HomeMy WebLinkAbout10198311 - Permit (2)99
Project Address: 3785 S Plaza Dr Unit Bldg Suile Range:
Zoning: CRAssessor's Parcel 412-13',t-12 Lot: NA Blockr NA Traclr NA
Permit#: {Ol983t{
Pin #: 97492
Building Use: Commercial Occupancy: B 1st FL Area Patio:
Job Type: Tenant lmprovement Constr Type: lll A, SPK 2nd FL Area T.l.Area: 45OO
Nature of Work: Tl/Roof Mtd Equip Code: CBC 2016 other Areas: yards Req,d o@o
Existing Bldg. & use: coMMERctAL Flood zone: x-0602320259J carage Area: vatuation: g18s,55o.oo
Proposed Use: Counseling Offices # of Stories: Total O
Description of Work: Tl includes interior demo, new t-bar ceiling, interior partitions to create offices, conference rooms, lobby, storage, work areas, &
new break room. Expand (e) restrooms to comply with accessibility, Removdreplace rop:,Imounted "quipT"lll;i , . ill
Planning Conditions off ,':e: r ons;i t;'
Engineer
Address.
Architect /
Desiqner;
Address:
Hue C. Lui
Hue C. Lui
:rtl
.'ir*Owner:
Address
Phone:
Tenant
METRO TOWN SQUARE
3719 S PLAZA
Santa Ana, CA 92704
(714) s46-2856
Straight Talk
Contractor:
Address:
Owner-Builder
Phone;
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Phonel
License #:c-66754
Central
Vincent
E?cifi
TIen
c Desiqn/Build .
:1te tee
t]ttlr-
13242 Hazel Street
Garden Gfove, CA 92844
(7r4) 7194558
tv ln9
2nn0-
:u$en t B
irlutl-Phone:
License #l
57607
5 i600
57770
24000
57672
5 7600
57607
$1,230.25
$'1 ,767.1 6
$60.16
$51.95
$8.00
$22.08
$5s.04
Permit Fd6"'
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
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
Escamilla, Manny
Ahangian, Kathy /
Zuniga, Allissa P
\
Date: 11/08/2018
Date: 0l/07/2019
Date: 01/08/2019
Subject to Field:No
No
No
No
Fire lnsp. Req'd.
Police lnsp. Req'd
Noyes Account#
71784
Total
Flood Zone Cert. Req'd: No
Every permil issued shall becofie invalid unless lhe work o, the slte authorized by
such permit is cofimenced within 180 days aftet its issuance.ot if the wotu authoized
on the site by such pemit is suspended ot abandoned for a period of180 days efrer
the time the wo* is commenced
lnspector MID#: 2018-147556
01116002 51600
01 116002 s1601
01 1 16002 51612
01116002 57770
08901001 24000
$22.08
$1,285.29
$8.00
$60.16
$51.95
Fee Total
Paid to Datel
Balance Due
$3.194.64
$1,767.16
$1 ,427 .48
City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requesls: (714\ 667-2738 lnspector Section: (714\ 647-5853
Address Range: 3701-3795
Historic: No
rI
rl
lvlisc. Receipt:
l\4isc. Receipt:
lvlisc. Receipt:
o7716odb
07116002
07176002
0890 700 7
07116002
07776002
07116002
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.OWNER BUIt.DER DELCARATION
I hcrchy.fltnr lErcr oculry,,f Pcrjury rhrr I a .rcnrlr rh,fl rh. Cbntnclon l.ic.ns. hw ror rhc rolown8 rcaqr (5..?0.11.5
Bx\inc$ snai Pn)f.sk r Cdlc) Any Ciry or C.unry whi(h rcquircs ! Fmn (o .onndct, .lrct. inrn,vc. &tu i(h,{ El'rir uny
{ruclurc. I'rktr b ns ssuancc, aho rc'luirs ihe applicanr r(tr surh p.m b lilc . si3rc,l {.rcmnr rhar r. or dr is liucns'j luruanl
b rh. l,rrnbni ol rhc Co.ka.'ois Liccn\c'l L.w (Chlptcr 9. ConMBaci,'! w h Scrion 7fii(J ol Divnn,n I or th. Bxsinc$ d.d
Pnrcsn,i\ codc)orlhri hc orshc ^.rcnDr lhcrcIron lnd rhc hass ror rlfallcgc!crcmtlon. Any riolaiion.rs.clDnr0ll.5 byony
attli..nr lDr a p.mir q,$Jc.k rtc apphcanr b rcrv,lP.nxkyornor mne rhan lirc hunJEd dolld! (S5m).
-1.
r\ owncr ol rh. phFny, or my cnl'n,yccs wfh wasc{ rs rhcr vrc conP.ir Dn. * do llE *rn* {rl rhc nturm tr 'x,n[cfr]dl or .ilircJ lor srlc ( Scc.7O44, B sih.{s mJ Ptnasnr$ C.dc Th. Co ru.tr's l-iccns. ljw lll)cs .ol ipply n' rn own r of
rhcpmlf,n, wln' huld\ dr rnpr)vcs rlrRln.3ril w&, {f,r {rh wrrk lrons.ll.t hcncllorrhnrush hr orhcr.wD c.rlbycc\.
pn,vkl.J rtut such in{hEnrna trrc n inrcn'1.'l or olLEJ li,r slh Il. k,wrki rh. l^riun3 .. improvcdnr i\ e)ld wirtun onc }c
ol !.nr{)lcri,,n. rl{ Owncr lru lcr w'll havr rk tnnicn ol ln)vr3 lhar hc or shc dd ft hliU .r mpmvc lhc ln{qly lo! rhe ,urlx,( of
L rs owncror rhcIn,ltny, am.x.lunvclyco rud$8 w h liccnscJ ronta.rd^ nr consnEt rrE Pn*ur (S
dxl l)ntasv Codc lh.(-,)nrrn ttr's l-i.rn\c l,iwdo.\ norrPtly kl r .Etrc! ol Pr)l}cd y sho btr'lds
rtul $ho .oniBlhtur{ch!tuirhwrh. C.nIn.it(9 li.cnscdpur\trrr roth.contacroi\ Ltcnse Law)
DECLARATION
I hcr.$y !IthrnJcr l..llry dr p.rjuy.trc oilhc lnlbwins iicclimrus:
I htrvc {n,l*rll mrn dd rCcnrfic cofconscnttrSclllns!rclitrworken'conllf,nsdlon..sF,vidcdlnr$yS.c.onlTtDdlthc
bt{r C-otl.. lar lhc pcritrmrn.c ol rhc work n qhich rh. llcrnn s ssucJ
-l
hrv. lnd will nrn .rn workcn dnnpcnsarion muBrcc. rs rcqur.J $y Scd i(n :l7iD oi lhc l,rhor Cid., nlr rhc Pcrbmncc ol
rhc work turqhich(hn Nnnn is i$ucJ Myworkc.s conrFn\rknr rnrrtu.!n,cr el frli.y nunrhrrc:
l.cnrlyrh rnrhep. nrmncr t)t rhc work for sh(h rln( o.irnrl h i\rucJ.I nullnor cnPloyany F-6on inan, hdnicr
$ rsbtr.om \uhjccr loltu wolkcs.omttnslrion hw\ol C$lil,rnu, rhtt rgNihll ii I slDuldt{conc bj.d rorlrc
\rton ttuvsion\., Scctotr lTtUoflhc L.htr Orlc. I \hrll. li,nhw(h comtly wilh rhr{ prcvi\rn(
lur. !) scurc workcF ron[cn\Ii,n,.ordrsc,\ urhwtul. nnd nrll \uh]..r 3n cnDl,ycr to.nn Nl F-mlr
N lrtrtutrcJ rhnrrnJ lollr^ (11 ix n) rlr.o{ ol ()n|r{tr\rrrnl
lit( t,\R \ (rl
Irr,.hy.flnfru.rpcn.hyoi!'.rjuryrh{rIrmliccllc'iundcrtR,vlnonolChaPtq9(!l,mEncm8whScct$nrOO0)olDiliionl
.l rh. Bo\ires aod Pof(sons Co.lc. dxl myliu.ns k in ltll ltr.c rBl.Itcr
Drr.
-
(-onlm(lor-
CONSTRUCTION LENDING AGENCI
I hcrby !flirn utulcr ncnalryof pc.jury rhar th.rc il r sn{rucrion bndm8 aecncy l',)r rhc I.ndrmn c ofihc vork tu which rhi\ 0cmit is
isskJ (sN .1097. crr. c.).
APPI ICANT DE(--LARATION
I lrn$, alimr undc! lEnally ol pcljrry om of rhc t)lbwhg d..l&d ions
Drtuhron P.rnds^shc{os Nolilicrrir FcJcral Re8uhbns (Tnk 40, Pd6)
_Rcquncd k($ot Nrriltarh).
l.cnllyrhd rhclci.nlrcgnl]ri,)n\ rcetrJhg Ah.nos ftrnovrl ir. n.r Jnpl'r lc b rhr f,j..t
_l c.n'lyrhxr llrvc r.xdthn nlplicarion
onlom(c( and Sratc tiwsrcLru3 t,, hurldr'l
xr rIr h. ]ln\r trir,nnrlr '..n).,trnt)Ly1v[[rll([yr cotrnrr_
xhor. trrnri,trir!l l)'otra! nn
ArplicHtri or Aletrl Sirnatu
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsu lation
Roof Sheathing
Shear Wall /,/\
Framinq
lnsulation/Enerqy
Drywall a-291"fiwu
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL ,q)
Certif icate ot Occupancy I , u[
Notes Remarks Etc
-27-l )u o^,A J7
h,lrt C^4L.
\-/
COMMENTS
2-I't-41 v.w"t{)(/\
I
LNnsc Clasr
-Lic.nsc
Nunf.r:
--
I
I