HomeMy WebLinkAbout101101604 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o? Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit#: lO{lOl604
Pin #: 21541\,1
Proiect Address: 1917 E Occidental St Unit Bldg Address Range. 1907-1919
Historic: No
Suite Rangel
Zoningi MlAssessor's Parcel 403-033-04 Block: NA Tract 6594
Bualding Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
lndustrial
Alteration
Roof Vents
lndustrial
F-2
V B, SPK
cBc 20't 6
x-060232027 7 J
1
Patio:
T.l.Area:
Yards Req'd:
Valuation: $5,000.00
Description of Work: lnstall (2) new roof vents.
Boti:h+tii77ii - 1/7 /2t17l| ID; (:i..lli:.i.l.ri,l
0l{ ite; CIYH Trcln:i+: ?r:r i {,i ,
Ar:r:t i: Ref+ i lrllll.rtrill,iPlanning conditions: , rrfr t I . {.lg6r*BF 1, i, tf.t(. i,?i [11
Engineer: SouthweItEfrltfdErong Lo-BB $5o.J . ii 1
Owner: Boyd Enterprises Contractor: MikeWFermoile Constructi George tiijltel.Sahyouni ferfloile
Address: i946 E Edinger Ave Address: 8136 Royal circle Address: rezo ru X8i$ndddfiqqile (:onsbru':t ion
santaAna,cA 927054721 Er Cajon, CA92021 I_r^":"-".,_66rq?Z"f t,tnn updote Fee x.i.,i.,jt,Phone: (BOl) 243-7466 Phone: (519\ 249-7704 Phone. (520) 61h11qqnri2- tilgrrr:r0lr:r'-Statelic#: 596427 License#: C54565p..uildins l:.t.:.i,,,.:Tenant: HD Supply Construction And lndu! ," r-lt 1l6t-lrl2- :i16t:rl[0u-Lic rype: B, D-28 Architect / lri!," !v ftillpiH6crFe;sii;ri" r.l .,rr.rBus. Lic #: 374764 Designer; Mike Ferqpjtp6gl-12_ :il(l?rlrll-r_
Workers' Compensation lnsurance: Address: 8136 RoyElolrdlal,i l. Doaufient; F I :l ,. ,1.iCarrier: Omaha El CajonJ-GAmZ- :i777u!rjr.r..
Policy #: AMWOO26517 Phone: (619) 24$)tlo4 - . :l;1 . .,lr
Expires: o4l25l2o2o License #: li9?'it'i'tt'- 240t-rrrr-ir-lr l '
l,l i <n ciiil, i i:1
or,,eottr+e ll,ilriiifi.TH63ss Aurh +
'
rrtia6L3
Planning Approval By:
Plan Checked By:
Permit lssued Byl
NPDES lnsp. Req'dr No
PWA lnsp. Req'dr No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
J Lee Engineering lnc
Chavez, Dave
Date; 09/26/2019
Date. 1210412019
Oale: O1lO7l2O2O
Subject to Field;
73534
Total
07776002
0 77 76002
0 890700 7
0 77 76002
0 77760 0 2
o77760 0 2
5 3600
57770
2400 0
57672
5160 0
5760 7
$230.87
$1 1.73
$1.40
$1.00
$22.95
$57.20
Plan Check Fee
lvlicrofilm Records
SMIP - Category 2
Bldg. Stds Revolving
General Plan Update
lssuance
Fire lnsp. Req'd:
Police lnsp. Req'd
Noyes Account#
Flood Zone Cert. Req'd: No 0111600251600
$491 68
$230 87
$260.81
lnspector MID#: 20'19-154675
01 1 16002 51601
01 116002 5'1612
o1116002 57770
08901001 24000
$22.95
$223.73
$1.00
$1 1.73
$1.40
Lotr 2
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total: 0
l\,4isc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Fee Totall
Paid to Date:
Balance Due:
Every permit issued shall become invalid unless the wotk on the sile authorized by
such permit is commenced within 360 days after its issuance,ot if the wok aulhoized
on the site by such pernit is suspended ot abandoned lor a period of 360 daysafter
the lifie the wotk is commenced
SITE.WORK DATE ID/SIG.COMMENTS (MUR Bt ,t)Uli Dlll.( AR,\T(r\
I h.r.$y altrm u $ pc.llry (il !,.dury th l {nr crcn,pr ti,n rlt cdnh.lor' l.i.cn{ Lrw lor lhc i'll,'win8 rcasn (Scc 70315
aurtrcss anl ltonsio. culc): Any C y or Counry whEh rcqurcs a Frn lo .Dtr{ruui. altcr. inpov. dcmolih or rpxn 'n,
sro.rurc. pru n, \ issuM{..ho rcqur.\ rh. rJ' rnnt lllrsu.hFdn kr lrlca sisncd (alcmnr rh^r lEor sh. i\ lid.s.d puButnt
h) rhc F,vnkrN ol ih. Cont&ktr s Li.cn*'l hw lchrpr( 9, Conmrn.m8 * h S(botr 7(XX) oi Drvis n I oi lhc Busimss dd
Pn,lcsions Co'lc)orrhrl h.o.rhc tcichpr rh.r.lb dndrh.btsisntrrh.rllcgcdcrcmpri.n Anyvnrlnlonots&rinr70.115 hvdtrv
{tl'canr ra|Emir\ul,j.chrh.,rpli.lnll,,!cililp.nrnyornorm.rclhlnlirehun,l6ddollts(S500)
l, ^ own.r oi rlE r,rurEn y, oi nry cnployes wilh wa8cs r! rh.n tuh Lonfcnsarn,n. w'll do th. $o* ul rh. irturuE is B,
Dtcfilcd or oliclc'l lir sdlc (Se.?()44. Busine$ rod PRnasnJnr C,ric I hc A'nkr.u s l-(cnse tjw doc\ lor rpJ'lv l0 an o'tur ol
rhc ll()pcny who hurlds o. in rlvcs rhcB,n. .rxl who dcs iu.h k)'l hnns.ll or hcscll or rhnrugh hil or hd osn cmllryccs.
pr v klclt rh.r su.h ih|m)!.mnrs {rc n.r inrcBLtl r olttnd tu slc. li tuwcvcr, rh. buil]s! .r rPll,rmnr i: $kt w h,n orc rtr
ol $mplctid\ llE Own.r tll lcr willharc lhe tudcn of poving rhdr h.orsltr did ru, huill nr ml'nE tlr,mlsry l.t rhc Puqr'{ ol
-1,asown$orrhclmpcny,
r.rcluq!.ly.oht.ctiu w h licnsc'l r.rncbN t) uon(tucr rlt rtuFcl (Se..7044, Btstr'cs
and Pn)fssion Ct cr ThcCotrlroclo s Li.cn\.I-aw docs n.rrlTlyro ar o*hft of,rnlFn v wh{) huildr o mfruves rh'rcon.
rnd wlN conr.uh lbr \uch ptuj.rts wilh a Cbnlra.b(n kcnscJ N uinl k, rhc Coht,cktr\ Liccnsc Lr*)
_l &cx.nrl, utr,lcr Sc.r
-c)4l a-s I zozc>
I ccn',trh.rorhc n( ornunccofrhcw.rkf(trPhi.hlhirPcrmiri\,$tr.tl.lslDllnorchlloyrnvlcroninahymanmr
si sto$.n,m $hJcd t, rhc wo*6i comPcnsrril)n lrri .f Calrbrni!, lnJ rgr.c rhd n I sh)Illj hc(orc {ihid t') rh.
w.,lc6'c{mncn\arbnpn'vi{dnsolScuiion.ITOOoarh.llhtrCo.L,l\hlll.n,nhqirh(omllvwirhrh'{I)t)vsbns.
IVARNINC: Failur. tu sm wotkcr' conFhiarion .ovco8c rs unh*lul. Md srtrll sutrirr d cnlrLvcr lo dimml FMlrts anJ
.Nil turs ut n' onc hutrdrcl ll&trsnJ J.lhs (riltro.lxx)
\.i rrr.n176,trrh. tjti{ t Glj trr.,cJJJ rrftr.J..cc\
o2a
lztrcla8aroN
I hcrchyalltnr utrdcr pcnalryol tErrury rhar I am liensl uiJ.r povishn.lChxPr.r 9 (.ommncins wirh Sc.rb. ?0110)o'Divkion l
ol rh. Busrcs lnd Prctsn n\ Codc. ini my licensc is ur luu tdtcc *l.tlc(r'
57
('r)l\sTItf (TloN l,ENDlN(; ACEN(l
R\u.d (SN :1097. Crv. C.)
t1*lo s AJ!rcs:
-AFPLTCANT DIiCLARATION
I lrrrt'y dlm uftlcr Fnrlry ot p.riury onc ollhc lolbwing dcclr.lions:
rkrolnion Pcrmih-Ash+dos Noriti.ation lcncral Rcslhrtr,ns (Tirh 40. P.n6)
Rcquirc.l lr(cr o, Nor Jldtnn
I dily lh.l rhc lcderal rcpxhoons rcSdJrna &stE{o! En vxlnrc not rmli.abk ro rhN pmF_r
U enily rlur I hNc rcdd lhs a!,rlicarion ud {,lc rhar nE at$vc intnrtulion is corcur.l asr td comtlv enh a[ cnv dtul courrv
odin!rccs unl ShrctlwsElalin3 loblilJin! conslN.thn. lld hcrch, aurh,i2. rcl'rcsctrr0likr ofihr Citv !n! Colnrv u c.lcr uBrn thc
dlrJvc ,tu'nrunl ,' o|Iny tur D\FcrnnIr4rK\
Appli..trt.r l,lcnl sian.lu
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framino
lnsulationi Enerqy
Drywall
Ext.i lnt. Lath
Brown Coat
[/]ason ry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
I I
FINAL tl tu 1,1 t)ft-tflat_-fi-\2
Certificate ol Occupancy
Notes, Remarks, Etc.
BUILDING- INSPECTOR RECORD
Flood Zone Certif .
Dnte:
WORI(FRS' COIITPENSATION
DSCtdlAno!
I hcrchy alftm um.tcr peulry ot p..ju.y onc oI rhc tiluo*ins J.tliratbns:
Ihaveurlwill@imain!ctniti.alcoiCon{nrbSclllnsurcbrworkcB.omFnsahn as p$vidcd ntr bvSccrion 1700 orrhc
tjhtr Corlc. ttr rhc p.rfo,11rnc ol the wo tirr whtb rh. p.mir a\ L$ucd
L?n*" ,, , r, ..^." ..rtcr' ohlr.nqr !,n Dtu,in(c. !\ eqoncr by s..tion ]?00 or rh. tjbor co'lc. for rh. t'crro,mn€ or
;h. sdk Iur whrh rhF nemi \ n.ucJ M) trnrlftr .omP.n.rrn'q m<uran.c (amet uni lblx v numb{r d.
*,,. r /z /z-,o
I