HomeMy WebLinkAbout101103011 - Permit (3)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAq27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853
Project Address: 5015 W Edinoer Ave
Assessor's Parcel:108-381-25 Lotr NA
Unit: G Bldg Address Range: 5015-5127
Historic: No
Suite Range:
Zoning: CiBlock: NA Tract: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Miscellaneous
TI
Commercial/Restaurant
Restaurant
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
M
V B, SPK
cBc 2019
x-0602320256J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patioi
T.l.Area:
Yards Req'd
Valuation:
Description of Work: OT inspection for drywall on Saturday Feb., 1st with Truc Nguyen 7144574175
Contact: Hector 71 4-955-8980
Planning Conditions:
Bdtcht354176 -
0fl i.e: CTYHA..l a r
| / 3t /111211
TrnnE+:34
JO: IlP IHEDAI ol 1
tr'll I fr3rl! t
Owner:
Address:
Phone:
Tenant
Rcptir02986062 - 1/31/2(2tt 1?rSl F'11
Tronsoct ion Totol 1666.1?Philip Miller
5015 W Edinger Ave G
Santa Ana, CA 927041966
(310) 43s-9766
TAN HOANG HUONG FOOD TO G(
Contractor HLSElectric
Address: 1509 N Ross Street, Apt D
Santa Ana, CA 92705
Phone: (714) 955-8980
State Lic #: 953886
Lic Type: B, C-10
Bus. Lic #: 338870
Workers' Compensation lnsurance:
CaTTieT: STATECOMPENSATIONINSURAN
Policy #: 9234743
Expires: O7l11l2O2O
Engineer:
Address H l- S EIectr ir
Phone:
License #
Bu i ld ing
011l6Dtl2- 516011100-
ICL Check 0t11674
T666,12
s666.1r
Architecl /
Desiqner;
Address:
Phone:
License #
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'di No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Zuniga, Allissa
Date:
Date:
Date: 0'113112020
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
01776002 57770 lvlicrofllm Records
07116002 57607 Ofi lnspection
01716002 57672 Bldg. Stds. Revolving
07776002 s7600 General Plan Update
$0.00
$666.12
$0.00
$0.00
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No 011.16002 5.1601
Every pemit issued shall become invalid unless the work on lhe site authorized by
such permit is commenced within360 days after its issuance.ot if the wotu authoriled
on lhe site by such permit is suspended or abandoned for a period of360 days after
the time the work is commenced.
$666.12
$0.00
$666.'l2
lnspector MID#: 2019-153826
$666.12
Fee Total
Paid to Date;
Balance Due:
Permit #: {O{{O3O{{
Pin #: 3{56\!
0@0
$0.01
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BT]ILDER DEI]CAN TloN
I hcreby .m.o nnd.r F.ahy ol lErturr thot I m €rcmpl Iiom lhc Conrrado6 Lic@ I2w fo. rn. lblowing ree" (5(.7011 .5
B6in6s Md Prof*ion Codc): Any City or Counry whi.h tqun6 t lanil lo constud. alla, imprcve dflolish rr rcPn y
ntuduq p@r lo nr Bue.. al$ r.ltut6 the appli.d 6r such pcmil ro 6lc . sis..d stat.m€d lhd h. or slE i5 li.cc.rl puBud
to rhc povisions ollhc Conteroas t-i.drcd l5v (Chapr6 9, Comm.ncinS sith Selion 7()O0 ol Division I of thc BusilN d
Poisions Codr) or rh h.orshcis.r.nq thd.from md th. bsis lor thc all.s€d crmplion. Any violario. ofsanion 7011,5 6,d,
.ppli.mtaorapenrilsubjatsth.applicanlloacililp.nahyolnolmoElhdfirehonli.ddollts($500).
-1.
ar oM.r olrhc prcp.ny. or ny .nployc *nn sr!6 6 th.t sl. comp€Galion. will do th. work and dE ntu lrc is nol
'dad.d or ofi6.d aor sl. (Sa.?044. BGins Md Prol6iom Code: Thc Coffaftas Li.re Lrw do6 nol rpply ro M oMd of
rh. Fnp.rr, who hrildj.r imp.ov6 $60., .nd who &e 3uch w* himelf or tGlt or ltrcust his or hr osn cnployc,
plovidcd lhar such implovoMrs ruol intrdcd or oltuql ror ek. Il tsw6, th. t ildidS or inprovffit is $ld wilhin on. ,r
oacon Ltiotr ih. orrd alitlq (iI lBw thc bq&o ott .vnB thd hc or sltr did ml hild o. iEFolt U. FDFty aot $. Ftrpo* of
I, s 0"16 of rh. Fopdy. an .xclusively conrra.lins * ith lic.6cd codractoB $ @nntud rh. pmjd (Se. 7044. B$h6
ed hnlission Codc Th.Contracrori Li.c.s. Law do6 nor apply to &own€r olprcp€nywho builds or iep.ov.s rhoon.
md !,ho conhcrs aor such lmj€€:ls wirh a Coflr6.lo(, lictucd p6@r ro rhc Contraclor's Licffi Lav).
I m.x.npl undd S(lion
uoaaE[s:lqMt[N.:allor
DES,AAAIIOA
t hqeby alfid u.d6 ,oahy ofDojlr, on. oath. follo*i.! delaalio.s:
I hav. dd will minlain a C61ificatc of CoNdl lo ScIHBlrc for Mrk6 .onp6srio{ s trcvid.d aor by S{tion 1700 of the
Lrbor (}d( aor th. psaom:mcc of th. trolk fo! $hich thc pmil is issud
_ I haw and * ill nai.laih work6 .onpc6,rion imurmcc, 6 r.qut d by S{tion 1700 olr h€ Labor Code. fo, lh. Faom@c. oa
rhc {ork for wnich rhis pnnn ir issudl My vorl6 co rp.Nlion insurance cuis ad policy nunbd a.:
I cdiay thal in lh. p.rform.nce otlhc sork for which Ihir Fnn is i$u.d. I lhall nol dploy any Fson in any msnd
$ a ro b..oo. subjd lo rh. sorl6' @npo..riod la*s olcrlifohi& ed aar lhli it I should b..ooc lubjcl lo rb.
work6'corparalionprcvisioBofsetio.lT00ofthcLaborCod.,lshall,forlhwilhcosplyvidrthosporisioB
WARNING: Failur. to su. work6' comp.nsarion cov.rar. is uhwtul. dd sh.ll tlbjd e 6ploF lo aioinol tqqllil: ed
civil lin.s up ro onc hun.lrcd rhoumd dollm ($100,000). in addilion lo rhc .o$ of .onp.Mrion. d.mBB a providcd for th.
Scrion 3076 ofth.l,bor Cod., intdsl ud atrom€y s 16.
Appllotrl:_
uc[NsED-CqNrS crgE
DEcrdtano!
I tftby amm unddp@alryolpclury rhal I m licftcd undd pmvirion olchapld 9 (codacn.inB wilh Stlion 7000) ofDivision -1
of rh€ Duin* &d P.of*ios Codc. dd 'ny licmc i. in full (r.c ei .,Id.
D.le conrmctor:
ca!flB.ucuoM,ElDlxclc
I h@6y arm trndd F,iahy of pdju., th.l fi6. is . coBrruclion lddins asdcy lor lh. Ffon@cc of rh. *oi{ fo. which lhir Frnh b
issEd (s6. 1097, civ c ).
dTTUCINLDICIdEAIIAB
I ho$ amm u.dr pdthy oa Fju' r-' on ol$. followins delearioBl
Dcmolirion P.rmits-Asb6los No[licalion Fed€ral Rcsul.tionr (Till. 40, Pan6)
Rcquircd lntd of Noli6calion
/ffi;d rhe lcdral rclrlarios r.UednrS
I h.vc r..d rhis aptli.ario. sd rcn is cor€.1.1 asr€ to .oEply vilt rll Cilyard Counly
ar. L4s rch'inr lo brildi.S authoizc rcpr6drrir'6 of rhis Cny &d Comr, ro 6ld upon th.
atrrrc Denttrnd propcrly lor
D,t" O/..P/ -ZcZo
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathinq
Shear Wall
Framing
lnsulation/Energy
D rylva Il
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL 2-/l/?.o'Tr,tzlwa <r'.2.2-2
Certificate of Occupancy ut
Notes, Remarks, Etc
nor applicable ro rhis projel
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