HomeMy WebLinkAbout10198408 - Permit (2)Project Address: 309 N Bush St
Assessor'sParcel: 398-503-1'l Lot: '1,2,3,4, POR 5,6 Block: 9
Bldg: Address Range: -309-313 N
Bush/200-204
Tract TOWN OF SANTAANA Historic: Yes
U nit Suite Range:
Zoning: O
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: (714) 647-5853
Permit #: lOl98408
Pin #: .O\t
Building Usel
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Other
Parking Lots
EV Charging Station
Parking lot
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
U
VB
cBc 2016
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Total
Patio:
T.l Area:
Yards Req'd
Valuation:$7,000.00
Description of Work: lnstall (1) EV charging station. FEE EXEMPT PER CITY MEMO
planning Conditions: Feed from existing city elctrical service meter with panel on private property which is addrssed as 309 3/4 Bush St unit #METol
Owner:
Address
Phone:
Tenant
City of Santa Ana
20 Civic center Plaza
Santa Ana, CA 92701
Contractor: VV D Communications
Address: 1268'l Pala Drive
Garden Grove, CA 92841
Phone: (7141206-1048
State Lic #: 821598
Lic Type: C-7, A, C-10
Bus. Lic #; 351998
Workers' Compensation lnsurance:
Carrier: Old Republic
Policy #: AlCWl278'1700
Expires: 1111412019
Engineer
Address
Architect /
Desioner:
Address:
Phone:
License #:
Phone:
License #
Planning Approval By:
Plan Checked By;
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req d: No
Oale: 1112012018 Nlisc. Receipt
Date: l\4isc. Receipt
Date. 11tzOl2O1B lvlisc. Receipt
Subject to Field: J. Pham
No
No Account#
Gomez, Pedro
Zuniga, Allissa
Total
0 77 76002
0 77 76002
07776002
o77760 0 2
01776002
017 760 0 2
0 77760 0 2
57507
5i600
57770
57607
5 7612
57600
57601
$160.25
$'r 60.25
$15 04
$-413.66
$1.00
$22.08
$55.04
Permit Fee
Subject to Field
Microfilm Records
Fee Exempt
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No
Every permitissued shall become invalid unless the wo* on the sile authorized by
such permit is commenced within 180 days after its issuance,ot if the wo* authoized
on the site by such pemit is suspended or abandoned fot a period of180 days after
the time the wo* is commenced.
lnspector
N/A - No Balance
N/A - No Balance
NiA - No Balance
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
MtD#. 2018-147794
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OIINIiR BUILDDR DEL(]ARATION
I heeby amnn under pcnally of perjury Oat I d erenpt Fom rh. (onlraclo* l-i.erse t-aw foi rfu aollowinS reMn (S€c.7011.5
B6in6s and PloGssion Code): Any Cny or County \rhich rcqut6 a p'nir ro consrucr. alid, irnprov€. dmolish or r{rt any
srrucrut, r"1orb its tsumce, als r equirs the applicMt lorsuchp€nnilto file a sign€d ealendl thal hcor stu is licdEd pusuani
lo rh€ ltrovisions ofrhe Contractois Lic.nsd Law (Chaplcr 9. Commencins *ilh s.ction ?000 ol Llivision I of0. Butin.s ed
P'lf6siois Codc) or llt.r nc o! she is exempl lhEelion od the bais lor rh. allcgcd exdnption. Any violalion olsdion 7011.5 by any
.pplicaN for a pflnit subjecls lhc applica $acivilp..alryolnornoreih five hundrcd doll-s ($500).
-1,
ar oM.r oarhc prop.dy. o ny employG wilh \as6 6 thetr $le co,npdtsation. silldr lh€ \o* rd rhe srtudue is .ot
Ltrmded oroilcred lor sale(5(.?044, ausi.s dd Proassio.s Cod€ Ile ( ontacrof s l-ic6$ Ijw doe nol apply !o an owns oa
rh. psl).iy $,ho b{ilds or imprcue tnqon. and vho do6 such *ork hituell or hmlf or lhrough his or her own cnrploye6.
pror ided that suc h ibprovnenrs m .ot i.letcd or oitq.d ro. elc. lr. hov6 d. the b0ildins o! imptor€m€.n i5 eld vhhin on€ ,m
of conpleriotr thc Ot!rcr tslildE vill nat lhe hrdor olroling rhrd ne or she did nol build or inProv. d. lmpdly tor lh€ purlt* ol
-1.
downdoarh.rnolsry. a. exclusivel, connad'!s *(h liccnsdl .ontacro6 ro connnd Ihc [r)jcd (se 7041. abins
d Ptolsion Code: lhcConta.tor'sl-i.ens.Lawdocsnorrypl,1oanoNn€roaproptdyvhobdildsotimprcvesthqeon.
and sh..onlnclslorsu.hprejedswilhaConlEcto(rlreB.dpuuu.dronE(ontador'sl-icos.La\Y)
I s ex.mDr unde S(non , B & P (' lor,his reen
rvots[E8ll:aufEtt4l&Ntr[clr&lrlgr
I hscb, allinn undd penallyof pqjryon€ orlh€ roll$vins deld,rions
-l
hrlc dd willmainlair a Cenificaleofconsdt lo S.lflosuc aor Mrkem conrp.ns.rion.6 psvidcdlorbySelion1700oflhe
Llbor Code, for rhe pdfonnec. oflne wort for which lhc p.mit is isued
A h.ve and wiu mainrain workes' conpeBario. isoec.. s rcquted by Seclion lToO o I Ihe LaMr Cod.. for lh€ pafomd.e ol
lhe trork lor*hEh thispdn 6 issd.d M, wotkgt comptralion coier dd Nlicr nunrbd a€
.rV\i c &^.l.{-
**.A\Cw \l)*\c\lLl
-l
cenifyrhar in lhc ll<form,nce olrhe Nork lo. \'hich this psnil is issucd. I sh.ll nol employ ary p€6on in ant manda
$ stotE(onE bjsl lolhe \ork6' clmpdsd io. I.ws oacalilornia, aDd alreclhal ir! should bdo'n.subj{l lo the
workdJ comp€nsalion prolisFns oiSeclion 1700 ollhc ljbor Conc t shall. fonhwnh.onplr wirh tlrsprcvisions.
WARNING: FailuE lo sddc \vorls' com!ftsation co!€rase is unlawrul. and strnl subjecr snploler lo mfrintl psatis and
ciril fines trp to onc hundred rno6a
L<;
DECI,ABAII)N
I heeby anim unds pmalt, olpajury lh,r I u lic.ns.d undd p.oyision .f ChtFd 9 lonDd.ins vith Sdion 7000) oa Division 3
of lh. Bsi!6 dd P6l6ioB Code. md ny lic.N ii itr aull lor.e dd cltet
Oto -gru %2\ s38
,rt", \I rt \LA ".oVrOr"! D"l Co" ^^u,..- {" :
COIflAUqIIoNIENDINC.AGENI:I
I hc[by afir,n undd p6ahy of p€rjury rh6r th6e G n <on$tucrnrn hdin8 08€ncy for lhe pErofrecc ol dE work io. which lhis p6nit s
issued(scc 1097, Civ C)
AIIIIIAII.IIDCIdEAIII)N
I lE try alrdn und.r p.nalry oap€rjury on€ of lh€ follo$in8 decl-at io.s
Demohtun Ptrits-Asb.$os Notificd ion F.ddal Rqulations (Tnb 40- Pan6)
-Requrcd
k(d oaNolifi .atio6
I ce.riiy thar rhe r.rlsal r+uldions rc8adinA 6Lrslos renrovalare nol apph.ablc ro rhis pmjsi
IcdiilvlhitIhavereadlhisapplicalionddslar.lhdlhcah.!.inlonnalioniscoFeclIasr*to.olllrwnhallCil]a.dCoumy
odinancB ed sl.le kqs !€lnlins ldin! consrndion. ard hdeb, authorizc repr*enrariv6 o a lhis Cily tud County to 6ld ulon th.
ADpli$nt or Agol SiS .lurc
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing
ln s u lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
ltrlasonry
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL Z/t q/zO -t^&--r, I
Certificate of Occupancy/
Notes, Remarks, Etc
Le er r ad&6s
-
.b.ve renrion.d J)iopdy for
-,* trl"ro[r s _
=aN -TgAt{
Pool Fence