HomeMy WebLinkAbout10196763 - Permit (2)city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O{96763
Pin #: 46808
E
Proiect Address: 1500 E Seventeenth St
Assessor's Parcel 4OO-24'|-O1 Lot: NA
Unit Bldg: Address Range:Suite Rangei
Zoningr C'lBlockr NA Tract: NA Historic: No
Building Use: Other Occupancy: E 'lst FL Area: Patio:
Job Type: Alteration Consk Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Change of Use - Temporary Code: CBC 2016 other Areas: yards Req,d:
Existing Bldg & use: church Flood zone: x-0602320163J
Garage Area: varuation: $,r5o,ooo.oo
Proposed Use: # of Stories: , _or",, O
Oescription of Work: Temporary for (1) year maximum. Change of Use from Church Education bldg to Charter School for portion of (e) building. Scope of
work also includes (1) new temporary modular classroom, (1) new temporary modular restroom, disabled accessibilty
I
Planning Conditions:.
mprovements & assessible parking. (Maximum 405 students, 333 occ in (e) building + 72 in (n) modular class)
Owner:
Address
Phone:
Tenant:
CHURCH FIRST OF
15OO E 17TH ST
Santa Ana, CA 927058502
Address 1n sq
Archilect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #
MGPA Architacture
Fred H. Gualda, AIA
6965 El Camino Real, #105-278
Carlsbadi cA 92009
l':ot In:
olt(11
,Jpdote
6l-{-r{IrJ -
)r.r1r:[-ll-r
fl-lllt_l
jlril-fllur-r-
Fe€
(760) 929-1
c20789
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. R
PWA lnsp. Req'
Date: 0612712018
Dale. 06127l2O'18
Date: 07/30/2018
Subject to Field;
Misc. Receipt:
Misc. Receipt:
Misc Receipt:
07776042 57607
07776002 53600
07776002 57 770
07776002 57672
01775002 57600
07776002 57607
Permit Fee
Plan Check Fee
lvlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
egoso,
$22.08
$s35.79
$6.00
$238.76
$90.24
$480.75
$666.48
$90.24
$6.00
$22.08
$s5.04
$1.320.59
$427 .72
$892.87
71 136
Total
Jason
ki, Teri
o
No Fire lnsp. Req'd Yes
No Account#Planning lnsp. Req'd: No Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every peftnil issued shall become invalid unless lhe wo* on the site authorized by
such pemit is commenced wilhin 180 days after its issuance,or il the wo* authorized
on the sile by such pe.mit is suspended ot abandoned for a period of180 days after
lhe lime the wo* is comnenced.
lnspector MID#: 2018-144081
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
5'1 600
5'1601
51612
53600
57770
Fee Total:
Paid to Date:
Balance Due:
Contractor: Racing Green Ltd
Address: 3873 BERRY DRIVE
Studio City, CA 91604
Phone: (310) 951-4080
State Lic #: 992205
Lic Type: B, c-'10
Bus. Lic #: 369902
Workers' Compensation lnsurance:
Carrier: All American
Policy #: C48817646
Expires: 06/01/2019
7 / tit/')i.tl
Engineer:ill1
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BtnI,DER T}IiLCARATtON
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uin *ortc6'.ompe.s nrn insurarcc. $ rcqutcd by s.d ion ]700 oa rh. tabor clodc, ior 'lt
pcrt'rmn:' af
rh. wor* fttrwhthlhisrcmir is Lrsucn. My workcr' mmpcnsarion insurnncc cMicr ud p.li.y numb.r ec:
Policy Numh.r
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v, * b hd)nr subrc.l lo lhc *ortrc co'nlE.smion laws or C.lifomir, aid a8rcc thlr il I \k,uld h..om subjccr b rhc
*ork.d oml'.trsrrion pmlGn,ns or s..lion 3?(x) oi rh. likn Cdlc, , stu|l. fon hsirh conply wirh rhos Prrvisn,nr.
WARNINO: Failur. t. surc workcr' conD.n\ari r .ortaec is utrlaNtul and sholl subr.r cmrL)$ ro oinrinal lrMlri:r and
.ivil ftrrs ur k'.N htrtrdrcd rhou\rnd dollar lm.O00). ir diriotr k, rhc.o(
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of ibe Bu{inc,s dnd PolcssiorN Codd. dxi
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li.cn* is in tull lorce arxl crltct
-la o6
I h.rchyrfinmu cr |tnrlryor,'.riury I
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rhcd i\ a .odarrucrion lcndirs Bs.tuy roi Ihc Pcrt'ormamc or rh. w..k
l.nd' ''\ NJi.^
-
knd.r'q Addre\s
-
ATIUI3NLIIIj.LdNAIIQN
I IEE'by ilmuntlcr lconlry ol p.rjMy onc olrhc f{'lk'wnr! dc.l*rrions
Drnx,lni(,n Pc n s Asbcsr.r N.rificrrion f.dcml Rcaul!rions (Tiilc40. Pan6)
RrquirdtrrcroiNolific i,nr
nr,xrmrion is.onr.^t llsd ro$m0ly wirh lll Ciry.nd Coutrly
xurh{rrc rcpr!scnrrriv.s ofrhi\ Ciryrnd Coui
""-..T{
Set Backs /?
Forms/Steel/Holdowns a/2//ts -dt'//ac )
Ereclion Pads /1,
UFER Ground
SLAB Floor
Subf loor/Vent/l nsulalion
Roof Sheathinq
Shear Wall
Framinq
lns u lation/E n erg y
Drywall
Ext./lnt. Lath
Brown Coat
lVlasonry
Pool Fence
Handicap Req b/>/lo -fl"12 rr.€01
Deputy Final Reporl
Enqineer Final Report
Flood Zone Certif .
0/h//0 flw\A'ttA
Certif icate of Occupancy vs
Notes, Remarks, Etc.
I
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T-Bar
FINAL