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HomeMy WebLinkAbout10195957 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests; (714) 667-2738 lnspector Section: 1714\ 647-5853 Project Address: 5111 3/4 W Edinoer Ave Assessor's Parcel:108-381-25 unit' WCC01 Blds Tracti NA Address Range; 5015-5127 Historic: No Suite Range: Zoning: C1 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Planning Conditions: Commercial Alteration Cell Site/WalUEquipt Pad Commercial N/A N/A cBc 2016 x-06023202s6J Patio: T.l.Area: Yards Req'd Valuation: $15,000.00 Occupancy: Constr Type: Code: Flood Zone: # of Stories: 1st FL Area 2nd FL Area Other Areas: Garage Area: Total Description of Work: Alterations to existing minor telecommunication facility (roof mounted) consisting of removing remove 6 RRU'S and install 15 new RRU'S and ancillary equipment.Accti: Rcp Li : (r2?59U(ri - Trqnso,:L ion Iotol Engineer Address: Phone: License # Focii rc llest spoie (:oniiun i Phone: Tenant A Levy Family Trust 8665 Long Beach Long Beach, CA 90805 Conlractor: Pacific west Space commur Address: 900 W Gladstone San Dimas, CA 91773 Phone; State Lic #: 597074 Lic Type: C-7, A, C-10 Bus. Lic #: 5980 Workers' Compensation lnsurance; Carrier: Old Republic General lns Co Policy #: AlCW9685l809 Expires: 02128120'19 Generol PIqn Updote F ttlI 160(12- :16(t00t- "t-Burldins 01116(r(r2- i16tr1t:r(t0- Blds Stds Revo I v ine & Associates, lnc ve, Suite 100 Jeffrey Jeftrey L 131 ln lrvine, C (94s) 760 c020876 r{}*}r*rirr34:,1 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: 05/07/2018 Date: 04/19/2018 Date: 05/07/2018 Subject to Field: Misc. Receipl Misc. Receipt Misc. Receipt 07176002 0 717600 2 0 8907001 07776002 07776002 07176002 5760 7 5 3600 24000 57672 57600 5760 7 Permit Fee Plan Check Fee SMIP - Category 2 Bldg. Stds. Revolving General Plan Update lssuance 707 57 Total $617.04 $213.86 $4.20 $1.00 $21.25 $52.98 No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account# Flood Zone Cert. Req'd: No $21.25 $670.02 $1 .00 $4.20 $910.33 $213.86 $696.47 lnspector MID#: 20'18-141039 01 1 16002 51600 01116002 51601 01'1't6002 5'1612 08901001 24000 Fee Total Paid to Datel Balance Due Permit #: 10195957 Pin #: 44489 Lot: NA Block: NA Phonel License #: Architect / Desrqner: Address: Owner: Addressi Authi: [rl Arabe, Jill :T.::::HV Every pe nit issued shall become invalid unlass the work on the site authoized by such permit is conmenced within 180 days after ils issuanco.or if the wo* authorized on the site by such permit is suspended ot abandoned for a period ofl80 days aftet the time the wotk is commenced. BUILDING- INSPECTOR RECORD SITE-WORK tD/stG.COMMENTS Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Subf loor/Vent/lnsulation Rool Sheathing Shear Wall Framinq lnsu lation/Eneroy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report I FINAL )/2.//l ,n ffi471 Certif icate of Occupancy / Notes, Flemarks, Etc OWNI]R BUILDI]R DELCARATION I hd.hy afl,rn und.r p.n.lly of !.rjury lhsl I Mr cxcnpr fmnr ltc Conrruch^ t-i.cn\c La{ ror rhc lollosirs reason lscc 70ll5 Busnrs( md Pi('fcssio. Codc): Any Ciry nr Counry *hich rcquircs a p.nnir ro con{f, , ahcr. nnProE. dcd,li\h or Epan My slnrcrurc. Drior ro ns issuancc, llso rcquircs rh. ipplictrnr t r \kh Fnnit ro filc0 sisncn sl cmnr lhlr heot ahc is li.cn{d Nrsuur u rh. F)lisiotrr or rlr conrmctors Liccn\cd L0w (Choprcr 9- Commcncirs wirh s.cri.n 7fix) of Divnion :l olrhc Busint\\ ,rd Profc$iur Codc) or rhar ncor!h. iscrcnrpr rbcretomsndlhc h i ftxrhc rlhScd crcorrion Anyliohrn,nofSdrbnT0ll5hyntry apnlicrdn,aFmir\ubic.Brhc{'!liGnrto!civiltcn.llyofnrnEcrhlnlivchxrdrcddollrn(t500) l. rs osncrol lhc rrroFnI. or m!cnDl,,rccs sirhsrrc\ N rhcn wrccomFNnlion. silldo rhc iorl rnd rh. (du. n tur inr. cd or olitBl thr {lc (Sm 70il.t. 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IyARNINC Flilno h \c.urc w.rkcis'.onlF.siriotr carcmgc is unhwlnl. xnd shJll rulc.r r c.rDloycr lo cnn,i' l If,t hics Md ci\il fiu ur k) o d hundrcd rhouend dollrr (Sl(xr.(x)O). if rddirnnr k, rhc.o{.1..n{cnsrri0n. dlmrgcs r* lloridcd ht rhc ,,"*.- r-)- /k ^ppl )C !!l!Lu!ul I hcEby .ritnr uMcr pcnahr oi pcrjuy rhar I !m li(n*i xndd pt,risiotr of Chrfls 9 (com Eciig uirh scrhn T(xro) ol l)ilhion l or thr Businc\s rl]d PruacssiflN Codc. and my liccnsc h in lull fitrrt ,fd;ft.ci a I ?7 07Y -itr .tV- (2,..,c) co!9rBl]cllNr[lDllcaiEN(I issue.l rscc :l0r?. Civ. C ) Irndcrs NnDc -At,t,l,t( AN I DI.t( 1,.\R,\t 11 )N I hcrdy ofiim u.dcr pcnait, ofFrjury om orlhc r.llowin8 delarations: D.nslirion Pcrmiu'Asbcslor Norilicario. F.ddrl R.su lcr io6 (lirlc 40. 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