HomeMy WebLinkAbout10195958 - Permit (2)ry
Project Address: 3000 3/4 W MacArthur Blvd
Assessor's Parcel:414-272-05 Lot 1 Block: NA
unit, WCC01 Blds
Trccl 11421
Address Range:Suite Rangel
Zoningr SD58Hrstoric: No
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
Permit #: lO{95958
Pin #: 92405
Building Use:
Job Type:
Nature of Work:
Existing Bidg. & Use
Proposed Use:
Commercial
Miscellaneous
Cell Site
Church
s-1
II A, SPK
cBc 2016
x-0602320258J
1st FL Area:
2nd FL Area:
Other Areas:
Patiol
T.l.Area:
Yards Req'd
Garage Area Valuation:
lotal 0
Description of Work: Alterations to existing minor telecommunication facility consiting of removing 6 panel antennas, installing 6 new antehnas, remove
6 RRU's, install 9 RRU's and accillary equipment.
$50,000.00
FFir-E(nn rihn F ll q. lnr-
Ownerl
Address:
Phone:
Tenant
Calvary Chapel Of Costa Mesa
3800 Fairview St.
Santa Ana, CA 92704
Contractor: Ericsson dba E U S, lnc.
Address: 6300 Legacy Drive
Plano, TX 75024
Phone: (459) 925-6330
State Lic #: 698896
Lic Type: B, C-7, A
Bus. Lic #: 352256
Workers' Compensation lnsurance:
Carrier Ace American lnsurance Company
Policy #: WLRC49114977
Expires; 05/01/2019
Geo Structural
Donald WlllilH'Gdolbb 11" l' ; :
p.O Boxr}bi| lr., -,',ttlt ,tt
aoise,r$,$o{di,li',, i,,,,,
(530) 539|+7E7 i:.( ,, /,i i !ri.i
c62222tt, t::u,, ,r ,1'l,rlil
l:ii
Jeff rey BqmE &laBsooElag' lmc
Jeffrey li tFg[na L r.,
1 31 lnnovatlo!}8lreigulte'1@i i.1
lrvine, CA 92617
(949) 760-3929
c020876
Engineer
Address
$,i i . 2r',
'167 ir . [r .r
t,l . tul
lr4.[lll
Architect /
Desiqner:
Address:
Phone:
License #
AULh+;tr1
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
Date: 06/28/20'18
Date: 06/2212018
Date: 06/28/2018
Subject to Field:
lvlisc. Receipt
Misc. Receipt
Misc. Receipt
0 77 76002
0 77 7600 2
0 89070 0 7
0 77 7600 2
o77760 0 2
0 77760 0 2
57607
53600
2400 0
5 7612
57500
57607
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Guevara, Jerry
Ahangian, Kathy
Chavez, Dave-9?
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
70't 58
Total
$617.04
$213.86
$14.00
$2.00
$21.25
$52.98
No
No
No
No
No
No Account#
Every pefinit issued shall become invalid unless the wok on lhe site aulhorized by
such permit is conmenced within 180 days after its issuance.or il the wo* authoized
on the site by such permll is suspended or abandoned for a period of 180 days after
the time the wo* is commenced.
lnspector MID#: 2018-141040
01 1 '16002 5'1600
01 1 16002 51601
01 1 '16002 51612
08901001 24000
$21 .25
$670.02
$2.00
$14.00 Fee Total:
Paid to Date.
Balance Due
$921 .13
$213.86
$707.27
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Planning Conditions:
Phone:
License #:
BUILDING. INSPECTOR RECORD
OWNI]R AUILDER DELCARATION
I h.rcby lrilrn undcrycnalry ol pcrjury lh.t I m crcnrtt fronr
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Contmclor' Liensc Lw rhr lhc iolloBin8 rca$n lscc 7(Jll 5
Busin.ss dxl Pn,Icssi,ri G c): Aiy Ciry or Colnry wnicn requtcs 0 lcrn r h con{ru.r. alrcr, imrr,!c- dc,tuli{h .r ftldi aiy
rrruclurc, Inior b ns nsuaDcc, rho lcquncslhc 0ppli:!trr for su.h rxnnir k,lllc d siSmd srsrc.Ent lhd tE or shc is li.cnscd punuant
ro thc pmvisiotrs ofttr Conrdtor's Liccnsd tjw (Charrcr 9. Coh rminE wnh Sc.rn,. 7000 of Division I ofrtu ausin.$ lnd
Pmlc$irns Code) o. th h.orshc kcrcnu rhcrcnon rnd th. hsis f.r thc,llegcncrctrrp'ion. Atryviol,iionofScclirn?011.5bylny
lprlicanl lora pcmil subjcck lhc ol'Plicanl ro acjvilFnalttot.or nnnc'hrn fivc hundrcddollffi (S5UJ).
L as o$ier of rhc roFny. or my cmrlores wirh slgcs a\ rhcn sh conrpcnurnrn. will do rl]f *ork ud rhc {mruc is 0or
i c cn or olIcNd lor sh (S€ 7014. ausiftss and Ptuf.sn,.s G)dc: Thc Contacrolr Li.cnsc kw d.cs nor amly to {n owncr ol
tlE nmtEny *lF htrikh or inlororcs rhcfr'n. and w&, &B \kh ao* hinrcllor h.^.lror rhDuEh hi\ or h.r oqn cmployc.r.
l)(,vidcd rhar uch impm\rmnrs m n, inrc lcd or onircd ,or slc I I hosoq rhc hildi'rg or iqrn)vcmnr is sold wirhh onc )rr
.fconDbrinr. rhcOwrc! Buiklq rill hlr lhc hu cn.l pnvir8 rh{l tE o. rhc did mr 6!itl or iflpmrc lhc pFp.ny for rh. ruFi{ ol
Lrsosdrofrhcpmpcny.M,crclu\ilclrcontacringtrirhliccn\.d.otrtrcronbconntudrlEpn+.r(Se7r!l]r,Bu\i"rs
!'t ltolcssion(1dc:rheConrrac,or'sLi.enscL!*rlo.smraf!lyh,.Dwtrcrotp..pc!rywho$uildsornwmvcsrhercon,
rnd *ho runrr.k lin such phtc.r sirhaContndonrlice.sci pu^rrnr t.rh.Conrrcroa\ Liccn\c tje)
Inmcrc rfl un&r Sccii.i .B &PC larrhisrurvrn
Dnlr: O*ner:
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DICLAAAIIAN
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I hrrc xl qill nri'nrin r Ccnilluic ol Con\ctrr k,S.lf ln\rrc lar $urkcN.! ,t)ctr\dn . ns pi.vidcd tu by Scctnnr l7ll0 ol lhc
I_ txn cod.. r(tr rhc Frturmsncc ofl}[ sorL ff which ihc pcrmir i\ tsucd
I hrvcnnd will fr8inr n $orkcB .onlp.nsarn,n in{rrnc.,,\ rqrirud byScdb6
rhc wc ,orrnrrhthFn rm.r r\ tr{ucd Mytrorl.'!, n'{Fn!r
. Ace,[,*,;r^n Ial'.^qtc Ca
lTUl of rh. tjbor Codc. for th. lcni'flurcc of
WLA t-[479suqz s
l.cniftthDrinrhcr--rLru..cofrhr*orkntrshi.hrhhpcnniri\i\\ul{.IshrllnorcllloyrnyF.Mtrnt{nym0trDcr
so asro$€om sDl,l.cr roIhcvo*cs conrpcnsarion lrw\orcalrlnrnr, rtrd.8rc lllal il l should hccom suhjcd Io'hc
wo.kcn' comNnsarion pnvkio,rs of Set iotr 37m of rhc tibor aodc. I nnll. fonhwilh conrtny silh rhoc F)visions
WARNINC F8iturc k, {.urc sork.6 ..mFnsrri(rt cn!.ral. i\ u hslnl. and shrll $hj.c( r. ctrflotcr ro dmnDl pcnllras a.d
h onc hundrcd lhou$nd d.llars (sl(XJ.(XD), in Mdin,n ro r co{ olcompcnsl",""#;*="^*
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DECIAAAIION
I h.rb, atlird undcr Fnalryotpcrjlry rh,r I art lienBl undcr rmvision dfChanro 9 (.o'ntrftin8 wirh sdkn ?uror oiDivision 3
ol rhc Busioess ann Pmfcssn,ns Codc. and m, lncn* is in full n .c ad cllccr
Dst. L
dIIUCANLDI.CLI.EAIION
I ltaby finn uMcr ran.lty olrcrjury orc of rhc ldlosnrE d€h.ilions
Dcnblirion Pcnnils-Asb.ios N.lifi.{im Fcd.ill Rc8uhrionslT lc t0, PJn6)
-Rcquircd
t rtcr ol Nolilharbn
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.cnir, rhar rhc LdeBl regnlrrioor reddins adEnor rcmoeal uc nor upplk"bL ro rhtu pm}{r.
-I
cdify fiar I h.w rcld rhis applt.rio. rln shr. rhat tlE rbow infomElion is cormr. I a8c ro €omtly wnh r[ Ciry and Counr,
ordinan.cs and Sfurclflws rcldi.Bto building c.tr{rudi({. akl hcrcby iut ivcs oflhn Cilylnd Coonr, k, c rcr uF n rh.
rh,v. nrnrioncd F)n.ny lor in:
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SITE-WORK DATE IDiSIG.COMMENTS
Set Backs
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framing
ln s u latio n/E neroy
Drywall
Ext./lnt. Lath
Brown Coat
l\4aso n ry
T-Bar
Handica p Req.
De puty Final Report
Engineer Final Report
Flood Zone Certil.
/
FINAL tl-70-b-w.ta
Certificate ot Occu pancy v \-/
Notes, Remarks, Etc.
j;.1t"^);2r.-,olrlc
Pool Fence
E
)
coNirauquolJ.ElpllcIcENlr
I lENby afiirnr und.r IENlly of perjury lhal lhcrc k d conslruclio. tndirS a8crcy fo, thc lr.rfomuncc of lhc work ror whi.h lhis lrrmjr is
issucd (Sc.. 1097. Civ. C ).
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