HomeMy WebLinkAbout10198647 - Permit (2),61 Cig of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA927O2 BuildinO ,l-\ /
Permit #:1O198,647
Pin #: 39858
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-221-28 Lot
Unit Bldg Address Range: 1951-2001 E
Dyer Rd
Historic: No
Suite Range:
Zoning:Block Tract:
Building Use: Multi-Family (5 or more units)
Job Type: Revision
NatureofWork Apartments-BuildingA-Revision
Existing Bldg. & Use. Vacant
Proposed Use: Multi-Family Mixed Use
Description of Work: Revision to 10190034-bullentin #5
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
A-3, B, R-2
IIIA, SPK
cBc 2016
x-o602320278J
5
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area.
Yards Req'd
Valuation:
ntch,l;llirr:Li
tlPlanning Conditions:
Engineer:
Address:
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #:
RgpIilt:rl
;"g1p, g1t,: i
dtl I ic.n,:r
'rlL/')ft1r iit
Owner:
Address:
Phone:
Tenant
Heritage Village LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Corrtractor: AllianceResidentialBuilder,
Address: 450 Newport Center Dr #550
Newport Beach, CA 92660
Phone. (949) 706-8460
State Lic #: 897318
Lic Type: B
Bus Lic #: 362720
Workers' Compensation lnsurance:
Carrier: Travelers Property Casualty Comp
Policy #: U83N3229851951H
Expires: 0911512020
Irittil
i denl i
Architects Orange
R.C. Alley lll
144 N. Orange Street
Mission Viejo, CA 92692
(714) 639-9860
c22598
Aulli i
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: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
So, Anson
Hernandez, Kathy
Date:
Date: 01/03/2019
Date: 0210412020
Subject to Field:
Misc Receipt:
Misc. Receipt:
Misc. Receipt:
7',t944
Total
077L6002 5i600 Revision
07776002 51600 General Plan Update
Fee Total
Paid to Date:
Balance Due
$230.87
$0.00
\ix
No
No
No
No
Account#
$e€ffi.r
?7/Every permit issued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after its issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of360 days after
the time the work is commenced.
$230.87
$222.16
$8.71
lnspector MID#: 2018-143354
01 1 '16002 53600
BUILDING. !NSPECTOR RECORD
SITE.WORK DATE !D/SIG COMMENTS OWNER BUTLDER DELCARATION
I hercbl- allirm und6 penait) of perjury that I m exempt F,onr the Contraclo6' Liceroe Larv for the folklving rca{n (Se.70l 1.5
llusinss aod Protbssion Code): Any City or County which requirG a pmit to conslruct, alto. improve, dmolish or repair any
struclure. prirrr to ils issuace. alsc requird lhe applicmt for such pemit to tile a signcd statmenl that he or she is liceNed pmudt
ro the provisions of thc Contractor's Licensed law (Chaptq 9. Commencing with S(troo 7000 of Division 3 of thc Busins rd
ProfessionsCodeiorthatheorsheisexemptthqelromMdtheb6isfortheallegedexonption. AnyviolationofS<tion703l.5byany
applicant lor . pflnit subj(ts the applicant to a civil penalty ofnot more than five hundred dollars ($500)
-- i, a orvnq ofthe pmlErty. or my employc wilh rvagc ru lhcir sole compcnsation. sill do thc work ild the structue is not
intmded oroffcrcdforsale(Se.T044.BusinessodProfssionsCode: TheContractor'sl-icffieLawdoesnotapplyloanoMerof
lhcpmpql) whobuildsorimprovcthq@d.ilduhodo6suchworkhimselforhoselforthroughhisorhoormemploycs.
providcd that such imprcvqnots dc not intmded oroffrel for elc. If. howdq. lhe building or improvml is rld rvilhin one )s
ofcompletion. the Oums Uuilds will have the budm ofproving thal he or she did not build or improve the prcpqty for the purposof
slc).
_.l.aso\wsoirhepropmy.ancrclusivelycontractingrvithlicenscdcontraclorstoconsrudthcprejet(Scc.7044.U6in6
and F\ofesronCode:TheContractor'sLicertsc[-awdocsnotapplytomownsofpropcrtywhobuildsorimprovesthscrn,
and who contracts for such projects with a Contracto(s) licosed puEumt lo lhe Contractor's Liceme Larv).
-l
m excmpt undq Scction-, B. & P.C. for this r6on.
Dnlc:
WORKERS' ('O]\IPENSA'IION
DECI,ARATION
I hcrcb) alTlrrn undcr pcnalty of pu jury one ofthe lolkrrving declaratirxrs:
_-.1havemdrvillmaintainaCenificateofcoNottoSelf-lnsureforwork6 compematron.a providedforbySelion3700oflhe
Labor Codc. lirr lhe pofonnmce of lhe work for which the pmit is isued.
*"[and *,ill maintain uorkers'by S(lion .1700 of lhe Labor Code. for thc pqfomacc of
fcr which this pmnit is rvorkqs'cmis ud
,*,",,fu Lrg1|ifu5
Expircs:
I shall not mploy any person in any mmnc
so m to beccme subjcct to the workm'compensation larvs ofCalifomia. ild agrcc that ifl should become subject to the
wolliqs' con4)msation provisions ofSetion 3700 ofthc Labor Codc. I shall. fonhwith comply with those provisions.
WARNINGT Fhrlure lo secure workss'cornpsalion coverage is unlau'ful. md shall subjcct m qnployq to qiminal tmltie and
civil fines up to one hun&ed thousd dollm ($100.000).the cost ion.for the
Secli(rn 1076 of inlcresl and athmey's fc6.
I hoeby affirrn unda penahy ofperjury that I dn 9 (commmcing with Setion 7000) of Division l
of the Busins md Profesions Code, md my full force md effet.
I hcreby afhrrn urder penalty ofpsjury that thqe is a
issued (Se. 3097. Civ. C.).
ijnder's Name:
lending agmcv t hc po fornrancc of thc tvtr k fur rvhich this lu nrl is
APPLICANT DECLARATION
I hqtb,y afEm undq poalty ofpajury one ofthc following dwluations:
Demolilion Pqmits-Asbstos Notincation Fcdqsl Regulations (Title 40, Pan6)
_ .,Required Lctt6 of Notification
_ _-l cqtify that the fcdoal regulatiom regading abestos rmoval de not applicablc to ihis prcjst.
-U(cdiff thal I have rcad this application ild slatc that the above infomdion is corcct. I agre to comply with all City and County
ordinancs ilJ Slale laws rclating lo conslruclion. ild hqcby
abovc nrcntioncxl prope(y for
/\ppli(atrt or .^gent
T-Pcr milrr namc (print):
of this Cily ild lo upon the
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Energy
Drywall I
I
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 74b-Z0zo Ctv)
Certificate of Occupancy
Notes, Remarks, Etc
Owncr:
Lends's Addr6s:
J)&t