HomeMy WebLinkAbout10497042 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 1o,4970,42
Pin #: 72672
EProject Address: 1420 E Edinger Ave
Assessor'sParcel: 403-111-07 Lot: NA Block: NA
unit: 107 Brds
Tract: NA
Address Range:Suite Range:
Zoning; M1Historic: No
Building Use: Commercial Occupancy: B 1st FL Area: Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: lnterior Demo Code: CBC 20'16 other Areas: yards Req,d: o@o
Existing Bldg. & Use: Commercial/Officos Flood Zone: X-0602320276J Garage Area: Valuation: $2,000.00
Proposed Use: spec suite # of Stories: 2 ,orr,, o
Description of Work: Return suite back to its original condition. Remove/frame-in unpermitted (3) interior doors & (1) interior window & install an interior
partition. lnvestigatiory'Penalty fee paid on 10497040.
RoL I121/2ti1'A
Planning Q6ndi1i61s; All interior work. No extorior alterations or modifications.
Owner:
Address:
Phone.
Tenant:
Sandra Chandler
67 Marin Bay Park Ct
San Rafael, CA 949018305
(7141412-3760
Yacant
Contractor: GeneralconstructionPacifi
Address: 10625 Stanford Ave.
South Gate, CA 90280
Phone: (562) 417-5946
State Lic #: 908652
Lic Type: B, C-39
Bus. Lic #: 370098
Workers' Compensation lnsurancel
Carrier: State Compensation lnsurance Fur
Policy #: 1957046
Expires: 1110112018
Engineer licptilt.'|j
TrqnEo,:t
B6tt - ?/25/21
Totol
struct ion t'(tc i
Phone:
License #
Phone:
License #
Bauhausl.Architectural Holhb, Desiqn
Candido Sancfiez
11865 Halo Avenue
Downey, CA 90241
(310) 927-1486
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'dr No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Guevara, Jerry
Mazaii, Zac
Chavez, Dave ..-
Dale:0711812018
Dale. 07l23l2o1a
Dale: 0712512018
Subject to Field:
07116002
0 771600 2
07776002
07776002
07776002
s 7607
5 3600
57672
5 7600
57507
Permit Fee
Plan Check Fee
Bldg. Slds. Revolving
General Plan Update
lssuance
Misc. Receipt:
Misc. Receipti
Misc. Receipt:
71254
Total
$160.25
$5s.s4
$1.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No 01i1600251600
Every permit issued shallbecome invalid unless tho work on tho site authorizad by
such permit is comnenced within 180 days afler its issuance,ot if the work authorized
on the site by such pemit is suspended ot abandoned fot a pedod of 180 daysafter
the time the work is commenced.
lnspector
011 16002 51501
0't'1 16002 51612
$22.O8
$215.29
$1 .00
Fee Total:
Paid to Date:
Balance Due:
$293.91
$ss.54
$238.37
Address:
Architect /
Desiqner:
Address:
MID#: 2018-144715
BUILDING- INSPECTOR RECORD
SITE-WORK DATE OWNEN BUILDER DELCARATION
I h.rchy liltm utucr nenilty of Eljury lhal t oflr crcnur fo'n lhe Co.l,a.t,a Licnr lj* ror rh. rollowina rcr$n (Sa.rllll.5
Btr\inc$ and ttola\snn, Codc) Ary Cny or Counry which rclun.s a t'crmn lo cotr$rucr. alrcr- itrrDlovc. dcmlkh or Enrt 3nt
(ruciue. priorro irs hsuitrcc, oko rcquircs rhc.Drlicanl ior such rErmir lo filc a sisncd sdcft.r rhd h.or shc is liccnsd NNuant
k' rhc Fovi\i{in\ ofdr Conrn trt Li.cned Law (chiprcr 9. connncn.inB sirh Sccln,n ?(l)O of Divnion :l orihd Bunnc$,nd
Prolcsir)ns G)dc)or lh.l h.orshc tcxcmpl lhcrcfron 0 lhchnsis iorlhc allcssl crcn,lrn,n Anyviohrn,nofsccrionT0ll5hyrny
lprlicsirior0l}crnritsubjd.krhc,mlicr ro,.iviltc0trlryofnorntrcrhrifilchundrcddolhs($5m)
l. dr own.r.rrhc proFny. or nryc,nployccs with waecr as rhcir snc compcnsario.. willdo lbc sork lnd rtE nuim n nol
inrc cd orollcrcd lnr nrlc iSa.?0.14. Busires\ond Proicsions Codc: Thc Conta.ktr\ Li.ctrs. Lawdocsml arDlybotrowicror
rlE pn)r.ny wk, htrild\ or impmEs tlrmn- a sho des su.h wo* h im$ll or hcr{ll or rhmDlh his or h.r osn cnrfby..s.
|)rovidcrl rhrr .r.h i'nfmhnEih m ftn intfrL{ 6 .ficE\l for slc It h.vct!r. rh! huildmg or inqmv.rnr ir rU wirhin .nc Jra
of(nnplubn. rh. Owho auildd will hrK th. bud.nofpn,ving rlmr ltor slrc Llid mr huitl or i'npmlc lhc pn'pcir lnr dtc purFsof
Ldsowncr.frh.F,p.ny.rm.x.lu\ivcly.onrrti,rtsirhli.cnscdc.trfuLronroconstrucrrhcprorccr(s(7(!4.Businc$
aid lhr(siorCodcr TncC.trlracl,tr \ l-iccnsc Lrw docs olan!lyk' rn o*ncr ol pmpdt wh{) builds or iqrrovc hcrcon-
r l who cotrrBc(ror su.h pmirrs uirh r Contra.tln \) li.cn\cd Nsuiir h rhc Cotrtr"cktr s Liccnsc lj*)
I rrrcrc rl, u.{lcr Sc.r B & P( ntrrh^ rcrn)n
D.t. Owner:
woi(rRs' coMPENsAiioN
DECI,AM.IIIIN
I hceby aflirm und$ rcnlhyof rEiuryore ollhc follotrina d(lan(ionsl
_1l'rvcund willruin[h, Ccniiiclr.oIcoi*nr t' sclr'ln\ur. li)r workfs ..,qrcrsrr mn. as Dovidcd for bySccri{nr]?([orrhe
tIbor Codc.lor lhc rcrfoflume oarhc Nrk lbr $hichlhc pcnnir is hsucd
El h""c anl *ill nBirr"ir *.rkcn .odtr \rri{, r i'Nur cc-rs rrqund hysc.tiot:1r(x)oirhc tnhor Corlc. ror rlt pc.ro nrd.cor
rh. so* lor whichrhk pcnnir i\ t\ucd Mlworkcr'cotrlPcnsrrion i',\ufunrt.nricr tlNlicytrun$.r dc:
lq< 7,, lrl 7
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CANIiIf,IJI]IIANIEIDIXIi.dGEN1:}
I hcrchy rilnmundcr pcn{llyolpciury rhd rhcrc ir a d,n\rdcrion lciding ascmy r.r rhc nc'foflnrrc. ollh. sork ior shi.h rhr p.rmir k
hsucd (S( -109?.Civ. C )
A?TLIEAN[IJE.CIA8AIIIIN
I tErchy amnn u ndcr Fnrlly oflcrjur, onc ofrhc nnhwin8 d(hrurions:
D.mhnrn Pftnirs Arb.ios Norillcrrion Ftd.ml tusuhtnnrO lc 40.1'!n6)
Rcqxircd txtrfi of N.rifi cdlio r
_l.cnit$sr rhe ndcrbl rsuldridN rular'l g a\h.{os r. rvnlnrc nor {plicrble k, lhk F+cr
f,(,, "nu,'r. r n * ^.,u'nh rmrrJ,L{, dd *c rhi,hc ihor.,' uld'nrm..Jndsr,rcL'u\rLrntr.hurld,n8.^n{rucri.1 indhcrch)
nndi0 notrdi I arrR t .omply wnh all Cilrnnd Co!trly
rurh /c,)r{ rr..,,ilhF c y Jftl coun,},o cnrF uP.n,h.ffih *,", J'LLtsxli)rc nknroncd t(r|xny 1rtr i',\pocrior purfl)sr\
Applicotrtor Asetrl sisn!turc t(*/do-ffi
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/Vent/lnsulation
Rool Sheathino
Shear Wall
Framinq a/I
lnsulation/Energ y ///2uLz .ry)M)i ')
Drywall v 7'V
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Depuly Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL ///zt/l*-&)
Certilicate ot Occupancy /
Notes, Remarks, Etc
-,
ID/SIG.COMMENTS
-l
ceniiyrhil hlhc,Erionn0nccolihc$ork furnich rhi\rcmil is issucd.l shrll tror .tr[k,y any ,crson inany mrnicr
er r n, lEcom slb,ed b rh. $odcra c..rr.ns,r ion hws or callroari.. .trd i8rcc lnar il I slnuld ll.com h,cdrorlf,
*orltrs conFnsarion pDlhn,nsofsdrn,n lT0oofrhc Lrhor c.d..l shrll.lonhwirl cotnply wirh rho* lrrovisi.ns
WARNING: Failurc ro scurc workcs conDcns0rion .ovcnse is unla*tu]. md \hrll subjc.r rn..rrl,rycr ro sinriml prnlhics lnd
.ivil llms up lo.rc hundrcd lhousud dollm rslct,ux)). nr uddilion nr rhc cod.r.o ltf,trsrriotr. dtnmScs os [ovidcd lor lhe
Sdiotr 1076 ofrhc btrr Codc. intclc( and auorrcy s Lcs
u^,", ' 7- 1 (- l* *r,..ll62na-u./n F/nrd_.!('!:NsFn ( oNTRACltrt- s /
DECIdBAITAN
I h.ehy rlltm u dcr pcmlry of pcrjury rhd I rn li..trkd und.r phvision oi (-hrtlcr , ( comrrcncing sirh S(ri,. ?ffD) of Dirisim l
oI rhc 0usine$ alld Profc$ioni Gd.. and Dylic€n$ i\ in lull ftncc a,xlcrlc.r.
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