HomeMy WebLinkAbout10194481 - Permit (2)Project Address: 1921 E Carnegie Ave
Assessofs Parcel 430-222-12 Lot: NA
Un:G Bldg Address Range: 1901-1921'
Historic: No
Suite Range:
Zoning; MlBlock: NA Tracl: NA
city of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1lJ194441
Pin #: 68,411
Building Use: Commercial Occupancy: B 1st FL Area: O Patio:
Job Type: Alteration Constr Type: V B 2nd FL Area: O T.l.Area:
Nature of Work: lnt. Demo code: CBC 2016 Other Areas: o yards Req,d:
Existing Bldg. & Use: Industrial/Offices Flood Zone: X-0602320279J Garage Area: Valuation: 913,000.00
Proposed Use: # of Stories:Total: 0
Description of Work: lnterior demolition of non-structural demising wall, partition walls, &2nd floor mezzanine. NOTE: BUILOING/SUITE/UNIT SHALL
NOT BE OCCUPIED UNTIL A PERMIT FOR TENANT IMPROVEMENT lS ISSUED & FINALEO. Auth. filed.
Planning Conditions: lnterior work only. No exterior alterations or modifications. B(t':h+:4tli47 - lti/t*i"r]l/ ID; llnBfalerl:;
Owner:
Address
Phone:
Tenant:
Contractor:
Address:
Owner-Builder
Engineer
Address:
Architect /
Desiqner:
Address:
GENG, ZIHAN
20931 PARKRIDGE
Lake Forest, CA 92630
(949) 44s-2435
UM Media
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
AOX EnoiA65hiir Fjer i: lilo111}t
6;"n6 ;i2$c o t i f[t?(r5r-rg(' -L - tir/1rl"irl" 1: (o [.'ti
rszoi.oJ116hf6,tg4p Tota I +-.]I..'.i
Santa AnqrfiA 9270F^r,
(714) 652-d5i'd' .-"""
5289 Eu ild ins $2{t,1 "2/t
r-11 1 l 6tl02- I16r-1I r:r:flI-
AQX EngiggtfiF€i Flqn Urdnte Fee {lt1,l.j
Qiang Xiap1113riri?- iI S r.Il rt L'i lt -
1520 Brodndldtdn4ge','n l','ir)! I I . r:I.l
Santa AnalnAOI7D5' i 3 1 ?rir:rl,r-
(714) 662i3c0of jlm & Dotunerrl: X7.|4
trl I I SrJr:12 - i?7;4:r,.'r.i[-
Phone:
License #:
Phone:
License #:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
i, Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
No
Date: 10/16/2017 Misc. Receipt
Date: Misc. Receipt
Date. 1'1t16l2117 Misc. Receipt
Subject to Field:
NoNo Account#
{{+:*+}}+r}}+.rr":q )9 r\utl l:ir:;to i/;07776002 51501 Permil Fee $15426
07776002 57770 Microfilm Records $7.24
07776002 57672 Bldg. Stds. Revolving $1.00
07776002 57600 Generul Plan Update $21.25
07776002 51601 lssuance $52.98
Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the wo* on the slte authorizod by
such pemit is commenced within 180 days aftet its issuance,ot if the wotk authonzed
on the site by such pemit is suspended or abandoned for a peiod of180 days aftet
the time the wofu is comm1nced .
lnspector
Fee Total:
Paid to Date:
Balance Due:
$236.73
$0.00
$236.73
01 1 16002 5't600
01 1 16002 51601
01116002 516'12
01116002 57770
$21.25
$2O7.24
$1.00
$7.24
Planning Approval By:
MtD#. 2017-138228
BUILDING. INSPECTOR RECORD
SITE-WORK DATE COMMENTS OWNER BUILT'EI DET,CARATIoN
I na.rrL .mrn undr Fnahy ol ldjtrry rhar I m .ronpi frcn rh. (bntdo6' Lics. Ijw for th. aollowin3 rcasn (56 70ll j
Busi.6s and Prol6ion Codc): Any Cirr or Counry $ni.h r.qut6 a p6mn ro consrruc1. ahs. in$ov.. ddolish or q,an ,ny
srrucluc. Fio! to irs su&c., d& r.qut6 lhc appl'c.nt lu such pcrnir Io 6L r qirn d n.rsfl rhar h. or sh. is licfised pu^udr
10 the provisions ollhe Conlraclors Licensd Law (Chaptd g, Commencins rvilh Sdion 7000 of Division I of ih. ausin.s a.d
ProLssions Code) or rhal h€ or 3h. d el.mpl rlErcno'n and rhe h6s$ lor rhc allce.d .rmplll)n An! \iol.rionotS€clion 7011.5 b! any
,pplica aor a pnnit sobi..ls lhc applicanr to 0cirilp.dahyolnor,nor.lh.n fiv. hun&cd dollrs (S5q4)
l. 6 o\rr orrh.pmpcny, or myeniployd wirh \ra!6 ss rhct sle.omt.Nrion. si[ do tnc uolt Md rh. stnrclu€ is nol
intfllal or oIr..€d a.r sl. (Sd 70'14. BusinN and Pml*ioN Code The Conlrado' s Liccns La* do6 nol dmly ro an own r .l
rhc p6ps1y *ho builds or impmv6rhd6n, and sho d.6 sh $olt hims.llor h6clf or thrcu8h his or h6 own cmplorcE,
pr.lidcd rhar such imro\@nt d.nor intdrlol.r ofiddl lor eL lf, h.\'66,lh€ hrildin3 or imprevmdl is $ld wnhin on. )@
ofcomplelion. lhc (lhr l,uildo rill harr lhc hrd6 of rmrins tha hc or she dii not build or iqrove lhe propdr lor rhe lurpo* of
I. ar o\nr o f rh. ropqry. d crchsn€ly conrra.r in8 Nirh lictucd .!ntrdo6 r. coNrru.r lhc pmled (S( 7041. B6irs
ed PDf6io" code The contracrois Licosc L*! doa nor appl, ro .n or n6 of propFly who bu ilds or impro!6 rh.r.on.
and who con[acts for such lr6j6ts $ irh a Conr.rdo(s] li(d.d pu6uMr kJ rnc Contado.s Li.oe Las)
I dn e\enrpl und6 Sdion
I lrrebv r,h'n uDder t1f.ky oftol,,.y (hr nlll(N i! dr.lrmr$n\
I har€ ad $illmainlain a C€ni,icate orConsdr lo S€lll6urc for rvorkd compdsrion, d providcd lor b! Salion 1700ofthc
Labo! ( odc. for rtc p€fonn&ce of tfi. \eor( for \rhich the pmil is issu.d
I hav. rnd will msimoin rvorktri co'nt.Balnnr insur.n.c, 6 r.goir.d by Scr ion I700 otlhe Inb.r Codq fo, th. Faamecc oa
lhe ro.t aor which rl& tmril is isu€d. My $orlm co6p(1grio. itrurdc€ cmi6 dd p.licy numbr 6e:
PolicyNumbd
I ccnrtythal inthcpqioldanccofrhe{ork lor vhich this l)€mn is Nsu.d.l shallnor mpl.y an, pdson in.ny, mnnn6
$ a ro bdon subjN ro th. $0116' ..6r.nsari.. la$ ofcaliiomia- dd arn. rhar it I slsuld b..onE subtat lo th.
s.rk6 c.mpdstion rmvisions.fs..lion:lT00oirh.Inhor Code,l shdll, lod h{ hh .o'npl! rvilh lho*provisbns.
WARNINCT railur. ro Kur. \ort6s mmpmdion cor6as. is unlasrl|. and shall subjd d mpl6)d ro dimin.l porahie and
cnil fincs trp to onc hundr.d lhousand doll.6 {tl .m0). in addnion to rhc cosr orconp!.erion, dm.t6 a prolidcn f.r rhe
Sccriotr 1lr7r,.frh.l rhn (.d.. 'nl.rc(
u:LI -8n!1!
I teby artrm uoder p@lly oa pdjury rhal I a'n limsd undcr !.ovision olcha|r6 9 (coDndcins Nnh s6rlon 70tr0) ofDnhion l
of rh. Businei md PmfsioB Cod., Md my lic6s is in aull for.c .nd citsr
CONEIBUCIIONIIIDIIG-ACENCY
I n6cby amm und( p<aalty ot p€rjury lhal rhrc is a conslrudion k dins asdcy lor rlE p6aoman.. ofrh. sork lor *trich ihis pflnit is
issu.d(S< 1097.(iv C ).
AE8IICANLDECIA8AIII}X
Ihqd,yaltr trnd€rp.nahyolpsiuryoneollh.lollosinxdEl.ralions
Dcmolnnr. Pdmirs-Ash€ros Noli6..tion r'cd6al Rclnhrion! (Tnl. 40. kn6)
Requncd Iit6 of Noli6calion
6b6ros rooval ee nor dlpli.abl. ro
'his
pmj*l
.rhal rht atov. infomarion is.oE€cr. 108!eto mmply with all Ciry and Counry
hs.6y. hoirc rcprBflrativB ofrhis City dd Couoryb dr6 rFnrh.
,\tllio r or \At t Sis xr
&.,""C X=-
*" r"y'e /r7
Set Backs
Forms/Steel/Holdowns
Erection Pads pltbltl 14 t ^,-fr,4 D
UFER Ground 0 I
SLAB Floor
Subfloor/VenVlnsulation
Roof Sheathin s
Shear Wall
Framing
lnsulation/Energy
D rywall
Ext./lnt. Lath
Brown Coat
Irila son ry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL iltfl/s ia *k+c,-r',-7 ,)rrTrCertificateof Occupancy
Notes, Remarks, Etc
ID/SIG.
IJM RealA, LLC
October 1, 2017
KSanta Ana Planning and Building Agency
20 Civic Center Plaza Ross Annex M-20
Santa Ana, CA 92701
CitY of Santa nna
Re: Authorization Letter from Zihan Gene / 1921 Carneeie Ave.. #3G & 3H. Santa
Ana. CA
To Whom It Mav Concern:
As an owner of the above referenced property, I authorize Mr. Xiao to pull the demolition
permit for the tenant improvement to meet the growing needs from Mr. Xiao's firm
(AQX Engineering, Inc.)
If you have any questions, please contact me at (949) 445-2435 .
Regards,
Zihan
0c1 13 ZUlr
CEO ollJM Reatty, LLC
1921 Carnegie Ave., Suite 3G & 3H, Santa Ana, CA 92705
Tel: (919) 415-2135
K
1Planning & Bullding Agency
Bullding Safety Division
20 Civic Center Plaza
P,O, Box 1988 (M-l9)
Santa Ana, CA 92702
(7{4) 647-585s
SPECIAL INSPECTION/COMPLAINT
INVESTIGATION FORM
SUBJECT ADDRESS SUITE
tl Residential
Purpose of lnspection:
I Commercial/lndustrial
Requested by: (o*n"t
Name: /- ),.. . , i
tr Contractor tr Real Eslate Agent ! Other
Address:
251
ACTION TAKEN: tr None Required O Correction Notice
INSTRUCTIONS: )@f SuUj""t to fi"ta tr Plan Check Required
PERMITS REQUIREIi: {Building ,ft-Electrical EPlumbing _$<Mechanical
PLANS REQUIRED: Xsite Plan tr Floor Plan 0 Roof Plan ! Elevations
! Elect. Plan tr Plumbing D Mechanical
FEES: lRegular Fees ! Penalty Fee tr lnvestigation Fee
NOTE: Building Pemits for unpermitted room additions require a site plan, floor
plan, roof plan, framing plan, and elevations
Remarks
Date: y,/l // \ Time ln
Time
Departed: /l: I i) y' ,i I lnspector/lD
lnspector Office Hours: lronday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM
be oblained l\,4onday , Thursday and Friday 8:00 - 4:00;Wednesday 10:00-4:00
Received by:
u
Tracking #:
Office Use
Amount Paid: I r1L - Recei pt#
DateAddress tagged by
Distribution: White & Yellow - lnspector Pink - File Copy
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