HomeMy WebLinkAbout10194215 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 Inspector Section: (714) 647-5853
Permit #: 1(J194215
Pin #: 3O{4O
Project Address: 3801 S Harbor Blvd
Assessor's Parcel 4',t4-261-12 Lot POR 3 Block NA
Unit: C Bldg:
Tract: WILLIAMS
Address Range: 3751-3801
Hisloric: No
Suite Range:
Zoning: Ml
Building Use: Commercial Occupancy: B 1st FL Area:
Job Type: Tenant lmprovement Constr Type: V B, SPK 2nd FL Area:
Nature of Work: Tl Code: CBC 2016 Other Areas:
Existing Bldg. & Use: Commercial Flood Zone: X-0602320258J
Garage Area:
Proposed Use: Optometry Office # of Stories: Total: O
Description of Work: Tl includes new intorior partitions to create new lab, offices, & waiting aroa. Add (2) new sinks.
Planning Conditions:
Patio:
T.l.Area: 250
Yards Req'd:
Valuation: S9,000.00
Owner:
Address
P hone
Tenant
D&SlnvestmentLlc
3751 S Harbor Blvd., fD
Santa Ana, CA 927047902
1714) 435-1210
Crystal Vision
Contractor: WinNguyenConstruction
Addressi 13172 Sandra Place
Garden Grove, CA 92843
Phone: 1714t 326-3121
State Lic #: 955157
Lic Type: B
Bus. Lic #: 363678
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer
Address
Phone.
License #:
Architect /
Desiqner:
Address:
Phone:
License #
win Nguyen Derign Group
Ha Nguyen
13172 Sandra Place
Garden Grove, CA 92843
17141326-3124
Plannlng Approval By
Plan Checked Byl.\
Permit lssued ,ti
-NPDES lnsp. Rds'd:\._
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Dale. 1011012017
Oate. 0912712017
Date: 10/10/2017
Subject to Field:
lvlisc. Receipt
Misc. Receipt
NIisc. Receipt
0 77 7600 2
0 77 7600 2
0 77 7600 2
o7775002
0777600 2
o7775002
57607
53600
57770
5 7672
5 7600
57607
Permit Fee
Plan Check Fee
Microfllm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$149.2s
$200.54
$10.86
$1.00
$21.25
$52.98
No
No
No
No
bl
eri
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#
70074
Total
Every pennil issued shall becorno invalid unless lhe work on the sito authonzed by
such pemit is comfienced wilhin180 days aftot its issuance,ot if the woi< authoized
on the sile by such permtt is suspended ot sbandoned for a pedod ot180 days ahet
the time the wo* is comrnenced .
s435 88
$100 27
$335.61
lnspector MtD# 2017-138762
011 '16002
01'1 16002
01 '1 16002
01 1 16002
01 1 16002
51600
51601
516'1 2
53600
57770
$21.25
$202.23
$1.00
$100 27
$r 0.86
Fee Tolal:
Paid to Datel
Balance Due:
Orozco, lvan
BUILDING. INSPECTOR RECORD
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing tl"517 ks24 t(,.
lnsulation/Energy
Drywall tz-7-t7 I
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar lz-7-l-7 !r4l
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL l-t6-t(
Certificate of Occupancy
Notes, Remarks, Etc
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