HomeMy WebLinkAbout101101158 - Permit (2)City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: {Z Ul AalSASl \,/
Permit#: {O{lOtl58
Pin #: 47774
Proiect Address: 1601 S Grand Ave
Assessor'sParcel 403-091-05 Lot: 2,3,4,5,POR 1 Block; NA
Unit: B Bldg: Address Range:Suite Range:
Zoning: MlT.acl.4471 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
lndustrial
Alteration
Remove Demising wall
lndustrial/Offices
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
B, F-1
V B, SPK
cBc 2016
x-0602320276J
1st FL Area
2nd FL Area
Olher Areas
Garage Area
Total
Description of Work: Legalize removal of a demising wall between suites B & C to create suite B only/auth on file
Planning conditions:
Patio:
T.l.Area:
Yards Req'd
Valuation: $2,000.00
Owner.
Address
Phone:
Tenant
Fainbarg lll LP
129 W Wilson Street, #100
Costa Mesa, CA 92627
(9491722-7400
AM Vitamins
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Contractor
Address:
Owner-Builder
Engineer:
Address
Architect /
Desiqner:
Address:
Phone:
License #
Enter-Arc
Lance Gregory Brown
290'l W. MacArthur Blvd. #10'l
Santa Ana, CA 92704
17141427-0370
c'19698
Planning Approval By:
PIan 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
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Graham, Jeffery
K\,r,/ak, Jason
Hernandez, Kathy
Misc Receipt
Misc. Receipt
lvlisc. Receipt
07176002
o7776002
07776002
07776002
0 77 76002
0 7776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Slds. Revolving
General Plan Update
lssuance
7367 4
Total
57607
5 3600
57770
57672
5 7600
57607
$166.53
$230.87
$15.64
$'1.00
$22.95
$57.20
Flood Zone Cert Req'd: No 0111600251600
Every pemit issued shall become invalic! unless the wo* on the site authotized by
such permil is comfienced within 360 days aftet its issuance,or il the work authorized
on lhe site by such pemit is suspended or abandoned fot a period of360 days after
the time the wo* iscommenced
MID#: 2019-153796
011 't6002 51601
01116002 51612
01116002 57770
$22.95
$223.73
$1.00
$15.64 Fee Total
Paid to Date:
Balance Due:
$494.19
$230.87
$263.32
Acr:tt:
HcF t+ I [2gtl6(r]4
JronscrL ion 1!
I orrrborg III
Phone:
License #:
Date: 1l/08/2019
Date: 1'll05/2019
Dale:1111212019
Subject to Field:
lnspector
BUILDING. INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OWNETT BU!I,DER DET-CARA'IION
I hdebr amfln und6 pqalry otpdjury lhal I e d..rl)l nom th. Conxadou l-icosc lirv lorlh. hllowi,8 rNn(S(70ll5
Busin6s dd Profsion cod.): Anv ('ity or aour y shich requirB a rsnil lo constud. ahd. improrc d4olish or rcp€n uy
sfldd.. ,rior ro irs issu.ncc. .lso rcqunB rhc .pplicanr for 3uch tqnil ki fi|. a siln.d strhc.l lhal h€ or slt t lico3.d tumanr
lo rhc riovisioB olrhe conlracrois Liccnscd bN (Chapt6 9. Comr,.nc'n! $irh strion 7000 of Dilision 1 ofrhc B$ioer &d
Polsions Codc) or rnar heorsh€ is c\€mpr lhs.lrom and rhe l{qir iorrh.all.!.J crmp{ion Any violalioo of sdion 70:ll 5 brany
alrplrcanr ror E pnir subjeb rh. a0licmr ro r civil ,m.hy o f tror mor. rn fi\. h!.drerl dollds ($500).
l. 6 o*ncr ol thc lralFry, or my .mplo!r6 with \va86 6 thcn soE com!.nsal ion- sill do llf, {olk tnd thc shrclxc is ml
inrnd.{ orof.r.d for el. (Se.7Ol4. Busines and Prcfsrcns Codc Th.Conttcroas l-i.dBc Lo\v doB not aprlylo o o*nd of
rlrc prelioq who builds or i'.pro!6 rh.6n. and uho do6 ${h \oit hiflscllor hsd,or thmush his orhd oM c,nploys,
Drovided nlal such iDp.ovdrcnls o! nor i 6.led or ofl.red ft,r $lc tt howe_c, $. b{ildi4 or improvmol is soll \ irhin o.. !6
ofcompldion. the (nvnd aui1d6 $ ll hav. lhe bu dm oi provins thar hc or $h. did mt llild or ihlnole lfie prop€ry lor rhc !uqi* oI
L,l.6o\$ncrotthe lrorEly. onclchsn.ly contadins $irh I'cm*d.o mdoR to conslrucl thc pnjecl (Str 7044. Busil6
Ililfabn ( odc, Th.conra(kx's Licctrs. L.\'do6 noi apr,lt, ro oNncrof[openy\!hdbuildsornnprorcslh(@n.
who c.nr.cis aor such [oje.ls trith a Colnndo(s) licosed pursuanr tu rhcCont.dors Liccnse t:N)
I hcrchy afiinn trndd pdrhy ollEjury oncofthe lollo\irs d(l..alioi1:
I lFvc ed will nai.r,in d Cdili.arc of adBor ro S€la-Insure lbr \mrk6 co ,t*hsarion,.s providcd for br Salion:1700 oalhc
I abr Code. ror thc pdlonnnn.. o i rh. N.l{ for which the pmil is isu€d
Iha\catrd\ilLmainrai'r!ork€r{co'npeiiarnn,instrr.n.e,asrcqri'edb!S(rnrnlT00olll,el.ahorCodc.aorrhcrcromm..of
rh. work lor vhich lnis p€nnil Lr ssuei. My sork6 (ompssarion insmn(e caBiet md policy nunber ee
Pt**il ****r*:r*s;u:* xr *:-** r issu.rl. I d'all nor dplo, a., p6on in any m.n,6
ediBmrhat if I snouB b6omc subjEr lo th.
lhall. fonh$ith comply rvilh lho* povisiDns\o.lm' conrposrion povisioosof s.di6n.!700oarh. Lab.r c.de, I
1VARNINC F.ilur! ro *sute \.rl(C onrpo,erion covra8e Ls ur
cnil fitres !p ro on€ hundrcd rhorsand dolld (t10o.0m)- ih ad.h
srtrl, tud slr.llsubjL{r .n $tloy.. ro oimmallHxlti= and
ro rhe cosr of coDpeMrt'n, ddas6 6 provid.d fu lhe
( ode. i' crsr rid artrnc) s rL\
tt z
I h.Ebyamm 0nder |xnill) olI{ jr) lhal laD li..isdlutr c! |,o\I ol( [itri!)l(ni ncncn,! \ hS..ritn] 70rll)).ll]lisi{r l
colslallEllaxl.};llllltcSlirlcr
I hq€by amm unds Fnrlty o i p6ju.y rhd lh@ is a conitudion kndins asocy lor lht pofomec. ol th. *ork for shich lhis !6nit is
isso.d (S(.1097, Civ. C.)
L.ndd's Nm.
APPLICAN'T DECLARATI(}N
I he$y aIltu undcr tdahy dipdjury on. olth.lollowing dsld.liom:
Demolilion Pcmits-Asb6ros Norifi.rrion I'.doal R.gxlarions (Till€ 40. Pan6)
-Rertutcd
I cneolNorin@r n
I cclifyrh.r rhc lcdsal r€sulir ioN rc! ding asb6l6 rdoval r. nor applic.ble lo lhis proiEl
y",I ..nity rh.r I hr\. rLnLlrhR atl)Lr^(lon .t rh..bo!c infom.rion s cotr..1. LgG ro conply $irh all Cily and Counry
ion..nd h(cby surhorizr reFMtari\B oflhis Cny and Countylo dl6 lrmn th.nrncsandSritc LJssrcld n! b MikliiA
.rl,rr rnenri'{r,lnrrr cn\ 1,tr n\!hrtr'
rnllicanr or rgcnr Sierurrrr *
$"-t)o.>,'-t
,^. ultzl,.t
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lt4asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL II wla
Certificate of Occupancy I
Notes, Remarks, Etc
DATE
of rh. Businasitrd PDLssions ('odc. ud nry License is in full lorcco{ efl.cr
Lrft. Numb.r:
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M.'19)
Santa Ana, CA 92702
(7'r4) 647-s800
www,santa-ana.org
DISABLED ACCESS COMPLIANCE
DOCUMENTATION FORM
ACC-o1 CBC 2016
A. PURPOSE OF THIS DOCUMENTATION: (check one)
! finaing of unreasonable hardship for prolects UNDER the valuation threshold-
fl, Find'ng of unreasonable hardship for projects OVER the valuation threshold*
VJ Certification of Full Comp[ance with the 2016 California Building Code
' Valuation threshold as defined in the 20'16 California Building Code, Section 118-202.4 (Exception #8) and
Section 202 is $156,162 (as of J anuary 2017 )
B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER:
Projecl Address
/Lot s, GarnJo sI.
Permrl Number:
Prolect 0escription:
(€1tt,:r/i: Dctttt''l 6 iP tLL
Floor Number
Business Name / Owner
4nt 17114r,*
Business Phone Number(qqq\ 9 to-qrlG
Leqal Propeny Owner(fiNr*tafr q\'lzz -l')oa(rq
Cost of Providing Complete Disabled Access
s -4-
Tolal Consl,lction Cosl or Project Valuatioo$ fos-
Permit No lssuance Date Valuation of lm provements
Total
2. 200/o of Tolal Construction Cost or Project Valuation:
3. The actual amount to be spent to provide disabled access
4. Describe the impact of the proposed improvements on financial feasibility of the project
5. Describe the nature of the use of the facility under construction and its availability to persons with
disabilities and the nature of accessibility that would be gained or lost:
flh s FAar r-r (Y fi LLI ccttt (et eb ru | fl+ Zc, iV z-bc Ft{L )tt*ote-ul
$
$
Rev 11912017
ftccess
Page 1 ol2
**SAJ'[A
NA,ffi
1. The cost of all construction contemplated in the determination of the valuation of improvement
threshold based on the valuation of slte and building improvements for the last three-year period.
6. ldentify the accessibility features and equivalent facilities that !!!! be brought into compliance with
the latest edition of Title 24 as a part of lhis prolect and an estimate of the cost of each item:
(Documentation may be required)
Accessible Features to be l\4ade Accessible Cost of lmprovement
b Path of Travel
E Path of kavel from accessible parking to the building entrance
and area of remodel $
E Path of travel to sanitary facilities / public phone / drinking fountarn s
E Path of travel from the public way to the building entrance $
c. Sanitary facilities ( Floor no )$
d. Public phone(s)s
$
)
g. Signage & Alarms S
i. Other:$
$
tr Door E Landing ! Stairway/Steps E Rarp $
e Drinking fountain(s)
f. Parking
Total
7. ldentify the accessibility features that WILL NOT comply if a request for unreasonable hardship is
granted. Provide an estimated cost of conpliance for each item: (Documentation may be required)
Accessible Features Not to be lmproved Cost of lmprovement
a
b $
C $
$Total
8, Petitioner must be the legal property owner or his/her legal representative
lcertify that the above noted information is true and correct.
,/pfleqal Property Owner ! ArchitecuEngineer f] Contractor E Other:
print Name: Ryf.^..t C r+nf6 Phone No "l 17)- 7,la D
Address:
Signature
)_r,r1. r,r, LSr-,,rJ ti,\tO 1o.r1t\ 7v1{4 cft iza zl
7
Date il
FOR AGENCY USE ONLY
Approved by
Rev 119t2017
---lto*l Date
Z:fi
Page 2 ol 2
a Entrance.
s
Planning & Building Agency
Building Safety Division
20 Civlc Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa-ana.org
APP-'13 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner
Ana
spec
pplication for a building permit has been submitted in Vour name listing yourself as the builder of the property improvementsiti.o"t lLol 5, ainNo 4!z t+ft
We are providing you with an Owner-Builder Acknowledqment and lnformation Veriflcation Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this
form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner,
obtain the prior approval of the permitting authority.
ER'ACKNOWLEGMENT AND VERIFICATION OF I
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information,
L=+_+ I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel' build-
ing permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an
Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and
his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I
am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop-
erty.
/ -LZ I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
--1J.1 I understand as an "Owner-Builder" I am the responslble party of record on the permit. I understand that I may protect
inyself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
1 - - 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
6n permits and contracts.
'--.-S t understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total
value of my construction is at least flve hundred dollars ($500), including labor and materials, I may be considered an
"employer" under state and federal law.
l-=_tA I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
!6i-ernment, withhold payroll taxes, provide workeri' compensation disability insurance, and contribute to unemployment com-
pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
/::! f I understand under California Conkactors' State License Law, an Owner-Builder who builds single-family residential
-structures
cannot legally build them with the intent to offer them for sale, unless a// work is performed by iicensed subcontrac-
tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract
with a licensed general building Contractor.
/t' -€1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan-
EEi-6? personal injuries sustained by any subsequent owne(sj that result from any latent construction defects in the workman-
ship or materials.
rt'-\ 9. I understand I may obtain more information regarding my obligations as an "employel'from the lnternal Revenue Ser-
vice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi-
sion of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1 -800-
321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors.
/ --' f0. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
party legalty and financiatly responsible for proposed construction- activity ai ihe following ad-
dress:
:_-t+1 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner-Builders as well as employers.
! '--)Z.l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a
license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of
a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for you to understand
that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held
liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifying
whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned
to the agency responsible for issuing the pe rmit. /Vote"' A coDv of the DroDertv owner's driver's license, form notariza-
tion. or other verification ac table to the adencv is reouired to be Dresented when the Dermit is issued to verifv the
Signature of Property Owner //c Date
Print name of Owner Rytr^/ CMg€
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder
Permit for my pro.Ject.
Scope of Construction Project (or Description of Work)Pexsrle Dant<n[6 w,t+ Ll- - /Nr€Lr c /Z-
lLol s,Gqauo Ave t il
Name of Authorized Agent:affi- BevDc:ut
Address of Authorized Agent:N. r.t I c_So 5f *foO CorTX me+A
(q,{ql -7zL-'lioo
CA 202-7
I declare under penalty of perjury that I am the property owner for the address listed above and I personally fllled out the above
information and certify its accuracy.
Property Owner's Signature 73 Date: 1l /1
Print Name of Owner:cttAg€
Note: A copy of the owner's driver's license, form notarization, or other veritication acceptable to the agency is re-
quired to be presented when the permit is issued to verify the property owner's signature.
propertv ow ner's siq natu re.
Project Location or Address:
Phone Number of Authorized Agent: