HomeMy WebLinkAbout10191631 - Permit (2)q'
Project Address: 1900 E Fourth St
Assessor's Parcel 400-081-03 Lot POR '15
Bldgl
Tract. MAYBURY
Unit Address Range: 1900-1910'
Historic; No
Suite Range:
Zoning: P
city of santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: lOl9{63{
Pin #: 278.21
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use
Proposed Use:
Commercial
Alteration
Rooftop EquipmenUPhase 2
Commercial
Medical Offices
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories
B
III B, SPK
cBc 2013
x-060232027 7 J
1st FL Area Patio
Description of Work: Remove & replace (e) rooftop A,/C units (reducing 9 units to 2 units).
Planning Conditions:
2nd FL Area: T.l.Area:
8ol , t/?/2OL? ID: srlor olesli
Other Aregsl r!e: -'Iyit yAda,Etq'dX I of S
A, , : l; Ref+r lott: .j1
Garage Altrt i: r' 178 l i3gr'atu ilrfl0l7SIEFS.00- Trr .rt -ir;t,,,f .r5
Total:
Ko iser Foundotion Heolth plon
6er ' r .uLe Fee S20.56
Lrll16002-51600000-Buil/ r t618. 26
Engrneer SPREStHctura lEngineerin! .r
Owner:
Address
Phone:
Tenant:
Kaiser Foundation Health Plan lnc
393 E. Walnut St.
Pasadena, CA 91188
Kaiser Permamente
Contractor: Kaiser Foundation Health Pl
Address: 1707 Barcelona Circle
Placentia, CA 92870
Phone: (909) 4274700
State Lic #: 37087'l
Lic Type: B
Bus. Lic #: 2108
Workers' Compensalion lnsurance:
Carrier: Oept ot lndustrial Relations
Policy #: '1053
Expires: 01/01t2018
Jeremy c lt{etlq{rl,: .,it_,1,
25461 Rarftho Parkway Southr., r,r.
Lake Fore{ CA'U1530 '. . , ,1.,
(949) 916-rItlo4614 l.l.,'';:-..r. ',.,..i:t;
Address
8. 00
t21 . t:ro
t126 . r10
r1171.95
Phone:
License #
Phone:
License #
Auth
t
rl2Architect /
Desiqner:
Address:
Planning Approval By Ni. Ann
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd No
Dale 1211Sl2O1A Nlisc. Receipt: 68943
CsE-CenturyStructuralEngineoate: 0112012017 Misc.Receipt
Amsden, Julie Oate. O3tO7t2O17 Misc. Receipt
Subject to Field:
Fire lnsp. Req'd:
Police lnsp. Req'd Total
0777600 2
01776002
01776002
08907007
01776002
0777600 2
07776002
57607
53500
57770
2400 0
576 72
51600
57607
$597.00
$413 82
$21 .00
$126.00
$18.00
$20.s6
$51.26
Permit Fee
Plan Check Fee
lvlicrofilm Records
SMIP - Category 2
Bldg Stds. Revolving
General Plan Update
lssuance
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Noyes Account#
Landscaping lnsp Req'dr No Flood Zone Cert. Req'd: No
Every permil issued shall become invalid unless lhe Lvork o/, the s,lo authoizod by
such petmil is commenced withlh 180 days aftet ils issuance.ot if the wo* aulhotized
on the sile by such perml is suspendad o, abandoned fot a peiod of180 days aftet
lhe tme lhe wot* ts commenced
lnspector MID#: 2016-133497
01 1 16002
01 1 16002
01 1 16002
01 1 16002
08901001
51600
51601
5161 2
57770
24000
$20.56
$648.26
$18 00
$21.00
$126 00
Fee Totall
Paid to Date:
Balance Due
$1 ,247 .64
$413 82
$833.82
Block NA
BUILDING- INSPECTOR RECORD
SITE-WORK COMMENTS
Sel Backs
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Fram i ng
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handica p Req
Deputy Final Report
Engineer Final Report
FINAL 7 @T
Certificate of Occu nc
Notes, Remarks, Etc )
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DATE ID/SIG.
I
Forms/Steel/Holdowns I
I
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Flood Zone Certif .
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