HomeMy WebLinkAbout10194724 - Permit (2)I
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City of Santa Ana 20 Civlc Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 10194724
Pin #: 79027 .\l-{
Project Address: 3621 S Harbor Blvd un 150 Brds:
Tract: WILLIAMS
Range: 3601-363'l
Historic: No
Suite Range:
Zoning; SD58
nooreJ
Assessor's Parcel 414-261-07 Lot POR 3 Block NA
Building Use:
Job Type:
Nature of Work:
Existing BIdg & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Comm€rcial/Offices
B
V B, SPK
cBc 2016
x-0602320258J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Areal
Total: Eirt,lr il416
,r1 f i, e: ( TYH
Patio:
T.l.Area: ZS0
Yards Req'd:
Valuation: $9,225.00
t?/t9/2017 I0: C(:UELLAR
Tronsi: 71 5 of 6
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Description of Work: Minor interior Tl to create interior offices within existing unit
Planning Conditions
li,:.:ti: Ref;: 1t1194724
I,'' pti:02110363 - 12/19/2n17 l1:46 An
Tr nrrsqct ion Totcl 11r216.15
Owner:
Address
Phone:
Tenant:
Arden Realy (Dyana Elam)
3621 S Harbor Blvd Unit# 150
Santa Ana, CA 927047909
(310) 966-2655
Training Consultants
Contracior: Tl's By Oesign
Address: 3595 Cadillac Avenue, #'103
Costa Mesa, CA 92625
Phone: (714) 434-0596
State Lic #: 565438
Lic Type: B
Bus. Lic #: 351149
Workers' Compensation lnsurance:
Carrier: National Liability and Fire lnsuran(
Policy #: V9WC857904
Expires: 05/05/2018
,ienero I FIon l.redote Fee
ul I l6tr02- il600tr00-
Pl' i ld ins
ul11600?- 516010([:r-
Blds Stds Revolvins
0l116002- 51612000-
llicrof ilr & Docurents
':r1t16002- 577700(rtr-
!,, iso
r. : i *r*rr*r*r*rri635
- t21.25
t2(12,23
l1 - rlrt
t32.58
tlr2l6.15
:x26336
Engineer
Address
Phone:
License #
Architect /
Desiqner:
Address:
Phone:
License #
Auttri
Guevara, Jerry
So, Anson
zunisa. A issav
Date: I l/06/2017
Oate. 12112120'17
Oale: 1211912017
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
70240
Total
0 77 76002
0 77760 0 2
07776002
07776002
01776002
077 760 0 2
57607
53600
57770
5 7672
57500
57 601
$149.2s
$100.27
$32.s8
$1.00
$21 .25
$52.98
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuanceFire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No
Every perrntt tssued shall become invalid unless the wot* on lhe sile authonzed by
such pe(tnit is commenced within180 days aftot its issuance.or if the wotk aulhonzod
on the site by such peinit is suspended ot abandoned tor a peiod ot180 days aftet
the time the wo* is cofimencod
$357 33
$100.27
$257.06
lnspector MtD# 2017-139744
01116002 51600
011 16002 51601
01116002 51612
0'1'1 16002 57770
$21 .25
$202.23
$1.00
$32.58 Fee Total:
Paid to Date:
Balance Due:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPOES lnsp. Req'd: No
PWA lnsp. Req'dr No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
BUILDING. INSPECTOR RECORD
SITE.WORK COMMENTS OWNER BUILDER DELCAR TloN
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86in6s dd Proadion Codc) Any Ciry or Coudy whrh r.qutB r p<mir lo .odod, ah6. improv.. &nolirh or rq{n dy
xru.1@. F;r ro i! i!sim.. .ka Equr6 th. +pli.si ao. $.h Fmn tu 6L r s[.€d irtur lhn li or lrr a n ded pursd
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.Fpli(d for aFmn subdr tlE 4?lk..l io.orrlF t)ofml mElhd 6\. hu.&.d &llas(r50o)
t. s olE of rl! FrIrdly, o. 6y nngloyG r'in $rs6 6 rhci. $k comFsdhn. $iI & tlE uqt td dE rndG i! ht
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!h. pmtEty who tlilt or impmv6 thd6n, ed * th dc rRh ElI hiB.lf or h*lf or lnFugh hii or hd om .oPlott6.
prorilai lhd ru(h inp.orffi e d nqd.d or otuld tff tl. lt ho@. tlE boildiB ltF&ttE i rld vihin 6m 6
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l. 6 o$E nf rhc !ron6ly. n cr.lctr.ly colr.&ln* snh lic6B.d codr&!.R '. slfrd rE proF (S( 7Ot1, BUtr6
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sd $ho (odrrl] td lwn p..F(! r'ith. Conrno(!) laoel F4un ro th. ( o rdd'iLtct,f,)
lor cr.mpl urddSdion
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OECIJIAI]A!
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. I h!r. rd s'U dnlr'n ! cdrifr.tc of colq! ro sdr.lEe for emls orpdsdnr d Flridd lor qL sdi.n 1700 of rlE
ljtn Codc tm lh. Ffm of lh. *orl tor rt,ch lh. Fin i isu.d
I hr..n<l *'ill tuinr.'n *0116' .onqEsioi ilMci c Gqlt d bt ki,n !7m oldE t b.r Co&. for lt FfM. of
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r Btob..omsbidrorh.w 6 $dp.tEdion Lsr otcditodi.. .nd lsE rhd ial lhuld bdom $bjcl lo tlE
st*d' or4aurion Foviio6 olserm 1700.lrh. t E, code I tdL fdhqnh otrph *'nh rhr F!\iii,6
WARNIN(; Farlu.. ro sE \nnk6 (ompcosnn co\mBc n ddoF ro aiminrl FEhE ..d
ion, &naaB 6 prorid.d t r rh.civil fin6 up n' on€ hu.d.d lhrurnd.lollc
scrhn 10?6 0l rh( Lrhn co<!. nl6.r uxr
I h6.ny.rm und6 p@hv of Fjury lhd I e licd!.d lnda FovBior of( luptd'r (commo.i.8 *rh S.(lion 7000) rfOivsi.n !
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ilrucd (S<. 1097. civ ( )
knd6i Nm.
APPLI('ANT DECLAITA ION
I hdd1v llfm un&r p6nhy of Fjury oE of th. aollorinB d.rl,.l ions:
l).nolitnn PEInr Arbdd Norin.rtin t.d6,l R.ruh!6tu(Tnka0, Pd6)
R<rruirsl lard of Noriftdnn
I co1'ryrhll rn.Id(al Esuht.d r.!*dinN dhGror rdovale. hor apr,licablc ro
'hi!
projd
I coi,t) thri I hr\ . ,.!d rhir .rplraiio. lld drt. thd rh. &o\. infotuhn t coEd I .gre lo anpl) r (h lll CiU md Counrt
odrnrncF a.d Slal. La$s Ghlin8 rurh.n,. Bpr.sbrivd frhis Cny Dd ( ou.rylo dr6 ursnrh.
.th\. Mrirn d FoF!! tor
Alpli.rnr or7ti.nrSiqnrhire
e^t.*". ,Oa^rl' /
,..lefuilD
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framing l-16-lc k.\414
lnsulation/Energy
Drpvall l-t6 -tg.Y-p/ril
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
/^\
FINAL t-tq-w v.w.1t)
Certificate of Occu anc
Notes, Remarks, Etc.
I DATE I ID/SIG.
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