HomeMy WebLinkAbout10190380 - Permit (2)City of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, CAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853
Permit #: lO{9O38O
Pin #: 12726
Er
Project Address: 2208 N Main St
Assessois Parcel 399-101-06 Lol: POR 5 & POR 6 Block: A Histonc: No
Suite Range:
Zoning: Ci
Building Use:
Job Type:
A
rs
B
It B
cBc 2013
x-0602320't63J
1st FL Area:
2nd FL Area:
Other Areas:
Patio
T.l.Area:
Yards Req'd
,kli",ValuatioGarage
Total:
n:s1 ,000.00
1i,
lr'
(:(1
*\rl - k: Legalize demising wall to create Unit B.
in LLC
nSt
cA 92706
4405
Engineer
Address:
Caribou lndustries,
Micheal Harrah
Santa Ana, CA
(7141543-9484
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ROD GONZAI,EZ
PropertY Mirtlagcr
ll03 North BroadwaY
Santa Anu. CA 9f70I
Tel: (714) 541-9'18'.1
t-ax: (714) 543-9972
Direct Fax: (657) 859-2'lltl
Cell: (7 l4) 920 4405
rod(nrcaribouind.com
Phone:
License #
Architect /
Desiqner:
Address;
lnc.
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
ssrca
Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
Date: 08/16/2016
Date: l1l15/2016
Date: l1130/2016
Subject to Field:
0777600 2
0177600 2
0777600 2
077760 0 2
0777600 2
077760 0 2
Permit Fee
Plan Check Fee
l\4icrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No
Noyes Account#
68407
Total
57607
53 600
57770
576 72
57600
57607
$149.25
$206.91
$3.50
$1 .00
$20.s6
$s1.26
Planning lnsp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'dr No
Every pemit issued shall become invalid unless the work on the site authoized by
such permit is commenced within180 days aftet its issuance,or il the work authoized
on the site by such pemit is suspended ot abandoned lor a peiod ofl80 days aftet
the time the wo* is comrnenced.
$20.56
$200.s1
$1.00
$3.50 $432.48
$206.91
$225.57
MtD#" 2016-131217
01 1 16002 51600
01'116002 5'1601
01'116002 51612
01116002 57770 Fee Total:
Paid to Date;
Balance Due
Unit: B Bldg: Address Range:
Tract: ROBINSON'S
Commercial
Alteration
Oemising Wall
)l Commercial
Flower Shop
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
Contraclor: Cariboulndustries
Address: 1103 N Broadway
Santa Ana, CA 92701
Phone: (714) 543-9484
State Lic #: 309638
Lic Type: B
Bus. Lic #: 179211
Workers' Compensation lnsurance:
Carrier: Employers Compensation lns Co
Policy #: E1G1723786
Expires: 03/01/2016
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Phonei
License #l
[Iisc. Receipt:
l\,lisc. Receipt:
[4isc. Receipt:
lnspector
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARATION
I h6€by amm lndr pcnalry oa pdjury rhar I m .renrpl ftor lt. Conrraclod Licd. La* for rh. ldlowins rarod (se 70l l 5
B6in6s and Profsion Codc) Any Cily o! County vhich rcqun6 a pftnn lo connrcl. all6. nnprovc, d@olkh .r rcpair y
sttudsq prior ro ns isu c( als rcqutd th€ aprlicer for su.h Fmt to lil€ a sisncd surdd thal he or 3h. i, licms.d Puu@t
ro lh. pmvisioB ollh. Cookrcroa! Lic..scd tjw (Chapls 9, Co'thc.ci.s $nh sdlion 7000 of Division I ofrh. Busi.N md
Pof6sio6s cod.)or thar h. or shc t €xmo th(€fiom &d th.ln i for rh. alleS.d crarytion. Any violarion oassrion ?011 5 by y
applicanrtorapmnsubjsrslh.applica.rro6.ivilp.nantol.olmoiclh fivc hun&.d doll&s {1500)
1.6 own6 ollhc propely, or ny cnployB wirh $.g6 s rh.n eE compqstion. *illdo rh. sorl dd lhe slruclw is not
intddcd orolls.d ior slc (Sc.7044. BBins ahd ProacsioB Cod. IhcConlractoasl.icenscLrwdo6norapplyiounown6ol
rh.Fopdry sho bo & or inFovd th6ac ald who dG such *!d( hitu€llor h6.lf or rhoush fiis or hr 6$'n .mrloye6,
piovid.d rhar str$ imprormts mnoi hlali.d orofr6€d aor eL l[ ho{'5d. tlE ilding ot iqrovc'Mr is$ldsirhin on. t@
ofcorpLriolr lh. Osnd tuikk will harc lhc hlr&r of prclins lhal h. or sb. dd nor tnikl or imFo\€ tfic popdy lor lh. pul'br of
I. soMcroflh€ popdy. mcrclGiv.lycom@cting wilh lic..sd contmcloE kr co8rtud lhc pNjdt lsa. 7044.Iriin<
a.d Aoksbn Cod. Th. Co @roas Lic6s. Ldw doB rol apt,ly lo o o*na of prop.n, who builds or inprovcs lh(&n.
od who comds for3uch prcj.<lswnh aCoirBcro(s) lica*d puEd ro rh.cont.doas Licm. t{s)
I an.rcmpl undB Sdion . B. & P.C. follhls i6on.
]lABtr&ElllOIilfENsAIIAx
!&cl,A86r!or
I ha.by .mm uodq paaly ol Fjury onc oarh. lolloui.s drlarariod:)
I h6v. rnd will mintdin 0 Ccnificarcofco6dl ro S€lll$urc fo! wo 6s.onpmr.rion,6 provideJ aor bySarion !TlrudIrh.
tjbor Codq lor lh. pafomanc. oflhc wo* for whici thc pd ir k issu.d
I hav. snd sill ftainuin sork6 .onpcBation iNure.., d rcqlircd bySerionITOI] oflhe tibnr Cndc.lbt rh. psaonnanJf
lh. wrk for whkh lhis p.nnil i3 is.( My vork6 @nF&[ion iBursc. .rid drd policy numb6 dc:
I c€riify lhat in lhc p.rfomm€ ollhc *ork ror whth lhis p.ftn is i*u.d. I shall nor Rnplo, m-v po$. in any men.r
F 6rob<!6cslbjdlo$.wo 6' comp.tuarion lam of Califomi,. daBElhal ilI should b€codc subjd roIh.
wo*6' conpdalioo prcvi3io6 of s.<lion 1700 oalh. t bor Cod., I shrll, aonhwnn comply wilh lhos pro\ isiois
WARNINGT Failur. lo Ku. worl6' co,trptrolion covdose is unlawtul. and sh3U subjcr e arplord ro dnnin.l penahis md
civil nnes up io on. nundrcd thoGand doU6 hc cosr ol.. rpensdnrn. lan.8.s as prrnidcd for ihc
ur!u-8rr&il
I h@by.mm lndopmalryoarsjurylfi.l I an li.en*d und.r provision olcnapl6I (connn€nci,s *nh Sdrn,n 7000) ofDivhion 3
of lhe Bnsin6s ud Proadioos Codc. ud my lic6* 6 in tull forc. and .ft(l
,.""*",**//k//4
I hftb, amrm u.dd Frrty oa pdjury rhar rhq. is 0
i$ucd (s6. 1097, Civ. C.)
rudion kndins ssmcy lor lh. psfolr@cc of rh. $ ork for {hi.h rhis Finn i!
a.ttucarlDfttaa{Ilar
I holte aninn undB p6ah y of pdiury onc ol I lrc lollotr io! daler.t ions
De,nolition Pamn$Asb.sos Nolifi..tion t'.Jdal Resulatio.s ( rnE 40. 1'jru16)
R.q!ir.d Ldlr oa Norificarion
I cdily rha lhe f.rler.l rcgulalioB e*edin! dbesros ronolal ec not applicable lo this prore.l.
r.ad lhG apllication md slsr.lllal rh..bov. irfomotion t cotrd.I asre 16 conply *nh allcir!.trd ( otrnly
L€\ys Elarins ro buildiry conshr ad hqct'yaurhornc r.pr*mari!6 oirhis cilr ond Counlylo.nls ulr.lh€
^,, /t/ao/,4
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenUl nsulation
Roof Sheathing
Shear Wall
Framing
ln s u lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL Y/t/rt 5r168
Certificate of Occu pancy
Notes, Remarks, Etc.
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