HomeMy WebLinkAbout50101000 - Permit (2)Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Grading
Permit Counter: (714) 647-5800 lnspectron Requests: (714) 667-2738 lnspector Section: (714) 647-5853q,v'
Permit #: 5OIOlOOO
Pin #: 524'17
Project Address: 1666 N Main St
Assessor's Parcel: 005-153-19 Lot: NA
Unit:Bldg: Address Range:Suite Range:
Zoning: SP3Block: NA Tract: NA Historic: No
Building Use: Multi-Family (5 or more units) Occupancy: R-2 1st FL Area:
Job Type: Mic{t a^aggg45roF Constr Type: V B 2nd FL Area:
Nature of Work: Grading Code: CBC 2013 Other Areas:
Existing Bldg. & Use: VacanUParking Area Flood Zone: X-0602320163J Garage Area:
Proposed Use: Residential # of Stories: U ,orr,,
Description of Work: Site Grading ( includes new townhomes located at 1665 N. Sycamore Building 1 & 2
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation:
Owner:
Address:
Phone:
Tenant:
EN OSTENDO HOLDING CORP
3 PARK PLZ gTH
lrvine, CA 926148505
Contractor: WestportConstructionlnc.
Address: 125 W.Maple Avenue
Monrovia, CA 91016
Phone: 16261 447-2448
State Lic #: 712732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation I nsurance:
Carrier: Everest National lnsurance Co.
Policy #: 7600015708
Expires: 1110112017
0.0Lch+:3?556 -'7/26/2017 I0: LR0SALES
trif ice: cTYH Trqns*: 54 I -ql :i - -!r. Ref i: $LllfilLlril:rHr-t-l,r '
lL,:pb*:01958915' 7/26/2Ot7 1:4{-Fl'l-'riionEott'ion toUsl tt r l7? " 1L
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
t21.25
3924, 3 1
t1r172.11
|t,..,. i-.oort (:onstruct ion Inc.
iHfl ';'"ffi,S#ffiI',i i, H,l,|.1o':''
- -
245 E. Thirdltreet
Long Be*lrl &,e108026r:16l:rlrtr-
(562) g0lrl5gghqr:ir ur:u:rl:ruuIu6
c21695
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: yes
PWA lnsp. Req'd: Yes
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Robles, Sylvia
Link, Patricia
Date:
Dale: O712612O17
Dale: 0712612017
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57606 Permit Fee
07776002 57606 lmprovements
07776002 57600 General Plan Update
07776002 57606 lssuance
Fee Total:
Paid to Date:
Balance Due:
$771.33
$100.00
$21.25
$52.98
Account#Total
011't6002 51600
01 1 16002 51606
$21.25
$924.31Every permit issued shall become invalid unless the work on the site authoized by
such permit is commenced within 180 days afterits,ssuance,or if the work authorized
on the site by such permit is suspended or abandoned for a period of 180 days alter
the time the work is commenced.
$945.56
$0.00
$94s.56
lnspector MID#: 2016-127286
t )
GRADING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS I Ownd-Buildcr D€cluarion
I I hcreby aflim und6 poalty of pdjury th.t I m cxcmpt fm thc Conmcto6' l.iccnsc Law for thc following }joon (scc.tJl I 5 Buiin.t s
I md Profasion Codc) Any City or County which rcquircs a pcmit lo construcl, altcr, improvc, demohsh or rcpair ony strucrure, pnor to its
I issuucc, also rcqurre thc applicilt for such pmit to filc a signcd slatcmcnt that hc or shc is liccnscd punuut to lhc provisions of lhc
I Contractor's Licoscd [.aw (Chaptr 9, Commmcing with Scction 7000 of Division ] of thc Busincss md Profasions CLitc) or that hc or
I shc is cxmpt thercfrom ud thc buis fq lhc allcgcd cxmplion Any violation of Sccrion 703 I 5 by any applicant fd a pcr mir subjccts thc
applicmt to a ciul pcnalty ofno morc thm fivc hundrcd dollm (9500)
I
-1,
c owncr of thc propcrty, or my cmployce with wagc r thcir solc compmsation, will do thc work and thc structurc is nor rntcndcd
or offed fc salc ( Scc 7044, Bsinc$ md Profcsions Codc: Ttc Contractor's Liccnsc Law dG not spply ro u owncr ofthc propeny
who builds or improvc lhs@n, ed who dq such work himsclf or hmclf r through his o ha own cmployccs, providcd lhst such
improvmmts sc not iniqdcd or offcrcd for salc lf, howcvq, thc building or improvcmcnl is sold within onc ycu of complcrion, lhc
Owncr-Buildcr will hsve thc burdcn ofproving thst hc or shc not build or improvc for the purposc of salc)
_1. I owno of thc propctty, m cxclusivcly contEctins with licmscd cont acloE lo construct th. pmjcct ( Scc ?044, Burincss ud
Profqsion Codc: The Contsactor's l,icasc Law dm not apply lo o omq ofpropcrty who builds or improve thcrcon , od who
confrets for such projecr wirh s Conractor(s) licoscd puBudt lo thc (-'onractor's Licmsc law )
_l m cxcmpt undo Scctio ___.8 & P.C for rhis rcuon(o^,",1lzufE__o*^%__
I WoRKERS COMpENSATION DECLARATTON
I I hacbl aflim undcr pcnalty of pajury on" of lh" fo.llo",ing d.cl*ariom
|
-tlavcmdwill
mrintainaCcnificatcofConsmttosclf-lnsurcforworkm'compensarion,a providcdfsbyScctifflTo0ofrhct-
I l.abor Codc, for thc psfmmcc of thc work for which rhc psmit is issucd
I
| -lhavcudwill
maintatnwctm'compqsrtioninsumcc,ro rcquiredbyScctionlTo0oflhcLaborCodc,forthcpcrfommccofrhc
I work for which this pqmir is issucd My workcn' compcnsation insurucc cria ud policy numbo uc
I c*,i,, €war.<l *)a.P,q-r,,,l f-rsor^rto Co.
eoti"yNunucr, ?LoOOl4?Of l(al r.6.e,
(ThiE sGtior n.rd not b€ complctcd if th€ pqmir is fq Onc hun&cd dollm ($t 00| r ls)
hl tlfi
-l
cctify thal in thc pqfmue of thc qqk for which thii pcmit is issucd, I shall not mploy uy pmon in my ;6nr so a to
beare subjccr to thc wckm ' ornpansatio laws of Cdifmie md rgrc thrt if I should bccomc suhjet to rhc wortm'
@mpcmation providm of Sction 3700 of thc trbor Codc, t shall, fmhwith comply with thwc provisions
I
WARNING: Fsilurc lo rmrc worko' cmpcrsation covragc ir unlawful, ud shrll subjcct u mploya to ciminsl prnalti6 ud civil
fina up ro oc hu&cd thouod dolln (l I oo,ooo),in sddirion to thc cot of ompcnsation, damage r prcvided fa thc Scclim 3076 of
thc kbor Codc, intelt md .ttmcy's fc6
LICENSED CONTRACTORS DECLARATION
I hmby rffim undcpcodty of p6jwythrt I m licmcd undrprovirio of Chapa 9 (commacing with Setio 70oo) of Dvisim 3 of
thc Bwine ud Prcfa:imr Codc, md my licruc ir in full fqe md cfrco.
l,iccnsc Liccnsc Numbcr
F*"'
I hc@ aflim unda pcrdty of Frjuy thar rh@
isucd (Sa. 3097, Civ. C.).
ladr's Nmc:
rgmcy fr thc pcrfommcc of thc work fq which this tcmit is
[,cndcr's Addr6s:
APPLICAI\TT'S DECLARATION
Dcmolition Pmir-Asb6r6 Notification Fcdcnl RcSularions (Tilk 40. pan 6)
_ Rcquircd Lcn6 ofNotificatioo
_l cdify thrt thc fcdsal rcgulations rcgeding 6b6tc rcmoval arc not applicablc to this prejcct
-
I ccrtiry that I hsvc rcad this application md ststc that thc abovc infomation is concct. I agrcc lo comply with 8ll City md County
ordinuc6 od Statc Law! rclating to building construction, and hqcby authorizc rcprcscntativcs of this city Md County to cntcr upon thc
abovc motioncd propcrty for inspcction pu.poscr.
r Appli@t tr sgmt
\Pmin@ nmc (print):
tlzclt-t
Preliminary Soil Report
Excauation
Fills
Sub Drains
Buttresses
Soils/Geology Report
Contractors State of Comp
Compaction Report
Flood Drainances Cert.
U
I
Paving
Sub Grade
Aggragate Base
Water Test & Seal Coat
Asphalt Concrete
Soils Eng. Cert.
I
Rough Grading Release
Final Civil Cert.
FINAL 6-?A-@ (Lc-t:$zte #Lrl
Notes, Remarks, Etc.
I