HomeMy WebLinkAbout10197478 - Permit (2)q
Proiect Address: 2841W MacArthur Blvd Unit: D
Assessor's Parcel:414.181-01 Lot: NA Block: NA
Bldg Address Range: 2701 -2881
Historicl No
Suite Range:
Zoning: C5Tract: NA
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714], 647-5853
Permit #: 1lJ197474
Pin #: 76035
Building Use: Commercial Occupancy: B 1st FL Area: Patio:
Job Type: Tenant lmprovement Constr Type: V B, SPK 2nd FL Area: T.l.Area:
Nature of Work: Tl code: cBc 2016 other Areas: yards Req,d:
Existing Bldg. & Use: Q6mmsp6ial/Retail Flood Zone: X-0602320258J Garage Area: Valuation:
Proposed Use: # of Stories:
Total:
Description of Work: Tl-lnterior demo & install partition walls, ceiling, food prep area. Grease interceptor not req'd per PW memo.
Planning Conditions:
1240
$80,000.00
Donahue Schriber
3645 Ruffin Rd #310
San Diego, CA 921231887
Contraclor: Gary Maddox Construction l
Address: 10133 Meadow Glen Way
Escondido, CA 92026
Phone: (909) 262-5,t45
State Lic #: 598667
Lic Type: B
Bus. Lic #: 341232
Workers' Compensation lnsurance;
Carrier: California lns Co
Policy #: 4641415201
Expires: 01/01/2019
BDP Engineering Consultant
Bao D Pham
14852 Moran Street, Suite B
Westminster, CA 92683
(909) s38-7067
c 60087
CDI Circa Oomini lnternational
David Kang
15520 Bake Parkway, #100
lrvine, CA 92618
(949) 5334119
Address:
11,jE;r'a-rl!iOwner:
Address
Phone:
Tenant: Jamba Juice
Architect /
Desiqner;
Address:
Phone:
License #:
Phone:
License #:
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: 11/'15/2018
Dale: '1111412018
Date: 11/15/2018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
0777600 2
077760 0 2
077760 0 2
08907007
0777600 2
077760 0 2
o177500 2
57507
53600
57770
24000
57672
57600
57607
lvlcCann, l\.4elanie
Ahangian, Kathy
Chavez, Davev?
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unl?ss lhe work oa the slte authodzed by
such pemitis cgmmenced within 180 days after its issuanca.oril tha work authoizod
on the site by such pemit is suspehded ot abandoned fot a peiod of 180 daysaflet
the tino the wotu is commenced.
lnspector MID#: 20'18-'145608
No
No
No
No
il: Account#Total
$310.00
$434.00
$63.92
$22.4O
$0.00
$22.08
$55.04
01116002 51600
01116002 5'1601
01116002 57770
08901001 24000
$22.08
$365.04
$63.92
$22.40 Fee Total:
Paid to Date:
Balance Due:
$907.44
$434 00
$473.44
lrt lt
Engineer:
Permil Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
71428
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNIiR BUILDER DET-('ARATION
I hscby aflin unds paalr, of !.dulv rhar I d dofl nod ihc (ontacrors' License h{ for th. followitrs rcMn {ss.7011.5
Butin6s ard Prof6sion Cod€): ny City or counry $nicn rcqutc a pennil lo consrruci. 31t6. inrpro$, dsnolish or €pat dv
sdcru., plior ro ils issudc., also requiE fi€ applicet for such pcnnn ro fiL a sisncd slaleddl rh.r h. or sh€ b lrcoFd p6udr
to rhc pmvkios of th€ Cont.crois Licetrs.d Low (Chzpid q, CoDndcin! whn Sdion 7000 or Division :l ollh. trusin.ss md
PrcfNio.s Codc) or lhd hc or shc b .xdnpl lh6efion md rh. b*is lot rhc .lleBcd €rmplion. Any vnnarion ol S€clion 701 I 5 bv uv
aDplicanrrorapolnnsublctsth.applicantloacililpc.ahyoanornDrethdfivchundr.!dollaB($500)
l. s owns'ollheDrop€ny. or dy.6ployc wilh {aa6 d rher $lc.o,np.Btlioa. Mll& Ih. sor* dd lhe sru.lG is nol
into(H or o0cr€d lor elc (sd.ro44. Busind and hordiod Cod.: Tnc aonrrador s Licd. tnw &6 nor apply to m o\n6 ol
rh€ p.!F.ny *ho buildr or i,rprer6 th6n, dd *ho doc slch \ork hids.lf or b*lf or
'hroqh
Ih or h{ ow! cdplov.6.
proLidqj rhar such inFlvffirse d i.nod.d 6r ollaql forsle.I( ho\r6, th. buildin! o. imlro\qncnl b $ld within on€ ra
of.o,npldion, rh€(nrrr Build. will h e lhe h,tm ohovins lhll lr or sh. did nol hlild or inprov. dc pmFly lor lhc purlDr ol
-1.6o\id
oalhc propdly. mqclusiv.ly.onkaciin8 wnh lic.6.n codndo* tr codru.l lte rmjd (sc. 70'1!, a8itrd
d hofsion Cod.: I h. Co.rrscloa s L iccosc La*' do6 .or apply ro 3n orvns or propdy wlD builds ot impiov6 rhdsa.
and who contacls fo. such prcjcds *nh a codBdo(r licosed pu6ua rorh. Conlracrdrs Lic.N tjw)
-l
dn ex.m unds Saln,n-. tr &PC lorrhisrcMn
.EO.StrEsSllOMfEXlArqB
DEC}AAAIIA!
I h6.b, .rrm unds DdEhy of pojury o.. of rh. aollo*ins dEls.liom:
-l
hav. and $ill nainlain E C6rili.ar. ofcoB6t to Sclf-lasure for work.c comP.nsalon,6 ,ro!id.d lor bv Sdio.1700 oflh.
t,abor Codq aor thc pdfomuc. of t& *od( for wtich rhe pmnil is issucd
Zfii-v. aid will maiilain wdk.G' conp.tuarion iBur.ncc. 6 requncd 6y sdr io. 1700 oalhc lab.r ('od€. lor the psfonnan.. ol
rh. sork loi $hi.h lhis p.flnil is iseed My wor*d! co'npasarion insur4< cmid and policy nu6bd dc:
,.t "r^,^*' 4(o'1/i lfZ -o)-o I ,,0r,.'/,
I ceniryrhal io lhc polonBrc oarhc work lor which rhislErmn is issued.l shallnot srplov.nvpeMn inan, nmncr
e as ro beoi. srbjd b lhc Nlrkn comp.nsar ion l.ws o f ( alilomd dd ,!rce rhat il I should bdo '. subid to lhc
*ork6 cohp.nsalion psv$io6oISdion 1700oalte Llbor Code,I sbrll.fodh\eilh compty wirh rhosProvisioN
\rAiNlNG: Failurc r. -curc worteE comp.Gdion .ovchsc is unbwful. dd sh0ll slbjd o fllloyer r. si,niul FBhi6 dd
r, .f. h( trtltual rh.u\xnd d.llars rS 0lr.l11)(r). ir
rf
D&CllEAIlA!
, hmb, afirm und6 p€nally ol pdjory lhal I m lic.us.d undd provirion of Chapt6 9 (connmcin8 rvilh Scclion 7000) oa Division l
of rhc Busi.6 ed PofsioG Cod( a.d h, licG is in lull lbtce dd .rar.
,B9rBa6-
o,r. lt l,s-f /g
collllllcuoN.L[NDllclc[lcr
I h6.by a,Im undd Ffl.lry oi pgjury lhal lhcc is . connrudion lcnding aldcy aor lh€ psromDnc. of thc wort ror rvhlch rhis lEmil it
isu.d (Ss 1097. Crv c.)
APPLIC NT DFCI ARA'I'ION
I hodry drian u.d6 Fflalty of p€rjury on. of lhc followi4 dclarations:
Ilmolnio. Pcrmts-kb61os Nolification F.d€rtl Regul.tions (1 itl. 40. Pan6)
_R.quiEd lrtd oaNotifi cdnr!
I c.rlituthal rhe L{6d(AularioN rctddina Gb6tos ronoval t. nor.pplrabletolh's o.rccr
y'lditorhd
I fiav. rud rh (arerhar rhc at[J!. i'rlonn.a I r!'ero (on,fly Nih ill('
ro htrildi',c connn'd n 3 {lhflc[\
poq lnr iBpetion p04ns l r(-//C,o
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB FIoor
Subf loor/VenUl nsulation
Roof Sheathing
Shear Wall l\
Framing !r-\L(IC
lnsulation/Energy
Drywall V%t)
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar tq tg
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL l'zt-11 k.uLtL
Certificate of Occupancy \J
Notes, Remarks, Etc
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