HomeMy WebLinkAbout10395508 - Permit (2)EProiect Address: 402W Fourth St
Assessor's Parcel 398-593-05 Lot: POR 36, POR 37 Block: NA
Bldg:
TTact BIRCH ADD
Address Range: 402-408
Historic: Yes
Suite Range:
Zoning: SD84
Unit
Permit #: 1O3955O8
Pin #: 3{858
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
B
VB
cBc 2016
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:
1951
0@0
$32,310.00
0
Description of Work: Partition walls to create hair salon, shampoo stations, office & utility room.
Planning Conditions:
Owner:
Address
Phone:
Tenant
Broadway lmprovements
129 W Wilson Ste #100
Costa Mesa, CA 92627
{.949l-722-7400
The Comb Salon
Phone:
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires;
Contractor
Address:
Owner-Builder
Address:
Architect /
Desiqner:
Address:
Phone:
License #
Phone:
License #
Planning Approval By
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Mar, Escarlet
So, Anson
Hernandez, Kathy
Date 0210712018
Date: 08/13/20'18
Date: 08/1412018
Subject to Field:
07776002
0 7776002
0 7176002
07176002
0 77 76002
0 77 7600 2
5760 7
5 3600
57770
5 7672
57600
57607
Permit Fee
Plan Check Fee
iricrolilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc. Receipt
Misc. Receipt
Misc. Receipt
$22.08
$542.79
$2.00
$376.85
$3.76
Fee Total
Paid to Date:
Balance Due:
$487.75
$682.8s
$3.76
$2.00
$22.08
$5s.04
$1,253.48
$306.00
$947.48
70573
TotalFire lnsp. Req'd:
Police lnsp. Req'd ffi Account#
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shall bocome invalid unle$ the wo* on the site aulhoized by
such pemit is commenced wilhin180 days aftet ils issuance,or if the wo* authoized
on lhe site by such permit is suspended ot abandoned for a period of180 days aftet
the time the work iscommenced.
lnspector MID#: 2018-141364
01 1 '16002
01 '1 16002
01116002
01 1 16002
01'1 16002
51600
51601
51612
53600
57770
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714],647-5853
Engineer:
$
No
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILI)ER DELCARATIoN
I hcrrhy alfinn u cr prmlry ,n' I.rjury I hlr l onctnrpi ronr lhc Conk rois Licctr{ Law ror thc followins rqon lscc70.ll5
tlu\incss ud Prntssion C{xl.): Any Ciry or CoL y shich rcqon$ , tf,nnn h .on{n'cl. alrcr. jflprcvc. ded,lkh r rcr'n rn,
{fl.rurc, pri(trro ir\ (iurn.r.oho rcqut s rhc,pll.mr for \uch Frnil ro rilcr sirned srarcmnl rh nfo. sh. i\ li.cnscd luruMr
ro lhc pmvision\ oi the Conrractois l.iccn\.d h* (Chlplcr 9. Commctui'rs airh sc.tnnr 7fix) of Division ] .t rht Busincs and
Proacsi{)nsCodc)orrn hcor\h. isckmpr rhfcrrohnnd rhc hrsir rd dc rllc8cd cxcnltriotr. Any\iohrn,iofsi.rk,n?0,11 5hynny
rpph.rnrr(tr,r.rmirsubjmbth.apnli.rnriorcivill[rltyornorn,c'hantiuhunJreddollr\($5u)
l- rs owncr ol rhc propcny. or mr cnDk,r€cs *irh wuscs !\ rhcir $rc orl).n\arion. *ill do rh. solk 0nd lhc slrrE n tr
i' cndcd .rollcrcd ior slc (SLt TOl4, tluiiic\\ and ttorcrsiis Cdc:'Ihc Co.lr0crois Liccnr l-ou docs ooi lpplr k, &ovncr or
rhc F)t'.dy st(, hilds or inpr.rB rhcN[ and wh, des such w* hin$cllor h.Eclfor rhmu8h hi\ o. h.r osncDplotc.s.
lmvidcd rhrr such i'npmvcmnrs m nor inrcndcd or off.rcd fir salc. Ili ho$.rcr. rh- hildirt or iq,rcvcrrcnr is sold wirhin onc tr r
ol coDulcti{nr. lhc O*rc! Buildo ,ill hrt !h. hnrdcn ol pmving rhrr tr or +c dil mr hoiLl o nFn)rc rhc pmpcay tor rhe porpoq ol
\t- -n*n. ui,t" p'up"ny.,ncrclusilclyc.ita.ri'rs *irn li.cn\.d conkkrors ro con{ru.r lhc fn]ccl (Scc. 7OJ4. Blnn.s
dnd thfs(i Codc: Thc (.nkkr.lr Li.ctrsc Law dN( nol.t'!ly lo 0n owmr ol propcny wio build\ oi nnprolcs rlErcon.
rnd who contmch ntr such Fojcch wirh r Conknct(, liccn\.d nuNuinr u rhc conkftoi s Licctrr L!w)
I hcrchtrlli'mrndcr lrctrtrLryf l ]rurjuyrncrl rhc r,,ll,'*i',g,l.cIrrrintr
-lhuvcutrd$illnminr!tu!Ccni&lrcofc.n*nrxrsclllnsu!.rarwork^.onD.nnion.aslrovidedio,hySs_rionl70oorrhcL$or Codc, lnr lhc p.rfonMrcc ofrhc work rbr *hicn th. pcnnil h h\ucd
rhc sork tu *hi.h lht p.iinil i\ i\sunl Nl) *orkcn con,p!n\rri(in i'ruBtr.(.nricr ud Filicy nunrh.r .rc:
PolicyNumbcr:-
Qc!.sriri rhd o rhd trr foflrfln.c olrh. \ork ntr rvhi.h rhn ltnnir i\ k{u.d. I shxll nor cmploy rny p.r\otr h uy ndnncr
h rsbbc.orE \uhjNr t'rhe workcri .o nrrcnur ion h$sol Crlifornir. rnd l8to{rl ill \houkl hccoaE sh].fl brhc
sorkc^ Rnnpcnsrri.nprtJvisn,nsofS(rn :l7(xl of rh. I-ntrr C,xlc. I rhrll. Lnhsirh coq)ly q'irh rho\c l)nr i\nrN
Wr\RNING l'diluru to surc workcn' conDcnrdion ovrroB.ic.r nn cDploycr ro dminal penrhis and
.ivil fircstr,)Iootrchu lrcd rhou\rnd dollrrs rsllxl.(lD). in id tr n, rl'...{ ol ft rr).n\nr.f iitrnA!\ r\ n(\ (ldd ftr rhr
Scdnr 3l)76 of rhc Lrhtr Onlc. i' cr( rnd xrkrhy r ltc\
I h.'.hy r,lnr rDrl.r |rr lrr_,'r t)drttr t rhxr I rnr li..dwl trJ., t,',1 isi( oiCl[nrcr I (cnDnmocira *irh Sccrim 7(XX)).fDivisi( l
(IONSTRT](:T(TN I ENI)IN(i AGENCY
I hcrby nflrn un'l$,xtulryol Jrrjuy thar rhcrc i\ i con(rudn,n bndilrg rE. .y ror rhc Filarntrn.c ofrhc sork io. *hi.h rhn pcnnir n
n\urd (Sc. 1097. Civ C )
AIIUCANLIECLIEAIION
I h.rcby oninn undcr rEnalry oI ncrju.y ore ofrhe lollo$inF d(hrxrn,ni
D.mlirion P.rmirs^sb.rlos Nolificnlb. lidcr.l Rqullrio.s (Tilt,r0. Pan6)
_Rcq!icd lxncr of M,lifi .dk,n
I.cnrlirh rhc fcdcr.lrcsul0liotrs rc! rlirg x\h.no\ rcNivrl r'. noi lpl'.ihl.rorhr\t'mtccr.
ntrd (rrcrhxr rhcrb\c nlortrr ior i\.or..r lr8ren).onlrt(ih llCnyrftlCounly
,nsruclotr,.nd hcrchy.ulioizc rcnrcscnrarivcs oflhisCiry d coxnrv ro cnrcr upon th.
/\|)|)li.inl or Aacnl SInalure
r'"""ir".r-,"tp;,,rr, {Zff 9d
,.,. sfu{,"
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Venti lnsulation
Roof Sheathing
Shear Wall
Framing
lns u lation/E nergy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
FINAL t--7- tq ../)a{e-t-E )
Certif icate of Occupancy
Notes, Remarks, Etc.
Set Backs
fl$e
of rhc Busincss lnn PmtsionsCodc. and nryli(cnsc n ir tull nn.c anl clfc.r
l-ncn{ C r$ l-(rn.c Nnorl\1
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