HomeMy WebLinkAbout10198041 - Permit (2)Proiect Address: 1900 E Fourth St
Assessor's Parcel: 400-081-03 Lot: POR 15 Block: NA
Bldg:
Tracti MAYBURY
Unat Address Range: 1900-1910'
Historic: No
Suite Range:
Zoning: P
city 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 #: lOl9804{
Pin #: 9502{
'.J
Building Use: Commorcial Occupancy: B 1st FL Area Patio:
Job Type: Tenant lmprovoment Constr Type: lll B, SPK -2nd FL Area. T.l.Area 3OOO
Nature of Work: Tl-1st floor/Roof mtd equip Code: CBC 2016 Other Areas: yards Req,d
Existing Bldg. & Use: Commercial Flood Zone: X46O2320277 J Garage Area Valuation: $375,000.00
Proposed Use: Medical Offices # of Storiesi Totat O
Description of Work: lnterior demo of walls/c6ilings/utilities; new walls/ceilings to create n6w restroom, procassing statlons, exam rooms, medication
prep area, offices, workstation, blood draw stations. (l) new roof mtd unit, (1) card reader,
Planning Conditions:
Owner:
Address:
Kaiser Foundation Health Plan lnc
393 E. Walnut St.
Pasadena, CA 91188
Kaiser Permanente
Contractor: Kaiser Foundation Health Pl
Address: 1707 Barcelona Circle
Placentia, CA 92870
Phone: (909) 4274700
Stale Lic #: 370871
Lic Type: B
Bus. Lic #. 21OB
Workers' Compensation lnsurance:
Carrier. Oept of lndustrial Relations
Policy #: 1053
Expires: 0110112020
Engineer
Address
Lionakis
Matthew Raymond Melcher
4000 MacArthur Blvd, Suite 101
Newport Beach, CA 92660
4629
Lionakis
Scott Mackey
4000 MacArthur Blvd, Suite 1O1
Newport Beach, CA 92660
(949) 955-1919
c31142
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #
Planning Approval Bf Gomez, Pedro Date: 10/16/2018 Misc. Receipt: 71667
Plan Checked By: CsE-Cenlury StrfTr,lral Engineoate: 0212612019 Misc. Receipt:
Permit lssued By: Zuniga, Allissa I lU.,-- Date: 03/13/2019 Misc. Receipt:
NPDES lnsp. Req'd: No I I
Subject lo Field:
Fire lnsp. Req'd:
Police lnsp. Req'd il: Accounr#
07776002
077750 02
07776002
08907007
07776002
07776002
0 777600 2
Permit Fee
Plan Check Fee
Microfllm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
$1,070.50
$1,494.32
$139.12
$10s.00
$15.00
$22.O8
$55.04
$2,901.06
$1,249.52
$1,651.54
Total
57607
s3600
57770
2400 0
576 72
57600
57601
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pennit issued shall bocome invelid unless lho woi< on the site aulhorized by
such permit ia conmenced wilhin 180 days aftor ils issuance,ot it the wo* authoized
on the site by such peml is suspended or abandoned fot a pedod of180 days afte.
the tifie the wod< is commenced .
lnspector MID#: 2018-146944
01116002 51600
01'1 16002 51601
01'116002 51612
01'116002 57770
08901001 24000
c\l\u(xi (44-c
$22.08
$1,125.54
$ 15.00
$139.12
$105.00
g Lqq.rb
Phone:
Tenant
Fee Total
Paid to Date:
Balance Due:
BUILDING- INSPECTOR RECORD
SITE.WOBK DATE COMMENTS
Set Backs
Formsi Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathi ng
Shear Wall /^
Framin
lnsulation/Energy V\
allD v&;t)v
Brown Coat
Masonry
Pool Fence
4JT-Bar
Handicap Req \(
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
A\
FINAL - 6-20
Certif icate of Occupancy V
Notes, Remarks, Etc.
0 h.14,,-1
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