HomeMy WebLinkAbout101101193 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
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Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 -/
Permit #: { O{ { Ol 193
Pin #: 68933
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-221-28 Lot:
Unit Bldg: A Address Range:
Historic: No
Suite Range:
Zoning:Block:Tract:
Building Use
Job Type:
Nature of Work:
Existing Bldg. & Use.
Proposed Use:
Mixed-Use
Miscellaneous
Roof Mounted TV
Multi-Family Mixed Use
Occupancy.
Constr Type
Code
Flood Zone.
# of Stories:
A-3, S-2
IB
cBc 2016
x-0602320278J
8
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio
T l.Area
Yards Req'd
Valuation:$20,000.00
Description of Work: Roof mounted television Efltch*i5162.( *
itt-i't':e: ITYH
Hl-L L r.
ti-, -r.t,-1r.ra-,f\l-F J, i (lj: / l+J+O
Y/2?./?t-tll ID: nFINED,ITr'nns+:4u l rrt'lRef*: lrJllr.rll?:j- gl22/21_t19 3!LrS r'HPlanning Conditions:'[ r ttrr srr,-i inn 'inlni {LgL t ri
Owner:
Address
Phone:
Tenant
Heritage Village OC LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Contractor: AllianceResidentialBuilderr
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:
Carrrer: Travelers Property Casualty Comp
Policy #: TRJUB4245B187
Expires: 09/15/2019
Seneca Structural Engineers,
K. Dirk Bondy
23276 South Pointe Drive Suit_e 209
s3921
Architects Orange
R.C. Alley lll
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
144 N. Orange Street
Mission Viejo, CA 92692
(714) 539-9860
ill l-
tlti -
lirl rii+Ar r| ir 3 : it/,l tli 1 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
Gomez, Pedro
So, Anson
Hernandez, Kathy
Dale 0812212019
Date. OBl22l2O19
Date 0812212019
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
08907007
07776002
07776002
07776002
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
53600
24000
57672
57600
57607
$166.53
$230.87
$5 60
$1.00
$22.95
$57.20
\bt'No
No
No
No
TotalAccount#
Flood Zone Cert. Req'd: No 01.l 16002 51600
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 permit ls suspended or abandoned for a period of360 days after
the time the work is commenced.
01 1 16002 51601
01116002 516'12
01't16002 53600
08901001 24000
$22 95
$223.73
$1.00
$230.87
$s.60
Fee Totat
Paid to Date:
Balance Due:
$484 15
$0 00
$484.15
lnspector MID#: 2017-139940
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS oIVNER BUII,DER I)EI,('ARATION
I hcrcby affi[n uilder penalty ofper-iury lhal I tun exempt fi'on] thc (-onlraclors' Liccnse Larv ftrr the follorving reason (Sec.70.ll-5
Business antl Profssion Code): Any ('ity or ('ounty which rcquiles a pornit lo constnrct. .ltq. irnprove. demolish or rqrair any
stnrcturc.puorloits issuance.alsorequireslhcapplicantforsuchpermillofileasignedslatenrcnl lhalheorsheislicensed pursuanl
k) thc prorisi(xls ofthe Conlractor's l,iccnsed l-arv (Chaplo 9. (innillencing *ith Section 71100 of l)irision -l ofthe [Jusiness ancl
Professions (bde) or lhat he or she is erempl lhfrefion and lhc basis for the alleged exemption. Any violation ofSeclion 70-1 1.5 h! nn!
applicant for a pennit subjets the opplicanl lo a civ i I penalty o f not rnore than llve hundred dollils ( $500 ).
I. as os ncr of l he pro[Erty. or in] enlpb) e6 s'ith rvagc as their solc conrpensat ior. \'ill do the \t'ork and lhe slructue is not
intorcid orofferedforsle(S(.70.14.Busin6saf,dProfdsions(bde:'lhe(inrlraclor'sl.icflscl-a\vdo6nolapplytoanownerof
thepNlBly *hobuilcLstrrimprovsthqqu.mdwhodo6suchs'orkhintsclforlterselforthrcughhisorheros'nernplolcs.
providecl that such itnprovqnents de n(x inlmdql oroffqed for slle. lf. ho$evq. llre building or ituptolcnrcnt is sold wilhin oile )ear
ofcompletion. thc Orvner Builde rvill harc the trurclm ofproving thal hc or she did not hrild or irnprcve thc pKrpdy fu the purfrcseof
salc).
. , I. as os ner oflhe prapffy. am erchrsivel)- conlraclinS $ ith licensed conlraclors to conslllrct lhe proiccl (S$. 7044. lJusinas
and Prcfshn Code: -[he Conlraclor's l.icense l.as'doc not appl! lo an os'nq' of propmy" rvho builds or improves lher$n.
and who conlracls for such proj(ls \r ilh a ('ontraclo(s) licosed pulsuanl lo lhe ('onlraclor's l-icense [-as ).
I anr excnrl)l under Section . B. & P.(' li)r this rcason
Dnte: Owneri
\1oRKERS' ('0NtPllNSA l lON
DE(]I,ARA'I'ION
I hercbr affirrn undcr penalty ofpoju* onc oIthe follorving declaratitmsr
_-l hale md $'ill mainlain a Cenillcate of ('onsot to Self-lnsure for $orkcs compensalion. as prolided for by Sslion -r700 of the
tabor Code. for the pqfomance of lhe u'ork for Nhich lhe ponit is issued.
lhavcandsillnaintaintorkcrs conrpensalioninsurance,as requircdhySection.lT00ofthel.abor(ode.forthepofornlanccof
lhe work for rvhich tlris pennit is issued. My w'orkrs'cornpcnsatt)il insilrf,nce carier ancl 1relicy nunttrer a'e:
( arricr:
I'olicr Nunrhcr:[]xpires:
I ccflify that in lhe perfomMncc ofthe *ork for \hich this permt is issucd. I shall not enplo;" any Jrrson in any manner
so as to hecomc subjel to lhe workss'cornpcnsrtion la$'s ofcalifornia. and agre thal ifl should becont snhi(l to the
wo*trs' cotrtprnslion provisions ofS$(ion 3700 ofthe Labor Code. I shall. foflhsilh conrply Nith lhor provisions.
\YARNING: liailure b Kure $orkm'con]pensalion covemge is unlawful. md shall subject an onpk)yer to aiminal potltis lnd
civil fincs up k) onc hundrcd thousand rlollars ($100.000). in k) lhc of conrgrcnsalion.as [or lhc
Secli(m -1{)76 interst nnd nllorncv s
,\pplic{il
I hereby aflirrr undo ptrah)'ofperjury lhat I tun
of lhe Busin6s and Pnrfasions ('ode. and uv I
of('haplq I (cornnrencing rr ith Seclion 7000) of t irision ll
ts force and cffcct.
License ('lass:
Dnle:
l.iccnse
(-(trll raclor:
I horhy aflirnr under ;rcnalty ofpcr.iury lhat lhqe is a lmding agocy for the pqfonnance of the work for rrhich this pmnit is
issued (Scc. 11097. ('ir. ('.).
Lende s Nanlc:
Lcrtlcr's AdrIcss
APPI,ICANI' DIi('I,ARAIION
I h6eby allinn uilder l)enalty oI pe|jury onc ol thc follo* ing tlcclarat ions:
Denrlil i()n Pcrmils-Asbestos Nolifi cation l
jedc'ral Regulal ions ( I illc .l0. l'afl (,)
Rcq[ir cd Lcltcr of Nolifi cali(nr
I cfiify thal the f<leral regulations reguding asbestos ronoval arc nol applicable b lhis preist.
I colify lhat I hrve read this appli.ation and slnte lhat the alFvc infornlnt ion is corect. I with all City and ('()unly
orclinanccs an<l Sliltc Lil\s relrling lo hrriklin!lhc
ntxr\c nrcnliolcd pr()pc,1] [or inspccli(rD
,\pplicatrl or Agcnl Sigilalurol
Pcrnlilcc il{me
ior. an(l
l)nl(:
anrl 1o crils
e
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framinq
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 bLg-z.uo JdcJd "@)Certificate of Occupancy
Notes, Remarks, Etc.
v