,as rcquiredhySecti(xl:lT0OofthcLrhorCode,t?)rthcpedbrruurceof
thc work litr which this IErmit is issucd. My workcrs' conWrnsati(,n inrurrncc cafricr arxl lx)licy nunrhkr ilc:
h
Pori"yN,u,t",,-1 LAI.38CVtlOO\ r:*o*",,, t)-3i-)cl()
_l anr exenlln under SectioD-, B. & P.C. tbr this reasrrr.
Scction l()76 of thc Lukrr Cotle, irleres aml alk,rrcy s lee\.
_l ccrili thilt in thc lf,rlin-ouncc 0f lhc wolk ti)r which this pcrnlil is rssucd, I shall not cnllloy rny lL-rson in any nranncr
so rs h huconr suhjccl x) thc workcrs' coilrpctrsntion hws ol Cnii lorsil, and rgrce thil i f I should h*cotrr suhjcct to I hc
worlcrs' conrpcD\rtron pruvi\iors ol'Section 1700 ofthc Labr Cixle, I shill. tbnhwith conlply with rlp* provisi(rrs.
WARNING: Fililurc to sccurc workcrs'c()n{Ensati(,n covcragc is unhwful. rnd shall subjcct an cnrl)loycr to criDlinal Fnaltics m(l
civil liner un lo onc hundrcd thousilnd dollnrs (Sl(x).(II)), in xddition o thc cosl ol-cotrrpensalion. dilmnges ns provided for lhe
a
I)ECI,AR.\TIoN
Ihcrchyillliilnnnd.rpcnaltyolncr.jurythatl0mliccnscdund(rprovi\ir)nolChrpr.r9(cdrnrrcncing
(,l lhc Irusrncss ud P()lcssions Corlc. an(l n)y liccnsc is in full li,rcc ao(l clLct.
l-rcr-osc -iceosc
knder's Addrcss:
APPI,ICANT DECI,ART\TIoN
I lrreby afl-rrnr untler penalry of perjury oile ot thc followinB dcchrrl iurs:
Denxrlition Perrrits-.\sbe\b$ Notification Federal ReSulations (Title.l0. Pail6)
_lle(luired trtter of Notificntioo
-JOJ)
ccflif) thrl I hive rer(l lhi\ npflicrlio) and slnlc thrl lhe ilh)ve iilfornrilioo
ordir)alecs ind Strtc Lilws rchti,rg to h!ilding constnlcli(D. ilxl hschy
dtx)\'c mcnti()nc(l pfl)f-ny l-or inspcclion L.\pplicint or Ag(nl g
P(,rnrilee nilnrr
wilh Sccrhn 7(XX)) ol Division 1_
,6L/
CONSTRI.JCTION I,I.]NI)ING AGNNCY
I hercby aflirm under Fnalty of Friury rhat lhere is a constnrcliotr lerilirg a8errcy tbr the performarce of the work li)r which rlts nermit is
issucd (Scc. .l(l')7. Civ C.).
lrtrdcr's Nirilc:
_l lcaity lhul rhc Icrfuralreguhtir:rrs regardi"g rsbcslor rcnx,vrlurc n({ ilpl)licilb[. r(' rhis proicer.
i\ eo[ecl. I agrcc to conlpl!
reprc\eDlilives r)l' lhis City
with .ll City rD(l Coutrly
and couoly b ciller ulDn llE
L-lJorO
ID/SIG.COMMENTSSITE.WORK DATE
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathinq
Shear Wall
Framinq 5-/o-zo o-( 1o;
lnsulation/Enerqy .4,
Drywall j-Jl'2o )r-W\tlt
Ext./lnt. Lath "(\-/
Brown Coat
ft/asonry
Pool Fence
T-Bar 'hQ;r
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
I
\ltalta Wr0U,FINAL
Certificate of Occupancy l'
Etc.Notes Rem
r$\-I
I
Flev. 0B-0/-201 5
BUILDING- !NSPECTOR RECORD
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