HomeMy WebLinkAbout10182678 - Permit (2)City of Santa Ana
Permit Counter: (714) 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section; (714) 647-5853
Building Permit #: 1lJ182678
SV Pin #: 353OO
Project Address: 100 E MacArthur Blvd
Assessor's Parcel:411-081-26 Lot: NA
Unit:Bldg: D Address Range: 100-140 E.
MacArthur
Historic: No
Suite Range:
Zoning: SD76Block: NA Tract: NA
Building Use: Condominium
Job Type: Supplemental
Nature of Work: OT lnspection 09-26-2014
Existing Bldg. & Use Condominiums
Proposed Use Condominiums
Description of Work: OT lnspection Friday 09-26-20'14
Planning Conditions:
Occupancy: R-2 1st FL Arear Patio:
Constr Type: lll A, SPK 2nd FL Area: T.t.Area:
code: cBc 2013 other Areas: yards Req'd
FloodZone: x-06023202t9J
# of stories: Garage Area: Valuation:
Total: 0
lnsepctor: George Moran OK per K. Kiker (For commercial kitchen at rec. deck)
Owner:
Address:
Phone:
Tenant:
Lyon lntegral MacArthur Place, LL( Conlractor: Slater Builders lnc
100 E MacArthur Blvd Bldg# D Address: 3100 Pullman St #B
Santa Ana, CA 927075779 Costa Mesa, CA 92626
(949) 252-9101 Phone: (71414344887
State Lic #: 675832
Lic Type: B
Bus. Lic #: 348171
Workers' Compensation lnsurance:
Carrier: State Fund lnsur Co.
Policy #: 0000294-20'10
Expires: 0211612012
Engineer:
Address
VCA Engineers
Robert Chou
2200 W. Orangewood Ave, Suite '150
Orange, CA 928681948
(714) 978-9780
s3518
COE Architecture lntl.
Christopher Coe
970 N Broadway #201
Los Angeles, CA 90012
(310) 842-8481
c25359
Architect /
Designer:
Address:
Phone:
License #
Phone:
License #
07776002 s7607 Oll lnspection $170.62
$170.62
$0.00
$170.62
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Reqd:
PWA lnsp. Req'd:
Planning lnsp. Redd:
Landscaping lnsp. Req'd
Link, Patricia
Date: Nlisc. Receipt:
Date: Misc. Receipt:
Date.Ogt25t2',l4 l/'lisc.Receipt:
Subject to Field:
No
No Account#
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Reqd: No 01116002 5160.1
Every pemit issued shall become invalid unless the wotu on the site
authoized by such pemit is commenced within 180 days atler its
issuance, or if the wofu authorized on the site by such permit is
suspended or abandoned for a peiod ot 180 days atter the time the
wotk is commenced.
lnspector MID#: 201 3-1 10768
$'170.62
Fee Total:
Paid to Date:
Balance Due:
Total
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS (rnerBuild.r DGlmtio.
I h.r.by cfirm unds pcruhy oaperjurr lhar I am.xemA form rhe Cont{ctos L'c.n,.liw for thc lollowrns r6on (se 7031.5 B6in6s
md Prof.ssioh Code): /\,, Cirt or County Nhich r<uir6 a pcmn ro coNtrucl. ah.r, tnprov., d.,nolirh or r.pan ay stru(uc, pnor ro 3
issuanc., also rcqut6 lhc spplica.t torsuchp.mnto fikrrisn.d stat.n. thal hcorsfic is liccos.d puBuant toth.prcvisionsofrh.
Co.h.roar Lic.d.d hw (Chaflq 9. ao mencing wnhSerion TCOoolD'viion 3 ofrh.Bur'n6s ind Prol6sos Codc) or thsl h.or
shc h cx.mpl lh*.fto'n a.d lhc bak aor th. rll.s.d .x.nprion .Any violstion ors.crion 70ll.t by any appli.a.t lor s p.mit subj.cts rh.
.pplicanr ro a civil p.,!lry oamr hoi. rhe iir. nurdr.d doum ($500).
L d ownd ol rh. pmp.nr. or m, .mployc6 w ith w.g6 !s th.i sol. cor.p.nsr ion. will do lh. *ork and rh. srudu. is nor i c.d.d
orofIcredfors.lc(Sec7044,Burn6s.ndProfess'otuCode-IheContactoisL'censcLlvdo6norapplyrocnoqnerolrhepDp.n,
lho builds or nnpror6 th.Eon. and who '106su.hwork hims.lf or h6.lt oi tbroush hk dr h( own .nploy.6. prolid.d rhlr such
improrcm.nrs tuc.or inrmd.d orofer.d rorsal. lihowcvc,.rncbuildiocornnprcv.m.ntissoldvithinoney.arorcompl.iion,rh.
owns Buildn willhav.ln. brd.o ofprovins rhal h. orsh. nol build or inpror. aor rh. purpos. ofsal.)
l. s own.r of lhc propdy. rn.rclusiv.ly contddins*ith lic.6.d conrractoE ro coNlruclth. p,oj.cr ( Scc.7044. Busin.ssand
Prcf.$io. Cod. Th€ Co.l.ac(ols Licem. t *dodm!6pply(ornown.rofpropdywhobu,ldtorinrpro!.erh.r@n,lodwho
contacts for slch lrojeB *nh a contacro(3) I'c.n$d pu*xaf,r io rh. Contrdois Lr.o* Llw )
I M .xcnpr und6 S.crioo B &PC Lrrhhr..\.n
_ I hiv..od*illmii .ih a Cdinc6i. oacotu.rr ro S.laj.sur.lor so,k.6 conp.Mr6n, as provd.d lor byserion 1700ofrh.
hbor Cod., ror rhe prronmncc o r rh. wo fo,lhicn thc p6nil G issu.d
I havesnd{ill m.rnhir rorle.a compensar'on rsurince, at requredbySectonl?OoofrhetrborCodeforlhcpcrforEoc.oilh€
work ior whrh rhup.rmn '! asued Myworlcs comp..stioo osu.@cc crir and policynurb.rsE:
lw'.\
(Thirs..liono..dnolb.conrld.nifrhcpmirisforolr.hundrcddollaBltl00lorLss)
I..niry$.1in thc pcrforunc€ of itc eort for whichlhisp.mit is isu.d.l shrll,ol mployrnyp.Roo i. an, mann.r !o s lo
baan.subjecilo th. Mrk.s compenstion Lws ofCrliforni..andagr& rh.r 'lI should bccom.subJdd torhe workeB'
compcnslion provi,ios oa Seiion l7l)0olrh. hbor Cod.,I shall. ronh*ith conply *irh rhoe porisio.s.
WARN ING Fa' lur. ro s-ure vork.6 .omp.nel'on cov€rage B unl.qf!1, and sh.ll sobler in enrploy€r o criminal p.Mlri6 and cifil
nn.s up kronchundr.dlfioBioddollas($100.000).inaddilionbrh.cost ofcomD.nsdrion. d.h.,r.s s lrovid.d tor $c sdlioo 1076 of
rh. hbor Cod€. 'nrer6r and aftrn.y\ fes
LICENSED CONTRACTORS DECLARATION
I h6.by tttm undcr p.@hy ofp..jury lhal I M lic.N.d unds pmvision of Cnaprd9(em.ncins wnh SErion 7000)olDivtion I of
lh. BNin sand Proi.$ionsCod., r.d mylic.B. is i. tull rorce and.II<t
co!lIa!Elro!_!E!D!!{clc!!cx
I hr.by rmm Md{ p.Mhy ofp.4ury rh,l rhcr. i! a coNl&crion l.odins ag.ncy tor rh. pffoma.c. oflt worl forBhichrhis p.nbn ir
irsucd (S( 1097, Civ. C.)
488LrCldr.:_D!CrAaAr9N
D.holir'on P.nn $Ashcstos Noxncarion Fcd.lal R€sulalioN ( Inlc 40. Pln 6)
Rcqun.d L€llcr of Norilic,lion
I c.nifrlhlr lhc Ld.ralr.gularioos rqardin8 Bbsros rono\alir. nor applicabl.ro rhh proldr
l.cnii thlr I hav. rcrd lhis lpplicltion snd srt. th.r th. rborc informdion is cod.d.I rsrc. ro comply with rllCny snd Comly
ordinlnc6 and Sul. lr*s r.l.ling to buildins coGrructioa. and n rcby luthoriz. rcpres.nrrti!.s oarhG Cny !d Coomy to mr.r lpon thc
.bov. n.nlion d prop€ny for inspdtionpuryosd
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
SubfloorfuenUlnsul
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/
FINAL /7////u .aUa I
Certificate of Occupancy / ,' Y L/L/
Notes, Remarks, Etc.
MlWP51\Permit-hspection Foms\Buildi.glBp6ction Rocord.doc 03.31.06
WORKERS COMPENSATION DECLARA'TION
I h.r.by afiim undq p.ullr oap.rjury on. of lhc aolloai.r delr.rio.s
Applicaml
Applicanr or a*6t siB.i
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