HomeMy WebLinkAbout50101057 - Permit (2)@ City of Santa Ana 20 Civic center Plaza ([4-19) Santa Ana, cA 92702 Grading
PermitCounter (7'14) 647-5800 Inspection Reqlestsr (714)667-2738 lnspector Sectiom (714)647-5853
Permit #: 50lOlO57
Pin #: 3Ol4O
EProject Address: 515 E Dver Rd Unn:Bldg: Address Range:Suite Rangel
Zoning:MlAssessor'sParcel 4'11{52-26 Lot NA Block NA Hisloric: No
Building Use: Commorcial Occupancy: N/A 'lsl FL Area:
Job Type: Miscollanooua Conslr Typei N/A 2nd FL Area:
Nature ofwork: Proci6o Grading Code: cBc 20'16 OtherAreas:
Exisling Bldg. & Usei Commorcial Flood Zone: X{502320278J
GarageArea
Proposed Use: # of Stories:
Totat:
Doacription ofWork: Procise gr.ding tor parking lot altorationsrorpansion and new truck loading dock8.
? 1'. I
Patiol
T.l.Area:
Yards Req'd:
Valuation:
0
0il
TYH
! r lfri5At-[i
-l ri:
irl1rrlr.157Planning Conditions:
Engineer:EnslfiErr{r* ,
Hines Company
17E85 Von Kaman #'110
Newport Beach, CA 92660
(949) 474-1960
Contraclor: OltmansConstructionCo.
Add€ss: 10005 Mlsslon Mlll Rd
Whittier, CA 9060809a5
Phone 156219481212
Srate Licf: 85393
Lic Type B, A
Bus. Lictr: 175797
Workerc' Compensalion lnsuranceCarrier: T.aveleB Property Casualty CoPolicy#: WC2JUB2789L89717
Expires: O7lO1l2O1a
Ma.k K.Iotol
16795 vonK.m!Er[#tgo., :
lrvlne, CA 92606
(949) 474:lBa0. I F lfi rr', I
ii 1 l6fr l- r1r,.'r' il
l(l_ ihE'lr rrrr rli
Tonant
r:1. ?5
t. t79.:4
J q a 4 $t 6
q1qo0
Planoing Approval By:oale: 03/29/2018 [4isc. Receipt:
Date: 03/29/2018 ['lisc. Receipl:
Daie: 03/29/2018 Misc. Receipl:
Subject lo Field:
No AccountB
07776002 57606 Petnil Fee
07116002 57506 lmprovements
07776002 57600 GeneralPlan update
07776002 51606 lssuance
Plan Checked 8y:
Permil lssued By:r
NPDES Insp. Req
, Behrooz
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
No
No
No Flood Zone Cet Req'd No OtttOO02 StOOo $21.25
E@ry pemit issued shall becue in ald unless tha wo* on lhe sile aulhot2ed by
such pomil is @nren@d wilhin 180 da$ afler ils jssuanca,ot il tl6 votu aubonzed
on lha silo by such pemit is suspencle.l or abadonod lor a pohod ol1A0 days aftet
he nN he wotu is camnonced
lnspector MID#: 2017-140311
01116002 51606 $4,978.54
t
Tracl: 43
Designerl
t1197 4 .29
$925.56
$4,000.00
$21.25
$52 98
Total
Paid lo Date:
Balance Due:
$4,999 79
$0 00
$4,999.79
GRADING-INSPECTOR RECORD
,
APPROVALS DATE ID/SIG,COMMENTS ow..rBu rld$ Delamriotr
I hcEbyliir lndd D. rlry of p.rFry rhot I am cx.nfr fnrm rh. Conl.aclon lic.nr. hw for th. aollo*m8 rca$o (w 70]l 5 Brnn si
snd Prof.ssi.n cod.): Any ciry or Cdr.ry ,hrh r.qurcs a p.mn io odrucr. alrcr. im,rmv., d.nolish or rcpan any (rucrrr.. P'tr ro i
h,uince,sl$rcquncsth.ap, i.a tu N.h l.rnn ro filc a 3ig..d srdt.tr rh.t h. o. fic i lic.nrcd luButnrL,hcpmvhionslfrhe
conhcrol. Liccnsd Lrw (Ch0rter a, Comd.ncins wirh seri.n 7000 of D,ikion I oftn Businsi snd Profc$ions code)o*4 he or
rh. ir.x.n,rr rh.i.f6s a.d rh. hark fo.lh. Dllcs.d .x.mnlion Anyliol.tionolsdrionT0ll.l bylnyapnlicad ftriD.mr ruhicdsrhc
.nplicam lo i crvil,Emllyolmt mr. rnan nv. hundrcd dollsn (3500)
-1,
d owrofrn pmrdty, or ny.q,lor€! eilh wrs., a. th.i. 61. co,p.nsl io( villdo th.*ort..d ih. nrud!rc is mr anl.d.d
6r6rr.rd forol. ( se.7fi4, ausiMi.nd Pol**,nr Cod.r'nE Co reror'. Lic.M Las dod mr apply to s 6{mr ofri. lo,Eny
slh bu,ld. or inpmvB rt{6l! and rto &6 tun vork hin*lf ot h*lf o.llv.usn hh or ls om.tuphyB. lmvitu rn l s.h
inDrcv.md3 ,,c ml hr.tdcd or ofi.Ed for 61.. ll now.!d, lh. blildi.B or impnr.D.nt i. $ld snhin oft ,ra ofoorlerio.. rh.
OuM-Buildr {iU haw ilE b{rd.n of pmring lhol h. or 3h. tul build or inlhv. for rh. purp.c of el.)
l. ar ovM of rlE tmr.ny. ao .xclBiv.ly conrmri.S wnh lic.nrd enlEloh to 6nrl tod lh. |rnFr { S4. ?044. Busi*s. ..d
Prcfcsion Cod. t h. Conrdclor'r Li.d.. Ilw dB mr rp0ly io .n oNEr of nmp.ny wlF l,!ild. or iottbvd lhcron , snd slnl
onlmcrs ror u.h prcjerB *ith a coirftcro($ licci*d pumail ro rhc conlmcrors Li..nr. Lae.).
I m cx.mpl u.dr Sdlbn
!48[EBSl9rrtEBSAI0!-lEClA8AIrc!
I h.Eby amm und6 !.mhy of ,Erjury om of th. lollowin8 &.lomt ioN:
_l h.v.and *illminIain rortd @hlr.Mtion in$6M. s rcqui..d by S*lion l?00 of lhc t ho. Cod., for lh. pdfomne of fic
work for which thi! pnnil is i"iu.d. My worL.d .otlsndio. insrm.c .Mid aid poli.y Nmbd e:
Policy Numbcr_Erti.sl
( l hb.{rio. E.d El h. conpl.r.d if llE n mit is aor On. hundr.d douad l$ l0o) or l.*9
_l c.niayrhrr inrlEprtolm ..f lhced. for h fiir Frnir ir is.4 I .h.ll ml .mDloy a.y p.Mn
'n
any Nnnr $ * 16
t.ca$.subiel lo thc rcrkm' 60rc Califomis. dnd a8e lh.t if I olld b.cod sbid to fi. wo*.F
cohpc.srion DmrisioN 6f Sdtaon 3700
lh<_
wARNlNc ljsrlur.kJ se.unworken co h lnlswtul, rnd shrll lulrcl an .mplottr lo oi6i.0l Fmlt i.i nnd civil
finca uD !o oR hund.ed rhous.d dollaF(Sloo,olDl,in.ddnion to lh. con ofcomr,.n9li.rl d.m8...i Pmvid.d for rh. Sdrion 1076 oa
rhc L.b.r Co&. im.Bt dnd 6norn y s fes.
uct!$olarrMcroBiulclaSarrcN
I h.ftby amm und4 p.n.hyofFrju.ythal I am lic.nsd und.i ,mviridn olcht,)t.r 9 (mmencins wnh scr6.7000) ofDivhion ll or
rh. ABiR"r .id Pmfesio Cod.. .rd ay lac.e b in tull foG ..d .ltdt
I heEby amm undc. pe.ally otperjury lhrl
ks.<l (S(. 1097, Civ. C )
kding .g.ncy ior thc pcrfomncc of rh. w.rk for which lhh n rmir is
a.r&rcaNrtlDetaadJaN
Dcnuniion Pemirs Aa[.no. Nonficarion ld.6l Rqulil ioN ( l rl. 40, Prn 6)
_ R.qun.d Lcll.r oiNolifi calion
I c.nify rh.t fic ,.deml E8!l.l ioN Esadifls tur .t'!lic.bl. lo
'hk nroj.cl.
rlv hn ii corer. l rSra rocohplywilh lllCily.nd Cot y
iv.i ofrth Cirr.d Coumy to6r.r utbn lhc
I
Preliminary Soil Report
Fills
Sub Drains
Soils/Geology Report
Statement of Compaction
Compaction Report
Paving
Sub Grade
Aggregate Base
Water Test & Seal Coat
Asphalt Concrete
Soils Eng. Cert
Rough Grading Release
Final Civil Cert
./.4
FINAL lo -l'lK D.Yl,\],)
Notes, Remarks, Etc
Excavation
Buttresses
Flood Elevation Cert.
-l
haveed willnlinlaia a C.rlificll. oiConsn( h s.lf-lns!r.lo. solk. comp.ns'rnrn,6 Dmvid.n hr hy Sdrn'n l?(x) o I rh.
ljtrr Cod., for rnc p.rfolm*. of rlE *orl ror qhich rh. Finn is hs.d
86 gq3
&q N
,","03^Zq^zqb
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