HomeMy WebLinkAbout10197532 - Permit (2)/t/
cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Permit #: 10197532
Pin #: 24495
Project Address: 628 E Washington Ave
Assessor's Parcel 398-191-02 Lot NA
Bldg: Address Range: 628-636
Tract SANTA ANA EAST Historic: No
Unil Suite Range:
Zoning: SO84Block: 55
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Supplemental
Supplemental
Commercial/lndustrial
Occupancy:
Constr Typei
Code:
Flood Zole.
# of Storrft;
I
B, S-1
V B, SPK
cBc 2016
x-0602320163J
2
1st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Patio:
T.l.Area
Yards Req'd
Valuation: t0.01
U
Description of Work: Supplemental - Deferred submittal for truss delign and calculations. Reference permit #10191680
Planning Conditions:
Owner:
Address:
Phone:
Tenant
GG&GPropLlc
1038 N Custer St
Santa Ana, CA 927013915
Contraclor: KZMillerConstruction
Address: 3180 University Avenue Ste.
San Diego, CA 92104
Phone: (619) 584-2858
State Lic #: 1011565
Lic Type: B
Bus. Lic #: 367851
Workers' Compensalion lnsurance:
Carrier: Everest National lnsurance Co.
Policy #: 7600018043
Expires: 09/01/2018
Engineer
Address
Architect /
Desiqner:
Address:
Phone:
License #:
Phone.
License #
John Potocki
8636 Frazier Dr.
San Diego, CA 921 '19
(619) 933-3491
c16801
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PwA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Scott Fazekas & Assoc
Hernandez, Kathy
Date:
Dale. '1211012018
Dale:1A12J2018
Subject to Fieldl
71450
71940
Total
ID
DEC 12 2UIE
lvlisc. Receipt
Misc. Receipt
l\,lisc. Receipt
07776002 535OO Revision
01776002 57612 Bldg. Stds. Revolving
07776002 51600 General Plan Update
$444.32
$0.00
$0.00
No
No
No
No
Fire lnsp Req'd:
Police lnsp. Req'd il: Account#
Flood Zone Cert. Req'd: No N/A _ No Batance
Every pennit issued shell become invahd unless the wolr( on the sile authonzed by
such petmil is cofifienced wlhin 180 days aftet ils issuance.or if the wo authoized
on lhe sile by such pomtt is suspended ot abandoned fot a penod of180 days after
the tifie lhe wo* is commenced
s444 32
$444.32
$0.00
lnspector MID#: 2016-"133593
City of Santa Ana
Fee Iotal
Paid to Date:
Balance Due
BUILDING. INSPECTOR RECORD
SITE-WORK DATE COMMENTS OWNl:R BUII,DI]R I'EL('AR TION
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\rplionr or tgdr sitnlu.r
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathin s
Shear Wall
Framing
lnsulatron/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL 7/t<141 tP)
Certificate of Occu nc
Notes, Remarks, Etc
ID/SIG.
Flood Zone Certif.