HomeMy WebLinkAbout10455025 - Permit (2)Project Address: 112 E Fourth St
Assessor's Parcel: 398-501-05
Suite: k)13 akJ,g, Address Ranget08, 110,112
Lot: POR 8 & POR 9 Block: 10 Tract: TOWN OF SANTA ANA Historic: Yes
Suite Range:
Zoning: C3
lL. \.
9ity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 14) 667 -27 38
Building Permit #: { O455O25
lnspector's Section: (7 14) 647 -5853
Building Use:
Job Type:
Nature of Work:
Gommercial
Alteration
TI
Occupancy:
Constr Type
Code:
Flood Zone:
UnKnown
UnKnown
cBc 2001
x-0602320276H
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total
Existing Bldg. & Use: Comm
Proposed Use:
0 Patio: 0
0 T.l.Area: 0
0 Yards Req'd: @
0 Valuation: $5.000.00
0
. Letter of auth.Description of Work: Legatize 2 restrooms, install 8 interior doors. This permit replaces expired permit
Planning Conditions: lnterior T.i. Only. No Modifications To Exterior (inlcudi Windows,without Planning Approval. Historic Building
Engineer:
Owner-BuilderOwner:
Address
Phone:
Tenant:
Contractor:
Address:
Phone
Policy #:
Expires:
,ffr,
\t-i""n."
Meryl Fainbarg
4515 Fairfield Dr
Corona Del Mar, CA 926253108
(949) 760-6502 (
\
12bz'qg7,5J
U@nwia
:r';;':,- {r*
Bus. Lic #: V I
Workers' cornAqgltiol
L;arfler:
l"la',,,
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Rodriguez, Carlos
Negrete, A116^
Date
Date
07t26t2006 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
077-07-5977
077-07-5407
077-O7-5407
077-07-5977
Permit Fee
Ptc 65%
PIC 10% Accessibility
lssuance
Fee Total:
Paid to Date;
Balance Due:
$'101 .25
$65.81
$6.58
$34.00
$207.64
$0.00
$207.64
td&zooe
Steve Gutman
No
No
No
Date: 1
Flre lnsp. Req'd:
Police lnsp. Req'd:
Flood Zone Cert. Req'd:
Yes
No
No
This permit shall expire by limitation and become null and void if the wotu authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wotu authoized by this
permit ls suspended or abandoned at any time after the work is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new permit shall be first obtained fo do so.
Account #: 011-01-5911 lnspector MID#: 2003-47320
L
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfl oorA/enUlns ulation
Roof Sheathlng
Shear Wall A I
trll>rt lO ff LrnFraming
Alnsulation/Energy
1a2f-rSl )Y,/eDrywall
/Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Requirements
Deputy Final Report
Engineer Final Report
Flood Zone Certlficate
aFINAL
Gertlflcate of Occupancy
Notes., Remarks, Etc.
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BUILDING. IN.IPECTOR RECORD
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ud Prcfaio C:ic): eay Ciy c Colaty *hich rcq0ls r pcrmlt to coorEuct, dtcr, la4rcm, dmolirh or rcpdr uy rlrucre, Fitr to lu
itffic!, rlD rlq{lH rh. 4pli6t f6 nrcl panrdt o lllc r rigncd ,rrtffit lhlt h. a ,t L limred Fsut to tho Fovldm of rhc
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rho i, scnrpt th@fiont nd thc bdr fa tho dlcscd cqtrprlo Jttry vlollio of Scdo 70! I .5 by e, ryplist fn r pcnDh rubjeu th.
rppliflt to rcivll p{rdty of nd ru! lhr llvc hm&cd dollm (3500).
_t, u mc of tho prepaty, a nry anployG rifi ?!t6 I rhclr rclo conFledon, wlll do tho ,ork ud thc rtnrchm h ror tnrcadcd
c ollcrtd fc rdc ( SGc.?0+1, Buhcr, lrd Manim Codc Thc Cqttl.t6'r UGno Ln do.. nd .pply to ri of,nff of rho Fogqty
who bull& q irnFos rhcon, md wto dm rttr rotk hldf I hdclf c lhtugh hit a hq M mptoycc., pmvldcd rhrr mch
Irnprovcilattr enotlntardcdrolfcredfcrda t4, hmcru,lhcbuildlngorlnpmmt ir bld wlthin mcycrofcomplaloq Oc
Ouna.Builda rill lrrw tto bodo of povlnt rhrt hc or th. not build 6 imprcrc ftr thc p{rpqo of rdc).
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Pmfsim Codq Thc Conflrclor't LI€uc Lly do6 not lpply to ltl m.r of Fo,pcty who bull& c inrpmu thccor , end who
cmbrctt fd ruch projccb with r CrnEeto(r) llmod pu6ut to tho Conrrctc'r Licdrc Law).
for thir ranon.(n. fl'.-y^-,
I hmby allim mdapcodg of pqjury oo
_l harc md wllt mrintaln r Ccr{fiqra of Conmt b Sclf-InruG fs wdkfl' 6mpqrdio4 u prcvldcd fc by Scalm 3700 of Oc
bbor Crd6, ftr thc pcrfmca of thc *ort for rhlch tho pcrmit ir hncd
I hevc rd sill mdrtaln ratcn' conpauetio lnrunncg rr rcqulrod by Scctlon j700 of tho Labor Codc, for tho pcrfomrnce of thc;o* ftr which rbir pcmdt l, blrd My ;odcm' compouetlon lmime crrrlcr rnd policy nmb6 .r€:
PollcrNmba: Brplrt* _gtrti*torn "ir*l-
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in my mlnn6 rc rr to
thc wfikcfl'Olt
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F.ilurc ao tcc@ sdkd'k ud rhdl rubjca m mployr to aimind parddcr md civil
rdditim to tho st of compaurdon, dm3a rc pmvldcd for rho Sccdil 3076 of
LICENSED CONTRACToRII DECLANATION
I hcrclr rllimundrpcndty ofpcjurytfuI mlicancdundapmvitim ofChrptr9 (ffioclq with Sctim ?000) of Dvirlon ! of
thc Buino ud Prcfaim Codq ud my limo h in full fm md offer.
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Civ, C).
Lcodcr's Addru:
A'TLICANT'S DEEI.ARATION
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