HomeMy WebLinkAbout101101109 - Permit (2)Building Permit#: lOl{O{{09
Pin #: 7723lJPermit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Assessor's Parcel 407 -014-34 Lot: NA Blockr NA
unt 102 Blds
Tract: NA
Address Range:Suite Range
Zoning: C'lHistoric: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial
Massage
B
VB
cBc 2016
x-0602320257J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area: 830
Yards Req'd:
Valuation: $24,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
0
Description of Work: lnstall partition walls to create Massage rooms and reception desk
Planning Conditions:
O\,Yner:
Address
P hone.
Tenant:
WON & IM KANG
9913 NORLAIN AVE
Downey, CA 9024036'15
Conlractor: AllianceEnergyCompany
Address: 5399 Starling Drive
Mira Loma, CA 91752
Phone: (626) 831-0818
Slate Lic #: 925226
Lic Type: C-35, B, C-10, C-20, C-39
Bus. Lic #: 370610
Workers' Compensation lnsurance:
Carrieri State Comp lns Fund
Policy #: 9061117
Expires: O7l24l2O2O
E ng ineer
Address:
Phone:
License #:
Phone:
License #
Architect /
Desiqner:
Address;
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req
Date: 08/15/2019 Nlisc. Receipt: n32A
Dater l0/11/2019 N,lisc. Receipt:
Date: 10/15/2019 Misc. Receipt:
Subject to Field:
No
No Account#Total
0 777 600 2
o77760 0 2
077760 0 2
0777600 2
0 777600 2
077760 0 2
57607
53600
57770
576 72
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemil issued shall become invalid unless the wo* on lhe site aulhorized by
such permit is commenced within360 days aftet ils issuance,or if lhe wotu aulhotized
on lhe site by such pemit is suspended ot abandoned lor a period o1360 days after
lhe lime the wo* is commencecl
$22.95
$273.00
$1.00
$23.46 $619.21
$298.80
s320.41
lnspector MID#: 2019-151903
01 1 16002 51600
01'116002 5'1601
01116002 51612
01116002 57770 Fee Total:
Paid to Date:
Balance Due:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, c492702
Project Address: 2509 W Edinqer Ave
Botch+:t2535 -
0ff i.e! (:TYH
Rcptlrtr2778?57
tr:r,Irr
Al l iortce Energv (:onpt
6enerol Plon Up dnte
t:rl, 160(12* 516tnr:n:rn-
Euild ine
tl1 1160r:12- 51601Ut:t[-
Blds Stds Revo I v ins
ul l16ittr2- 516120t|ll-
nicrol ilr & Oocunen
t:t1 I160t:t?- :,777I:t0lr{l*
U iea
CC+: **xxxxrrrr*}9tt
Orozco, lvan
Ahangian, Kathy
Amsden, Julie
$21s.80
$298.80
$23.46
$1.00
$22.9s
$s7.20PWA lnsp. Req'd:
Planning lnsp. Req'd:
DATE ID/SIG.COMMENTS OWNTJR BUII-DDR DEL('ARA ION
I lffetry ailid uhdd p€nally ot p€rjury lhal I an e\€nrpl frcnr lhc Co r.doB LiccBe L{w for Ih. follosi,rs reMn (5(.?011.5
Ittrsinss and l,lol$ion cod.) .y Cily or Colnly shich r.qni6 a p6ril to constDcl. .ll(, nnprcre. dmolish nr .efitr ant
srnrcrure. pnorlo ns isuanc€.0l$ rcqtrte the.pplicr for $'.h Fnnir (. lile a sisn.d ra'chot rhar lr or sh. k licms.d pu6u&r
lo lhe pm\Gions .f rhe conhctol'3 l-re.*d Ii\ (Chapr( g- Comracitrs Nirh s..1ion 7000 ot Division I .f rhc Insi!6s and
Prcl6sions Cod€) or lhal n. or she is.rdnpr rh6.fron onJ rh. bais lor rhr rll.!.d.$nprion Any iolati.n ol Sdion 70:l I t b, a.,
aplli.a aorat]mnsunj<rsthe.pDlicanlloaciv'lpcn.lryoanolmo,erhanfivehun&eddollss($500)
l. as oNn( ol th. Irop.ny. or my enlloy6 wilh solB a th.n $lc .omlEnsd nin. \ ll do rhc $& a.d lhc nndurc h nn
inrm{jld dr o,le'ad fo, e1.1Sc.7044. Busin€ss and Prof*sions ( ode rhe Conlraciois l-icosc 1,0\v do6 not rpply lo an osn6 ol
rhc peps1, \lho builds or i.prov6 th6on. ed $ ho dG su.h Nork him!.lr or h6.la.r rhhurh hB dr hd o n employ.*.
prorid.d rhlr such im!rcvonols dc nor intdld.d n olId.d for slc ll hos6-, rhc buildinE or i'nFovdn r is etl \irhin one )a
ofcompldion. rh. (\h6 auiur \villha\. rhc b'nl6 ofpm\i.s th{ hc or sh. dxl6r t ld dr nnFor! rh. p!!td1y ror th. puqxrEoi
l. as o$.o olrlE prupdr, an cx.lusiv.lyconta(tinr {nh hce.scd . o,rracl o 6 k, consrtuct lhe pmjecl (Sr. 7(}1,1, BN!6
.id Pbltsion Cod€r'rhc Conrracrois l-iccnsc Las do.s hor npplr ro anolvnd oi'propdly who btrilds or improvB rhdon,
and Nl'o cod.adsfDr chpojers*nha(.ntacb(s)lic€nsedpu6ua n, rlt C{nlradois l,icos tj$ )
laoetempt u.derSe'ion
Drre Ownerl
TVORKERY COMI'8.\SAION
D!'EIAAAI]OI
I hdcby amm und6 td.ltyolpEjuryonc oalhc follo\rint ddmrioc:
Ihn\cad\villnAi.rainaCqlilic.rcolConsqrroS€ll.Insor.forsortmconrDgsrion.asDroridcnforbySErionlT00olrnc
tjho' Code rorlhcpgfomanc.ofthcrvork forstichrh. p6nn is issu.n
Ihr\e a \rillnrai ain\rorkds conrNDsarlon iNtr'.tr.r. {s
"tr 1. 'l fL1 .\l'i.l rl'h r crtr'r , )n.u I M\ {rrl,o, (('trr<, t(in,rr s+d< p;*t,
Po,,.,\u {, qob lt l1
r.quir.d b!s(ri :17ff)oirh.l..ho' C.dc, lornElcrtunh..ol
nr. insurturc .a n ier dd Dol ic! trrnbd tuc
t 7{..,,-:l>+/.-
I Gliayrh.l in rh. pdf.nnn(. ofrhc $ark for shich rhis rErnril is ksucd. I shall nol o$loy any p.Mn in any [oncr
c, m lo LsonE subj(l lo lhe \ortsl .o'npMion los s oacaliionia, an isre rMr if I should b..on subj(' to n'c
\orkss compenslion piouisionsolSectn'tr l700 olthe l-,lbr Cod..l sh.ll, rodh$ nh corplr *irh rhokpm\bioa
wARNING: Failut lo *cue \rort6'.or.p.Mlio..o\cm8. is unla\lul. atrd shall subj{l arployd to dilninal penakis d
cilil fin6 trp ro dn. hundrdl rh.ue.d dollaE ($100,000). in ad lo nr (on olconrpenFrhn. da.aB6 as pRrrid€d for rlE
1{,76.|rh. I ilnr (.n. i' .rar ii,l
10 I s-/ t1 [ \,&0
.J,"e *rr, s<i"" ruoor "ro*i"." rI hftby afim undd pa.lty of lsjury rld I an licctr*n und6tJl!\isiotr of( haEn e (corr
of lfi€ Busin6s oodPtuasioNCod.. and nry licdrsc is in tu ll liri.e dd ctt.r
ts
/tr/,+ Y x,,iz.rz*e
1"" r0
I hocby rmm lndcr Frolryofrerjurylhar rh6€ is a co.slnrcrion l.nding agcnct lor lh. p6 ioil lrlr \ork ior $h ch thh |Enrir il
Bsued (Ss loq?. an' C.)
t.cnds s NaE.
APILI(;\NI DECLARAIION
Ihs$yafiinnundcr paahy oapBjury onc oarht aollo\nr* deldations
l)onohnrn Prarns-AslEstosNolificdion t-.ddal R.gu,al nrni Onk 40. P.n6)
-
R€quncd L.x6 ol Mlific.tiotr
I culily Oal rhe fcdaal resularioG r.sddins ab6los ronoval arc not applicable lo this pmjccl.
-+:+cdiry lhat I hlE rcad lhis applkalion ed sl.te lhal th. rt$v. infom.rion i! .oftdt I agre to comply *nh all cny md ( oumy
.dinanc6 6d sralc l.aNs Ehrins ro blildul.! co n.d n6eby .othonzc rqrdmrdi\ s oflhis ( nymd Connlyro dt6 Wonrh.
ah.ve nBi ioned t, otd! lor
\LZ.r^ y
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing i-fm-qgr {v>/
lnsulation/Ene v
Drywall
I ,OT
I
Ext./lnt. Lath I U\<_-.'
Brown Coat
l\,4a so n ry
Pool Fence
T-Bar
Handica p Req
De ut Final Re ort
Engineer Final Report
Flood Zone Certif
FINAL
t)
rl s1 la -I /y>)
Certificate of Occu pancy I 15\(:-r,
BUILDING. INSPECTOR RECORD
SITE-WORK
!i; el^-p
CJ/.,:a4
K:lktq
It.wa
)tt Z,)
Notes, Remarks, Etc.